Form R-6450 - Business Taxes Address Change Form
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1R-6450 (4/11)
Business Taxes Address Change Form
Check all the boxes that this change affects:
Effective Date of Change:
Do not complete a separate address change form if the new address applies to all taxes.
Account Number
Sales
Account Number
Withholding
Account Number
Corporate Income/Franchise
Account Number
Other (List appropriate tax)
Legal Name
Trade Name
Location Address
Old Address
Suite
City
State
ZIP
New Address
Suite
City
State
ZIP
Contact Person
Daytime Telephone Number
Mailing Address
Old Address
Suite
City
State
ZIP
New Address
Suite
City
State
ZIP
Contact Person
Daytime Telephone Number
Request must be mailed or faxed to: Louisiana Department of Revenue
P.O. Box 201
Baton Rouge, LA 70821
Fax Number: 225-219-0806
6690
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Parent category: Financial