California Form 3576 (Pit) - Pending Audit Tax Deposit Voucher For Individuals

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Instructions for Form FTB 3576
Pending Audit Tax Deposit Voucher for Individuals
Important Information
Enter the four-digit taxable year in the box at the top of the voucher and
complete the first line as applicable.
In 2005, California Revenue and Taxation Code Section 19041.5
was amended to replace the “deposit in the nature of a cash bond”
Payment due to – Check the box to identify whether the payment is being
provisions to conform with Internal Revenue Code Section 6603 “cash
made in anticipation of additional tax due to a federal audit, a state audit, or
deposit” provisions.
other reasons.
Do not use this voucher if you are paying your estimated tax or for automatic
To ensure timely and proper application of the payment to your account,
extension. Instead, use Form 540-ES, Estimated Tax for Individuals, or form
enter the Social Security Numbers (SSN) or Individual Taxpayer Identification
FTB 3519, Payment for Automatic Extension for Individuals.
Numbers (ITIN) and the amount of the payment in the spaces provided.
Private Mail Box (PMB) – Include the PMB in the address field. Write “PMB”
General Information
first, then the box number. Example: 111 Main Street PMB 123.
Registered Domestic Partners (RDP) – For purposes of California income
Check or Money Order – Using black or blue ink, make the check or money
tax, references to a spouse, husband, or wife also refer to a RDP, unless
order payable to the “Franchise Tax Board.” On the check or money order,
otherwise specified. For more information on RDP, get FTB Pub. 737, Tax
write your SSN or ITIN, the taxable year the voucher is being submitted for,
Information for Registered Domestic Partners.
and “FTB 3576.” A penalty may be imposed if the payment is returned by
Franchise Tax Board (FTB) receives tax deposits from individuals who
your bank for insufficient funds. Make all checks or money orders payable in
previously filed their tax returns and expect to owe a future tax liability for
U.S. dollars and drawn against a U.S. financial institution.
a specific taxable year. In general, individuals make tax deposits to stop the
When to File
accrual of underpayment interest. The FTB will consider your payment as
a tax deposit only if you have filed a return for that taxable year. For more
If you received a Notice of Proposed Assessment (NPA) or Notice of Action
information, go to ftb.ca.gov and search for FTB Notice 2005-6.
(NOA) and will:
Use form FTB 3576, Pending Audit Tax Deposit Voucher for Individuals, to
• Protest or appeal the notice within the period explained in the notice
make a tax deposit payment for previously filed tax returns if you anticipate
• Make a tax deposit payment to stop the accumulation of interest
owing an additional California tax due to a federal audit, a state audit, or
Then do both of the following:
other reasons. See When to File, for more information. Use the voucher
• Mail the tax deposit voucher below with the payment to the address listed
below, if paying with a check or money order payment only.
under Where to File.
If there is a final balance due on your account, the FTB will first apply the
• Mail your protest or appeal request to the PO Box listed on the NPA
payment to satisfy any final balance due for the same taxable year. Any
or NOA.
remaining amount will be held as a tax deposit.
If you are filing an amended tax return to report a federal adjustment, do not
Mandatory Electronic Payments
use the voucher below. Attach the payment to the amended return.
If the taxpayer is required to make payments electronically, the taxpayer
Where to File
must also remit the tax deposit payment electronically.
Enclose, but do not staple, the payment and the voucher and mail to the
Web Pay
address below:
Individual can make payments electronically at the FTB’s website using Web
FRANCHISE TAX BOARD
Pay for Individuals. After a one-time online registration, taxpayers can make
PO BOX 942867
an immediate payment or schedule payments up to a year in advance. Go to
SACRAMENTO CA 94267-0008
ftb.ca.gov for more information.
Instructions
Submit a separate form FTB 3576 and payment for each taxable year.
Enter all the information requested on the tax deposit voucher using black or
blue ink.
DO NOT USE THIS VOUCHER TO PAY ESTIMATED TAX OR FOR AUTOMATIC EXTENSION
DETACH HERE
DETACH HERE
Caution: You may be required to pay electronically. See instructions.
Pending Audit Tax Deposit Voucher
TAXABLE YEAR
CALIFORNIA FORM
3576 (PIT)
for Individuals
Fiscal year filers, enter year ending month ________ year ________.
m
m
m
 Federal audit
 CA audit
 Other
Payment due to: 
Initial
Your first name
Last name
Your SSN or ITIN
Initial
If joint payment, spouse’s/RDP’s first name
Last name
Spouse’s/RDP’s SSN or ITIN
Address (number and street, PO Box, or PMB no.)
Apt. no./Ste. no.
City
State
ZIP Code
Amount of payment
DO NOT USE THIS VOUCHER TO PAY ESTIMATED
00
.
TAX OR FOR AUTOMATIC EXTENSION.
,
,
FTB 3576 2012
1241123
For Privacy Notice, get form FTB 1131.

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