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Get 2014 Louisiana Form R 540ins

R-540INS 1/14 Your first name MI Last name Filing Period Individual Income Tax Request for Refund of Louisiana Citizens Property Insurance Corporation Assessment Suffix If joint return spouse s name Your Social Security Number Spouse s Social Current home address number and street including apartment number or rural route City town or APO State ZIP For amended return mark this box. Louisiana Revised Statute 47 6025 allows a refundable tax credit.

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