Form R-6642 (IT-710) - Louisiana Department of Revenue-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the date the statement is executed at the top of the form.
3. Fill in the name of the deceased taxpayer in the designated field.
4. Input the taxpayer’s Social Security Number accurately to ensure proper identification.
5. In the certification section, write your name and specify your relationship or capacity regarding the deceased taxpayer.
6. Sign as the claimant, ensuring that your signature matches your printed name.
7. Provide your Social Security Number and complete your address, including city, state, and ZIP code.
8. Remember to attach a certificate of death as required before submitting the form.

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