Form It-540es - Louisiana Estimated Tax Declaration Voucher For Individuals - 2012
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LOUISIANA ESTIMATED TAX DECLARATION VOUCHER FOR INDIVIDUALS –
For calendar year 2012 or fiscal year ending ___________________ ________
year
IT-540ES (2012) WEB
Print Your Social Security Number
Print Spouse’s Social Security Number
Payment due date
INDIVIDUAL
Voucher 1
DO NOT SEND CASH.
If name or address is incorrect, make necessary changes.
Amount of payment.
$
You can pay your estimated tax at
.00
To ensure proper credit, please DO NOT fold or staple. Mail this form with your payment to:
Louisiana Department of Revenue
PO BOX 91007
Name
Baton Rouge LA 70821-9007
Spouse’s Name
SPEC
CODE
Address
City, State, ZIP
1905
Mail date
For office use only
19059
665
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Parent category: Financial