Official R 540Ins Louisiana Template in PDF Fill Out My Document Online

Official R 540Ins Louisiana Template in PDF

The R 540Ins Louisiana form is a request for a refund of the Louisiana Citizens Property Insurance Corporation assessment. This form allows taxpayers to claim a refundable tax credit equal to 25% of the assessment paid during the 2019 tax year. If you believe you qualify for this refund, take the next step by filling out the form below.

Fill Out My Document Online
Structure

Document Overview

Fact Name Details
Form Purpose This form is used to request a refund for the Louisiana Citizens Property Insurance Corporation assessment paid in 2019.
Governing Law The form is governed by Louisiana Revised Statute 47:6025.
Refund Percentage Taxpayers can claim a refundable tax credit equal to 25% of the assessment paid.
Filing Options Refunds can be claimed either on this form or on the individual income tax return, but not both.
Multiple Properties If multiple properties are involved, a Supplement Schedule must be completed and attached.
Documentation Required A copy of the insurance declaration page must be attached for all properties listed.
Submission Address Completed forms should be mailed to the Louisiana Department of Revenue, P.O. Box 3576, Baton Rouge, LA 70821-3576.

Check out Popular Templates

R-1310 (rev 07/16) - This form is used for the Timber Severance Tax in Louisiana.

Louisiana Attorney Disciplinary Board - Honesty in responses is essential for maintaining professional standards.

Creating a solid framework for your LLC is essential, and one of the key components of this framework is the Operating Agreement. For those looking for guidance on drafting this important document, resources like UsaLawDocs.com can provide valuable assistance to ensure all necessary details are included, helping to clarify ownership and member responsibilities effectively.

Louisiana Up 1 - This documentation may be reproduced if necessary.

Detailed Steps for Writing R 540Ins Louisiana

Filling out the R 540Ins Louisiana form requires careful attention to detail. This process will help you request a refund for the Louisiana Citizens Property Insurance Corporation assessment you paid in 2019. Make sure to gather all necessary information before you begin.

  1. Enter your first name, middle initial, last name, and suffix (if applicable) in the designated fields.
  2. If filing jointly, provide your spouse's name, middle initial, last name, and suffix.
  3. Fill in your current home address, including the apartment number or rural route, city, state, and ZIP code.
  4. Indicate the individual income tax filing period (2019).
  5. Provide your Social Security Number and your spouse’s Social Security Number if applicable.
  6. Include your area code and daytime telephone number.
  7. If this is an amended return, mark the appropriate box.
  8. If you paid the assessment for only one property, enter the property address, insurance company name, and policy number in the specified boxes. Then, enter the amount of the assessment paid on Line 1.
  9. If you paid the assessment for more than one property, complete the Supplement Schedule for Refund of Louisiana Citizens Property Assessment (Form R-INS Supplement) and attach it to your return. Enter the total amount of assessments paid for all properties on Line 1.
  10. Attach a copy of your insurance declaration page for all properties listed.
  11. Calculate the refund by multiplying the amount on Line 1 by 25 percent (0.25) and enter this amount on Line 2.
  12. Sign and date the return. If filing jointly, your spouse must also sign and date the return.
  13. If a paid preparer assisted you, they must sign and provide their identification information in the designated area.
  14. Mail the completed form to the Louisiana Department of Revenue at the address provided on the form.

Form Preview

R-540INS (1/19)

 

 

 

 

 

Request for Refund of Louisiana

 

 

 

 

 

 

 

 

 

 

 

 

Citizens Property Insurance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Corporation Assessment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your first name

 

MI

Last name

 

Suffix

➜

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If joint return, spouse’s name

 

MI

Last name

 

Suffix

➜

 

 

 

 

 

 

 

 

 

 

 

 

 

Current home address (number and street including apartment number or rural route)

➜

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City, town, or APO

 

 

State

ZIP

Individual

Income Tax

FILING PERIOD

2019

Your Social

Security Number

Spouse’s Social

Security Number

Area code and daytime telephone number

➜

For amended return, mark this box.

Louisiana Revised Statute 47:6025 allows a refundable tax credit equal to 25 percent of the Louisiana Citizens Property Insurance assessment that you paid between January 1, 2019, and December 31, 2019, as a part of your homeowner’s insurance premium. You may claim the Louisiana Citizens Property Insurance Corporation assessment refund on this form or on your individual income tax return, but not on both forms. Claiming the refund on both forms will delay your individual income tax return for review.

One Property

If you paid the Louisiana Citizens Property Insurance Corporation assessment for only one property, list the property’s address, the insurance company’s name, and the insurance policy number in the boxes below. Enter the amount of your paid assessment below on Line 1.

Address of Property

Insurance Company

Policy Number

More Than One Property

If you paid the Louisiana Citizens Property Insurance Corporation assessment for more than one property, complete the Supplement Schedule for Refund of Louisiana Citizens Property Assessment, Form R-INS Supplement, and attach it to this return. Enter the total amount of the assessments paid for all properties listed on the Supplement Schedules on Line 1 below.

YOU MUST ATTACH A COPY OF YOUR INSURANCE DECLARATION PAGE FOR ALL PROPERTIES.

REFUND

1. Enter the amount of the total assessment paid. . . . . . . . . . . . . . . . . . 對 . . . .

2. REFUND - Multiply Line 1 by 25 percent (.25). . . . . . . . . . . . . . . . . . 對 . . . .

Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. I also consent that the Louisiana Department of Revenue may contact my insurance company/companies to verify the amount of the Louisiana Citizens Property Insurance Corporation assessment paid, and I further direct my insurance company/ companies to provide the Citizens Insurance Assessment information to the Louisiana Department of Revenue upon request.

Your Signature

Date (mm/dd/yyyy)

Spouse’s Signature (If filing jointly, both must sign)

Date (mm/dd/yyyy)

PAID

PREPARER USE ONLY

Print Preparer’s Name

Preparer’s Signature

Date (mm/dd/yyyy)

 

 

 

 

 

Check ■ if Self-employed

 

 

 

 

 

Firm’s Name ➤

 

 

Firm’s FEIN ➤

 

 

 

 

 

 

Firm’s Address ➤

 

 

Telephone ➤

 

 

 

 

 

 

MAIL TO:

Louisiana Department of Revenue

P. O. Box 3576

Baton Rouge, LA 70821-3576

For Office

 

PTIN, FEIN, or LDR Account Number

Use Only.

 

 

 

of Paid Preparer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6977

R-540INS(i) (1/19)

Instructions for Preparing your 2019 Louisiana Request for Refund of Louisiana Citizens Property Insurance Corporation Assessment (R-540INS)

Mail return to:

Louisiana Department of Revenue

P. O. Box 3576

Baton Rouge, LA 70821-3576

About this Form

The return has been designed for electronic scanning, which permits faster processing with fewer errors. In order to avoid unnecessary delays caused by manual processing, taxpayers should follow the guidelines listed below:

1.An individual may file this form to claim the refund of the Louisiana Citizens Property Insurance Corporation assessment(s) that was paid during calendar year 2019.

2.Enter the amount only on the line that is applicable.

3.Complete the form by using a pen with black ink.

4. Because this form is read by a machine, please enter your numbers inside the boxes like this: 1 2 3 4 5

5.All numbers should be rounded to the nearest dollar.

6.Numbers should NOT be entered over the pre-printed zeros, in the boxes on the far right, which are used to designate cents (.00).

7. If you are filing an amended return, mark an “X” in the “Amended Return” box.

8.Failure to attach the Insurance Declaration Page(s) will result in this form being returned to you.

Name(s), address, and Social Security Number(s) – Enter your name(s), address, and Social Security Number(s) in the space provided. If married, please enter Social Security Numbers for both you and your spouse.

Information concerning the assessment amounts and Insurance Declaration Page – The amount of this assessment may appear as separate line items on what is referred to as the “Declaration Page” of your property insurance premium notice. The Declaration Page names the policyholder, describes the property or liability to be insured, type of coverage, and policy limits. Depending on the location of the insured property, these line item charges may be listed as: Louisiana Citizens FAIR Plan REGULAR Assessment, Louisiana Citizens FAIR Plan EMERGENCY Assessment, Louisiana Citizens Coastal Plan REGULAR Assessment, and/or Louisiana Citizens Coastal Plan EMERGENCY Assessment. Your total assessment paid is the total of these amounts, if they are shown on the Declaration Page.

Important note: If you are a customer of the Louisiana Citizens Insurance Corporation and you paid the Tax Exempt Surcharge, this surcharge may not be claimed.

•Enter the address of the property, the insurance company’s name, and the policy number in the spaces provided.

•Do you own more than one property that incurred an assessment?

If you had more than one property during 2019 that incurred an assessment, prepare and attach Form R-INS Supplement. For more than four properties, use additional R-INS Supplement forms. You must attach the Declaration Page for each property listed. Add all of the assessments that appear on the R-INS Supplement Form, and enter the total on Line 1.

9.Sign and date the return. Mail the return to the address at the top of this form.

Paid Preparer Instructions

If your return was prepared by a paid preparer, that person must also sign in the appropriate space, complete the information in the “Paid Preparer Use Only” box and enter his or her identification number in the space provided under the box. If the paid preparer has a Preparer Tax Identification Number (PTIN), the PTIN must be entered in the space provided under the box, otherwise enter the Federal Employer Identification Number (FEIN) or LDR account number. If the paid preparer represents a firm, the firm’s FEIN must be entered in the “Paid Preparer Use Only” box. The failure of a paid preparer to sign or provide an identification number will result in the assessment of the unidentified preparer penalty on the preparer. The penalty of $50 is for each occurrence of failing to sign or failing to provide an identification number.

Misconceptions

Understanding the R 540Ins Louisiana form can be crucial for homeowners seeking refunds for property insurance assessments. However, several misconceptions often arise. Here are ten common misunderstandings about this form:

  1. Only homeowners can file this form. While primarily for homeowners, renters who pay property insurance assessments may also be eligible.
  2. You can claim the refund on multiple forms. Claiming the refund on both the R 540Ins form and your individual income tax return is not allowed. You must choose one.
  3. All insurance assessments are eligible for refund. Only the Louisiana Citizens Property Insurance Corporation assessments qualify, not other insurance charges.
  4. You don’t need to attach any documentation. A copy of your insurance declaration page is mandatory for all properties listed on the form.
  5. The refund amount is a fixed percentage. The refund is based on 25 percent of the assessment you paid, which varies by individual circumstances.
  6. Filing an amended return is straightforward. You must mark the “Amended Return” box, or the form may be processed incorrectly.
  7. Only one property can be listed. If you own multiple properties, you can still claim a refund, but you need to complete and attach the Supplement Schedule.
  8. It doesn’t matter how you fill out the form. The form must be completed using black ink and numbers should be entered in the designated boxes to avoid processing delays.
  9. Late submissions are accepted without penalties. Delays can lead to complications, so it’s best to file promptly and accurately.
  10. Any paid preparer can file the form without restrictions. If a paid preparer assists you, they must sign the form and provide their identification number to avoid penalties.

By clarifying these misconceptions, homeowners can navigate the R 540Ins form process more effectively and ensure they receive the refunds they are entitled to.

Documents used along the form

The R-540INS form is essential for claiming a refund of the Louisiana Citizens Property Insurance Corporation assessment. However, several other documents may accompany this form to ensure a complete submission. Below is a list of these documents, along with a brief description of each.

  • Form R-INS Supplement: This form is necessary if you paid assessments for more than one property. It allows you to list each property and its corresponding assessment, ensuring all claims are accurately accounted for.
  • Insurance Declaration Page: This document outlines the details of your insurance policy. It includes the policyholder's name, property details, and the total assessment paid. A copy must be attached for each property listed.
  • Individual Income Tax Return (Form IT-540): This is your standard income tax return form. You can claim the assessment refund on this form, but not both the R-540INS and the IT-540.
  • Amended Return Form: If you need to make changes to a previously filed return, this form allows you to amend your information. Remember to indicate that it is an amended return on the R-540INS.
  • Hold Harmless Agreement: To protect yourself from liability, consider the official Hold Harmless Agreement document to ensure legal coverage during events.
  • W-2 Forms: These forms report your annual wages and taxes withheld. They are essential for completing your income tax return and ensuring accurate calculations of your tax liability.
  • Form 1099: If you received income from sources other than employment, this form will report that income. It is crucial for accurately reporting your total income on your tax return.
  • Proof of Payment: Keep records of the payments made for the Louisiana Citizens Property Insurance Corporation assessment. This may include receipts or bank statements showing the transaction.
  • Identification Documents: A copy of your driver’s license or another form of identification may be necessary to verify your identity when submitting your tax forms.

Gathering these documents will help streamline the process of claiming your refund. Ensure everything is complete and accurate to avoid delays in processing your request.