Form R-6470 - Application Form For Extension Of Time To File Louisiana Nonresident Professional Athlete Return - 2006

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R-6470 (1/07)
Application for Extension of Time to File
Louisiana Nonresident Professional Athlete Return
Louisiana Department of Revenue
P.O. Box 3440
Baton Rouge, LA 70821-3440
Important notice: Louisiana recognizes and accepts the federal extension (Federal Form 4868) for the Nonresident Professional Athlete
return. You do not need a separate extension for filing your state return, unless you wish to file it after October 15, 2007. By completing
and submitting the form below, you can extend the date to file your Louisiana return to November 15, 2007.
You must submit this form by October 15, 2007, if you have an approved federal extension, or by May 15, 2007, if you have not filed a
federal extension.
For fiscal year filers, please indicate the fiscal period below. The due date for fiscal filers is the fifteenth day of the fifth month after the
close of the fiscal year. By completing this extension request, you are requesting a 6-month extension to file past the due date.
By filing this extension, you are requesting only an extension of time to file. This form does not grant an extension of time to pay the tax
due. Payments received after the return due date (generally May 15, 2007) will be charged interest and late payment penalty.
You may be able to file your extension on our website at
1
. Print your total Louisiana income tax liability for the tax year ended December 31, 2006,
or the fiscal year ended __________ ____, _______. (You may estimate this amount.)
.00
2. Print total Louisiana income tax withheld.
.00
3. Print total estimated payments. (Include overpayment carried forward from previous year.)
.00
4. Print total prepayments. (Add Lines 2 and 3.)
.00
5. Print income tax balance due. (Subtract Line 4 from Line 1. If Line 4 is
greater than Line 1, enter zero “0.”)
.00
Make check payable to:
Louisiana Department of Revenue
P.O. Box 3550
Baton Rouge, LA 70821-3550
DO NOT SEND CASH.
✁ ✁
2 2 0 0
06
Application for Extension of Time to File Louisiana Nonresident Professional Athlete Return
R-6470 (1/07)
___________________________________________________________________________
_______________________________________
Individual’s first name, initial, and last name
Social Security Number
___________________________________________________________________________
_______________________________________
Spouse’s first name, initial, and last name
Social Security Number
___________________________________________________________________________
_______________________________________
Address
Tax Period
___________________________________________________________
____________________________________
_______________
City
State
ZIP
I request an extension of time until _________, _____ to file a Louisiana Professional Athlete
tax return for the calendar year _____ or fiscal year ending _________, _____.
6785
67850
68
12312006

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