Get R-1012 (8/11) Direct Payment Authorization For Call Centers Application Louisiana R

Filling out the R-1012 (8/11) Direct Payment Authorization For Call Centers Application can be straightforward with the right guidance. This guide provides clear, step-by-step instructions to assist users in completing the form efficiently online.

Follow the steps to fill out the R-1012 form correctly.

1. Click the ‘Get Form’ button to access the R-1012 form and open it in the online editor.
2. Provide the legal name of the business. Ensure this is printed or typed clearly. This will help to avoid any misunderstandings regarding the entity applying.
3. Enter the LDR Business Master File Account Number. This is a unique identifier for your business as recognized by the Louisiana Department of Revenue.
4. Complete the trade name of your business. This is the public name under which you operate.
5. Fill in the mailing address, including the city, state, and ZIP code. This address is where correspondence will be sent.
6. Provide the location address(es) of your business. If there are multiple locations, ensure to attach additional pages as necessary. Enter street addresses, city, state, and ZIP code for each location.
7. Describe the principal income-producing activity of your business. This description should clearly outline what your business primarily does.
8. List the names, addresses, and Louisiana Revenue Account Numbers of your subsidiaries that operate as call centers in Louisiana. Provide complete information and attach additional pages if needed.
9. Provide the authorized officer's name, title, and signature. This individual is responsible for certifying the accuracy of the information provided.
10. Enter the date of the application in the mm/dd/yyyy format. Ensure that all fields have been correctly filled before submission.
11. Finally, review the form for accuracy. Once verified, you can save your changes, download, print, or share the filled form as needed.

Complete your R-1012 form online today for a smoother application process.