Form R-6464 - Application For Extension Of Time To File Louisiana Team Composite Income Tax Return

ADVERTISEMENT

R-6464 (1/10)
Application for Extension of Time
to File Louisiana Team Composite
Income Tax Return
Louisiana Department of Revenue
P.O. Box 4998
Baton Rouge, LA 70821-4998
SPEC
The space at the bottom of this form is to be used only when specifically instructed by LDR. Otherwise, leave
CODE
blank.
For calendar year filers, complete and submit the form below before May 15, 2010, to extend the date to file your Louisiana Team
Composite Income tax return until November 15, 2010.
For fiscal year filers, please indicate the fiscal period below when requesting your 6-month extension to file your Louisiana Team
Composite Income tax return. The due date for fiscal filers is the fifteenth day of the fifth month after the close of the fiscal year.
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 will be charged interest and late payment penalty.
You may be able to file your extension on our website at
Louisiana Team Composite Extension
Print your total Louisiana income tax liability for the tax year ended December 31,
1
1
2009, or the fiscal year ended ________, _______. (
.00
You may estimate this amount.)
Print the total amount of Louisiana payments. (Include amounts of tax withheld, declara-
2
2
tion/estimated payments, and overpayments carried forward from the previous year.)
.00
Print income tax balance due.
3
3
(Subtract Line 2 from Line 1. If Line 2 is greater than Line 1, enter zero “0.”)
.00
Detach and submit the voucher below with your payment
10
R-6464 (1/10)
For calendar year ended 2009, or other tax year beginning ___________, 2009, ending ____________, 2010.
Louisiana Application for Extension of Time to File Louisiana Team Composite Return
Team Name
Louisiana Revenue Account Number
Address
Tax Period
City
State
ZIP
Mail this form with your payment to:
Amount
.00
u
DO nOT SEnD CASh.
Louisiana Department of Revenue
enclosed
P.O. Box 4998
Baton Rouge, LA 70821-4998
I request an extension of time until _________, _____ to file a Louisiana Team Composite
Income tax return for the calendar year _____ or fiscal year ending _________, _____.
1907
SPEC
CODE
19075
58

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go