California Resident
FORM
Income Tax Return 2000
540
Fiscal year filers only: Enter month of year end: month_____ year 2001.
Step 1
Your first name
Initial
Last name
P
Besser
Howard
If joint return, spouse’s first name
Last name
Place
Initial
label here
AC
or print
___________
___________
___________
___________
___________
Apt. no.
PMB no.
Present home address — number and street including PO Box or rural route
A
Name
1534 Euclid
3
and
State
ZIP Code
City, town, or post office
R
Address
-
Santa Monica
CA 9 0 4 0 4
RP
Step 1a
Your social security number
Spouse’s social security number
IMPORTANT:
-
-
-
-
5 5 6 1 5 6 5 5 8
Your social security number
SSN
is required.
Step 2
1
Single
2
Married filing joint return (even if only one spouse had income)
Filing Status
3
Married filing separate return. Enter spouse’s social security number above and full name here ___________________________
4
Head of household (with qualifying person). STOP. See instructions.
Fill in only one.
5
Qualifying widow(er) with dependent child. Enter year spouse died _________ .
6 If your parent (or someone else) can claim you (or your spouse, if married) as a dependent on his or her
Step 3
tax return, even if he or she chooses not to, fill in this circle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
For line 7, line 8, line 9, and line 11: Multiply the amount you enter in the box by the pre-printed dollar amount for that line.
Exemptions
7
Personal: If you filled in 1, 3, or 4 above, enter 1 in the box. If you filled in 2 or 5, enter 2
1
X $75 =
$_________
75
Attach check or
7
in the box. If you filled in the circle on line 6, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
money order here.
X $75 =
$_________
8
Blind: If you (or if married, your spouse) are visually impaired, enter 1; if both, enter 2 . . . . . . . . . . . . . . . .
8
X $75 =
$_________
9
9
Senior: If you (or if married, your spouse) are 65 or older, enter 1; if both, enter 2 . . . . . . . . . . . . . . . . . .
75
Total
$_________
10
10
Add line 7 through line 9. This is your total exemption credit before the dependent exemption credit . . . . .
11
Dependents: Enter name and relationship. Do not include yourself or your spouse.
Dependent
______________________ _______________________ ______________________
Exemptions
X $235 =
$________
11
______________________ _______________________ Total dependent exemption credit . . . . . . .
69,703.68
Step 4
12 State wages from your Form(s) W-2, box 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
13 Enter federal adjusted gross income from Form 1040, line 33; Form 1040A, line 19;
75,485 07
Taxable
Form 1040EZ, line 4; or TeleFile Tax Record, line I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Income
14 California adjustments – subtractions. Enter the amount from Schedule CA (540), line 33, column B . . . .
14
Attach copy of your
Caution: If the amount on Schedule CA (540), line 33, column B is a negative number, see instructions.
Form(s) W-2, W-2G,
75,485 07
15 Subtract line 14 from line 13. If less than zero, enter the result in parentheses. See instructions . . . . . . . . . 15
1099-R, and other
Forms 1099 showing
16 California adjustments – additions. Enter the amount from Schedule CA (540), line 33, column C . . . . . .
16
California tax
Caution: If the amount on Schedule CA (540), line 33, column C is a negative number, see instructions.
withheld.
75,485 07
17 California adjusted gross income. Combine line 15 and line 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17
18 Enter the
Your California itemized deductions from Schedule CA (540), line 40; OR
{
{
larger of:
Your California standard deduction shown below for your filing status:
• Married filing joint, Head of household, or Qualifying widow(er) . . . . . $5,622
• Single or Married filing separate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,811
7,292 22
(Dependent of someone else and filled in the circle on line 6 . . . . See instructions)
. . . . . . .
18
68,192 85
19 Subtract line 18 from line 17. This is your taxable income. If less than zero, enter -0- . . . . . . . . . . . . . . . .
19
Step 5
4,588
20 Tax. Fill in circle if from
Tax Table
Tax Rate Schedule
FTB 3800 or
FTB 3803 . . . . . .
20
Tax
Caution: If under age 14 and you have more than $1,400 of investment income, read the line 20
instructions to see if you must attach form FTB 3800.
21 Exemption credits. If your federal AGI is more than $124,246, see instructions. Otherwise,
75
add line 10 and line 11 and enter the result here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21
4,513
22 Subtract line 21 from line 20. If less than zero, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
22
23 Tax. Fill in circle if from
Schedule G-1, Tax on Lump-Sum Distributions
form FTB 5870A, Tax on Accumulation Distribution of Trusts . . . . . . .
23
4,513
24 Add line 22 and line 23. Continue to Side 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
24
54000109
Form 540
2000 Side 1
For Privacy Act Notice, get form FTB 1131.
C1