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.
                                                                       Account Number
  Sales
                                                                       Account Number
  Withholding
                                                                       Account Number
  Corporate Income/Franchise
                                                                       Account Number
  Other (List appropriate tax)

Legal Name

Trade Name

                                                  Location Address
Old Address                                            Suite      City                    State ZIP

New Address                                            Suite      City                    State ZIP

Contact Person                                                    Daytime Telephone Number

                                                  Mailing Address
Old Address                                            Suite      City                    State ZIP

New Address                                            Suite      City                    State ZIP

Contact Person                                                    Daytime Telephone Number

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@LA.GOV

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.

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