Schedule Ca (540nr) - California Adjustments - Nonresidents Or Part-Year Residents - 2015
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1
2California Adjustments —
SCHEDULE
TAXABLE YEAR
CA (540NR)
Nonresidents or Part-Year Residents
2015
Important: Attach this schedule behind Long Form 540NR, Side 3 as a supporting California schedule.
Name(s) as shown on tax return
SSN or ITIN
Part I Residency Information . Complete all lines that apply to you and your spouse/RDP for taxable year 2015 .
During 2015:
1 My California (CA) Residency (Check one)
a Myself:
___ Nonresident
___ Part-Year Resident
___ Resident
b Spouse:
___ Nonresident
___ Part-Year Resident
___ Resident
Yourself
Spouse/RDP
2 a I was domiciled in (enter two letter code, see instructions). . . . . . . . . . . . . . . . . . . . . .
__ __
__ __
b I was in the military and stationed in (enter two letter code) . . . . . . . . . . . . . . . . . . . . .
__ __
__ __
3 I became a CA resident (enter state of prior residence and date (mm/dd/yy) of move) . . .
__ __ __ __ / __ __ / __ __
__ __ __ __ / __ __ / __ __
4 I became a CA nonresident (enter new state of residence and date (mm/dd/yy) of move).
__ __ __ __ / __ __ / __ __
__ __ __ __ / __ __ / __ __
5 I was a CA nonresident the entire year (enter state of residence). . . . . . . . . . . . . . . . . . . .
__ __
__ __
6 The number of days I spent in CA for any purpose was: . . . . . . . . . . . . . . . . . . . . . . . . . .
__ __ __
__ __ __
7 I owned a home/property in CA (enter Y for Yes, N for No) . . . . . . . . . . . . . . . . . . . . . . . .
__
__
8 Before 2015: I was a CA resident for the period of . . . . . . . . .
__ __ / __ __ / __ __ – __ __ / __ __ / __ __
__ __ / __ __ / __ __ – __ __ / __ __ / __ __
Part II Income Adjustment Schedule
A
B
C
D
E
Section A — Income
Federal Amounts
Subtractions
Additions
Total Amounts
CA Amounts
Using CA Law
(taxable amounts from
See instructions
See instructions
(income earned or
As If You Were a
your federal tax return)
(difference between
(difference between
received as a CA
CA Resident
CA & federal law)
CA & federal law)
resident and income
(subtract col. B from
earned or received
col. A; add col. C
from CA sources
to the result)
as a nonresident)
7 Wages, salaries, tips, etc. See instructions
before making an entry in col. B or C. . . . . . 7
8 Taxable interest. (b) ________________ . . 8(a)
9 Ordinary dividends. See instructions.
(b)
. . . . . . . . . . . . . . . 9(a)
10 Taxable refunds, credits, or offsets of state
and local income taxes. . . . . . . . . . . . . . . . . 10
11 Alimony received. See instructions . . . . . . 11
12 Business income or (loss) . . . . . . . . . . . . . . 12
13 Capital gain or (loss). See instructions. . . . .13
14 Other gains or (losses) . . . . . . . . . . . . . . . . 14
15 IRA distributions. See instructions.
(a)
. . . . . . . . . . . . . .15(b)
16 Pensions and annuities. See
instructions. (a)
. . .16(b)
17 Rental real estate, royalties, partnerships,
S corporations, trusts, etc.. . . . . . . . . . . . . . 17
18 Farm income or (loss) . . . . . . . . . . . . . . . . . 18
19 Unemployment compensation . . . . . . . . . . . 19
20 Social security benefits. (a)
20(b)
21 Other income.
{
a California lottery winnings
a
a _____________
b Disaster loss deduction from FTB 3805V
b
b _____________
c Federal NOL (Form 1040, line 21)
c _____________ c
d NOL deduction from FTB 3805V
21
d
d _____________
21
21
e NOL from FTB 3805D, FTB 3805Z,
FTB 3806, FTB 3807, or FTB 3809
e
e _____________
f Other (describe):___________________
f
f
________________________________
22 a Total: Combine line 7 through line 21
in each column. Continue to Side 2 . . . . . 22a
Schedule CA (540NR) 2015 Side 1
7741153
For Privacy Notice, get FTB 1131 ENG/SP.
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