Form R-2868V "Individual Income Tax Electronically Filed Extension Payment Voucher" - Louisiana

What Is Form R-2868V?

This is a legal form that was released by the Louisiana Department of Revenue - a government authority operating within Louisiana. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2019;
  • The latest edition provided by the Louisiana Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form R-2868V by clicking the link below or browse more documents and templates provided by the Louisiana Department of Revenue.

ADVERTISEMENT
ADVERTISEMENT

Download Form R-2868V "Individual Income Tax Electronically Filed Extension Payment Voucher" - Louisiana

1252 times
Rate (4.4 / 5) 63 votes
R-2868V (1/19)
Louisiana Department of Revenue
Individual Income Tax
P.O. Box 751
Electronically Filed Extension Payment Voucher (2018)
Baton Rouge, LA 70821-0751
IMPORTANT NOTICE: The voucher below must accompany payments made by individuals that have filed their extension request
electronically and did not submit their payments through electronic funds transfer.
This voucher is NOT a request for an extension of time to file a return or an extension of time to pay the tax due. You must still submit
a separate extension request. An extension will not be granted if a payment is made using this form. Payments received after the return
due date will be assessed interest and late payment penalty. You can make payments electronically at www.revenue.louisiana.gov/latap.
Louisiana Individual Income Tax Extension Payment
Enter your total Louisiana income tax liability for the tax year ended December 31,
1
1
2018, or the fiscal year ended ________, 2019.
.00
(You may estimate this amount.)
2
Enter total Louisiana income tax withheld.
2
.00
Enter total amount of declaration/estimated payments, credit carried forward from
3
3
previous year, and any composite partnership payments made on your behalf.
.00
4
Enter total payments
4
(Add lines 2 and 3.)
.00
Enter income tax balance due.
(Subtract Line 4 from Line 1. If Line 4 is greater than Line
5
5
1, enter zero “0.”)
.00
2
4
6
8
10
12
14
16
18
20
22
24
26
28
30
32
34
36
38
40
42
44
46
48
50
52
54
56
58
60
62
64
66
68
70
72
74
76
78
80
82
84
Detach and submit the voucher below with your payment.
18
R-2868V (1/19)
For calendar year ended 2018, or other tax year beginning ___________, 2018, ending ____________, 2019.
46
Individual Income Tax Electronically Filed Extension Payment Voucher
48
First Name, Middle Initial, and Last Name
Your Social Security Number
50
Spouse’s First Name, Middle Initial, and Last Name
Spouse’s Social Security Number
52
Address
54
City, Town, or APO
State
ZIP
56
Amount
u
enclosed
Mail this voucher with your payment to:
58
Louisiana Department of Revenue
DO NOT SEND CASH
P.O. Box 751
60
Baton Rouge, LA 70821-0751
1904
62
19042
651
12312018
64
R-2868V (1/19)
Louisiana Department of Revenue
Individual Income Tax
P.O. Box 751
Electronically Filed Extension Payment Voucher (2018)
Baton Rouge, LA 70821-0751
IMPORTANT NOTICE: The voucher below must accompany payments made by individuals that have filed their extension request
electronically and did not submit their payments through electronic funds transfer.
This voucher is NOT a request for an extension of time to file a return or an extension of time to pay the tax due. You must still submit
a separate extension request. An extension will not be granted if a payment is made using this form. Payments received after the return
due date will be assessed interest and late payment penalty. You can make payments electronically at www.revenue.louisiana.gov/latap.
Louisiana Individual Income Tax Extension Payment
Enter your total Louisiana income tax liability for the tax year ended December 31,
1
1
2018, or the fiscal year ended ________, 2019.
.00
(You may estimate this amount.)
2
Enter total Louisiana income tax withheld.
2
.00
Enter total amount of declaration/estimated payments, credit carried forward from
3
3
previous year, and any composite partnership payments made on your behalf.
.00
4
Enter total payments
4
(Add lines 2 and 3.)
.00
Enter income tax balance due.
(Subtract Line 4 from Line 1. If Line 4 is greater than Line
5
5
1, enter zero “0.”)
.00
2
4
6
8
10
12
14
16
18
20
22
24
26
28
30
32
34
36
38
40
42
44
46
48
50
52
54
56
58
60
62
64
66
68
70
72
74
76
78
80
82
84
Detach and submit the voucher below with your payment.
18
R-2868V (1/19)
For calendar year ended 2018, or other tax year beginning ___________, 2018, ending ____________, 2019.
46
Individual Income Tax Electronically Filed Extension Payment Voucher
48
First Name, Middle Initial, and Last Name
Your Social Security Number
50
Spouse’s First Name, Middle Initial, and Last Name
Spouse’s Social Security Number
52
Address
54
City, Town, or APO
State
ZIP
56
Amount
u
enclosed
Mail this voucher with your payment to:
58
Louisiana Department of Revenue
DO NOT SEND CASH
P.O. Box 751
60
Baton Rouge, LA 70821-0751
1904
62
19042
651
12312018
64