Form R-541V "Fiduciary Income Tax Electronic Filing Payment Voucher" - Louisiana

Form R-541V or the "Fiduciary Income Tax Electronic Filing Payment Voucher" is a form issued by the Louisiana Department of Revenue.

Download a PDF version of the Form R-541V down below or find it on the Louisiana Department of Revenue Forms website.

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Download Form R-541V "Fiduciary Income Tax Electronic Filing Payment Voucher" - Louisiana

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R-541V (1/19)
Louisiana Department of Revenue
Fiduciary 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 fiduciary income tax for 2018 must complete the payment
voucher at the bottom of this form, detach the voucher, and mail it with payment by May 15, 2019, in order to avoid the
assessment of penalties and interest.
• DO NOT SEND CASH.
Complete and retain this portion as a record of payment.
• You can also make payments via the internet. Go to
www.revenue.louisiana.gov/latap
LDR Account Number
FEIN
Tax Period
Name of Estate or Trust
Name of Fiduciary or Trustee
Address
City
State
ZIP
Amoun t of paym ent
Check Number
Date Sent
$
40
Detach and submit the voucher below with your payment by May 15, 2019. You must enter your LA Revenue Account Number below.
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18 FI
R-541V (1/19)
46
Fiduciary Income Tax Electronic Filing Payment Voucher
LDR Account Number
FEIN
Tax Period
48
Name of Estate or Trust
Name of Fiduciary or Trustee
50
Address
52
City
State
ZIP
54
$
Amount
Make payment to:
u
enclosed
Louisiana Department of Revenue
56
P. O. Box 3550
DO NOT SEND CASH.
Baton Rouge, LA 70821-3550
58
Please include your LDR Account
Mail date
1903
Number on your payment.
60
For office use only
62
19034
691
12312018
64
R-541V (1/19)
Louisiana Department of Revenue
Fiduciary 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 fiduciary income tax for 2018 must complete the payment
voucher at the bottom of this form, detach the voucher, and mail it with payment by May 15, 2019, in order to avoid the
assessment of penalties and interest.
• DO NOT SEND CASH.
Complete and retain this portion as a record of payment.
• You can also make payments via the internet. Go to
www.revenue.louisiana.gov/latap
LDR Account Number
FEIN
Tax Period
Name of Estate or Trust
Name of Fiduciary or Trustee
Address
City
State
ZIP
Amoun t of paym ent
Check Number
Date Sent
$
40
Detach and submit the voucher below with your payment by May 15, 2019. You must enter your LA Revenue Account Number below.
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
18 FI
R-541V (1/19)
46
Fiduciary Income Tax Electronic Filing Payment Voucher
LDR Account Number
FEIN
Tax Period
48
Name of Estate or Trust
Name of Fiduciary or Trustee
50
Address
52
City
State
ZIP
54
$
Amount
Make payment to:
u
enclosed
Louisiana Department of Revenue
56
P. O. Box 3550
DO NOT SEND CASH.
Baton Rouge, LA 70821-3550
58
Please include your LDR Account
Mail date
1903
Number on your payment.
60
For office use only
62
19034
691
12312018
64
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