Taxable years 2003 and after, enter amounts from your revised Short or Long Form 540NR. Your amended tax return cannot be processed without this |
information. For all taxable years attach your revised Short or Long Form 540NR and Schedule CA (540NR). |
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1 |
Exemption amount from Short or Long Form 540NR, line 11 |
1 |
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Federal adjusted gross income from Short or Long Form 540NR, line 13 |
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Adjusted gross income from all sources from Short or Long Form 540NR, line 17 |
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Itemized deductions or standard deduction from Short or Long Form 540NR, line 18 |
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California adjusted gross income from Short or Long Form 540NR, line 32 |
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Tax from Schedule G-1 and form FTB 5870A from Long Form 540NR, line 41 |
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7Special credits (from Long Form 540NR, lines 58, 59, or 60) and nonrefundable renter’s credit from Short and
Long Form 540NR, line 61 (Combine) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8 Alternative minimum tax from Long Form 540NR, line 71 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 9 Mental Health Services Tax (taxable years 2005 and after) from Long Form 540NR, line 72 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 10 Other taxes and credit recapture from Long Form 540NR, line 73 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Part II Explanation of Changes
1Enter 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 |
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If “Yes,” attach a copy of the final federal determination and all supporting schedules and data. |
Yes |
No |
3 |
Have you been advised that your original California tax return has been, is being, or will be audited? |
4 |
Did you file an amended tax return with the Internal Revenue Service on a similar basis? See General Information E |
Yes |
No |
5Explanation and Attachments. Explain your changes below. Attach a separate sheet if needed (see instructions).
Explain in detail each change made. Include: |
Attach: |
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Item being changed. |
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Revised California tax return including all forms and schedules. |
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Amount previously reported and corrected amount. |
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Include federal schedules if you made a change to your federal tax return. |
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Reason the change was needed. |
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Documents supporting each change, such as corrected W-2s, 1099s, K-1s, |
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List of supporting documents you have attached. |
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escrow statements, court documents, contracts, etc. |
Be sure to include your name and SSN or ITIN on each attachment. Refer to the tax booklet for the year you are amending.
__________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________
Sign
Here
It is unlawful to forge a spouse’s/RDP’s signature.
Where to File Form 540X
Under penalties of perjury, I declare that I have filed an original tax return and that 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.
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Your signature |
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Spouse’s/RDP’s signature (if filing jointly, both must sign) |
Daytime phone number (optional) |
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Paid preparer’s signature (declaration of preparer is based on all information of which preparer has any knowledge) |
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Paid preparer’s PTIN/SSN |
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Firm’s name (or yours if self-employed) |
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Firm’s address |
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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, |
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mail your tax return to |
FRANCHISE TAX BOARD, PO BOX 942840, SACRAMENTO CA |
94240-0002 |
If you owe, mail your return and check or money order to: |
FRANCHISE TAX BOARD, PO BOX 942867, SACRAMENTO CA |
94267-0001 |