Louisiana Form R-19026 (Installment Request for IndividualLouisiana Form R-19026 (Installment Request for IndividualHome Page - Louisiana Department of RevenueHome Page - Louisiana Department of Revenue 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your full name and Social Security Number in the designated fields. Ensure accuracy as this information is crucial for processing your request.
3. Fill in your current address, including city, state, and ZIP code. This helps the Louisiana Department of Revenue contact you regarding your installment agreement.
4. Provide details about your employer and spouse's employment, including names, Social Security Numbers, and gross weekly wages. This information supports your financial assessment.
5. Calculate the total amount due and determine your initial payment (20% of the total). Enter these amounts in the respective fields to ensure clarity on your payment plan.
6. Sign and date the form at the bottom to confirm that all information is accurate and complete. Your signature indicates agreement to the terms outlined in the form.

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