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Get and Sign Form R 6642 it 710  Louisiana Department of Revenue 2002

Get and Sign Form R 6642 it 710 Louisiana Department of Revenue 2002

Get started with a Form R 6642 IT 710 Louisiana Department Of Revenue 2002, complete it in a few clicks, and submit it securely.

Undersigned claimant, certify, under all penalties, fines, and forfeitures imposed by law for the making of false or fraudulent claims against the State of Louisiana or the making of false statements in connection therewith, declare that if said refund is issued to him/her, he/she will see that the proceeds thereof are disposed of according to law. Signature of Claimant Claimant’s Social Security Number Address of Claimant City, State, ZIP Note: A certificate of death must accompany this...
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