Fillable Form 2015: California Resident Income Tax Return (California)

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Form 2015: California Resident Income Tax Return (California)

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The Form 2015: California Resident Income Tax Return (California) form is 5 pages long and contains:

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3101153 Form 540 C1 2015 Side 1
TAXABLE YEAR
2015
California Resident Income Tax Return
FORM
540
Fiscal year filers only: Enter month of year end: month________ year 2016.
A
R
RP
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 box Apt. no/ste. no. PMB/private mailbox
City (If you have a foreign address, see instructions) State ZIP code
Foreign country name Foreign province/state/county Foreign postal code
Date of
Birth
Your DOB (mm/dd/yyyy) Spouse's/RDP's DOB (mm/dd/yyyy)
Prior
Name
If you filed your 2014 tax return under a different last name, write the last name only from the 2014 tax return.
Taxpayer Spouse/RDP
Filing
Status
1 m Single
2 m Married/RDP filing jointly. See inst.
3 m Married/RDP filing separately. Enter spouse’s/RDP’s SSN or ITIN above and full name here
4 m Head of household (with qualifying person). See instructions.
5 m Qualifying widow(er) with dependent child. Enter year spouse/RDP died
If your California filing status is different from your federal filing status, check the box here ............... m
6 If someone can claim you (or your spouse/RDP) as a dependent, check the box here. See inst......... 6 m
Exemptions
For line 7, line 8, line 9, and line 10: Multiply the amount you enter in the box by the pre-printed dollar amount for that line.
Whole dollars only
7 Personal: If you checked box 1, 3, or 4 above, enter 1 in the box. If you checked
box 2 or 5, enter 2, in the box. If you checked the box on line 6, see instructions.
. 7
m
X $109 = $
8 Blind: If you (or your spouse/RDP) are visually impaired, enter 1;
if both are visually impaired, enter 2
................................... 8
m
X $109 = $
9 Senior: If you (or your spouse/RDP) are 65 or older, enter 1;
if both are 65 or older, enter 2
.........................................
9
m
X $109 = $
10 Dependents: Do not include yourself or your spouse/RDP.
Dependent 1 Dependent 2 Dependent 3
First Name
Last Name
SSN
Dependent's
relationship
to you
Total dependent exemptions..........................................10
m
X $337 =
$
11 Exemption amount: Add line 7 through line 10. Transfer this amount to line 32 ...................
11 $
Side 2 Form 540 C1 2015
3102153
Your name: Your SSN or ITIN:
Taxable Income
12 State wages from your Form(s) W-2, box 16 ....................... 12
13 Enter federal adjusted gross income from Form 1040, line 37; 1040A, line 21; or 1040EZ, line 4 13
14 California adjustments – subtractions. Enter the amount from Schedule CA (540), line 37, column B 14
15 Subtract line 14 from line 13. If less than zero, enter the result in parentheses. See instructions 15 ...
16 California adjustments – additions. Enter the amount from Schedule CA (540), line 37, column C 16..
17 California adjusted gross income. Combine line 15 and line 16 17.............................
18 Enter the
larger of:
{
Your California itemized deductions from Schedule CA (540), line 44; OR
Your California standard deduction shown below for your filing status:
• Single or Married/RDP filing separately..............................$4,044
• Married/RDP filing jointly, Head of household, or Qualifying widow(er) .....$8,088
If Married/RDP filing separately or the box on line 6 is checked, STOP. See instructions
{
18
.
19 Subtract line 18 from line 17. This is your taxable income. If less than zero, enter -0- 19...........
......
..
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...
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Tax
31 Tax. Check the box if from:
m
Tax Table
m
Tax Rate Schedule
m
FTB 3800
m
FTB 3803........................... 31
32 Exemption credits. Enter the amount from line 11. If your federal AGI is more than $178,706,
see instructions.
...
32.................................................................
33 Subtract line 32 from line 31. If less than zero, enter -0-
...
33..................................
34 Tax. See instructions. Check the box if from:  
m
Schedule G-1  
m
FTB 5870A
...
34......
35 Add line 33 and line 34
...
35
....
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00
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............................................................
Special Credits
40 Nonrefundable Child and Dependent Care Expenses Credit. See instructions. .................. 40
43 Enter credit name code and amount ... 43
44 Enter credit name code and amount
...
44
45 To claim more than two credits, see instructions. Attach Schedule P (540) .... 45....................
46 Nonrefundable renter’s credit. See instructions .........................................
....
46
47 Add line 40 through line 46. These are your total credits ..................................
...
47
48 Subtract line 47 from line 35. If less than zero, enter -0- ..................................
...
48
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Other Taxes
61 Alternative minimum tax. Attach Schedule P (540) ....................................... 61
...
62 Mental Health Services Tax. See instructions 62............................................
63 Other taxes and credit recapture. See instructions ... 63........................................
64 Add line 48, line 61, line 62, and line 63. This is your total tax.................................. 64
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Form 540 C1 2015 Side 33103153
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Your name: Your SSN or ITIN:
Payments
71 California income tax withheld. See instructions ............................................ 71
72 2015 CA estimated tax and other payments. See instructions .................................. 72
73 Withholding (Form 592-B and/or 593). See instructions ...................................... 73
74 Excess SDI (or VPDI) withheld. See instructions ............................................ 74
75
Earned Income Tax Credit (EITC) ........................................................ 75
........
.
00
76 Add lines 71 through 75. These are your total payments. See instructions ...............
........
76
Use
Tax
91 Use Tax. This is not a total line. See instructions ................... 91
Overpaid Tax/
Tax Due
92 Payments balance. If line 76 is more than line 91, subtract line 91 from line 76............ 92
93
Use Tax balance. If line 91 is more than line 76, subtract line 76 from line 91.............
........
93
94 Overpaid tax. If line 92 is more than line 64, subtract line 64 from line 92................
........
94
95 Amount of line 94 you want applied to your 2016 estimated tax .......................
.........
95
96 Overpaid tax available this year. Subtract line 95 from line 94 .........................
.........
96
97 Tax due. If line 92 is less than line 64, subtract line 92 from line 64. ....................
........
97
This space reserved for 2D barcode
This space reserved for 2D barcode
Side 4 Form 540 C1 2015 3104153Side 4 Form 540 C1 2015
Your name: Your SSN or ITIN:
Contributions
Code Amount
California Seniors Special Fund. See instructions
.........................................
400
Alzheimer’s Disease/Related Disorders Fund
............................................
401
Rare and Endangered Species Preservation Program
......................................
403
California Breast Cancer Research Fund
................................................
405
California Firefighters’ Memorial Fund
.................................................
406
Emergency Food for Families Fund
....................................................
407
California Peace Officer Memorial Foundation Fund
.......................................
408
California Sea Otter Fund
...........................................................
410
California Cancer Research Fund
.....................................................
413
Child Victims of Human Trafficking Fund
...............................................
419
School Supplies for Homeless Children Fund
............................................
422
State Parks Protection Fund/Parks Pass Purchase
........................................
423
Protect Our Coast and Oceans Fund
...................................................
424
Keep Arts in Schools Fund
..........................................................
425
California Senior Legislature Fund
....................................................
427
Habitat for Humanity Fund
..........................................................
428
California Sexual Violence Victim Services Fund
.........................................
429
State Children’s Trust Fund for the Prevention of Child Abuse
...............................
430
Prevention of Animal Homelessness & Cruelty Fund
......................................
431
110 Add code 400 through code 431. This is your total contribution .............................
110
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Form 540 C1 2015 Side 53105153
Your name: Your SSN or ITIN:
Amount
You Owe
111 AMOUNT YOU OWE. If you do not have an amount on line 96, add line 93, line 97, and line 110. See instructions. Do not send cash.
Mail to: FRANCHISE TAX BOARD
PO BOX 942867
SACRAMENTO CA 94267-0001 ......................................... 111
Pay online – Go to ftb.ca.gov for more information.
Interest and
Penalties
112 Interest, late return penalties, and late payment penalties.......................................112 00
113 Underpayment of estimated tax. Check the box: m FTB 5805 attached m FTB 5805F attached
113
114 Total amount due. See instructions. Enclose, but do not staple, any payment .......................114
Refund and Direct Deposit
115 REFUND OR NO AMOUNT DUE. Subtract the sum of line 110, line 112 and line 113 from line 96. See instructions.
Mail to: FRANCHISE TAX BOARD
PO BOX 942840
SACRAMENTO CA 94240-0001 ........................................ 115
Fill in the information to authorize direct deposit of your refund into one or two accounts. Do not attach a voided check or a deposit slip. See instructions.
Have you verified the routing and account numbers? Use whole dollars only.
All or the following amount of my refund (line 115) is authorized for direct deposit into the account shown below:
 
 Routing number
Type
m Checking
Savings
 Account number 116 Direct deposit amount
m
The remaining amount of my refund (line 115) is authorized for direct deposit into the account shown below:
 
 Routing number m
Type
Checking
Savings
 Account number 117 Direct deposit amount
m
IMPORTANT: See the instructions to find out if you should attach a copy of your complete federal tax return.
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 examined this tax return,
including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete.
Your signature Date Spouse’s/RDP’s signature (if a joint tax return, both must sign)
Sign
Here
It 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)
Joint tax return?
(See instructions)
Firm’s name (or yours, if self-employed) PTIN
Firm’s address FEIN
Do you want to allow another person to discuss this tax return with us? See instructions..... m Yes m No
Print Third Party Designee’s Name Telephone Number
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Form 2015: California Resident Income Tax Return (California)

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Completed 23 January 2021

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