Fill - Free fillable Amended Individual Income Tax Return 540X (California) PDF form

Form 540X C1 2015 Side 1

TAXABLE YEAR

Amended Individual Income Tax Return

CALIFORNIA FORM

540X

3151153

Fiscal year ﬁlers only: Enter month of year end and year (mm/yyyy) ________________. BE SURE TO COMPLETE AND SIGN SIDE 3

Your ﬁrst name

Initial

Last name

Sufﬁx Your SSN or ITIN

If joint tax return, spouse’s/RDP’s ﬁrst name

Initial

Last name Sufﬁx Spouse’s/RDP’s SSN or ITIN

Additional information (See instructions)

PBA code

Street address (number and street) or PO bo

Apt. no./ste. no. PMB/private mailbox

City (If y

ou have a foreign address, see page 2)

State ZIP code

Foreign country name Foreign province/state/county Foreign postal code

a Have you been advised that your original federal tax return has been, is being, or will be audited? .......................  Yes  No

b Filing status claimed on:

Original tax return

  Single  Married/RDP ﬁling jointly  Married/RDP ﬁling separately  Head of household  Qualifying widow(er)

Amended tax return   Single  Married/RDP ﬁling jointly  Married/RDP ﬁling separately  Head of household  Qualifying widow(er)

c If for the year you are amending, you (or your spouse/RDP) can be claimed as a dependent on someone else’s tax return, check this box.......... 

d If claiming head of household, enter name and relationship of qualifying person on: Original tax return

Amended tax return

If amending Form 540NR, see General Information D.

If amending Forms 540 2EZ, 540, or 540A, see the instructions for lines 1 through 6.

All ﬁlers: Explain changes on Side 3 and attach your supporting documents.

As originally reported/

adjusted by the FTB

See instructions

Net change.

Explain on Side 3,

Part ll, line 5

Correct amount

1 a State wages. See instructions 1a

b Federal adjusted gross income. See instructions

2 CA adjustments. Get speciﬁc instructions on Form 540A or Sch. CA (540).

2aCalifornia nontaxable interest income

b State income tax refund 2b

c Unemployment compensation 2c

d Social Security beneﬁts 2d

e Other (list)

3 Total California adjustments. Combine line 2a through line 2e. See instructions

4 California adjusted gross income. Combine line 1b and line 3. See instructions 4

5 California itemized deductions or California standard deduction. See instructions 5

6 Taxable income. Subtract line 5 from line 4. If less than zero, enter -0- 6

7 a Tax method used for line 7b, column C. See instructions 7a

TT FTB 3800 FTB 3803

b Tax. See instructions

8 Exemption credits. See instructions

9 Subtract line 8 from line 7b. If less than zero, enter -0-

10 Tax from Schedule G-1 and form FTB 5870A. See instructions

11 Add line 9 and line 10 11

12 Special Credits and Nonrefundable Credits. See instructions 12

13 Subtract line 12 from line 11. If less than zero, enter -0-

14 Other taxes (alternative minimum tax, credit recapture, etc.). See instructions 14

15 Mental Health Services Tax. See instructions..............................15

16 Total tax. Add line 13, line 14, and line 15.

If amending Form 540NR. See instructions 16

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Side 2 Form 540X C1 2015 3152153

17 California income tax withheld. See instructions 17

18 Withholding (Form 592-B and/or 593). See instructions 18

19 Excess California SDI (or VPDI) withheld. See instructions 19

20 Estimated tax payments and other payments. See instructions 20

Refundable Credits. See instructions

Child and Dependent Care Expenses Credit (CDCE)

22 23 24 $

California Earned Income Tax Credit (EITC). See instructions

26 Tax paid with original tax return plus additional tax paid after it was ﬁled. Do n

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ot include penalties and interest. ............... 26

27 Total payments. Add lines 17, 18, 19, 20, 21, 25, and 26 of column C 27

28 Overpaid tax, if any, as shown on original tax return or as previously adjusted by the FTB. See instructions 28

29 Subtract line 28 from line 27. If line 28 is more than line 27. See instructions 29

30 Use tax payments as shown on original tax return. See instructions 30

31 Voluntary contributions as shown on original tax return. See instructions 31

32 Subtract line 30 and line 31 from line 29 32

Your name: Your SSN or ITIN:

33 AMOUNT YOU OWE. If line 16, column C is more than line 32, enter the difference

and see instructions 33

34 Penalties/Interest. See instructions: Penalties 34a Interest 34b 34c

35 REFUND. If line 16, column C is less than line 32, enter the difference. See instructions 35

Part I Nonresidents or Part-Year Residents Only

Attach and enter the amounts from your revised Short or Long Form 540NR and Schedule CA (540NR). Your amended tax return cannot be processed without

this information.

1 Exemption amount 1

2 Federal adjusted gross income 2

3 Adjusted gross income from all sources 3

4 Itemized deductions or standard deduction 4

5 California adjusted gross income 5

6 Tax from Schedule G-1 and form FTB 5870A 6

7 Special credits and nonrefundable renter’s credit 7

8 Alternative minimum tax 8

9 Mental Health Services Tax 9

10 Other taxes and credit recapture 10

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Form 540X C1 2015 Side 3

Your name: Your SSN or ITIN:

Part II Explanation of Changes

1 Enter name(s) and address as shown on original return below (if same as shown on this tax return, write “Same”). If changing from

separate tax returns to a joint tax return, enter names and addresses from original tax returns.

2 Are you ﬁling this Form 540X to report a ﬁnal federal determination? Yes No

If “Yes,” attach a copy of the ﬁnal federal determination and all supporting schedules and data.

3 Have you been advised that your original California tax return has been, is being, or will be audited? Yes No

4 Did you ﬁle an amended tax return with the Internal Revenue Service on a similar basis? See General Information E Yes No

5 Explanation and Attachments. Explain your changes below. If needed, attach a separate sheet that includes your name and SSN or

ITIN.

Explain in detail each change made. Include:

• Item being changed.

• Amount previously reported and corrected amount.

• Reason the change was needed.

Attach:

• Revised California tax return including all forms and schedules.

• Federal tax return and schedules if you made changes.

• Supporting documents, such as corrected W-2s, 1099s, K-1s, etc.

To learn about your privacy rights, how we may use your information, and the consequences for not providing the requested information, go to ftb.ca.gov

and search for privacy notice. To request this notice by mail, call 800.852.5711.

Under penalties of perjury, I declare that I have ﬁled an original tax return and I have examined this amended tax return, including accompanying

schedules and statements, and to the best of my knowledge and belief, this amended tax return is true, correct, and complete.

Your signature Date Spouse’s/RDP’s signature (if a joint tax return, both must sign)

Sign

Here

t is unlawful

to forge a

spouse’s/RDP’s

signature.

Your email address (optional). Enter only one email address. Daytime phone number (optional)

Paid preparer’s signature (declaration of preparer is based on all information of which preparer has any knowledge)

Where to File

Form 540X

Firm’s name (or yours, if self-employed) PTIN

Firm’s address FEIN

Do not ﬁle a duplicate amended tax return unless one is requested. This may cause a delay in processing your amended tax return and any claim for refund.

If you are due a refund, have no amount due, or paid electronically,

mail your tax return to:

If you owe, mail your return and check or money order to:

FRANCHISE TAX BOARD, PO BOX 942840, SACRAMENTO CA 94240-0001

FRANCHISE TAX BOARD, PO BOX 942867, SACRAMENTO CA 94267-0001

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3153153

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Fill Online, Printable, Fillable, Blank Amended Individual Income Tax Return 540X (California) Form

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Fillable Amended Individual Income Tax Return 540X (California)

Fill Online, Printable, Fillable, Blank Amended Individual Income Tax Return 540X (California) Form

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