Form 540 - California Resident Income Tax Return - 2001 Page 2
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Your name ____________________________________________ Your SSN: _____________________________
25 Amount from Side 1, line 24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Step 6
28 Enter credit name__________________code no________and amount . . . .
28
Special
29 Enter credit name__________________code no________and amount . . . .
29
Credits
¼
30 To claim more than two credits, see instructions . . . . . . . . . . . . . . . . . . . . .
30
and
¼
31 Nonrefundable renter’s credit. See instructions for “Step 6” . . . . . . . . . . . .
31
Nonrefundable
Renter’s
33 Add line 28 through line 31. These are your total credits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Credit
34 Subtract line 33 from line 25. If less than zero, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
¼
35 Alternative minimum tax. Attach Schedule P (540) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
35
Step 7
¼
36 Other taxes and credit recapture. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
36
¼
Other Taxes
37 Add line 34 through line 36. This is your total tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
37
Step 8
38 California income tax withheld. See instructions . . . . . . . . . . . . . . . . . . . . . .
38
39 2001 CA estimated tax and other payments. See instructions . . . . . . . . . . . . .
39
Payments
41 Excess SDI. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
41
Child and Dependent Care Expenses Credit. See instructions; attach form FTB 3506
-
-
-
-
¼ ¼ ¼ ¼ ¼
¼ ¼ ¼ ¼ ¼
42
__________
_____
__________
43
__________
_____
__________
44
_____________________
45
46 Add line 38, line 39, line 41, and line 45. These are your total payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
47 Overpaid tax. If line 46 is more than line 37, subtract line 37 from line 46 . . . . . . . . . . . . . . . . . . . . . . . . . .
47
Step 9
48 Amount of line 47 you want applied to your 2002 estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
48
Overpaid Tax
49 Overpaid tax available this year. Subtract line 48 from line 47 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
49
or Tax Due
50 Tax due. If line 46 is less than line 37, subtract line 46 from line 37 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
50
¼
00
CA Seniors Special Fund.
CA Breast Cancer Research Fund . .
56
Step 10
¼
¼
00
00
See instructions . . . . . . . . . . . . .
51
CA Firefighters’ Memorial Fund . . .
57
Contributions
Alzheimer’s Disease/Related
Emergency Food Assistance
¼
¼
00
00
Disorders Fund . . . . . . . . . . . . .
52
Program Fund . . . . . . . . . . . . . . .
58
¼
00
CA Fund for Senior Citizens . . . . . .
53
CA Peace Officer Memorial
¼
00
Rare and Endangered Species
Foundation Fund . . . . . . . . . . . . .
59
¼
00
Preservation Program . . . . . . . .
54
Lupus Foundation of America,
¼
00
State Children’s Trust Fund for the
California Chapters Fund . . . . . . .
60
¼
00
Prevention of Child Abuse . . . . .
55
¼
. . . . .
, , , , ,
64 Add line 51 through line 60. These are your total contributions . . . . . . . . . . . . . . . . . . . . . . . . . .
64
Step 11
65 REFUND OR NO AMOUNT DUE. Subtract line 64 from line 49. Mail to:
. . . . .
, , , , ,
, , , , ,
FRANCHISE TAX BOARD, PO BOX 942840, SACRAMENTO CA 94240-0002 . . . .
65
Refund or
66 AMOUNT YOU OWE. Add line 50 and line 64. See instructions. Mail to:
Amount
. . . . .
You Owe
, , , , ,
, , , , ,
FRANCHISE TAX BOARD, PO BOX 942867, SACRAMENTO CA 94267-0001 . . . .
66
Step 12
67 Interest, late return penalties, and late payment penalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
67
68 Underpayment of estimated tax. Fill in circle:
FTB 5805 attached
FTB 5805F attached . . . . .
68
Interest and
69 Total amount due. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
69
Penalties
¼
70 If you do not need California income tax forms mailed to you next year, fill in the circle . . . . . . . . . . . . . .
70
Do not attach a voided check or a deposit slip.
Step 13
¼
Fill in the boxes to have your refund directly deposited. Routing number
Direct Deposit
Account Type:
(Refund Only)
Account
¼
¼
¼
Checking
Savings
number
IMPORTANT: See “Attachments to your return” on page 9 in the Form 540 instructions to find out if you should attach a copy of your complete federal return. Under penalties of perjury,
I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete.
9
Sign
Your signature
Daytime phone number
Here
(
)
X
Spouse’s signature (if filing joint, both must sign)
I
t is unlawful to
forge a spouse’s
X
Date
signature.
Paid preparer’s signature (declaration of preparer is based on all information of which preparer has any knowledge)
Paid preparer’s SSN/PTIN
¼
Joint return?
See instructions.
Firm’s name (or yours if self-employed)
Firm’s address
FEIN
Side 2 Form 540
2001
54001209
C1
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