R-540V (1/21)

                                                         Individual Income Tax Electronic  Louisiana Department of Revenue
                                                                                           P.O. Box 3550
                                                         Filing Payment Voucher (2020)     Baton Rouge, LA  70821-3550

IMPORTANT NOTICE
Taxpayers who file electronically and owe additional Louisiana individual income tax for 2020 must complete the payment 
voucher at the bottom of this form, detach the voucher, and mail it by May 15, 2021, 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

Address

City                                                                                       State       ZIP

                                                                                           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, 2021. 

R-540V (1/21)               INDIVIDUAL INCOME TAX ELECTRONIC FILING PAYMENT VOUCHER                           2020
Your Name

If Joint Return, Spouse’s Name                                                                                        E
Address                                                               Unit Type and Number
City                                                                  State ZIP            Amount of payment    (DO NOT SEND CASH)
Foreign Nation, if not United States (do not abbreviate) 
                                                                                          $
Enter in order as listed on tax return                                                     Please include the last four digits of 
Your Social Security Number                              Make payment to:                  your Social Security Number on your 
                                                         Louisiana Department of Revenue   payment 
Spouse’s Social Security Number                          P.O. Box 3550
                                                         Baton Rouge, LA  70821-3550
                                                                                           Mail date
                                                                                                              1903
                                                                                          For office use only

         19034                                           600 12312020