18
Subtotal
18
.00
19
Amount of Line 16 to be Refunded to You
19
.00
20
Amount you Owe
20
.00
21
Additional Donation to The Military Family Assistance Fund
21
.00
22
Interest
22
.00
23
Delinquent Filing Penalty
23
.00
24
Delinquent Payment Penalty
24
.00
❏
Underpayment Penalty If you are a farmer, mark box.
25
25
.00
26
Balance Due Louisiana
26
.00