R-541ES (1/21) 

                              Fiduciary Income Tax                                Louisiana Department of Revenue
                                                                                  P.O. Box 3550
                              Declaration of Estimated Tax (2021)                 Baton Rouge, LA 70821-3550

IMPORTANT NOTICE
The term “estimated tax” means the amount the taxpayer estimates to be the Louisiana income tax imposed for the current period. For 
an estate or trust, payments can be made at anytime prior to filing the return. Estates or trusts making estimated declaration of fiduciary 
income tax for 2021 must complete the payment voucher at the bottom of this form, detach the voucher, and mail it to the address listed 
above.

  • DO NOT SEND CASH
  • Complete and retain this portion as a record of payment
  • You can also make payments electronically at www.revenue.louisiana.gov/latap.
  • 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.

Name of Estate or Trust                                              Louisiana Revenue Account Number

Name and Title of Fiduciary                                          Tax Period

Amount of Payment             Check Number                                        Date Sent
$                            .

     Detach and submit the voucher below with your payment. You MUST enter your LA Revenue Account Number below.

R-541ES (1/21)                                                                                 2021 FI
                  LOUISIANA ESTIMATED TAX DECLARATION VOUCHER FOR FIDUCIARY INCOME TAX
Name of Estate or Trust                                              LDR Account Number

Name of Fiduciary or Trustee                                         Filing Period

Address                                                                           Unit Type    Unit Number

City                                                      State ZIP  Foreign Nation, if not United States (do not abbreviate)

                                                                     Amount 
                                                 DO NOT SEND CASH    enclosed u   $                                              .
                              Make payment to:
                              Louisiana Department of Revenue
                              P.O. Box 3550
                              Baton Rouge, LA 70821-3550             Mail date
                                                                                                     1808
                              Please include your LA Revenue Account 
                              Number on your payment
                                                                     For office use only
        18085                 691  12312021