Follow the steps to complete the R-6004-SD (1/17) form online.

1. Click ‘Get Form’ button to access the R-6004-SD (1/17) and open it for editing.
2. In the designated area, enter the corporation's name as it appears in the official records.
3. Input the Louisiana Revenue Account Number clearly, ensuring all digits are accurate for processing.
4. Fill in the address of the corporation, including street, city, state, and ZIP code.
5. Specify the filing period using the format mm/yy, indicating the relevant accounting period for the payment.
6. Indicate the amount of payment due, ensuring it matches the payment being submitted with the voucher.
7. Record the check number and the date the payment was sent in the appropriate fields, if applicable.
8. Complete the top portion of the form as a record of payment and retain it for your records.
9. Once all fields are filled out accurately, save the changes, and you may also download or print the document for submission.
10. Detach the voucher from the form and submit it along with your payment to the Louisiana Department of Revenue.

Start filling out your R-6004-SD (1/17) form online today to ensure timely and accurate submissions.