Business Taxes Address Change Form - Louisiana Revenue
R-6450 (12/15)
Business Taxes Address Change Form
Check all the boxes that this change affects:
Effective Date of Change:
Do not complete a separate address change form if the new address applies to all taxes.
Sales
Account Number
Withholding
Account Number
Corporate Income/Franchise
Account Number
Other (List appropriate tax)
Account Number
Legal Name Trade Name
Old Address New Address Contact Person
Old Address New Address Contact Person
Location Address
Suite
City
Suite
City
Daytime Telephone Number
Mailing Address
Suite
City
Suite
City
Daytime Telephone Number
State ZIP State ZIP
State ZIP State ZIP
Request can be mailed, faxed or emailed to: Louisiana Department of Revenue P.O. Box 1469, Baton Rouge, LA 70821 Fax Number: 225-219-0806 Email: Centralreg@
You can also change the mailing and location addresses of your tax-specific accounts in LaTAP. From the LaTAP home page select the tax-specific account that you wish to change and locate the names and addresses in the Account Summary section of the account page. Use the "Add" or "Edit" link to update your information. Note you must contact the department if you need to update your taxpayer level address that displays on the LaTAP homepage.
6690
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