This form contains 181 fields organized into 38 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Additional information and PBA code
Additional information Text
Enter any extra details or notes required by the tax form (for example, explanations, codes, or clarifying information referenced in the instructions).
PBA code Text
Enter the PBA (Preparer/Business Account) code provided by the Franchise Tax Board or your tax preparer, if applicable.
Max length: 6 characters
Amended return
Check here if this is an AMENDED return Checkbox
Check this box if you are filing an amended California Form 540NR to correct or change information from a previously filed return.
CA Adjusted and CA Taxable Income (Lines 32, 35)
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. Fill only if 'Credit for Dependent Parent (Line 52)' CA adjusted gross income from Schedule CA (540NR), Part IV, line 1 is 'Yes'.
Max length: 12 characters
Depends on: Credit for Dependent Parent (Line 52)
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. Fill only if 'Credit Percentage — Right Box (Line 54)' CA Taxable Income from Schedule CA (540NR), Part IV, line 5 is 'Yes'.
Max length: 12 characters
Depends on: Credit Percentage — Right Box (Line 54)
California filing status options
CA filing status different from federal Checkbox
Check this box if your California filing status is different from your federal filing status.
Single Checkbox
Check this box if your California filing status is Single.
Married/RDP filing jointly Checkbox
Check this box if you and your spouse/RDP are filing a joint California return.
Married/RDP filing separately Checkbox
Check this box if you are married/RDP and filing a separate California return (enter spouse's/RDP's SSN or ITIN and full name as required).
Spouse/RDP full name (filing separately) Text
Enter the full name of your spouse or registered domestic partner as required when selecting Married/RDP filing separately. Fill only if 'Married/RDP filing separately' is 'Married/RDP filing separately'.
Depends on: Married/RDP filing separately
Head of household (with qualifying person) Checkbox
Check this box if you qualify as Head of Household with a qualifying person for California filing purposes.
Qualifying surviving spouse/RDP Checkbox
Check this box if you are a qualifying surviving spouse/RDP and enter the year your spouse/RDP died.
Year spouse/RDP died Text
Enter the four-digit year your spouse or registered domestic partner died if you are claiming qualifying surviving spouse/RDP status. Fill only if 'Qualifying surviving spouse/RDP' is 'Qualifying surviving spouse/RDP'.
Max length: 4 characters
Depends on: Qualifying surviving spouse/RDP
Additional filing-status information Text
Provide any additional information or explanation required for your chosen California filing status as directed in the form instructions.
Credits
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
Dates of birth (taxpayer and spouse/RDP)
Taxpayer date of birth Date
Enter the taxpayer's date of birth.
Max length: 10 characters
Spouse/RDP date of birth Date
Enter the spouse's or registered domestic partner's date of birth.
Max length: 10 characters
Deductions and Total Taxable Income (Lines 18-19)
Line 18 — California Deductions (itemized or standard) Number
Enter the larger of your California itemized deductions from Schedule CA (540NR), Part III, line 30, or your California standard deduction.
Max length: 12 characters
Line 19 — Total Taxable Income Number
Enter the result of subtracting line 18 from line 17 to show your total California taxable income (if less than zero, enter -0).
Max length: 12 characters
Dependent 1 Info
Dependent 1 — First Name Text
Enter the first (given) name of Dependent 1 as it appears on legal documents.
Dependent 1 — Last Name Text
Enter the last (family) name or surname of Dependent 1 as it appears on legal documents.
Dependent 1 — SSN or ITIN Text
Enter the Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN) for Dependent 1, including all digits.
Dependent 1 — Relationship Text
Enter Dependent 1's relationship to you (for example: son, daughter, stepchild, parent, etc.).
Dependent 2 Info
Dependent 2 First name Text
Enter the first name of the dependent listed in column 2 exactly as it appears on legal/tax documents.
Dependent 2 Last name Text
Enter the dependent's last name (surname) for dependent 2 exactly as it appears on legal/tax documents.
Dependent 2 SSN or ITIN Text
Enter the dependent's Social Security number (SSN) or Individual Taxpayer Identification Number (ITIN) exactly as issued.
Dependent 2 Relationship to taxpayer Text
Enter the dependent's relationship to you (for example: son, daughter, stepchild, parent, niece, etc.).
Dependent 3 Info
Dependent 3 First Name Text
Enter Dependent 3's legal first (given) name exactly as shown on official documents.
Dependent 3 Last Name Text
Enter Dependent 3's legal last (family) name or surname exactly as shown on official documents.
Dependent 3 SSN or ITIN Text
Enter Dependent 3's Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN).
Dependent 3 Relationship Text
Enter the relationship of Dependent 3 to you (for example: son, daughter, stepchild, parent, niece, etc.).
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
Exemption counts and amounts (Personal, Blind, Senior)
Personal exemption amount (Line 7) Number
The dollar amount for personal exemptions: the number entered on line 7 multiplied by the preprinted $144. Fill only if 'Single', 'Married/RDP filing jointly', 'Married/RDP filing separately', 'Head of household (with qualifying person)', 'Qualifying surviving spouse/RDP', 'Someone can claim you (dependent)' is any of 29, 30, 31, 33, or 34, or field 37 is 'Yes'.
Max length: 1 characters
Depends on: Single, Married/RDP filing jointly, Married/RDP filing separately, Head of household (with qualifying person), Qualifying surviving spouse/RDP, Someone can claim you (dependent)
Blind exemption amount (Line 8) Number
The dollar amount for blindness exemptions: the number entered on line 8 multiplied by the preprinted $144.
Max length: 12 characters
Senior exemption amount (Line 9) Number
The dollar amount for senior exemptions: the number entered on line 9 multiplied by the preprinted $144.
Max length: 1 characters
Dependents exemption amount (Line 10) Number
The dollar amount for dependent exemptions: the number entered on line 10 multiplied by the preprinted $144.
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
Fiscal year end (month/year)
Fiscal year end month Text
Enter the month number (1–12) that marks the end of your fiscal year for this tax filing (e.g., 12 for December).
Max length: 2 characters
Foreign address (country, province/state/county, postal code)
Foreign country name Text
Enter the full name of the foreign country where you reside or receive mail (for example, Canada, United Kingdom, or Mexico).
Foreign province/state/county Text
Enter the name of the foreign province, state, region, or county for your address as applicable.
Foreign postal code Text
Enter the postal code or postal/ZIP equivalent for your foreign address exactly as used in that country.
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, Adjustments and Exemption (Lines 11-17)
Exemption amount (Line 11) Number
Enter the total exemption amount (the sum of lines 7 through 10) to report on line 11.
Max length: 12 characters
Total California wages (W-2 box 16) (Line 12) Number
Enter the total California wages from your federal Form(s) W-2, box 16.
Max length: 12 characters
Federal adjusted gross income (AGI) (Line 13) Number
Enter your federal adjusted gross income from federal Form 1040, 1040-SR, or 1040-NR, line 11.
Max length: 12 characters
California adjustments — subtractions (Line 14) Number
Enter California subtraction adjustments from Schedule CA (540NR), Part II, line 27, column B.
Max length: 12 characters
Result of line 13 minus line 14 (Line 15) Number
Enter the result of subtracting line 14 from line 13; if less than zero, enter the result in parentheses.
Max length: 12 characters
California adjustments — additions (Line 16) Number
Enter California addition adjustments from Schedule CA (540NR), Part II, line 27, column C.
Max length: 12 characters
Adjusted gross income from all sources (Line 17) Number
Enter the combined amount of line 15 and line 16 to report adjusted gross income from all sources.
Max length: 12 characters
Mailing address (street, apt, PMB, city, state, ZIP)
Street address (number and street) or PO box Text
Enter your street address including house number and street name, or your PO box number if you receive mail at a PO box.
Apt./Suite/Unit number Text
Enter the apartment, suite, or unit number for your mailing address, if applicable; otherwise leave this field blank.
PMB / Private mailbox Text
Enter your private mailbox (PMB) or commercial mailbox identifier assigned by a mail service, if applicable; otherwise leave blank.
Max length: 6 characters
City Text
Enter the city or town for your mailing address (for a foreign address, enter the foreign city as instructed).
State Text
Enter the U.S. state for your mailing address, typically using the two-letter state abbreviation.
Max length: 2 characters
ZIP code Text
Enter the ZIP code for your U.S. mailing address (5-digit ZIP or ZIP+4); if using a foreign address, use the Foreign postal code field instead.
Max length: 10 characters
Other Tax and Total (Lines 41-42)
Schedule G-1 Checkbox
Check this box if the tax on line 41 is from Schedule G-1 (i.e., you are using Schedule G-1 to calculate the tax reported on line 41).
FTB 5870A Checkbox
Check this box if the tax on line 41 is from form FTB 5870A (i.e., you are using FTB 5870A to calculate the tax reported on line 41).
Other tax (line 41) Number
Enter the amount of other tax reported on line 41 (for example, tax from Schedule G-1 or FTB 5870A) as required by the instructions. Fill only if 'Schedule G-1', 'FTB 5870A' Schedule G-1 / FTB 5870A is 'Yes' (any).
Max length: 12 characters
Depends on: Schedule G-1, FTB 5870A
Total tax (line 42) Number
Enter the total tax amount for line 42, which is the sum of line 40 and line 41 per the form instructions.
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 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.
Full name Text
Enter your full legal name exactly as it should appear on tax records (first, middle initial if used, and last name).
SSN or ITIN Text
Enter your nine-digit Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN) exactly as issued, including dashes if applicable.
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.
Prior names (taxpayer and spouse/RDP)
Taxpayer's prior name Text
Enter the taxpayer's previous full name exactly as it appeared on prior tax or legal records (leave blank if never had a prior name).
Spouse/RDP's prior name Text
Enter the spouse's or registered domestic partner's previous full name exactly as it appeared on prior tax or legal records (leave blank if never had a prior name).
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
Someone can claim you (dependent claim checkbox)
Someone can claim you (dependent) Checkbox
Check this box if someone can claim you (or your spouse/RDP) as a dependent on their tax return.
Special Credits (Lines 50-55)
Nonrefundable Child and Dependent Care Credit (Line 50) Number
Enter the nonrefundable child and dependent care expenses credit amount reported on line 50.
Max length: 12 characters
Credit for Joint Custody Head of Household (Line 51) Number
Enter the credit amount for joint custody/head of household reported on line 51.
Max length: 12 characters
Credit for Dependent Parent (Line 52) Number
Enter the credit amount for a dependent parent reported on line 52.
Max length: 12 characters
Credit for Senior Head of Household (Line 53) Number
Enter the credit amount for senior head of household reported on line 53.
Max length: 12 characters
Credit Percentage — Left Box (Line 54) Number
Enter the first part of the credit percentage from line 54 into this left-side box.
Max length: 1 characters
Credit Percentage — Right Box (Line 54) Number
Enter the second part of the credit percentage from line 54 into this right-side box.
Max length: 4 characters
Total Credit Amount (Line 55) Number
Enter the total credit amount shown on line 55.
Max length: 12 characters
Spouse/RDP name and SSN/ITIN
Spouse/RDP first name Text
Enter the spouse's or registered domestic partner's first name exactly as it should appear on the tax return. Fill only if 'Married/RDP filing jointly' is 'Married/RDP filing jointly'.
Depends on: Married/RDP filing jointly
Spouse/RDP middle initial Text
Enter the spouse's or RDP's middle initial, if any; leave blank if none. Fill only if 'Married/RDP filing jointly' is 'Married/RDP filing jointly'.
Max length: 1 characters
Depends on: Married/RDP filing jointly
Spouse/RDP last name Text
Enter the spouse's or registered domestic partner's last name (family name) exactly as it should appear on the tax return. Fill only if 'Married/RDP filing jointly' is 'Married/RDP filing jointly'.
Depends on: Married/RDP filing jointly
Spouse/RDP suffix Text
Enter a name suffix for the spouse/RDP (for example Jr., Sr., III) if applicable; leave blank if none. Fill only if 'Married/RDP filing jointly' is 'Married/RDP filing jointly'.
Max length: 4 characters
Depends on: Married/RDP filing jointly
Spouse/RDP SSN or ITIN Text
Enter the spouse's or RDP's Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN) exactly as issued, using digits. Fill only if 'Married/RDP filing jointly' is 'Married/RDP filing jointly'.
Depends on: Married/RDP filing jointly
Tax Calculations
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
Tax Rate, Exemption Percentage and Tax Before Credits (Lines 36-40)
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. Fill only if 'Your Social Security Number or Individual Taxpayer Identification Number. Enter 9 digits' CA Exemption Credit Percentage (line 38) is 'Yes'.
Max length: 1 characters
Depends on: Your Social Security Number or Individual Taxpayer Identification Number. Enter 9 digits
Line 38. Enter 4 digits after decimal point Text
Enter the four digits after the decimal point for the California exemption credit percentage. Fill only if 'Your Social Security Number or Individual Taxpayer Identification Number. Enter 9 digits' CA Exemption Credit Percentage (line 38) is 'Yes'.
Max length: 4 characters
Depends on: Your Social Security Number or Individual Taxpayer Identification Number. Enter 9 digits
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. Fill only if 'Full name' CA Prorated Exemption Credits (line 39) is 'Yes'.
Max length: 12 characters
Depends on: Full name
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. Fill only if 'SSN or ITIN' CA Regular Tax Before Credits (line 40) is 'Yes'.
Max length: 12 characters
Depends on: SSN or ITIN
Tax Table / Rate Selection (Line 31)
Tax Table Checkbox
Check this box if you are using the Tax Table to compute the tax amount on line 31.
Tax Rate Schedule Checkbox
Check this box if you are using the Tax Rate Schedule to compute the tax amount on line 31.
FTB 3800 Checkbox
Check this box if your tax amount is determined from Form FTB 3800.
FTB 3803 Checkbox
Check this box if your tax amount is determined from Form FTB 3803.
Line 31. Tax amount Text
Enter the tax amount calculated on line 31. Fill only if 'Tax Table', 'Tax Rate Schedule', 'FTB 3800', 'FTB 3803' Tax Table / Tax Rate Schedule / FTB 3800 / FTB 3803 is 'Yes' (any).
Max length: 12 characters
Depends on: Tax Table, Tax Rate Schedule, FTB 3800, FTB 3803
Taxpayer Information
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.
Taxpayer name Text
Enter the taxpayer's full legal name exactly as it appears on their tax documents.
SSN or ITIN Text
Enter the taxpayer's nine-digit Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN) using digits only (no dashes or spaces).
Taxpayer name and SSN/ITIN
Taxpayer first name Text
Enter the taxpayer's first (given) name exactly as shown on their Social Security card or ITIN documentation.
Taxpayer middle initial Text
Enter the taxpayer's middle initial; leave blank if none.
Max length: 1 characters
Taxpayer last name Text
Enter the taxpayer's last (family) name or surname exactly as shown on their Social Security card or ITIN documentation.
Name suffix Text
Enter the taxpayer's name suffix (for example, Jr., Sr., II, III) if applicable; otherwise leave blank.
Max length: 4 characters
Taxpayer SSN or ITIN Text
Enter the taxpayer's nine-digit Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN) exactly as issued, without spaces or dashes.
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.
Total dependent exemptions and amount
Number of dependents Text
Enter the total count of dependents you are claiming on this return (do not include yourself or your spouse/RDP).
Total dependent exemption amount Number
Enter the dollar amount of the dependent exemptions (the number of dependents multiplied by $446 as shown on the form).
Max length: 12 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/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.