Form It-540b - Louisiana Nonresident And Part-Year Resident - 1999 Page 3
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1
2
3Print your Social Security Number here.
Name(s) as shown on Form IT-540B
If you would like to make donations, please complete the following schedule.
DONATION SCHEDULE
1999 LOUISIANA SCHEDULE D
Individuals who file an individual income tax return and have overpaid their tax may choose to donate all or part of their overpayment shown on Line 19 of Form IT-540B. Print on Lines
1 through 5 the portion of your overpayment you wish to donate. The total on Line 6 cannot exceed the amount of overpayment on Line 19.
.
,
00
1
Wildlife Habitat and Natural Heritage Trust Fund ......................................................................................... 1
,
.
00
2
Louisiana Senior Citizens’ Trust Fund ...................................................................................................... 2
.
,
.
00
3
Louisiana Chapter of Ducks Unlimited ......................................................................................................... 3
,
.
00
4
Louisiana Breast Cancer Task Force ........................................................................................................... 4
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,
00
5
Children’s Trust Fund ................................................................................................................................... 5
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,
00
6
Total Donations - Add Lines 1 through 5. Print here and on Line 20 of Form IT-540B. ....................... 6
6029
Taxpayer copy
Print your Social Security Number here.
Name(s) as shown on Form IT-540B
If you would like to make donations, please complete the following schedule.
DONATION SCHEDULE
1999 LOUISIANA SCHEDULE D
Individuals who file an individual income tax return and have overpaid their tax may choose to donate all or part of their overpayment shown on Line 19 of Form IT-540B. Print on Lines
1 through 5 the portion of your overpayment you wish to donate. The total on Line 6 cannot exceed the amount of overpayment on Line 19.
.
,
00
1
Wildlife Habitat and Natural Heritage Trust Fund ......................................................................................... 1
,
.
00
2
Louisiana Senior Citizens’ Trust Fund ...................................................................................................... 2
.
,
.
00
3
Louisiana Chapter of Ducks Unlimited ......................................................................................................... 3
,
.
00
4
Louisiana Breast Cancer Task Force ........................................................................................................... 4
.
,
00
5
Children’s Trust Fund ................................................................................................................................... 5
.
,
00
6
Total Donations - Add Lines 1 through 5. Print here and on Line 20 of Form IT-540B. ....................... 6
6029
Please submit this copy.
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