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Get LOUISIANA ESTIMATED TAX DECLARATION VOUCHER FOR ... - Rev Louisiana

Tion Number If name, address, or account number is incorrect, make necessary changes. To ensure proper credit, please DO NOT fold or staple. Mail this form with your payment to: Louisiana Department of Revenue PO BOX 91011 Baton Rouge LA 70821-9011 Legal Name Trade Name Address City, State, ZIP Spec Code 2009 For calendar year 2009 or fiscal year ending year Payment due date $ Amount of payment. DO NOT SEND CASH. .00 Mark box if address has changed. 1905 Mail.

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