CLIENT 4036-1 SANTA ANA PROFESSIONAL SERVICES Income Tax Preparation & Representation 1002 E 17th St Ste R ‘Santa Ana CA 92701 714 245-0050 Fax 714 245-0053 santaanaps.com Tax Year 2016 -santaanaps@att.net- www.irs.gov “where is my refund’- www.fib.ca.gov June 15, 2017 JIE ZHOU 5604 SUGAR PINE DR YORBA LINDA, CA 92886 Dear Jie, Enclosed is your 2016 Amended California Individual Income Tax Return. The original should be signed at the bottom of page three. ‘Thete is a balance due of $1,646. ‘Mail your California return as soon as possible and make your check payable to: FRANCHISE TAX BOARD P.O. BOX 942867 SACRAMENTO, CA 94267-0001 ‘Mail all returns certified return receipt for proof of timely filing. Please be sure to call if you have any questions. Sincerely, TERESA ARELLANO‘TAXABLE YEAR Ez CALIFORNIA FORM. 2016 Amended Individual Income Tax Return 540x DO NOT ATTACH FEDERAL RETURN a 594-97-0420 ZHOU 38-11-6905 16 R JIE ZHOU RP 5604 SUGAR PINE DR YORBA LINDA cA 92886 10-19-1972 01-06-1970 ob sriset tyoegate ace a ang r B sta eiiehe 2 ngs ie Orginal tarreure — [Jsinge ]aariearaor ring iinty — (X] Mavia/R0e fing semrtsy — L_JHadottousteld [J uatyng wooo) Astrum » [Sine [mare 0 ie jinty [| Marino? geal, []Wendt med] avin widow 6 ifthe ya yu ears, you (rou spaseROP) an elie asd on Sons's each sex : °O ‘targa rematetanadgnioypmee thn ewe (ae ARTERY becreiyecianonn| Suetearey | oat pec SRST mie ome] _ = ‘ier Beton charges 6 ean adh your septry dose says by te 8 non Si, Tas vops Src es : TBS. Spates gre oe Sng. 10 see eas. is: 2 eee cara ‘Schedule CA (540). scoters rn crt eo as etree come zt aan scrote is a i 2 Oe cesar amen ImGT «igs iii i. 3 EBay aii Sasa amen vessel o Rata ataeionincrasta me se semas) arse20, "Ta tb eo ine, cin Seto eva ()Fiesoo [ere seoe Perret enema Freee ions. Ore 3 Gumutemtnemerers, Os ———aaet Lae 2 pean retreat 15 vl th en Tt Seis cansara iano seer: 31si164 Fear BGR CT OTS Side agSTE ZHOU rsa me 594-97-0420 z 5 c i ang Fo SH, se Se main 0 Asgiandyemciey | Netcare Core act 1 arg Fors 5b 27,50, f 0A, ue betty es though | “adtectyerT®. | ean on Ste, ‘Alls aga homes 60 Ss and nh yur sop eer a ati ims V7 Calforia income tax withol. See instructions... 7 4,406.| 18 within (Frm S28 et/or 52) Se irincts 18 Bee 19. cs Cte OC WO wei Sov stuns... 9 k 20 Este tox payors ardor payerts, Sev inssuctons...@)20 21 Refundable Credits, See instructions 2 Child and Dependent Care Expenses Credit (CDCE) ip ea ese deedEaEEEaE'y an ee CeCHE EEE aa i 25. Cola Eat zone Tx Cot (TC. Se stb... 25 dea 25 Topi wi ogra tartan pasion tpi afr itwas ed Do tn pnlis ar ite S26 27 Total payments. Add lines 17,18, 19, 20,21, 25, and 26 of column @x 28a ny, Sow on gil area sos asa ye FB. Semis 28 23. sibtec ine 28 tom line 27. fine 28 is more than lie 27. See instetions os 30 Use tax payments as shown on original ax return See instructions . 030 31 Voluntary contributions as shown on orignal tax return. See instructions. on [32 Subtract ine 30 and ne 31 rom line 29 Ox _ 3,525. 32 AMOUNT YOU OWE. I ine 16, column C i more than line 32, enor the difrence and soe instructions. 33, 1,646. 234 Pontos Serinrcions: Pena 34a Interest 346 m3te 35 REFUND. I line 16, column © less than line 32, enter the diference, See instructions. 35 Part |_ Nonresidents or Part-Year Residents Only Attach and enter the amounts from your revised Shot or Long Form S4QNR and Schedule GA G40NR). Your amended tx rts ‘cannot be processed without this information 11 Exemption amount 1 2. Federal aust gs income 2 3. Adjusted ross income rom al sources @: 4 errzed deacons or tania deduction © 5 alte agusted gros coe, @s 6 Tax fr Schedule 1 and fom FTE SS7O8 @« z 7. Special credits and nonrefundable renters cred o7 8 Alternative minimum tax : @e 9) Mestat Heath Series Tx © 10 Otter tars ae ced cape ow [ Side2 Form Stax cr aon 0551 «3152164 [ir