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R-5409 (11 15) - revenue louisiana-2026
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- Click ‘Get Form’ to open the R-5409 (11 15) application in the editor.
- Begin by filling out the 'Applicant Information' section. Enter your legal business name, LA account number, and contact details including telephone and fax numbers.
- Proceed to the 'Address Information' section. Provide your physical location, mailing address if different, and the address of your business records.
- In the 'License Information' section, check all applicable licenses you are applying for and list any relevant business license numbers.
- Complete the 'Type of Business Ownership' section by selecting your business structure and providing details of all corporate officers or partners as required.
- Fill out sections regarding product information, motor fuel purchase/receipt information, terminal operator information, and any other relevant sections based on your business activities.
- Finally, review all entries for accuracy before signing in the 'Certification' section to confirm that all information is true and complete.
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