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Louisiana Installment Request for Individual Income Bank Debit Application
Extracted from PDF file 2023-louisiana-form-r-90002.pdf, last modified June 2021Installment Request for Individual Income Bank Debit Application
R-90002 (5/21) ˇ Installment Request for Individual Income Bank Debit Application Name Social Security Number Spouse Name Social Security Number Mail to: Louisiana Department of Revenue Collection Division P.O. Box 66658 Baton Rouge, LA 70896-6658 Daytime Telephone Number Name of your Financial Institution Bank Routing Number Bank Account Number Bank Account Name Start Date (mm/dd/yyyyy) ■ Checking ■ Savings Debit Date (mm/dd/yyyyy) I Debit Amount NOTE: PLEASE ATTACH A VOIDED CHECK. Signature and Verification Under penalties of perjury, I (we) declare that the information is to the best of my (our) knowledge and belief is true, correct, and complete. I agree to participate in this Automatic Bank Draft Program. I also authorize the financial institutions involved in processing the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. Your Signature Date (mm/dd/yyyy) Spouse’s Signature Date (mm/dd/yyyy)
Form R-90002
More about the Louisiana Form R-90002 Individual Income Tax TY 2023
Form R-90002 is an application used to request installments for an individual’s income bank’s debit
We last updated the Installment Request for Individual Income Bank Debit Application in February 2024, so this is the latest version of Form R-90002, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form R-90002 directly from TaxFormFinder. You can print other Louisiana tax forms here.
Other Louisiana Individual Income Tax Forms:
TaxFormFinder has an additional 34 Louisiana income tax forms that you may need, plus all federal income tax forms.
| Form Code | Form Name |
|---|---|
| Form IT-540 | Resident Income Tax Return |
| Form 540-ES | Louisiana Estimated Tax Declaration Voucher For Individuals |
| Form 540V | Electronic Filing Payment Voucher |
| R-1300 | Employee Withholding Exemption Certificate (L-4) |
| Form R-540INS (Obsolete) | Refund Request of LA Citizens for Property Insurance-Individual |
View all 35 Louisiana Income Tax Forms
Form Sources:
Louisiana usually releases forms for the current tax year between January and April. We last updated Louisiana Form R-90002 from the Department of Revenue in February 2024.
About the Individual Income Tax
The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.
Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!
Historical Past-Year Versions of Louisiana Form R-90002
We have a total of two past-year versions of Form R-90002 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:
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