Form It-540 - 1999 Louisiana Resident (Page 2 of 2) in pdf

Print your Social Security Number here.

16B ADJUSTED LOUISIANA INCOME TAX - Print amount from Line 16A. .................................................. 16B

17A TOTAL LOUISIANA INCOME TAX WITHHELD IN 1999 -

Attach Form(s) W-2.

....................................... 17A

17B PAYMENTS ON 1999 DECLARATIONS AND CREDITS CARRIED FORWARD FROM 1998. .............. 17B

17C INVENTORY TAX CREDIT -

........................................................................................... 17C

See instructions.

17D TOTAL PAYMENTS -

17D

Add Lines 17A, 17B, and 17C. ........................................................................................

PAY THIS

BALANCE DUE LOUISIANA -

If Line 16B is larger than

Line 17D, subtract Line 17D from Line 16B and print amount here.

AMOUNT.

If return is delinquent, see instructions.

.......................................................................................................... 18

OVERPAYMENT -

If Line 17D is larger than Line 16B, subtract Line 16B

from Line 17D and print balance. This is the amount Louisiana owes you. ............................................................................ 19

DONATIONS -

Print the total from Line 6, Schedule D here. You must complete Schedule D. ........................................... 20

OVERPAYMENT AFTER DONATIONS -

Subtract Line 20 from Line 19. ....................... 21

REFUND

22A

Amount of Line 21 you want

REFUNDED

to you. .............................................................. 22A

CREDIT

22B

Amount of Line 21 you want

CREDITED

to 2000 tax. ....................................................... 22B

I declare that I have examined this return and, to the best of my knowledge, it is true and complete.

Declaration of paid preparer is based on all available information.

Your signature

Date

Your occupation

Signature of paid preparer other than taxpayer

(

)

Spouse’s signature (If filing jointly, both must sign.)

Date

Spouse’s occupation

Telephone number of paid preparer

Date

Individual Income Tax Return

Social Security Number, PTIN,

or FEIN of PAID preparer

Calendar year returns due 5/15/2000

MAIL TO:

Department of Revenue

P. O. Box 3440

Baton Rouge, LA 70821-3440

Do not submit a photocopy of this return.

6042

Form It-540 - 1999 Louisiana Resident Page 2

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