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Fillable Printable 2015 California Resident Income Tax Return - Form 540 2Ez

Fillable Printable 2015 California Resident Income Tax Return - Form 540 2Ez

2015 California Resident Income Tax Return - Form 540 2Ez

2015 California Resident Income Tax Return - Form 540 2Ez

FORM
2015
California Resident Income Tax Return
540 2EZ
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
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
Check only one.
Filing Status. Check the box for your filing status. See instructions.
1 Singlem
2Married/RDP filing jointly (even if only one spouse/RDP had income)m
m
m
4Head of household. STOP! See instructions.
5Qualifying 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
Exemptions
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
8Dependents: (Do not include yourself or your spouse/RDP) Enter number of dependents here....8
Dependent 1 Dependent 2 Dependent 3
A
R
RP
TAXABLE YEAR
First Name
Last Name
SSN
Dependent's
relationship
to you
Form 540 2EZ C1 2015 Side 13111153
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Side 2 Form 540 2EZ C1 20153112153
Your name: Your SSN or ITIN:
Taxable
Income and
Credits
Whole dollars only
9Total wages (federal Form W-2, box 16). See instructions. .................
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10
11
12
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10Total interest income (Form 1099-INT, box 1). See instructions. ..
11 Total dividend income (Form 1099-DIV, box 1a). See instructions. .
12
Total pension income. See instructions. Taxable amount.
13 Total capital gains distributions from mutual funds (Form 1099-DIV, box 2a).
See instructions
13
1616Add line 9, line 10, line 11, line 12, and line 13..
17
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
18Senior exemption: See instructions. If you are 65 or older and entered 1 in the
box on line 7, enter $109. If you entered 2 in the box on line 7, enter $218
19Nonrefundable renter’s credit. See instructions..
20 Credits. Add line 18 and line 19
21Tax. Subtract line 20 from line 17. If zero or less, enter -0-
22Total tax withheld (federal Form W-2, box 17 or Form 1099-R, box 12)
23 Earned Income Tax Credit (EITC). See instructions for FTB 3514
24Total payments. Add line 22 and line 23 ...............................
Enclose, but do
not staple, any
payment.
Use T ax
25Use tax. This is not a total line. See instructions.... 25
26Payments balance. If line 24 is more than line 25, subtract line 25 from line 24 .
26
27Use Tax balance. If line 25 is more than line 24, subtract line 24 from line 25
27..
Overpaid
Tax/
Tax Due
.
28 Overpaid tax. If line 26 is more than line 21, subtract line 21 from line 26...... 28
29 Tax due. If line 26 is less than line 21, subtract line 26 from line 21.
See instructions
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This space reserved for 2D barcode
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Your name: Your SSN or ITIN:
Voluntary Contributions
Code Amount
California Seniors Special Fund. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
400
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401
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403
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405
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406
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407
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408
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Alzheimer’s Disease/Related Disorders Fund........................................
Rare and Endangered Species Preservation Program.................................
California Breast Cancer Research Fund ...........................................
California Firefighters’ Memorial Fund.............................................
Emergency Food for Families Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
California Peace Officer Memorial Foundation Fund
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California Sea Otter Fund........................................................
410
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413
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419
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422
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423
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424
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425
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427
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428
429
430
431
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California Cancer Research Fund.................................................
Child Victims of Human Trafficking Fund.....................................
School Supplies for Homeless Children Fund .................................
State Parks Protection Fund/Parks Pass Purchase .............................
Protect Our Coast and Oceans Fund ........................................
Keep Arts in Schools Fund ...............................................
California Senior Legislature Fund..........................................
Habitat for Humanity Fund................................................
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California Sexual Violence Victim Services Fund
State Children’s Trust Fund for the Prevention of Child Abuse
Prevention of Animal Homelessness & Cruelty Fund
30 Add amounts in code 400 through code 431. These are your total contributions
Form 540 2EZ C1 2015 Side 33113153
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Your name: Your SSN or ITIN:
Amount
You Owe
31 AMOUNT YOU OWE. Add line 27, line 29, and line 30. See instructions. Do not send cash.
Mail to: FRANCHISE TAX BOARD
PO BOX 942867
SACRAMENTO CA 94267-0001
Pay online – Go to ftb.ca.gov for more information.
...................................31
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Direct
Deposit
(Refund
Only)
32 REFUND OR NO AMOUNT DUE. Subtract line 30 from line 28. See instructions.
Mail to:FRANCHISE TAX BOARD
PO BOX 942840
SACRAMENTO CA 94240-000132
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 32) is authorized for direct deposit into the
account shown below:
Routing numberm
Type
Checking
Savings
Account number
Direct deposit amount
33
m
The remaining amount of my refund (line 32) is authorized for direct deposit into the account shown below:
Routing numberm
m
Type
Checking
Savings
Account number
Direct deposit amount
34
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, to the best of my knowledge and belief, the information on this tax return is true, correct, and complete.
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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)
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 Nom
Print Third Party Designee’s Name Telephone Number
()
()
X X
Side 4 Form 540 2EZ C1 20153114153
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