State of Louisiana Exemption from Withholding Louisiana Income Tax (L-4E)

State of Louisiana Exemption from Withholding Louisiana Income Tax (L-4E)

For questions, please contact Morning Sun Financial Services at 1-844-450-5444
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Louisiana Employee Withholding Exemption Certificate (L-4)

For questions, please contact Morning Sun Financial Services at 1-844-450-5444
Instructions
Tax Year
For use by employees who meet the following requirements: (Check all that apply.)*

Incurred no tax liability in the prior year and anticipate no tax liability for the current yearMeet the conditions set forth under the Servicemember Civil Relief Act, as amended by the Military Spouses Residency Act and the Veterans Benefits and Transitions Act of 2018 with a tax domicile in the State of ____
What state is the tax domicile in?*
Employee Information
Employee Legal Name*

Legal First NameLegal Middle initialLegal Last Name
Employee Email*
example@example.com
Employee Social Security Number*
Employee Address*

Street Address

Apartment or Unit Number

CityState

Zip Code
State Abbreviation
Signatures

I understand and accept that my electronic signature will be as valid as a handwritten signature and considered original to the extent allowed by applicable law. Please see the Consumer Consent Disclosure at https://www.jotform.com/consumer-consent-disclosure/
I declare under the penalties imposed for filing false reports that the number of exemptions and dependency credits claimed on this certificate do not exceed the number to which I am entitled.
Employee signature*

Clear
Date of Signature*

MonthDayYear
Date
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Louisiana Employee Withholding Exemption Certificate (L-4)