Fillable Printable 2014 Form 540 2Ez - California Resident Income Tax Return

2014 Form 540 2Ez - California Resident Income Tax Return

Form 540 2EZ C1 2014 Side 1For Privacy Notice, get FTB 1131 ENG/SP.

FORM

540 2EZ

3111143

Filing Status

Check only one.

Exemptions

Prior

Name

Filing Status. Check the box for your ﬁling status. See instructions.

1 m Single

2 m Married/RDP ﬁling jointly (even if only one spouse/RDP had income)

4 m Head of household. STOP! See instructions.

5 m Qualifying widow(er) with dependent child. Year spouse/RDP died.

If your California ﬁling status is different from your federal ﬁling status, check the box here .......... 

6 If another person can claim you (or your spouse/RDP) as a dependent on his or her tax return,

even if he or she chooses not to, you must see the instructions. ............................ 6 m

7 Senior: If you (or your spouse/RDP) are 65 or older, enter 1; if both are 65 or older, enter 2 ...... 7

8 Dependents: (Do not include yourself or your spouse/RDP) Enter number of dependents here.... 8

First name Last name Dependent’s relationship

to you

  

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)

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

Birth

Your DOB (mm/dd/yyyy) Spouse's/RDP's DOB (mm/dd/yyyy)

 

If you ﬁled your 2013 tax return under a different last name, write the last name only from the 2013 tax return.

Taxpayer Spouse/RDP

 

California Resident Income Tax Return

TAXABLE YEAR

2014

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Side 2 Form 540 2EZ C1 2014 3112143

Your name: Your SSN or ITIN:

Taxable

Whole dollars only

Income and

Credits

9 Total wages (federal Form W-2, box 16). See instructions. ................. 9

10 Total interest income (Form 1099-INT, box 1). See instructions. ............. 10

11 Total dividend income (Form 1099-DIV, box 1a). See instructions. ........... 11

Total pension income . See instructions. Taxable amount.

........ 12

13 Total capital gains distributions from mutual funds (Form 1099-DIV, box 2a).

Enclose, but do

not staple, any

See instructions................................................... 13

payment.

14 Unemployment compensation ...........



U.S. social security or railroad retirement beneﬁts..



16 Add line 9, line 10, line 11, line 12, and line 13. Do not include

line 14 and line 15. ............................................... 16

Using the 2EZ Table for your ﬁling status, enter the tax for the amount on line 16

Caution: If you checked the box on line 6, STOP. See instructions for

completing the Dependent Tax Worksheet...............................



18 Senior exemption: See instructions. If you are 65 or older and entered 1 in the

box on line 7, enter $108. If you entered 2 in the box on line 7, enter $216.....



19 Nonrefundable renter’s credit. See instructions. ......................... 19

20 Credits. Add line 18 and line 19 ........................................ 20

21 Tax. Subtract line 20 from line 17. If zero or less, enter -0- ................. 21

Overpaid

22 Total tax withheld (federal Form W-2, box 17

Tax/

Tax Due

or Form 1099-R, box 12) ........................................... 22

23 Overpaid tax. If line 22 is more than line 21, subtract line 21 from line 22...... 23

24 Tax due. If line 22 is less than line 21, subtract line 22 from line 21.

See instructions...................................................



This space reserved for 2D barcode

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Form 540 2EZ C1 2014 Side 33113143

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

American Red Cross, California Chapters Fund .......................................

426

California Senior Legislature Fund.................................................

427

Habitat for Humanity Fund.......................................................

428

California Sexual Violence Victim Services Fund ......................................

429

26 Add amounts in code 400 through code 429. These are your total contributions.............. 26

Your name: Your SSN or ITIN:

Voluntary Contributions

Use T ax

25 Use tax. This is not a total line. See instructions. ............................. 25

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Side 4 Form 540 2EZ C1 2014

Amount

You Owe

27 AMOUNT YOU OWE. Add line 24, line 25, and line 26. If line 23 is less than line 25 and

line 26, enter the difference here. See instructions. Do Not Send Cash. Mail to:

FRANCHISE TAX BOARD, PO BOX 942867, SACRAMENTO CA 94267-0001 ........  27

Pay online – Go to ftb.ca.gov for more information.

Direct

Deposit

(Refund

Only)

28 REFUND OR NO AMOUNT DUE. Subtract line 25 and line 26 from line 23.

See instructions. Mail to: FRANCHISE TAX BOARD, PO BOX 942840,

SACRAMENTO CA 94240-0001 ..........................................  28

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. Have you veriﬁed the routing and

account numbers? Use whole dollars only.

All or the following amount of my refund (line 28) is authorized for direct deposit into the

account shown below:

 Type

 Routing number m Checking  Account number  29

Direct deposit amount

m Savings

The remaining amount of my refund (line 28) is authorized for direct deposit into the account shown below:

 Type

 Routing number m Checking  Account number  30

Direct deposit amount

m Savings

3114143

Your name: Your SSN or ITIN:

Under penalties of perjury, I declare that, to the best of my knowledge and belief, the information on this return is true, correct, and complete.

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)

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

Sign

Here

It is unlawful

to forge a

spouse’s/RDP’s

signature.

Joint tax return?

See instructions.

( )

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

X X

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