Louisiana Transmittal of Federal Extension Request for Louisiana Individual Income Tax Return

Transmittal of Federal Extension Request for Louisiana Individual Income Tax Return
Individual Income Tax - Electronically Filed Extension Payment Voucher (2014)
IXT

R-2868 (1/21)

Mail completed form to:
Louisiana Department of Revenue
P.O. Box 751
Baton Rouge, LA 70821-0751

Application for Extension of Time
to File Louisiana Individual
Income Tax

The Secretary of the Louisiana Department of Revenue may grant an extension of time for filing returns not to exceed six months from
the date the Louisiana income tax return is due. By completing and submitting this form by May 15, 2021, you can extend the date to
file your Louisiana income tax return to November 15, 2021.
For fiscal year filers, please indicate your fiscal period below when requesting your 6-month extension to file your Louisiana Individual
Income tax return. The due date for fiscal filers is the 15tthday of the 5th month after the close of the fiscal year.
By filing this extension, you are requesting only an extension of time to file. This form does not grant an extension of time to pay the
tax due. Payments received after the return due date will be charged interest and late payment penalty.
Extension Request MUST be submitted by May 15, 2021
Louisiana Individual Income Tax Extension
1

Enter your total Louisiana income tax liability for the tax year ended December 31,
2020 or the fiscal year ended ________, _______. (You may estimate this amount.)

1

2

Enter total Louisiana income tax withheld.

2

3

Enter total amount of declaration/estimated payments, credit carried forward from
previous year, and any composite partnership payments made on your behalf.

3

4

Enter total payments (Add lines 2 and 3.)

4

5

Enter income tax balance due. (Subtract Line 4 from Line 1. If Line 4 is greater than Line
1, enter zero “0.”)

.00
.00
.00
.00

5

.00

File
electronically!
www.revenue.louisiana.gov
For calendar year ended 2020, or other tax year beginning ___________, 2020, ending ____________, 2021.	

2020

Application for Extension of Time to File Louisiana Individual Income Tax Return
Your First Name, Initial, and Last Name

Your Social Security Number

Spouse’s First Name, Initial, and Last Name

Spouse’s Social Security Number

Present Home Address

Unit Type

City, Town or APO

State

Foreign Nation, if not United States (do not abbreviate)

DO NOT SEND CASH.

Amount
enclosed

Unit Number
ZIP

u

1910

19109

600

12312020