Form R-540v "Individual Income Tax Electronic Filing Payment Voucher" - Louisiana

Form R-540V or the "Individual Income Tax Electronic Filing Payment Voucher" is a form issued by the Louisiana Department of Revenue.

The form was last revised in January 1, 2019 and is available for digital filing. Download an up-to-date Form R-540V in PDF-format down below or look it up on the Louisiana Department of Revenue Forms website.

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R-540V (1/19)
Louisiana Department of Revenue
Individual Income Tax Electronic
P.O. Box 3550
Filing Payment Voucher (2018)
Baton Rouge, LA 70821-3550
IMPORTANT NOTICE
Taxpayers who file electronically and owe additional Louisiana individual income tax for 2018 must complete the payment
voucher at the bottom of this form, detach the voucher, and mail it by May 15, 2019, in order to avoid the assessment of
penalties and interest. The top portion of this form should also be completed and retained by the taxpayer as a record of
payment.
• DO NOT SEND CASH
Complete and retain this portion as a record of payment
• You can make payments electronically at
www.revenue.louisiana.gov/latap
Your Name
afdalskhflsdjh
If Joint Return, Spouse’s Name
sldhjfasldjfh
Address
hdslfjhasdlfkjh
City
State
ZIP
jdshfgsaldjkfgh
kj
ksadhg
Amount of Payment
Enter in order as listed on tax return
$9,078,098.00
Your Social Security Number
Check Number
123-45-6789
sidyfo98
Spouse’s Social Security Number
Date Sent
123-45-6789
12/12/2018
40
Detach and submit the voucher below with your payment by May 15, 2019.
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2018
R-540V (1/19)
INDIVIDUAL INCOME TAX ELECTRONIC FILING PAYMENT VOUCHER
46
Your Name
E
afdalskhflsdjh
48
If Joint Return, Spouse’s Name
sldhjfasldjfh
Address
50
hdslfjhasdlfkjh
(DO NOT SEND CASH)
Amount of payment
City
State
ZIP
52
jdshfgsaldjkfgh
kj
$
ksadhg
$9,078,098.00
Enter in order as listed on tax return
54
Make payment to:
Your Social Security Number
Please include the last four digits of
123-45-6789
Louisiana Department of Revenue
your Social Security Number on your
Spouse’s Social Security Number
56
P.O. Box 3550
payment
123-45-6789
Baton Rouge, LA 70821-3550
Mail date
58
1903
60
For office use only
62
19034
663
12312018
64
R-540V (1/19)
Louisiana Department of Revenue
Individual Income Tax Electronic
P.O. Box 3550
Filing Payment Voucher (2018)
Baton Rouge, LA 70821-3550
IMPORTANT NOTICE
Taxpayers who file electronically and owe additional Louisiana individual income tax for 2018 must complete the payment
voucher at the bottom of this form, detach the voucher, and mail it by May 15, 2019, in order to avoid the assessment of
penalties and interest. The top portion of this form should also be completed and retained by the taxpayer as a record of
payment.
• DO NOT SEND CASH
Complete and retain this portion as a record of payment
• You can make payments electronically at
www.revenue.louisiana.gov/latap
Your Name
afdalskhflsdjh
If Joint Return, Spouse’s Name
sldhjfasldjfh
Address
hdslfjhasdlfkjh
City
State
ZIP
jdshfgsaldjkfgh
kj
ksadhg
Amount of Payment
Enter in order as listed on tax return
$9,078,098.00
Your Social Security Number
Check Number
123-45-6789
sidyfo98
Spouse’s Social Security Number
Date Sent
123-45-6789
12/12/2018
40
Detach and submit the voucher below with your payment by May 15, 2019.
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
2018
R-540V (1/19)
INDIVIDUAL INCOME TAX ELECTRONIC FILING PAYMENT VOUCHER
46
Your Name
E
afdalskhflsdjh
48
If Joint Return, Spouse’s Name
sldhjfasldjfh
Address
50
hdslfjhasdlfkjh
(DO NOT SEND CASH)
Amount of payment
City
State
ZIP
52
jdshfgsaldjkfgh
kj
$
ksadhg
$9,078,098.00
Enter in order as listed on tax return
54
Make payment to:
Your Social Security Number
Please include the last four digits of
123-45-6789
Louisiana Department of Revenue
your Social Security Number on your
Spouse’s Social Security Number
56
P.O. Box 3550
payment
123-45-6789
Baton Rouge, LA 70821-3550
Mail date
58
1903
60
For office use only
62
19034
663
12312018
64
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