R-541ES (1/14)
Louisiana Department of Revenue
Fiduciary Income tax
P. O. Box 3550
Declaration of estimated tax (2014)
Baton Rouge, LA 70821-3550
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 2014 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 3550, Baton Rouge, LA 70821-3550. 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 mou nt o f pa y men 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 (1/14)
2014
Name of Estate or Trust
FI
Name of Fiduciary or Trustee
Address
Amount of payment.
Do not senD cash.
$
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 3550
Baton Rouge, LA 70821-3550
mail date
1905
spec
coDe
For office use only
19059
691
12312014