Form R-1201 - Fourth Quarter Employer'S Return Of Louisiana Withholding Tax Form L1 - 2012

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R-1201 (1/12)
Tax Year
We encourage you to fi le and pay
Fourth Quarter Employer’s Return of
2 0 1 2
electronically at
Louisiana Withholding Tax Form L1
Do not use this form for fi ling periods
Mail your Return and Payment to:
prior to January 2012.
Louisiana Department of Revenue
P.O. Box 61030
New Orleans, LA 70161-1030
Tax Period
Due Date
12/31/2012
01/31/2013
Account Number
Legal Name
Trade Name
P L E AS E R E T U R N E N T I R E PAG E .
Address
City
State
ZIP
What is a L-1?
How do I prepare Form L-1?
Form L-1 is the Employer’s Quarterly Return of Louisiana Withholding Tax.
To ensure accurate processing, please print your fi gures as shown.
Every employer who withholds or who is required to withhold Louisiana
1 2 3 4 5 6 7 8 9
income tax from wages of employees must fi le a quarterly L-1 return. Any
employer who fails to withhold and pay amounts required to be withheld is
personally liable for such amounts.
Lines 1-3 Print the amount of Louisiana income tax withheld or required to
be withheld from the wages of your employees for the appropriate month.
Each return covers one quarterly taxable period and must be fi led by the
fi ling deadline. A quarterly return must be fi led even if no taxes are withheld
Line 4 Add Lines 1, 2 and 3. This is the total amount of taxes withheld for
during the quarter or if wages paid to employees were not sufficient to
the quarter.
require withholding.
Line 5 Calculate the total amount of withholding taxes that was remitted to
When and how should I remit tax withheld from my employees?
the department during the quarter.
Payments must be made according to your mandated payment frequency.
Lines 6 and 7 Self-explanatory
Payments for the last period of the quarter must be submitted with the
How do I amend an L-1?
L-1 return. All other payments must be submitted with an L-1V payment
Form L-1 is used to reconcile the payments made within this quarter to the
voucher.
actual amount of taxes withheld. Adjustments for prior quarters cannot be
When is the L-1 Return due?
made in the current quarter. It will be necessary to fi le amended returns
Quarterly and Monthly payers should submit Form L-1 with payment on
for all quarters in which corrections were made. When fi ling an amended
the last day of following month after the close of calendar quarter. The due
return, you must use the correct form for the quarter being amended, report
dates are as follows:
the corrected amounts, and mark the “Amended Return” box.
1
st
Quarter. . . . . April 30
th
2
nd
Quarter . . . . . . . July 31
st
3
rd
Quarter . . . October 31
st
4
th
Quarter . . January 31, 2013
If the due date falls on a weekend or holiday, the return is due the next
business day and becomes delinquent on the following day.
SPEC
Do not use unless specifically instructed
CODE
by LDR.
4 Total 4th Quarter
Withholdings . . . . . . . . 4
5 Less remittance made
during quarter. . . . . . . . 5
1 Louisiana Withholding Tax
October . . . . . . . . . 1
6 If Line 4 is greater than Line 5,
subtract Line 5 from Line 4.
2 Louisiana Withholding Tax
Pay this amount. . . . . . . 6
November . . . . . . . . 2
DO NOT SEND CASH.
3 Louisiana Withholding Tax
December . . . . . . . . 3
7 If Line 4 is less than Line 5,
subtract Line 4 from Line 5.
This is your overpayment. . . 7
Mark this box if this
Y Y
M M D D
is a fi nal return.
Enter date business sold/closed.
Amended
Field Flag
FOR OFFICE USE ONLY
Return
(
)
_____________
____________________________________________
_______________________________
___________________________________________
Date (mm/dd/yyyy)
Signature
Title
Telephone
Under the penalties of perjury, I declare that I have examined this information and to the best of my knowledge and belief, it is true, correct,
and complete. Make payment to: Louisiana Department of Revenue, or pay at (Do not send cash.)
3204

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