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 R-6466 (4/21)

                                   Application for Extension of Time                     Louisiana Department of Revenue
                                                                                         P.O. Box 751
                                   to File Fiduciary Return Form (IT-541)                Baton Rouge, LA 70821-0751

 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 
 Fiduciary Income tax return. The due date for fiscal filers is the 15th day of the 5th month after the close of the fiscal year.
 This is not an extension of time for payment of tax. Any Fiduciary tax not paid by the original due date of the Louisiana 
 return will be assessed interest from the due date to the payment date. A late payment penalty of up to 25 percent may 
 also be imposed. You can make payments electronically at www.revenue.louisiana.gov/latap.

                                  Extension Request MUST be submitted by May 15, 2021
                                              Fiduciary Extension
      Enter total Louisiana income tax liability for tax year ended. December 31, 
 1    20_____, or fiscal year ended __________, _________ (You may estimate this        1
      amount).                                                                                                          .00
      Enter total estimated tax payments (Include overpayment 
 2                                                                                      2
      carried forward from previous year).                                                                              .00
      Enter income tax balance due (Subtract Line 2 from Line 1. If Line 2 is more than 
 3                                                                                      3
      Line 1, enter zero “0”). Attach your remittance to this form.                                                     .00

   Detach and submit the voucher below with your payment. You MUST include your LA Revenue Account Number below.
!
 R-6466 (4/21)                                                                                                          IE
                         Louisiana Application for Extension of Time to File Fiduciary Return
 Louisiana Revenue Account Number        FEIN                                           Tax Period

 Name of Estate or Trust                                                                Name and Title of Fiduciary

 Address

 City                                                                                   State ZIP

 Mail this form with your payment to:                                    Amount 
                                                                         enclosed        u
 Louisiana Department of Revenue
 P.O. Box 751                                                                                     DO NOT SEND CASH
 Baton Rouge, LA 70821-0751

                                  I request an extension of time until __________, ________, to file a 
                                  Louisiana Fiduciary return for the calendar year ________   or fiscal 
                                  year ending __________, ________.                                                1807






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