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Direct Debit Payment     \n~~      ~~ ~~   ~~ ~~  ~~ ~~ ~~ , ~~ ~~ ~~  ~~ , ~~ ~~  \nAccount Number Withdrawal Date  \nMM DD YYYY  \n.  \nType of Account: ■ Checking (Check one.)  \n■ Savings  \nFull Payment ■ Partial Payment ■  \n■ Payment made/will be made by credit card.  \nPART C Declaration of Taxpayer  \n■ I consent that my refund be directly deposited as designated in Part B, and declare that the information shown in Part B is correct. If I have fled a joint return, this is an irrevocable appointment of the other spouse as an agent to receive the refund.  \n■ I do not want direct deposit of my refund, am a frst-time fler with Louisiana, or am not receiving a refund. I understand that by not having my refund direct deposited I will receive my refund by paper check.  \n■ I authorize the Louisiana Department of Revenue and its designated Financial Agent to initiate an ACH electronic funds withdrawal (direct debit) entry to the fnancial institution account indicated in Part B for payment of my state taxes owed on this return. I also authorize the fnancial institutions involved in processing the electronic payment of taxes to receive confdential information necessary to answer inquiries and resolve issues related to the payment.  \nI understand that if I have fled a balance due return and if the Louisiana Department of Revenue does not receive full and timely payment of my tax liability, I will remain liable for the tax liability and all applicable interest and penalties.  \nI declare that I have examined my state income tax return prepared for electronic transmission to the State of Louisiana and, to the best of my knowledge and belief, it is true and complete.  \nPlease sign here.         Your signature Date Spouse’s signature (if joint return) Date  \nPart D Declaration and Signature of Electronic Return Originator (ERO) and Paid Preparer  \nI declare that I have reviewed the above taxpayer’s return and that the entries on the return are complete and correctly represented to the best of my knowledge based on the information submitted/furnished by the taxpayer. I also declare that I have complied with all of the requirements of the Louisiana Department of Revenue and in the Louisiana Handbook for Electronic Filers.  \nPlease sign here.         Preparer’s signature Preparer’s SSN or PTIN Date Telephone  \nMark box  \nif also ERO          \nElectronic Return Originator’s signature ERO’s SSN or PTIN Date Telephone  \nThis form is to be maintained by ERO. Do not submit to LDR.","cbCaia8WtcUDtBH0","https://ap.wps.com/l/cbCaia8WtcUDtBH0","pdf",59879,"English","# Part A Tax Return Information\n# Part B Direct Deposit of Refund (Optional) and Direct Debit (Optional)\n# Part C Declaration of Taxpayer\n# Part D Declaration and Signature of Electronic Return Originator (ERO) and Paid Preparer","[{\"question\":\"What information is collected in Part A of the form?\",\"answer\":\"Part A provides tax return information, including whether there is a balance due and whether a refund is due.\"},{\"question\":\"How does the form handle direct deposit or direct debit payments?\",\"answer\":\"Part B covers optional direct deposit of a refund and optional direct debit payment. It requires routing number rules and uses an ACH electronic funds withdrawal entry for direct debit.\"},{\"question\":\"What declarations and signatures are required in Parts C and D?\",\"answer\":\"Part C requires taxpayer consent and authorization statements, including acknowledgment of liability if payment is not timely. Part D requires the Electronic Return Originator and/or paid preparer to review entries and sign, with additional identifiers.\"}]","R-8453 (1/26) - Louisiana 2025 Individual Income Tax Declaration for Electronic Filing | PDF",1789816331]