For Privacy Notice, get form FTB 1131.
California Nonresident or Part-Year
FORM
540NR
Resident Income Tax Return 2009
Long .Form
C1 Side 1
Fiscal year filers only: Enter month of year end: month________ year 2010.
Your SSN or ITIN
P
Your first name
Last name
Initial
-
-
AC
Spouse’s/RDP’s SSN or ITIN
If joint return, spouse’s/RDP’s first name
Last name
Initial
-
-
A
Apt. no./Ste.no.
PBA Code
Address (number and street, PO Box, or PMB no.)
R
State
ZIP Code
City (If you have a foreign address, see page 15)
-
RP
If you filed your 2008 tax return under a different last name, write the last name only from the 2008 return .
Taxpayer ______________________________________________
Spouse/RDP _______________________________________________
1 .
Single
. 2 .
Married/RDP filing jointly . (see page 3)
. 3 .
Married/RDP filing separately . Enter spouse’s/RDP’s SSN or ITIN above and full name here______________________________________
. 4 .
Head of household (with qualifying person) . (see page 4)
. 5 .
Qualifying widow(er) with dependent child . Enter year spouse/RDP died ________ .
If your California filing status is different from your federal filing status, fill in the circle here . . . . . . . . . .
. 6 . If someone can claim you (or your spouse/RDP) as a dependent, fill in the circle here (see page 15) . . . .
6 .
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 filled in 1, 3, or 4 above, enter 1 in the box . If you filled in 2 or 5, enter 2 .
X $98 = $
If you filled in the circle on line 6, see page 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 .
___________________
. 8 . Blind: If you (or your spouse/RDP) are visually impaired, enter 1;
X $98 = $
if both are visually impaired, enter 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 .
___________________
X $98 = $
. 9 . Senior: If you (or your spouse/RDP) are 65 or older, enter 1; if both are 65 or older, enter 2 . .
9 .
___________________
10 . Dependents: Enter name and relationship . Do .not .include .yourself .or .your .spouse/RDP. ._______________________
X $98 = $
_______________________ ________________________ Total dependent exemptions
10
.
___________________
$
11 . Exemption .amount: Add line 7 through line 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1
.
___________________
12 . Total California wages from your Form(s) W-2, box 16 . . . . . . . . . . . . . . . . . . . . . .
12 .
00
13 . Enter federal AGI from Form 1040, line 37; 1040A, line 21; 1040EZ, line 4; 1040NR, line 35;
or 1040NR-EZ, line 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 .
00
14 . California adjustments – subtractions . Enter the amount from Schedule CA (540NR), line 37, column B . . . . . .
14 .
00
15 . Subtract line 14 from line 13 . If less than zero, enter the result in parentheses (see page 16) . . . . . . . . . . . . . . . . . 15 .
00
16 . California adjustments – additions . Enter the amount from Schedule CA (540NR), line 37, column C . . . . . . . . .
16 .
00
17 . Adjusted gross income from all sources . Combine line 15 and line 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17 .
00
18 . Enter the larger .of: Your California itemized .deductions .from Schedule CA (540NR), line 43; OR
.
Your California standard .deduction (see page 16) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18 .
00
19 . Subtract line 18 from line 17 . This is your total .taxable .income . If less than zero, enter -0- . . . . . . . . . . . . . . . . . 19 .
00
31 . Tax . Fill in the circle if from:
Tax Table
Tax Rate Schedule
FTB 3800
FTB 3803 . . . . . . . . . . . . .
31 .
00
32 . CA adjusted gross income from Schedule CA (540NR), Part IV, line 45 . . . . .
32 .
00
35 . CA Taxable Income from Schedule CA (540NR), Part IV, line 49 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
35 .
00
36 . CA Tax Rate . Divide line 31 by line 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 . .___
. . . . .___ . .___ . .___ . .___
37 . CA Tax Before Exemption Credits . Multiply line 35 by line 36 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 .
00
38 . CA Exemption Credit Percentage . Divide line 35 by line 19 . If more than 1, enter 1 .0000 . 38
___ . . . . .___ . .___ . .___ . .___
39 . CA Prorated Exemption Credits . Multiply line 11 by line 38 . If the amount on line 13 is more than
$160,739 (see page 17) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 9 .
00
40 . CA Regular Tax Before Credits . Subtract line 39 from line 37 . If less than zero, enter -0- . . . . . . . . . . . . . . . . . . . . . 4 0 .
00
41 . Tax (see page 18) . Fill in the circle if from:
Schedule G-1
FTB 5870A . . . . . . . . . . . . . . . . . . . . . . . . .
41 .
00
42 . Add line 40 and line 41 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
42 .
00
3131093