This form contains 181 fields organized into 24 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
Enter 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 (number and street) or Post Office Box.
Apartment number or suite number Text
Enter your apartment number or suite number, if applicable.
PMB/Private Mailbox Text
Enter your PMB (Private Mailbox) number, if applicable. This should be up to 6 characters.
Max length: 6 characters
City (If you have a foreign address, see instructions) Text
Enter your city. If you have a foreign address, refer to the instructions.
State. Enter two-letter 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.
Foreign province/state/county Text
Enter the name of your foreign province, state, or county, if applicable.
Business Information
Principal Business Activity code Text
Enter your Principal Business Activity code. This should be up to 6 digits.
Max length: 6 characters
Credits
Special Credits. Line 50. Nonrefundable Child and Dependent Care Expenses Credit. See instructions. Attach form FTB 3506 Text
Enter the amount for the Nonrefundable Child and Dependent Care Expenses Credit. Refer to the instructions and attach form FTB 3506.
Max length: 12 characters
Line 51. Credit for joint custody head of household. See instructions Text
Enter the amount for the credit for joint custody head of household. Refer to the instructions.
Max length: 12 characters
Line 52. Credit for dependent parent. See instructions Text
Enter the amount for the credit for a dependent parent. Refer to the instructions.
Max length: 12 characters
Line 53. Credit for senior head of household. See instructions Text
Enter the credit amount for senior head of household as per the instructions provided.
Max length: 12 characters
Line 54. Credit percentage. Enter the amount from line 38 here. If more than 1, enter 1.0000. See instructions. Enter digit before decimal point Text
Enter the credit percentage from line 38. If the percentage is more than 1, enter 1.0000. Only enter the digit before the decimal point here.
Max length: 1 characters
Line 54. Enter 4 digits after decimal point Text
Enter the four digits after the decimal point for the credit percentage from line 38.
Max length: 4 characters
Line 55. Credit amount. See instructions Text
Enter the calculated credit amount as per the instructions provided.
Max length: 12 characters
Line 58. Enter credit name Text
Enter the name of the credit you are claiming.
Line 58. Enter credit code Text
Enter the code for the credit you are claiming. This should be a 3-digit code.
Max length: 3 characters
Line 58. Enter credit amount Text
Enter the amount for the credit you are claiming.
Max length: 12 characters
Line 59. Enter credit name Text
Enter the name of the second credit you are claiming.
Line 59. Enter credit code Text
Enter the code for the second credit you are claiming. This should be a 3-digit code.
Max length: 3 characters
Line 59. Enter credit amount Text
Enter the amount for the second credit you are claiming.
Max length: 12 characters
Line 60. To claim more than two credits, see instructions. Attach Schedule P (540 N R) Text
If you are claiming more than two credits, see the instructions and attach Schedule P (540NR).
Max length: 12 characters
Line 61. Nonrefundable Renter’s Credit. See instructions Text
Enter the amount for the Nonrefundable Renter’s Credit as per the instructions provided.
Max length: 12 characters
Line 62. Add line 50 and line 55 through line 61. These are your total credits Text
Add the amounts from line 50 and lines 55 through 61. This is the total of your credits.
Max length: 12 characters
Line 85. Earned Income Tax Credit (E I T C). See instructions Text
Enter the amount of Earned Income Tax Credit (EITC) as instructed.
Max length: 12 characters
Line 86. Young Child Tax Credit (Y C T C). See instructions Text
Enter the amount of Young Child Tax Credit (YCTC) as instructed.
Max length: 12 characters
Line 87. Foster Youth Tax Credit (F Y T C). See instructions Text
Enter the amount of Foster Youth Tax Credit (FYTC) as instructed.
Max length: 12 characters
Deductions
Line 18. Enter the larger of: Your California itemized deductions from Schedule CA (540 N R), Part Three, line 30; OR Your California standard deduction. See instructions Text
Enter the larger amount between your California itemized deductions from Schedule CA (540NR), Part Three, line 30, or your California standard deduction. Refer to the instructions for more details.
Max length: 12 characters
Dependents
Line 10. Dependents: Do not include yourself or your spouse or 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. Enter 9 digits Text
Enter the Social Security Number of your first dependent. Ensure it is 9 digits long.
Dependent One, Dependent's relationship to you Text
Specify the relationship of your first dependent to you.
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. Enter 9 digits Text
Enter the Social Security Number of your second dependent. Ensure it is 9 digits long.
Dependent Two, Dependent's relationship to you Text
Specify the relationship of your second dependent to you.
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. Enter 9 digits Text
Enter the Social Security Number of your third dependent. Ensure it is 9 digits long.
Dependent Three, Dependent's relationship to you Text
Specify the relationship of your third dependent to you.
Line 10. Total dependent exemptions Text
Enter the total number of dependent exemptions.
Multiply the number of total dependent exemptions you put in the box by $446. Enter this number into this field. Whole dollars only Text
Calculate the amount by multiplying the total number of dependent exemptions by $446. Enter the result in whole dollars.
Max length: 12 characters
Direct Deposit
Line 126. Direct deposit amount Text
Enter the amount you want to be directly deposited into your primary account.
Max length: 12 characters
Line 126. Enter the account’s routing number Text
Enter the routing number of your primary account for direct deposit. This is usually a 9-digit number.
Max length: 9 characters
5011 RB_0 ComboBox
Select this option if you do not want to use direct deposit for your primary account.
5011 RB_1 ComboBox
Select this option if you want to use direct deposit for your primary account.
Line 126. Account number Text
Enter the account number of your primary account for direct deposit. This can be up to 17 digits long.
Max length: 17 characters
Line 127. Secondary Direct deposit amount Text
Enter the amount you want to be directly deposited into your secondary account.
Max length: 12 characters
Line 127. Routing Number for secondary account Text
Enter the routing number of your secondary account for direct deposit. This is usually a 9-digit number.
Max length: 9 characters
5015 RB_0 ComboBox
Select this option if you do not want to use direct deposit for your secondary account.
5015 RB_1 ComboBox
Select this option if you want to use direct deposit for your secondary account.
Line 127. Secondary Account number Text
Enter the account number of your secondary account for direct deposit. This can be up to 17 digits long.
Max length: 17 characters
Exemptions
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.
Exemptions. 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. If you checked the box on line 6, see instructions Text
Enter the appropriate number of personal exemptions based on the boxes you checked above. Refer to the instructions for more details.
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 or Registered Domestic Partner) are visually impaired, enter 1; if both are visually impaired, enter 2. See instructions Text
Indicate if you or your spouse/Registered Domestic Partner are visually impaired. Enter 1 if one person is visually impaired, or 2 if both are visually impaired.
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
Calculate the amount by multiplying the number entered in Line 8 by $144. Enter the result in whole dollars.
Max length: 12 characters
Line 9. Senior: If you (or your spouse or Registered Domestic Partner) are 65 or older, enter 1; if both are 65 or older, enter 2. See instructions Text
Indicate if you or your spouse/Registered Domestic Partner are 65 or older. Enter 1 if one person is 65 or older, or 2 if both are 65 or older.
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
Calculate the amount by multiplying the number entered in Line 9 by $144. Enter the result in whole dollars.
Max length: 12 characters
Line 11. Exemption amount: Add line 7 through line 10 Text
Calculate and enter the exemption amount by adding the values from line 7 through line 10.
Max length: 12 characters
Filing Information
Check here if this is an AMENDED return CheckBox
Check this box if you are filing an amended tax return.
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 your fiscal year end as two digits for the year 2024.
Max length: 2 characters
Filing Status
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.
Filing Status. Line 1. Single CheckBox
Check this box if your filing status is Single.
Line 2. Married or Registered Domestic Partner filing jointly (even if only one spouse or registered domestic partner had income). See instructions CheckBox
Check this box if you are married or a registered domestic partner 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 you are married or a 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 your filing status is 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.
Max length: 4 characters
Line 5. See instructions Text
Refer to the instructions for more details on this line.
Health Care Coverage
Individual Shared Responsibility Penalty. Line 91. 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.
Income Details
Total Taxable Income. Line 12. Total California wages from your federal Form or Forms W-2, box 16 Text
Enter the total taxable income, which includes your total California wages as reported on your federal Form(s) W-2, box 16.
Max length: 12 characters
Line 13. Enter federal adjusted gross income from federal Form 1040, 1040-S R, or 1040-N R, line 11 Text
Enter your federal adjusted gross income from federal Form 1040, 1040-SR, or 1040-NR, line 11.
Max length: 12 characters
Line 14. California adjustments – subtractions. Enter the amount from Schedule CA (540 N R), Part Two, line 27, column B Text
Enter the amount of California adjustments (subtractions) from Schedule CA (540NR), Part Two, 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 the result 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 N R), Part Two, line 27, column C Text
Enter the amount of California adjustments (additions) from Schedule CA (540NR), Part Two, line 27, column C.
Max length: 12 characters
Line 17. Adjusted gross income from all sources. Combine line 15 and line 16 Text
Combine the amounts on line 15 and line 16 to get your adjusted gross income from all sources.
Max length: 12 characters
Line 19. Subtract line 18 from line 17. This is your total taxable income. If less than zero, enter 0 Text
Subtract the amount on line 18 from the amount on line 17 to get your total taxable income. If the result is less than zero, enter 0.
Max length: 12 characters
Line 32. California adjusted gross income from Schedule CA (540 N R), Part 4, line 1 Text
Enter the California adjusted gross income as calculated on Schedule CA (540NR), Part 4, line 1.
Max length: 12 characters
Line 35. California Taxable Income from Schedule CA (540 N R), Part 4, line 5 Text
Enter the California taxable income as calculated on Schedule CA (540NR), Part 4, line 5.
Max length: 12 characters
Other Taxes
Other Taxes. Line 71. Alternative Minimum Tax. Attach Schedule P (540 N R) Text
Enter the amount for the Alternative Minimum Tax. Attach Schedule P (540NR).
Max length: 12 characters
Line 72. Mental Health Services Tax. See instructions Text
Enter the amount for the Mental Health Services Tax as per the instructions provided.
Max length: 12 characters
Payments
Payments. Line 81. California income tax withheld. See instructions Text
Enter the amount of California income tax withheld as instructed.
Max length: 12 characters
Line 82. 2023 California estimated tax and other payments. See instructions Text
Enter the amount of 2023 California estimated tax and other payments as instructed.
Max length: 12 characters
Line 83. Withholding (Form 592-B and/or 593). See instructions Text
Enter the amount of withholding from Form 592-B and/or 593 as instructed.
Max length: 12 characters
Line 84. 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 instructed.
Max length: 12 characters
Line 88. Add line 81 through line 87. These are your total payments. See instructions Text
Calculate and enter your total payments by adding the amounts from lines 81 through 87.
Max length: 12 characters
Amount You Owe. Line 121. AMOUNT YOU OWE. Add line 93, line 104, and line 120. See instructions. Do not send cash. Mail to: FRANCHISE TAX BOARD, Post Office BOX 942867, SACRAMENTO California 94267-0001. Pay Online – Go to ftb.ca.gov/pay for more information Text
Calculate the total amount you owe by adding the amounts from line 93, line 104, and line 120. Follow the instructions provided and do not send cash. Mail your payment to the Franchise Tax Board or pay online.
Max length: 12 characters
Interest and Penalties. Line 122. 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 123. Underpayment of estimated tax. Check the box if: Checkbox 1. FTB 5805 is attached CheckBox
Check this box if you are attaching Form FTB 5805 for underpayment of estimated tax.
Line 123. Check the box if: Checkbox 2. FTB 5805F is attached CheckBox
Check this box if you are attaching Form FTB 5805F for underpayment of estimated tax.
Line 123. Underpayment of estimated tax Text
Enter the amount of underpayment of estimated tax.
Max length: 12 characters
Line 124. Total amount due. See instructions. Enclose, but do not staple, any payment Text
Enter the total amount due. Follow the instructions provided and enclose, but do not staple, any payment.
Max length: 12 characters
Penalties
Line 91. Individual Shared Responsibility (I S R) Penalty. See instructions Text
Enter the amount of Individual Shared Responsibility (ISR) Penalty as instructed.
Max length: 12 characters
Line 93. Individual Shared Responsibility Penalty Balance. If line 91 is more than line 88, subtract line 88 from line 91 Text
Calculate and enter the Individual Shared Responsibility Penalty Balance by subtracting line 88 from line 91 if line 91 is more than line 88.
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.
Foreign postal code Text
Enter the postal code for your foreign address.
Date of Birth. Your Date of Birth (mm/dd/yyyy). Enter 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 (mm/dd/yyyy). Enter 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 applicable. Refer to the instructions for more details.
Spouse or Registered Domestic Partner's Prior Name (see instructions) Text
Enter your spouse's or registered domestic partner's prior name if applicable. Refer to the instructions for more details.
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 (SSN) or Individual Taxpayer Identification Number (ITIN). This should be a 9-digit number.
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 (SSN) or Individual Taxpayer Identification Number (ITIN). This should be a 9-digit number.
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 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 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.
Date signed. Enter date as a two-digit month/two-digit day/four-digit year Text
Enter the date you signed the form in the format MM/DD/YYYY.
Max length: 10 characters
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.
Firm’s name (or yours, if self-employed) Text
Enter the name of your firm or your own name if you are self-employed.
Preparer Information
Firm's Preparer Tax Identification Number. Enter 9 digits Text
Enter the 9-digit Preparer Tax Identification Number (PTIN) of the firm preparing your tax return.
Max length: 9 characters
Firm's address Text
Enter the address of the firm preparing your tax return.
Firm's Federal Employer Identification Number. Enter 9 digits Text
Enter the 9-digit Federal Employer Identification Number (FEIN) of the firm preparing your tax return.
Max length: 9 characters
6008 RB_0 ComboBox
Select this radio button if applicable. This field is part of a group of radio buttons.
6008 RB_1 ComboBox
Select this radio button if applicable. This field is part of a group of radio buttons.
Refunds
Refund and Direct Deposit. Line 125. Refund or no amount due. Subtract line 120 from line 103. See instructions. Mail to: Franchise Tax Board, Post Office Box 942840, Sacramento, California, 94240-0001 Text
Calculate your refund or the amount you owe by subtracting line 120 from line 103. Follow the instructions provided and mail your form to the Franchise Tax Board.
Max length: 12 characters
Spouse/Partner Information
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
If filing a joint tax return, enter your spouse’s or Registered Domestic Partner's middle initial.
Max length: 1 characters
Last name Text
If filing a joint tax return, enter your spouse’s or Registered Domestic Partner's last name.
Suffix Text
If filing a joint tax return, 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
If filing a joint tax return, enter your spouse’s or Registered Domestic Partner's Social Security Number or Individual Taxpayer Identification Number. This should be 9 digits.
Tax Calculations
California Taxable Income. Line 31. Tax. Check the box if from: Checkbox 1. Tax Table CheckBox
Check this box if your tax amount is calculated using the Tax Table.
Line 31. Check the box if from: Checkbox 2. Tax Rate Schedule CheckBox
Check this box if your tax amount is calculated using the Tax Rate Schedule.
Line 31. Check the box if from: Checkbox 3. FTB 3800 CheckBox
Check this box if your tax amount is calculated using FTB 3800.
Line 31. Check the box if from: Checkbox 4. FTB 3803 CheckBox
Check this box if your tax amount is calculated using FTB 3803.
Line 31. Tax amount Text
Enter the tax amount calculated on line 31.
Max length: 12 characters
Line 36. California Tax Rate. Divide line 31 by line 19. Enter digit before decimal point Text
Enter the California tax rate by dividing line 31 by line 19. Only enter the digit before the decimal point.
Max length: 1 characters
Line 36. Enter 4 digits after decimal point Text
Enter the four digits after the decimal point for the California tax rate.
Max length: 4 characters
Line 37. California Tax Before Exemption Credits. Multiply line 35 by line 36 Text
Enter the California tax before exemption credits by multiplying line 35 by line 36.
Max length: 12 characters
Line 38. California Exemption Credit Percentage. Divide line 35 by line 19. If more than 1, enter 1.0000. Enter digit before decimal point Text
Enter the California exemption credit percentage by dividing line 35 by line 19. If the result is more than 1, enter 1.0000. Only enter the digit before the decimal point.
Max length: 1 characters
Line 38. Enter 4 digits after decimal point Text
Enter the four digits after the decimal point for the California exemption credit percentage.
Max length: 4 characters
Line 39. California Prorated Exemption Credits. Multiply line 11 by line 38. If the amount on line 13 is more than $237,035, see instructions Text
Enter the California prorated exemption credits by multiplying line 11 by line 38. If the amount on line 13 is more than $237,035, refer to the instructions.
Max length: 12 characters
Line 40. California Regular Tax Before Credits. Subtract line 39 from line 37. If less than zero, enter 0 Text
Enter the California regular tax before credits by subtracting line 39 from line 37. If the result is less than zero, enter 0.
Max length: 12 characters
Line 41. Tax. See instructions. Check the box if from: Checkbox 1. Schedule G-1 CheckBox
Check this box if the tax is from Schedule G-1.
Line 41. Check the box if from: Checkbox 2. FTB 5870A CheckBox
Check this box if the tax is from FTB 5870A.
Line 41. Tax amount Text
Enter the tax amount for line 41.
Max length: 12 characters
Line 42. Add line 40 and line 41 Text
Add the amounts from line 40 and line 41 and enter the result.
Max length: 12 characters
Line 63. Subtract line 62 from line 42. If less than zero, enter 0 Text
Subtract the total credits (line 62) from the amount on line 42. If the result is less than zero, enter 0.
Max length: 12 characters
Line 73. Other taxes and credit recapture. See instructions Text
Enter any other taxes and credit recapture amounts as instructed.
Max length: 12 characters
Line 74. Add line 63, line 71, line 72, and line 73. This is your total tax Text
Calculate and enter your total tax by adding the amounts from lines 63, 71, 72, and 73.
Max length: 12 characters
Overpaid Tax or Tax Due. Line 92. Payments after Individual Shared Responsibility Penalty. If line 88 is more than line 91, subtract line 91 from line 88 Text
Calculate and enter the amount of overpaid tax or tax due by subtracting line 91 from line 88 if line 88 is more than line 91.
Max length: 12 characters
Line 101. Overpaid tax. If line 92 is more than line 74, subtract line 74 from line 92 Text
Calculate and enter the amount of overpaid tax by subtracting line 74 from line 92 if line 92 is more than line 74.
Max length: 12 characters
Line 102. Amount of line 101 you want applied to your 2024 estimated tax Text
Enter the amount from line 101 that you want to apply to your 2024 estimated tax.
Max length: 12 characters
Line 103. Overpaid tax available this year. Subtract line 102 from line 101 Text
Enter the overpaid tax available this year by subtracting line 102 from line 101.
Max length: 12 characters
Line 104. Tax due. If line 92 is less than line 74, subtract line 92 from line 74 Text
Enter the tax due by subtracting line 92 from line 74 if line 92 is less than line 74.
Max length: 12 characters
Third Party Designee
Print Third Party Designee’s Name Text
Print the name of the third party designee authorized to discuss your tax return with the California Franchise Tax Board.
Third party designee's telephone number. Enter 10 digits Text
Enter the 10-digit telephone number of the third party designee authorized to discuss your tax return with the California Franchise Tax Board.
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/Parks Pass Purchase Text
Enter the amount you wish to contribute to the State Parks Protection Fund/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
Voluntary Tax Contributions
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 120. 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 tax 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.