R-3302 (8/09)
FORM LA 709
Gift Tax Return of Donor
For Calendar Year ____________
Do not file this return for gifts or donations made on or after July 1, 2008.
Full name (Please print.)
Address
Social Security Number
City
State
ZIP
Please read instructions carefully.
Schedule A — Computation of Taxable Gifts and Tax
1.
Total gifts for current year (from Schedule B)
1
00
2.
A.Total annual exclusions (maximum $10,000 per donee)
2A
00
B. Specific lifetime exemption claimed
2B
00
C. Gifts to spouse
2C
00
D. Charitable, educational, and religious exemptions
2D
00
3.
Total exemptions (Add Lines 2A, 2B, 2C, and 2D.)
3
00
4.
Taxable gifts for current year (Subtract Line 3 from Line 1.)
4
00
5.
Add taxable gifts in prior years (From Schedule C, Line 1A)
5
00
6.
Total taxable gifts (Add Lines 4 and 5.)
6
00
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.
Total tax (Add Lines 7A and 7B.)
8
00
9.
Less credit for tax paid on taxable gifts in prior years
9
00
(2% of Line 5, not to exceed $300)
10. Gift tax for current year (Subtract Line 9 from Line 8.)
10
00
11. Interest (See instructions.)
11
00
12. Penalty
12
00
13. Total amount due (Add Lines 10, 11, and 12.)
13
00
14. Amount paid with extension
14
00
15. Balance of tax due or refund due
15
00
Do not send cash.
Mail return and payment to:
Louisiana Department of Revenue
P. O. Box 201
1603
Baton Rouge, LA 70821-0201