This form contains 180 fields organized into 26 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Additional Information
Additional information (see instructions) Text
Provide any additional information as instructed in the form's guidelines.
Address Information
Street address (number and street) or Post Office Box Text
Enter your street address, including the number and street name, or your Post Office Box.
Apartment number or suite number Text
Enter your apartment number or suite number, if applicable.
Max length: 5 characters
Private Mailbox Text
Enter your Private Mailbox number, if applicable.
Max length: 6 characters
City (If you have a foreign address, see instructions) Text
Enter the city of your residence. If you have a foreign address, refer to the instructions.
State. Enter two letter State abbreviation Text
Enter the two-letter abbreviation for your state.
Max length: 2 characters
Zip code. Enter first 5 digits - last 4 digits Text
Enter your zip code. This should include the first 5 digits and the last 4 digits.
Max length: 10 characters
Foreign country name Text
Enter the name of your foreign country, if applicable.
Business Information
Principal Business Activity code Text
Enter the Principal Business Activity code, which should be up to 6 digits long.
Max length: 6 characters
Contact Information
Your email address. Enter only one email address Text
Enter your email address. Only one email address is allowed.
Preferred phone number. Enter 10 digits Text
Enter your preferred phone number. This should be a 10-digit number.
Max length: 10 characters
Credits
Special Credits. Line 40. Nonrefundable Child and Dependent Care Expenses Credit. See instructions Text
Enter the amount for the Nonrefundable Child and Dependent Care Expenses Credit. Refer to the instructions for more details.
Max length: 12 characters
Line 43. Enter credit name Text
Enter the name of the credit you are claiming.
Line 43. Enter credit code Text
Enter the credit code for the credit you are claiming on Line 43. The code should be a 3-digit number.
Max length: 3 characters
Line 43. Enter credit amount Text
Enter the amount of the credit you are claiming on Line 43. The amount should be a numerical value up to 12 digits.
Max length: 12 characters
Line 44. Enter credit name Text
Enter the name of the credit you are claiming on Line 44.
Line 44. Enter credit code Text
Enter the credit code for the credit you are claiming on Line 44. The code should be a 3-digit number.
Max length: 3 characters
Line 44. Enter credit amount Text
Enter the amount of the credit you are claiming on Line 44. The amount should be a numerical value up to 12 digits.
Max length: 12 characters
Line 45. To claim more than two credits, see instructions. Attach Schedule P (540) Text
If you are claiming more than two credits, refer to the instructions and attach Schedule P (540). Enter the total amount of additional credits.
Max length: 12 characters
Line 46. Nonrefundable Renter’s Credit. See instructions Text
Enter the amount for the Nonrefundable Renter’s Credit as per the instructions.
Max length: 12 characters
Line 47. Add line 40 through line 46. These are your total credits Text
Add the amounts from Line 40 through Line 46 and enter the total here. This represents your total credits.
Max length: 12 characters
Deductions
Line 18. Enter the larger of your California itemized deductions from Schedule CA (540), Part Two, line 30; or Your California standard deduction shown for your filing status. California standard deduction is $5,363 for filing single, or for married or Registered Domestic Partner filing separately. California standard deduction is $10,726 for filing married or Registered Domestic Partner filing jointly, or for Head of household, or for Qualifying surviving spouse or Registered Domestic Partner. If married or Registered Domestic Partner filing separately or the box on line 6 is checked, STOP. See instructions Text
Enter the larger amount between your California itemized deductions from Schedule CA (540), Part Two, line 30, or your California standard deduction based on your filing status. Refer to the instructions for more details.
Max length: 12 characters
Dependent Information
Dependent Two, first name Text
Enter the first name of your second dependent.
Dependent Two, Last name Text
Enter the last name of your second dependent.
Dependent Two, Social Security Number. See instructions Text
Enter the Social Security Number of your second dependent. Refer to the instructions for more details.
Max length: 10 characters
Dependent Two, Dependent's relationship to you Text
Specify the relationship of your second dependent to you (e.g., son, daughter, etc.).
Dependent Three, first name Text
Enter the first name of your third dependent.
Dependent Three, Last name Text
Enter the last name of your third dependent.
Dependent Three, Social Security Number. See instructions Text
Enter the Social Security Number of your third dependent. Refer to the instructions for more details.
Max length: 10 characters
Dependent Three, Dependent's relationship to you Text
Specify the relationship of your third dependent to you (e.g., son, daughter, etc.).
Dependents
Line 10. Dependents: Do not include yourself or your spouse/Registered Domestic Partner. Dependent One, first name Text
Enter the first name of your first dependent. Do not include yourself or your spouse/Registered Domestic Partner.
Dependent One, Last name Text
Enter the last name of your first dependent.
Dependent One, Social Security Number. See instructions Text
Enter the Social Security Number of your first dependent. Refer to the instructions for more details.
Max length: 10 characters
Dependent One. Dependent's relationship to you Text
Enter the relationship of your first dependent to you.
Exemptions
Exemptions. For line 7, line 8, line 9, and line 10: Multiply the number you enter in the box by the pre-printed dollar amount for that line. Whole dollars only. Line 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 Text
Enter the number of personal exemptions you are claiming. Follow the instructions based on the boxes you checked in the filing status section.
Max length: 1 characters
Multiply the number you put in the line 7 box by $144. Enter this number into this field. Whole dollars only Text
Multiply the number you entered in the line 7 box by $144 and enter the result here. Use whole dollars only.
Max length: 12 characters
Line 8. Blind: If you (or your spouse/Registered Domestic Partner) are visually impaired, enter 1; if both are visually impaired, enter 2. See instructions Text
Enter 1 if you (or your spouse/Registered Domestic Partner) are visually impaired, or 2 if both are visually impaired. Refer to the instructions for more details.
Max length: 1 characters
Multiply the number you put in the line 8 box by $144. Enter this number into this field. Whole dollars only Text
Multiply the number you entered in the line 8 box by $144 and enter the result here. Use whole dollars only.
Max length: 12 characters
Line 9. Senior: If you (or your spouse/Registered Domestic Partner) are 65 or older, enter 1; if both are 65 or older, enter 2. See instructions Text
Enter 1 if you (or your spouse/Registered Domestic Partner) are 65 or older, or 2 if both are 65 or older. Refer to the instructions for more details.
Max length: 1 characters
Multiply the number you put in the line 9 box by $144. Enter this number into this field. Whole dollars only Text
Multiply the number you entered in the line 9 box by $144 and enter the result here. Use whole dollars only.
Max length: 12 characters
Line 10. Total dependent exemptions Text
Enter the total number of dependent exemptions you are claiming.
Max length: 2 characters
Multiply the number of total dependent exemptions you put in the line 10 box by $446. Enter this number into this field. Whole dollars only Text
Multiply the number of total dependent exemptions by $446 and enter the result here. Use whole dollars only.
Max length: 12 characters
Line 11. Exemption amount: Add line 7 through line 10. Transfer this amount to line 32. Whole dollars only Text
Add the amounts from lines 7 through 10 and enter the total here. Transfer this amount to line 32. Use whole dollars only.
Max length: 12 characters
Line 32. Exemption credits. Enter the amount from line 11. If your federal A G I is more than $237,035, see instructions Text
Enter the exemption credits amount from line 11. If your federal Adjusted Gross Income (AGI) is more than $237,035, refer to the instructions.
Max length: 12 characters
Filing Status
Check here if this is an AMENDED return CheckBox
Check this box if you are filing an amended return for the taxable year 2023.
Fiscal year filers only: Enter month of year end: Enter month as two digits for year 2024 Text
For fiscal year filers only: Enter the month of the year end as two digits for the year 2024.
Max length: 2 characters
Filing Status. If your California filing status is different from your federal filing status, check the box here CheckBox
Check this box if your California filing status is different from your federal filing status.
Line 1. Single CheckBox
Check this box if your filing status is Single.
Line 2. Married or Registered Domestic Partners filing jointly (even if only one spouse or Registered Domestic Partner had income). See instructions CheckBox
Check this box if your filing status is Married or Registered Domestic Partners filing jointly, even if only one spouse or partner had income. Refer to the instructions for more details.
Line 3. Married or Registered Domestic Partner filing separately CheckBox
Check this box if your filing status is Married or Registered Domestic Partner filing separately.
Line 3. Enter spouse’s or Registered Domestic Partner's Social Security Number or Individual Taxpayer Identification Number above and full name here Text
Enter your spouse's or registered domestic partner's Social Security Number or Individual Taxpayer Identification Number above and their full name here.
Line 4. Head of household (with qualifying person). See instructions CheckBox
Check this box if your filing status is Head of Household with a qualifying person. Refer to the instructions for more details.
Line 5. Qualifying surviving spouse or Registered Domestic Partner CheckBox
Check this box if you are a qualifying surviving spouse or Registered Domestic Partner.
Line 5. Enter year spouse or Registered Domestic Partner died Text
Enter the year your spouse or Registered Domestic Partner died. Use a 4-digit year format.
Max length: 4 characters
Line 5. See instructions Text
Refer to the instructions for additional information on how to complete this line.
Line 6. If someone can claim you (or your spouse or Registered Domestic Partner) as a dependent, check the box here. See instructions CheckBox
Check this box if someone can claim you (or your spouse or Registered Domestic Partner) as a dependent. Refer to the instructions for more details.
Health Care Coverage
Individual Shared Responsibility Penalty. Line 92. If you and your household had full-year health care coverage, check the box. See instructions. Medicare Part A or C coverage is qualifying health care coverage. If you did not check the box, see instructions CheckBox
Check this box if you and your household had full-year health care coverage. Medicare Part A or C coverage qualifies. Refer to the instructions for more details.
Line 92. Individual Shared Responsibility (ISR) Penalty. See instructions Text
Enter the amount of Individual Shared Responsibility (ISR) Penalty as per the instructions.
Max length: 12 characters
Miscellaneous
3020 RB_0 ComboBox
Select this radio button if applicable.
3020 RB_1 ComboBox
Select this radio button if applicable.
Options
6008 RB_0 ComboBox
Select this option if applicable.
6008 RB_1 ComboBox
Select this option if applicable.
Other Taxes
Other Taxes. Line 61. Alternative Minimum Tax. Attach Schedule P (540) Text
Enter the amount for the Alternative Minimum Tax. Attach Schedule P (540) as required.
Max length: 12 characters
Line 62. Mental Health Services Tax. See instructions Text
Enter the amount for the Mental Health Services Tax as per the instructions.
Max length: 12 characters
Line 63. Other taxes and credit recapture. See instructions Text
Enter the amount for other taxes and credit recapture as per the instructions.
Max length: 12 characters
Payments
Payments. Line 71. California income tax withheld. See instructions Text
Enter the amount of California income tax withheld as per the instructions.
Max length: 12 characters
Line 72. 2023 California estimated tax and other payments. See instructions Text
Enter the amount of 2023 California estimated tax and other payments as per the instructions.
Max length: 12 characters
Line 73. Withholding (Form 592-B and/or Form 593). See instructions Text
Enter the amount of withholding from Form 592-B and/or Form 593 as per the instructions.
Max length: 12 characters
Amount You Owe. Line 111. Amount You Owe. If you do not have an amount on line 99, add line 94, line 96, line 100, and line 110. See instructions. Do not send cash. You can mail payments to: Franchise Tax Board, Post Office Box, 942867, Sacramento, California, 94267-0001. To pay online, go to ftb.ca.gov/pay for more information Text
Calculate the total amount you owe by adding the amounts from line 94, line 96, line 100, and line 110 if you do not have an amount on line 99. Follow the instructions for mailing or online payment.
Max length: 12 characters
Interest and Penalties. Line 112. Interest, late return penalties, and late payment penalties Text
Enter any interest, late return penalties, and late payment penalties you owe.
Max length: 12 characters
Line 113. Underpayment of estimated tax. Checkbox A. Check the box if FTB 5805 is attached CheckBox
Check this box if you are attaching form FTB 5805 for underpayment of estimated tax.
Line 113. Checkbox B. Check the box if FTB 5805F is attached CheckBox
Check this box if you are attaching form FTB 5805F for underpayment of estimated tax.
Line 113. Underpayment of estimated tax Text
Enter the amount of underpayment of estimated tax.
Max length: 12 characters
Line 114. Total amount due. See instructions. Enclose, but do not staple, any payment Text
Enter the total amount due. Follow the instructions for enclosing any payment without stapling.
Max length: 12 characters
Payments and Credits
Line 74. Excess State Disability Insurance (or Voluntary Plan Disability Insurance) withheld. See instructions Text
Enter the amount of excess State Disability Insurance (or Voluntary Plan Disability Insurance) withheld as per the instructions.
Max length: 12 characters
Line 75. Earned Income Tax Credit (E I T C). See instructions Text
Enter the amount of Earned Income Tax Credit (EITC) you are eligible for, as per the instructions.
Max length: 12 characters
Line 76. Young Child Tax Credit (YCTC). See instructions Text
Enter the amount of Young Child Tax Credit (YCTC) you are eligible for, as per the instructions.
Max length: 12 characters
Line 77. Foster Youth Tax Credit (FYTC). See instructions Text
Enter the amount of Foster Youth Tax Credit (FYTC) you are eligible for, as per the instructions.
Max length: 12 characters
Line 78. Add line 71 through line 77. These are your total payments. See instructions Text
Add the amounts from lines 71 through 77 and enter the total here. These are your total payments.
Max length: 12 characters
Personal Information
Your first name Text
Enter your first name.
Middle Initial Text
Enter your middle initial.
Max length: 1 characters
Last name Text
Enter your last name.
Suffix Text
Enter any suffix associated with your name (e.g., Jr., Sr., III).
Max length: 4 characters
Your Social Security Number or Individual Taxpayer Identification Number. Enter 9 digits Text
Enter your Social Security Number or Individual Taxpayer Identification Number. This should be 9 digits long.
If joint tax return, spouse’s or Registered Domestic Partner's first name Text
If filing a joint tax return, enter your spouse’s or Registered Domestic Partner's first name.
Middle Initial Text
Enter the middle initial of your spouse or Registered Domestic Partner.
Max length: 1 characters
Last name Text
Enter the last name of your spouse or Registered Domestic Partner.
Suffix Text
Enter any suffix associated with your spouse's or Registered Domestic Partner's name (e.g., Jr., Sr., III).
Max length: 4 characters
Spouse's or Registered Domestic Partner's Social Security Number or Individual Taxpayer Identification Number. Enter 9 digits Text
Enter your spouse's or Registered Domestic Partner's Social Security Number or Individual Taxpayer Identification Number. This should be 9 digits long.
Foreign province/state/county Text
Enter the foreign province, state, or county if your address is outside the United States.
Foreign postal code Text
Enter the foreign postal code if your address is outside the United States.
Date of Birth. Your Date of Birth. Enter date as a two digit month/two digit day/four digit year Text
Enter your date of birth in the format MM/DD/YYYY.
Max length: 10 characters
Spouse's or Registered Domestic Partner's Date of Birth. Enter date as a two digit month/two digit day/four digit year Text
Enter your spouse's or registered domestic partner's date of birth in the format MM/DD/YYYY.
Max length: 10 characters
Prior Name. Your Prior Name (see instructions) Text
Enter your prior name if it has changed. Refer to the instructions for more details.
Spouse's or Registered Domestic Partner’s prior name (see instructions) Text
Enter your spouse's or registered domestic partner's prior name if it has changed. Refer to the instructions for more details.
Principal Residence. Enter your county at time of filing (see instructions) Text
Enter the county of your principal residence at the time of filing. Refer to the instructions for more details.
If your address above is the same as your principal/physical residence address at the time of filing, check this box. If not, enter below your principal/physical residence address at the time of filing CheckBox
Check this box if your address above is the same as your principal/physical residence address at the time of filing. If not, enter your principal/physical residence address below.
Street address (number and street) (If foreign address, see instructions.) Text
Enter your street address. If you have a foreign address, refer to the instructions.
Apartment number or suite number Text
Enter your apartment or suite number, if applicable.
Max length: 5 characters
City Text
Enter the city of your residence.
State. Enter two letter State abbreviation Text
Enter the two-letter abbreviation for your state of residence.
Max length: 2 characters
Zip code. Enter first 5 digits - last 4 digits Text
Enter your zip code. Use the format XXXXX-XXXX.
Max length: 10 characters
Your name Text
Enter your full name.
Your Social Security Number or Individual Taxpayer Identification Number. Enter 9 digits Text
Enter your Social Security Number or Individual Taxpayer Identification Number. Use 9 digits.
Your name Text
Enter your full name as it appears on your official documents.
Your Social Security Number or Individual Taxpayer Identification Number. Enter 9 digits Text
Enter your Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN). This should be a 9-digit number.
Your name Text
Enter your full legal name as it appears on your official documents.
Your Social Security Number or Individual Taxpayer Identification Number. Enter 9 digits Text
Enter your 9-digit Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN).
Your name Text
Enter your full name as it appears on your tax documents.
Your Social Security Number or Individual Taxpayer Identification Number. Enter 9 digits Text
Enter your Social Security Number or Individual Taxpayer Identification Number. This should be a 9-digit number.
Your name Text
Enter your full name as it appears on your tax documents.
Your Social Security Number or Individual Taxpayer Identification Number. Enter 9 digits Text
Enter your Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN). This should be a 9-digit number.
Preparer Information
Firm’s name (or yours, if self-employed) Text
Enter the name of your firm if you are self-employed, or the name of the firm you work for.
Preparer Tax Identification Number. Enter 9 digits Text
Enter the Preparer Tax Identification Number (PTIN). This should be a 9-digit number.
Max length: 9 characters
Firm's address Text
Enter the address of your firm.
Firm's Federal Employer Identification Number. Enter 9 digits Text
Enter the Federal Employer Identification Number (FEIN) of your firm. This should be a 9-digit number.
Max length: 9 characters
Refund and Direct Deposit
Refund and Direct Deposit. Line 115. Refund or no amount due. Subtract the sum of line 110, line 112, and line 113 from line 99. See instructions. You can mail to: Franchise Tax Board, Post Office Box 942840, Sacramento, California, 94240-0001 Text
Enter the amount of your refund or the amount you owe. This is calculated by subtracting the sum of lines 110, 112, and 113 from line 99. Refer to the instructions for more details.
Max length: 12 characters
Line 116. Enter the account’s routing number Text
Enter the routing number of your bank account for direct deposit of your refund.
Max length: 9 characters
5010 RB_0 ComboBox
Select this option if you do not want to authorize direct deposit of your refund.
5010 RB_1 ComboBox
Select this option if you want to authorize direct deposit of your refund.
Line 116. Account number Text
Enter the account number of your bank account for direct deposit of your refund.
Max length: 17 characters
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: Line 116. Direct deposit amount Text
Enter the amount of your refund you want to be directly deposited into the specified account. Ensure you have verified the routing and account numbers.
Max length: 12 characters
Line 117. Routing Number for secondary account Text
Enter the routing number of your secondary bank account for direct deposit of your refund.
Max length: 9 characters
5014 RB_0 ComboBox
Select this option if you do not want to authorize direct deposit of the remaining amount of your refund into a secondary account.
5014 RB_1 ComboBox
Select this option if you want to authorize direct deposit of the remaining amount of your refund into a secondary account.
Line 117. Secondary Account number Text
Enter the account number of your secondary bank account for direct deposit of your refund.
Max length: 17 characters
The remaining amount of my refund (line 115) is authorized for direct deposit into the account shown below: Line 117. Secondary Direct deposit amount Text
Enter the amount of your refund you want to be directly deposited into the secondary account specified. Ensure you have verified the routing and account numbers.
Max length: 12 characters
Signature and Date
Date. Enter date signed. Enter date as a 2-digit month/2-digit day/4-digit year Text
Enter the date you signed the form. Use the format MM/DD/YYYY.
Max length: 10 characters
Tax Calculation
Tax. Line 31. Tax. Checkbox A. Check the box if tax is from tax table CheckBox
Check this box if your tax is calculated using the tax table.
Line 31. Tax. Checkbox B. Check the box if tax is from Tax Rate Schedule CheckBox
Check this box if your tax is calculated using the Tax Rate Schedule.
Line 31. Tax. Checkbox C. Check the box if tax is from FTB 3800 CheckBox
Check this box if your tax is calculated using form FTB 3800.
Line 31. Tax. Checkbox D. Check the box if tax is from FTB 3803 CheckBox
Check this box if your tax is calculated using form FTB 3803.
Line 31. Tax amount Text
Enter the total tax amount calculated.
Max length: 12 characters
Line 33. Subtract line 32 from line 31. If less than zero, enter 0 Text
Subtract the amount on line 32 from the amount on line 31. If the result is less than zero, enter 0.
Max length: 12 characters
Line 34. Tax. See instructions. Checkbox A. Check the box if tax is from Schedule G-1 CheckBox
Check this box if your tax is calculated using Schedule G-1.
Line 34. Checkbox B. Check the box if tax is from FTB 5870A CheckBox
Check this box if your tax is calculated using form FTB 5870A.
Line 34. Tax. See instructions Text
Enter the tax amount as per the instructions.
Max length: 12 characters
Line 35. Add line 33 and line 34 Text
Add the amounts on line 33 and line 34.
Max length: 12 characters
Line 48. Subtract line 47 from line 35. If less than zero, enter 0 Text
Subtract the amount on Line 47 from the amount on Line 35. If the result is less than zero, enter 0.
Max length: 12 characters
Line 64. Add line 48, line 61, line 62, and line 63. This is your total tax Text
Add the amounts from Line 48, Line 61, Line 62, and Line 63. Enter the total here. This represents your total tax.
Max length: 12 characters
Use Tax. Line 91. Use Tax. Do not leave blank. See instructions Text
Enter the amount of Use Tax you owe. Do not leave this field blank. Refer to the instructions for more details.
Max length: 12 characters
Overpaid Tax or Tax Due. Line 93 Payments balance. If line 78 is more than line 91, subtract line 91 from line 78 Text
If line 78 is more than line 91, subtract line 91 from line 78 and enter the result here. This is your payments balance.
Max length: 12 characters
Line 94. Use Tax balance. If line 91 is more than line 78, subtract line 78 from line 91 Text
If line 91 is more than line 78, subtract line 78 from line 91 and enter the result here. This is your Use Tax balance.
Max length: 12 characters
Line 95. Payments after Individual Shared Responsibility Penalty . If line 93 is more than line 92, subtract line 92 from line 93 Text
If line 93 is more than line 92, subtract line 92 from line 93 and enter the result here. This is your payments after Individual Shared Responsibility Penalty.
Max length: 12 characters
Line 96. Individual Shared Responsibility Penalty Balance. If line 92 is more than line 93, subtract line 93 from line 92 Text
If line 92 is more than line 93, subtract line 93 from line 92 and enter the result here. This is your Individual Shared Responsibility Penalty Balance.
Max length: 12 characters
Line 97. Overpaid tax. If line 95 is more than line 64, subtract line 64 from line 95 Text
If line 95 is more than line 64, subtract line 64 from line 95 and enter the result here. This is your overpaid tax.
Max length: 12 characters
Tax Calculations
Line 98. Amount of line 97 you want applied to your 2024 estimated tax Text
Specify the amount from line 97 that you want to apply to your estimated tax for the year 2024.
Max length: 12 characters
Line 99. Overpaid tax available this year. Subtract line 98 from line 97 Text
Calculate and enter the overpaid tax available for this year by subtracting line 98 from line 97.
Max length: 12 characters
Line 100. Tax due. If line 95 is less than line 64, subtract line 95 from line 64 Text
Calculate and enter the tax due by subtracting line 95 from line 64 if line 95 is less than line 64.
Max length: 12 characters
Taxable Income
Taxable Income. Line 12. State wages from your federal Form or Forms W-2, box 16 Text
Enter the state wages from your federal Form W-2, box 16.
Max length: 12 characters
Line 13. Enter federal adjusted gross income from federal Form 1040 or 1040-SR, line 11 Text
Enter your federal adjusted gross income from federal Form 1040 or 1040-SR, line 11.
Max length: 12 characters
Line 14. California adjustments – subtractions. Enter the amount from Schedule CA (540), Part 1, line 27, column B Text
Enter the amount of California adjustments – subtractions from Schedule CA (540), Part 1, line 27, column B.
Max length: 12 characters
Line 15. Subtract line 14 from line 13. If less than zero, enter the result in parentheses. See instructions Text
Subtract the amount on line 14 from the amount on line 13. If the result is less than zero, enter it in parentheses. Refer to the instructions for more details.
Max length: 12 characters
Line 16. California adjustments – additions. Enter the amount from Schedule CA (540), Part 1, line 27, column C Text
Enter the amount of California adjustments – additions from Schedule CA (540), Part 1, line 27, column C.
Max length: 12 characters
Line 17. California adjusted gross income. Combine line 15 and line 16 Text
Combine the amounts on lines 15 and 16 to calculate your California adjusted gross income.
Max length: 12 characters
Line 19. Subtract line 18 from line 17. This is your taxable income. If less than zero, enter 0 Text
Subtract the amount on line 18 from the amount on line 17 to calculate your taxable income. If the result is less than zero, enter 0.
Max length: 12 characters
Third Party Designee
Print Third Party Designee’s Name Text
Enter the name of the third-party designee.
Third party designee's telephone number. Enter 10 digits Text
Enter the telephone number of the third-party designee. This should be a 10-digit number.
Max length: 10 characters
Voluntary Contributions
Contributions. Code 400. California Seniors Special Fund. See instructions Text
Enter the amount you wish to contribute to the California Seniors Special Fund. Refer to the instructions for more details.
Max length: 12 characters
Code 401. Alzheimer’s Disease and Related Dementia Voluntary Tax Contribution Fund Text
Enter the amount you wish to contribute to the Alzheimer’s Disease and Related Dementia Voluntary Tax Contribution Fund.
Max length: 12 characters
Code 403. Rare and Endangered Species Preservation Voluntary Tax Contribution Program Text
Enter the amount you wish to contribute to the Rare and Endangered Species Preservation Voluntary Tax Contribution Program.
Max length: 12 characters
Code 405. California Breast Cancer Research Voluntary Tax Contribution Fund Text
Enter the amount you wish to contribute to the California Breast Cancer Research Voluntary Tax Contribution Fund.
Max length: 12 characters
Code 406. California Firefighters’ Memorial Voluntary Tax Contribution Fund Text
Enter the amount you wish to contribute to the California Firefighters’ Memorial Voluntary Tax Contribution Fund.
Max length: 12 characters
Code 407. Emergency Food for Families Voluntary Tax Contribution Fund Text
Enter the amount you wish to contribute to the Emergency Food for Families Voluntary Tax Contribution Fund.
Max length: 12 characters
Code 408. California Peace Officer Memorial Foundation Voluntary Tax Contribution Fund Text
Enter the amount you wish to contribute to the California Peace Officer Memorial Foundation Voluntary Tax Contribution Fund.
Max length: 12 characters
Code 410. California Sea Otter Voluntary Tax Contribution Fund Text
Enter the amount you wish to contribute to the California Sea Otter Voluntary Tax Contribution Fund.
Max length: 12 characters
Code 413. California Cancer Research Voluntary Tax Contribution Fund Text
Enter the amount you wish to contribute to the California Cancer Research Voluntary Tax Contribution Fund.
Max length: 12 characters
Code 422. School Supplies for Homeless Children Voluntary Tax Contribution Fund Text
Enter the amount you wish to contribute to the School Supplies for Homeless Children Voluntary Tax Contribution Fund.
Max length: 12 characters
Code 423. State Parks Protection Fund and Parks Pass Purchase Text
Enter the amount you wish to contribute to the State Parks Protection Fund and Parks Pass Purchase.
Max length: 12 characters
Code 424. Protect Our Coast and Oceans Voluntary Tax Contribution Fund Text
Enter the amount you wish to contribute to the Protect Our Coast and Oceans Voluntary Tax Contribution Fund.
Max length: 12 characters
Code 425. Keep Arts in Schools Voluntary Tax Contribution Fund Text
Enter the amount you wish to contribute to the Keep Arts in Schools Voluntary Tax Contribution Fund.
Max length: 12 characters
Code 438. California Senior Citizen Advocacy Voluntary Tax Contribution Fund Text
Enter the amount you wish to contribute to the California Senior Citizen Advocacy Voluntary Tax Contribution Fund.
Max length: 12 characters
Code 439. Native California Wildlife Rehabilitation Voluntary Tax Contribution Fund Text
Enter the amount you wish to contribute to the Native California Wildlife Rehabilitation Voluntary Tax Contribution Fund.
Max length: 12 characters
Code 440. Rape Kit Backlog Voluntary Tax Contribution Fund Text
Enter the amount you wish to contribute to the Rape Kit Backlog Voluntary Tax Contribution Fund.
Max length: 12 characters
Code 444. Suicide Prevention Voluntary Tax Contribution Fund Text
Enter the amount you wish to contribute to the Suicide Prevention Voluntary Tax Contribution Fund.
Max length: 12 characters
Code 445. Mental Health Crisis Prevention Voluntary Tax Contribution Fund Text
Enter the amount you wish to contribute to the Mental Health Crisis Prevention Voluntary Tax Contribution Fund.
Max length: 12 characters
Line 110. Add amounts in code 400 through code 445. This is your total contribution Text
Add the amounts from code 400 through code 445 to get your total voluntary contributions.
Max length: 12 characters
Voter Information
Voter Information. For voter registration information, check the box and go to sos.ca.gov/elections. See instructions CheckBox
Check this box if you want to receive voter registration information. For more details, visit sos.ca.gov/elections.
5018 RB_0 ComboBox
Select this option if you do not want to receive voter registration information.
5018 RB_1 ComboBox
Select this option if you want to receive voter registration information.