Form r 19026 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal information in the designated fields, including your first name, middle initial, last name, and Social Security Number. If applicable, include your spouse's details as well.
3. Fill in your current address, ensuring that you provide accurate information for the street number, city, state, and ZIP code.
4. Indicate the tax period(s) you wish to include and specify the date you would like to start making monthly payments.
5. Calculate your monthly payment by dividing the total amount due by six (6) and enter this amount in the appropriate field.
6. If opting for automatic bank debit, complete the bank debit application section on the reverse side of the form with your financial institution's details.
7. Finally, ensure both you and your spouse sign and date the form before submitting it to the Louisiana Department of Revenue.

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