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State of Louisiana Department of Revenue P. O. Box 201 Baton Rouge LA 70821-0201 R-540V 03 Individual Income Tax Electronic Filing Payment Voucher Important notice Tax preparers should provide this form to clients who file electronically if a payment is due with the return. Taxpayer clients who owe additional Louisiana individual income tax for 2003 must complete the payment voucher at the bottom of this page detach and mail by May 17 2004 in order to avoid the assessment of penalties and interest. The top portion of this form should also be completed and retained by the taxpayer as a record of payment. DO NOT SEND CASH. Complete and retain this portion as a record of payment. You can also make payments via the internet. Go to www. revenue. louisiana*gov* Name In order as listed on tax return Address Your Social Security Number 1 City State ZIP Your spouse s Social Security Number 2 Amount of payment Check number Date sent Detach and submit the voucher below with your payment by May 17....

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232