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Get WEB - Louisiana Department Of Revenue - Rev Louisiana

Le electronically! www.revenue.louisiana.gov Your first name Init. Last name Suffix Your Social Security Number If joint return, spouse s name Init. Last name Suffix Spouse s Social Security Number Present home address (number and street including apartment number or rural route) IMPORTANT! City, town, or APO State You must print your SSN(s) above in the same order as shown on your federal return. ZIP If this is an amended return, mark this box. FILING STATUS: Print the approp.

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