R-3302 (8/02)
State of Louisiana
FORM LA 709
Department of Revenue
P.O. Box 201, Baton Rouge, LA 70821-0201
Gift Tax Return of Donor
For Calendar Year ________
Full name (Please print.)
Address
Social Security Number
City, State, ZIP
Please read instructions carefully.
Schedule A – Computation of Taxable Gifts and Tax
00
1
1. Total gifts for current year (from Schedule B)
2. A. Total annual exclusions (see instructions)
2A
00
B. Specific lifetime exemption claimed
2B
00
C. Gifts to spouse
2C
00
D. Charitable, educational, and religious exemptions
2D
00
3
00
3. Total exemptions (Add Lines 2A, 2B, 2C, and 2D.)
4
00
4. Taxable gifts for current year (Subtract Line 3 from Line 1.)
5
00
5. Add taxable gifts in prior years (from Schedule C, Line 1A)
6
00
6. Total taxable gifts (Add Lines 4 and 5.)
7. Calculation of tax
A. 2% of first $15,000 of Line 6
7A
00
B. 3% of excess of Line 6 over $15,000
7B
00
8
00
8. Total tax (Add Lines 7A and 7B.)
9. Less credit for tax paid on taxable gifts in prior years
9
00
(2% of Line 5, not to exceed $300)
10
00
10. Gift tax for current year (Subtract Line 9 from Line 8.)
11
00
11. Interest
12
00
12. Penalty
13
00
13. Total amount due (Add Lines 10, 11, and 12.)
14
00
14. Amount paid with extension
Make payment to Department of Revenue.
15
00
15. Balance of tax due or refund due
Do not send cash.