Excise Tax Forms : 2009

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Tax Returns

Form Name (sort by title | code) Period Form
R-5211 - HW Schedule A (Hazardous Waste Generated and Disposed/Stored at Same Site)7/2007-presentForm (fill)
R-5212 - HW Schedule B (Hazardous Waste Generated and Disposed/Stored at Another Site)7/2007-presentForm (fill)
R-5213 - HW Schedule C (Hazardous Waste Received from Another Site)7/2007-presentForm (fill)
R-5215 - HW Schedule E (Waste Imported into Louisiana for Disposal)7/2007-presentForm (fill)
R-5216 - HW Schedule D (Extremely Hazardous Waste Generated and Disposed/Stored)7/2007-presentForm (fill)
R-5346 - Motor Fuel Transporter Monthly Return7/2006-presentForm (fill)(Instructions)
R-5348 - Schedule G - Motor Fuel Transporter Deliveries Document (fill)
R-5347 - Aviation Fuel Dealer Quarterly Return7/2006-presentForm (fill)(Instructions)
R-5291 - Schedule A - Motor Fuel Tax Multiple Schedule of Receipts Document (fill)
R-5290 - Schedule B - Motor Fuel Tax Multiple Schedule of Disbursements Document (fill)
R-5292 - Schedule E - Schedule of Exportations to Support Deduction Claimed Document (fill)
R-5375 - Interstate Motor Fuel Users Quarterly Return7/2006-presentForm (fill)(Instructions)
R-5376 - Schedule A Detail of Mi. Traveled and Diesel Fuels Consumed & Schedule B Interstate Motor Fuel User Document (fill)
R-5385 - Terminal Operator Annual Return7/2006-presentForm (fill)(Instructions)
R-5386 - Schedule K - Terminal Operator - Annual Return Reconciliation Schedule of Receipts Document (fill)
R-5387 - Schedule L - Terminal Operator - Annual Return Reconciliation Schedule of Stock Gain/Loss Document (fill)
R-5388 - Schedule M - Terminal Operator - Annual Return Reconciliation Schedule of Disbursement Document (fill)
R-5389 - Schedule N - Terminal Operator - Annual Return Reconciliation Schedule of Accounted for Losses Document (fill)
R-5393 - Terminal Operator Monthly Return7/2006-presentForm (fill)(Instructions)
R-5394 - Schedule H - Terminal Operator Schedule of Inventories Document (fill)
R-5395 - Schedule I - Terminal Operator Schedule of Receipts Document (fill)
R-5396 - Schedule J - Terminal Operator Schedule of Disbursements Document (fill)
R-5397 - Supplier/Permissive Supplier Monthly Return7/2006-presentForm (fill)(Instructions)
R-5291 - Schedule A - Motor Fuel Tax Multiple Schedule of Receipts Document (fill)
R-5402 - Schedule D - Motor Fuel Tax Multiple Schedule of State Diversion Corrections Document (fill)
R-5292 - Schedule E - Schedule of Exportations to Support Deduction Claimed Document (fill)
R-5401 - Schedule C - Motor Fuel Tax Multiple Schedule of Terminal Rack Removals Document (fill)
R-5398 - Distributor/Exporter/Blender Monthly Return7/2006-presentForm (fill)(Instructions)
R-5291 - Schedule A - Motor Fuel Tax Multiple Schedule of Receipts Document (fill)
R-5402 - Schedule D - Motor Fuel Tax Multiple Schedule of State Diversion Corrections Document (fill)
R-5290 - Schedule B - Motor Fuel Tax Multiple Schedule of Disbursements Document (fill)
R-5292 - Schedule E - Schedule of Exportations to Support Deduction Claimed Document (fill)
R-5399 - Importer Monthly Return7/2006-presentForm (fill)(Instructions)
R-5291 - Schedule A - Motor Fuel Tax Multiple Schedule of Receipts Document (fill)
R-5402 - Schedule D - Motor Fuel Tax Multiple Schedule of State Diversion Corrections Document (fill)
R-5403 - Supplier/Permissive Supplier - Notification of Unpaid Tax by Licensed Distributor or Licensed Importer7/2006-presentForm (fill)
R-5404 - Schedule F - Supplier/Permissive Supplier - Schedule for Tax Bad Debt Credit/Repayment7/2006-presentForm (fill)
R-5410 - Fuel Floor Stock Tax Return7/2006-presentForm (fill)(Instructions)
R-5432 - Fuel Floor Stock Tax Schedule of Fuel in Storage – No Tax Paid Document (fill)
R-5433 - Fuel Floor Stock Tax Schedule of Fuel in Storage – No Inspection Fee Paid Document (fill)
R-5411 - Fuel Backup Tax Return7/2006-presentForm (fill)(Instructions)
R-5434 - Terminal Operator - Notification of Loss of Motor Fuel7/2006-presentForm (fill)(Instructions)
R-5629 - Consumer Excise Tax Return1/2005-presentForm (fill)
R-5697 - Schedule 1 (Sparkling Wines Shipped Direct to Louisiana Consumers)7/2007-presentForm (fill)
R-5698 - Schedule 2 (Still Wines Shipped Direct to Louisiana Consumers)7/2007-presentForm (fill)

Registration Forms

Form Name (sort by title | code) Period Form
R-5304 - Motor Fuels Tax Surety Bond7/2006-presentForm (fill)
R-5305 - Registration Application forGasoline Blend Stocks7/2006-presentForm (fill)
R-5328 - Registration for Gasoline Tax Refund for Farmers6/2007-presentForm
R-5329 - Registration for Gasoline Tax Refund for Operators of Aircrafts6/2007-presentForm
R-5330 - Registration for Fuel Tax Refund for Commercial Fishermen6/2007-presentForm
R-5377 - Registration Application for Diesel Fuels Refund11/2007-presentForm (fill)
R-5409 - Motor Fuel Excise Tax License Application7/2006-presentForm (fill)
R-5626 - Application for Authority to Ship Alcoholic Beverages into Louisiana7/2009-presentForm (fill)
R-5678-L - International Fuel Tax Agreement (IFTA) Application2/2002-presentForm (fill)
R-5679 - IFTA Decal Request Form3/2006-presentForm (fill)
R-5682 - International Fuel Tax Agreement Compliance Manual7/2009-presentForm

General Forms

Form Name (sort by title | code) Period Form
R-1111 - Tax Interest Rate Schedule1/2006-12/2014Form
R-20130 - Request for Compromise of Interest1/2008-presentForm (fill)
R-20131 - Request for Abatement of Interest1/2008-presentForm (fill)
R-6450 - Business Taxes Address Change Form1/2005-presentForm (fill)
R-7004 - Tax Information Disclosure Authorization6/2009-presentForm (fill)(Instructions)
R-7006 - Power of Attorney and Declaration of Representative1/2005-presentForm
R-8350BF - Affidavit of LDR Refund Check Endorsement Forgery for a Business8/2008-presentForm (fill)
R-8352BF - LDR Affidavit of Fraudulent Refund Deposit for a Business8/2008-presentForm (fill)

Electronic Services

Form Name (sort by title | code) Period Form
R-20193-L - Authorization Agreement for ACH Debit and Credit Tax Payments9/2009-presentForm (fill)
R-20194 - Electronic Funds Transfer Payment Options Brochure8/2009-presentForm
R-20213 - Electronic Funds Transfer: The Smart Way to Pay Your Louisiana Business Taxes7/2003-presentForm