Form R-17012 - Tax Forms Request

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R-17012 (1/09)
Please mail forms requests to the regional office nearest you.
tax Forms request
addresses and telephone numbers are listed on the back of
this form.
Please Print or tyPe.
Date
(mm/dd/yyyy)
Attention
Telephone
(
)
Name
Parish
Address
City
State
ZIP + 4
Quantity
Form number
Form name
IT-540 Booklet
2008 LA Resident Individual Income Tax Booklets
IT-540B Booklet
2008 LA Nonresident Individual Income Tax Booklets
R-540EIC
2008 LA Earned Income Credit (LA EIC)
IT-540E
Reply Envelope – Individual Income Tax
IT-540ES
2009 Declaration of Estimated Income Tax – Individual
IT-540ES(I)
2009 Instructions for Estimated Income Tax – Individual
IT-540ES(E)
Reply Envelope – Declaration of Estimated Tax – Individual
IT-541
2008 Fiduciary Income Tax Booklet (Return and Instructions)
IT-565
Partnership Return of Income Tax Booklet (Rev. 3/02)
IT-565B
Apportionment of Income Schedule for Partnership Returns (Rev. 8/99)
CIFT-620 Booklet
2008/2009 Corporation Income & Franchise Tax Booklet
CIFT-620(E)
Reply Envelope – Corporation Income Return
CIFT-620ES
2009 Declaration of Estimated Income Tax – Corporation
CIFT-620ES(I)
2009 Instructions for Estimated Income Tax – Corporation
CIFT-620ES(E)
Reply Envelope – Declaration of Estimated Tax – Corporation
R-6906A
(CFT 4) Initial Corporation Franchise Tax Return (Rev. 2/94)
CIFT-620EXT
Extension of Time to File Return – Corporation Income & Franchise Tax (Rev. 1/07)
R-2868
Extension of Time to File Return – Individual Income Tax (Rev. 1/09)
R-8453
2008 Declaration for Electronic Filing – Individual Income Tax
R-540V
2008 Electronic Filing Payment Coupon – Individual Income Tax
R-19026
Installment Request for Individual Income (Rev. 9/07)

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