R-541ES (1/13)
2013
Fiduciary Income Tax
Declaration of Estimated Tax
Louisiana Department of Revenue
P. O. Box 3440
Baton Rouge, LA 70821-3440
IMPORTANT NOTICE
The term “estimated tax” means the amount the taxpayer estimates to be the Louisiana income tax imposed for the current
period. For a fiduciary, payments can be made at anytime prior to filing the return. Estates or trusts making estimated
declaration of fiduciary income tax for 2013 must complete the payment voucher at the bottom of this page, detach the
voucher, and mail it to the Louisiana Department of Revenue, P. O. Box 3440, Baton Rouge, LA 70821-3440. The top
portion of this form should also be completed and retained by the estate or trust as a record of payment.
• DO NOT SEND CASH.
•
Complete and retain this portion as a record of payment.
Name of Estate or Trust
Name of Fiduciary or Trustee
Mailing Address
City
State
ZIP
A m o u n t of p a y m e n t
Federal Identification Number
Check Number
Calendar/Fiscal Year
Date Sent
Detach and submit the voucher below with your payment.
FIDUCIARY INCOME TAX
R-541ES (1/13)
2013
PLEASE PRINT OR TYPE.
Your Name
Name of Fiduciary or Trustee
Address
DO NOT SEND CASH.
Amount of payment.
$
City
State
ZIP
Please include your Federal Identification
Federal Identification Number
Make payment to:
Number on your payment.
Louisiana Department of Revenue
Calendar/Fiscal Year
P. O. Box 3440
Baton Rouge, LA 70821-3440
Mail date
1903
SPEC
CODE
For office use only
19034
691
12312013