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2009
                                                                                                                                                                I
                      LOUISIANA ESTIMATED TAX DECLARATION VOUCHER FOR INDIVIDUALS –
                                   For calendar year 2009 or fiscal year ending ___________________________
                                                                                                                         year
IT-540ES (2009) WEB
           Print Your Social Security Number                           Print Spouse’s Social Security Number          Payment due date            INDIVIDUAL
                                                                                                                                                  Voucher 1
                                                                                                                                            DO NOT SEND CASH.
                                                                                                                   Amount of payment.
If name or address is incorrect, make necessary changes.

                                                                                                               $
To ensure proper credit, please DO NOT fold or staple. Mail this form with your payment to:
                                                                                                                                                      .00
Louisiana Department of Revenue
PO BOX 91007
Baton Rouge LA 70821-9007
                                               Name                                                                   Mark box if address
                                               Spouse’s Name                                                          has changed.
SPEC
                                               Address
CODE
                                               City, State, ZIP
                                                                                                                                                   1905
                                                                                                                     Mail date



            19059                                         665                                                  For office use only
2009
                                                                                                                                                                I
                      LOUISIANA ESTIMATED TAX DECLARATION VOUCHER FOR INDIVIDUALS –
                                   For calendar year 2009 or fiscal year ending ___________________________
                                                                                                                         year
IT-540ES (2009) WEB
           Print Your Social Security Number                           Print Spouse’s Social Security Number          Payment due date            INDIVIDUAL
                                                                                                                                                  Voucher 2
                                                                                                                                            DO NOT SEND CASH.
                                                                                                                   Amount of payment.
If name or address is incorrect, make necessary changes.

                                                                                                               $
To ensure proper credit, please DO NOT fold or staple. Mail this form with your payment to:
                                                                                                                                                      .00
Louisiana Department of Revenue
PO BOX 91007
Baton Rouge LA 70821-9007
                                               Name                                                                   Mark box if address
                                               Spouse’s Name                                                          has changed.
SPEC
                                               Address
CODE
                                               City, State, ZIP
                                                                                                                                                   1905
                                                                                                                     Mail date



            19059                                         665                                                  For office use only
2009
                                                                                                                                                                I
                      LOUISIANA ESTIMATED TAX DECLARATION VOUCHER FOR INDIVIDUALS –
                                   For calendar year 2009 or fiscal year ending ___________________________
                                                                                                                         year
IT-540ES (2009) WEB
           Print Your Social Security Number                           Print Spouse’s Social Security Number          Payment due date            INDIVIDUAL
                                                                                                                                                  Voucher 3
                                                                                                                                            DO NOT SEND CASH.
                                                                                                                   Amount of payment.
If name or address is incorrect, make necessary changes.

                                                                                                               $
To ensure proper credit, please DO NOT fold or staple. Mail this form with your payment to:
                                                                                                                                                      .00
Louisiana Department of Revenue
PO BOX 91007
Baton Rouge LA 70821-9007
                                               Name                                                                   Mark box if address
                                               Spouse’s Name                                                          has changed.
SPEC
                                               Address
CODE
                                               City, State, ZIP
                                                                                                                                                   1905
                                                                                                                     Mail date



            19059                                         665                                                  For office use only
2009
                                                                                                                                                                I
                      LOUISIANA ESTIMATED TAX DECLARATION VOUCHER FOR INDIVIDUALS –
                                   For calendar year 2009 or fiscal year ending ___________________________
                                                                                                                         year
IT-540ES (2009) WEB
           Print Your Social Security Number                           Print Spouse’s Social Security Number          Payment due date            INDIVIDUAL
                                                                                                                                                  Voucher 4
                                                                                                                                            DO NOT SEND CASH.
                                                                                                                   Amount of payment.
If name or address is incorrect, make necessary changes.

                                                                                                               $
To ensure proper credit, please DO NOT fold or staple. Mail this form with your payment to:
                                                                                                                                                      .00
Louisiana Department of Revenue
PO BOX 91007
Baton Rouge LA 70821-9007
                                               Name                                                                   Mark box if address
                                               Spouse’s Name                                                          has changed.
SPEC
                                               Address
CODE
                                               City, State, ZIP
                                                                                                                                                   1905
                                                                                                                     Mail date



            19059                                         665                                                  For office use only

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2009 Estimated Tax Voucher for Individuals

  • 1. 2009 I LOUISIANA ESTIMATED TAX DECLARATION VOUCHER FOR INDIVIDUALS – For calendar year 2009 or fiscal year ending ___________________________ year IT-540ES (2009) WEB Print Your Social Security Number Print Spouse’s Social Security Number Payment due date INDIVIDUAL Voucher 1 DO NOT SEND CASH. Amount of payment. If name or address is incorrect, make necessary changes. $ To ensure proper credit, please DO NOT fold or staple. Mail this form with your payment to: .00 Louisiana Department of Revenue PO BOX 91007 Baton Rouge LA 70821-9007 Name Mark box if address Spouse’s Name has changed. SPEC Address CODE City, State, ZIP 1905 Mail date 19059 665 For office use only
  • 2. 2009 I LOUISIANA ESTIMATED TAX DECLARATION VOUCHER FOR INDIVIDUALS – For calendar year 2009 or fiscal year ending ___________________________ year IT-540ES (2009) WEB Print Your Social Security Number Print Spouse’s Social Security Number Payment due date INDIVIDUAL Voucher 2 DO NOT SEND CASH. Amount of payment. If name or address is incorrect, make necessary changes. $ To ensure proper credit, please DO NOT fold or staple. Mail this form with your payment to: .00 Louisiana Department of Revenue PO BOX 91007 Baton Rouge LA 70821-9007 Name Mark box if address Spouse’s Name has changed. SPEC Address CODE City, State, ZIP 1905 Mail date 19059 665 For office use only
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