Louisiana Electronic Filing Payment Voucher

Electronic Filing Payment Voucher
Form 540V
R-540V (1/24)
Louisiana Department of Revenue
P.O. Box 3550
Baton Rouge, LA 70821-3550

Individual Income Tax Electronic
Filing Payment Voucher (2023)
IMPORTANT NOTICE

Taxpayers who file electronically and owe additional Louisiana individual income tax for 2023 must complete the payment
voucher at the bottom of this form, detach the voucher, and mail it by May 15, 2024, in order to avoid the assessment of
penalties and interest. The top portion of this form should also be completed and retained by the taxpayer as a record of
payment.
• DO NOT SEND CASH. You can make payments electronically at www.revenue.louisiana.gov/latap

• Complete and retain this portion as a record of payment
• Complete the voucher below. If you have a foreign address, enter the city name in the appropriate space.
Follow the country’s practice for entering the postal code and the name of the province, county, or state.
Enter the foreign country name in the appropriate space. Don’t abbreviate the country name.
Your Name

If Joint Return, Spouse’s Name

Amount of Payment

	.

Enter in order as listed on tax return
Your Social Security Number

Check Number

Spouse’s Social Security Number

Date Sent

Detach and submit the voucher below with your payment by May 15, 2024.
R-540V (1/24)

INDIVIDUAL INCOME TAX ELECTRONIC FILING PAYMENT VOUCHER
Your Social Security Number

Spouse’s Social Security Number

2023 E

Filing Period

2023
First Name, Middle Initial, and Last Name
Spouse’s First Name, Middle Initial, and Last Name
Address

Unit Type

City, Town, or APO

State

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

DO NOT SEND CASH
Make payment to:
Louisiana Department of Revenue
P.O. Box 3550
Baton Rouge, LA 70821-3550

19034

600

12312023

Amount
enclosed

Unit Number

ZIP

u $

.

Mail date

1903
For office use only