Form It-540es - Louisiana Estimated Tax Declaration Voucher For Individuals - Louisiana Department Of Revenue - 2005

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IT-540ES(2005)
1/3/05
2:33 PM
Page 1
2005
LOUISIANA ESTIMATED TAX DECLARATION VOUCHER FOR INDIVIDUALS –
I
For calendar year 2005 or fiscal year ending
IT-540ES (2005)
year
INDIVIDUAL
Your Social Security Number
Spouse’s Social Security Number
Payment due date
Voucher 1
If name, address, or Social Security Number is incorrect, make necessary changes.
Amount of payment.
DO NOT SEND CASH.
$
To ensure proper credit, please DO NOT fold or staple. Mail this form with your payment to:
.00
Louisiana Department of Revenue
PO BOX 91007
Baton Rouge LA 70821-9007
6580
Mark box if address
has changed.

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