Louisiana Department of Revenue Installment Request for ...
To apply for an installment agreement, do not submit this form with your return. Complete pages 2 and 3, and mail the forms to: Louisiana Department of Revenue. P. O. Box 66658. Baton Rouge, LA 70896-6658. Any missing or incomplete information will cause the request to be denied. All information will be verified. An initial payment of 20 ................
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