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The R 540Ins Louisiana form serves an essential purpose for homeowners who have paid assessments to the Louisiana Citizens Property Insurance Corporation during the 2019 tax year. This form allows individuals to request a refund for a portion of those assessments, specifically a refundable tax credit equal to 25 percent of the total amount paid. To complete the form, filers need to provide their personal information, including names, addresses, and Social Security numbers. They must also detail the property or properties for which the assessment was paid, including the insurance company name and policy number. If the assessment pertains to multiple properties, a supplementary schedule must be attached. It is crucial to include a copy of the insurance declaration page for each property, as this document provides the necessary details about the assessment amounts. The form is designed for easy electronic processing, so taxpayers should follow specific instructions to avoid delays. Filing this form correctly can lead to a timely refund, easing the financial burden associated with homeowners' insurance assessments.

Document Example

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.

Dos and Don'ts

When filling out the R 540Ins Louisiana form, it is important to follow specific guidelines to ensure a smooth process. Here are some key do's and don'ts:

  • Do use a pen with black ink to complete the form.
  • Do enter your numbers inside the boxes clearly, following the format provided.
  • Do attach a copy of your Insurance Declaration Page for all properties listed.
  • Do sign and date the return before mailing it.
  • Don't enter numbers over the pre-printed zeros, as this can cause errors in processing.
  • Don't forget to mark the "Amended Return" box if you are submitting an amended return.
  • Don't leave out your Social Security Number or your spouse's if filing jointly.
  • Don't claim the refund on both this form and your individual income tax return, as this will delay processing.

Detailed Instructions for Filling Out R 540Ins Louisiana

Filling out the R 540Ins Louisiana form is a straightforward process that allows you to request a refund for the Louisiana Citizens Property Insurance Corporation assessment you paid during the specified period. To ensure that you complete the form correctly and avoid delays, follow these steps closely.

  1. Gather Your Documents: Collect your insurance declaration page and any necessary information regarding your property and insurance assessment.
  2. Enter Your Personal Information: Fill in your first name, middle initial, last name, and suffix. If filing jointly, include your spouse’s name, middle initial, last name, and suffix as well.
  3. Provide Your Address: Enter your current home address, including the city, state, and ZIP code.
  4. Input Social Security Numbers: Write your Social Security Number and your spouse’s Social Security Number if applicable.
  5. Indicate Filing Period: Confirm that the filing period is for the year 2019.
  6. Mark Amended Return if Necessary: If you are filing an amended return, check the box provided.
  7. List Property Information: If you have one property, fill in the property’s address, the insurance company’s name, and the policy number. If you have more than one property, complete the Supplement Schedule and attach it to the form.
  8. Enter Assessment Amount: On Line 1, input the total amount of the assessment you paid. Ensure the amount is rounded to the nearest dollar.
  9. Calculate Refund: On Line 2, multiply the amount from Line 1 by 25 percent (0.25) to determine your refund amount.
  10. Sign and Date the Form: Both you and your spouse (if filing jointly) must sign and date the form. Ensure you use the format mm/dd/yyyy.
  11. Attach Required Documents: Include a copy of your insurance declaration page for each property listed.
  12. Mail Your Form: Send the completed form to the Louisiana Department of Revenue at the address provided on the form.

By following these steps, you can efficiently complete the R 540Ins form and submit it for processing. Make sure to double-check your entries to avoid any errors that might delay your refund. Good luck!

Documents used along the form

When filing the R-540INS Louisiana form, several other documents may be necessary to ensure a smooth and complete application process. Each of these forms serves a specific purpose and can help clarify your situation to the Louisiana Department of Revenue.

  • Form R-INS Supplement: This form is used when you have paid the Louisiana Citizens Property Insurance Corporation assessment for more than one property. It allows you to list multiple properties and their respective assessments, which must be attached to your main refund request.
  • Insurance Declaration Page: This document provides detailed information about your insurance policy, including the policyholder's name, property description, and the specific assessments paid. A copy must be attached for each property listed on the R-540INS or R-INS Supplement.
  • Individual Income Tax Return (Form IT-540): If you choose to claim the refund on your individual income tax return instead of the R-540INS, you will need to complete this form. It details your overall income and deductions for the tax year.
  • Form R-540X: This is the amended return form, which you would use if you need to correct any errors on your original R-540INS submission. Marking the amended return box on the R-540INS is also essential if you are submitting a corrected version.
  • Proof of Payment: While not a formal document, having receipts or statements showing the payments made for the Louisiana Citizens Property Insurance Corporation assessment can be beneficial. This documentation supports your claim and can expedite the review process.
  • Rental Application Form: To assist landlords in tenant screening, utilize the thorough Illinois rental application form essentials for gathering vital information.
  • Power of Attorney (Form R-7006): If you are using a tax preparer or someone else to file on your behalf, this form grants them the authority to act for you in matters related to your tax return. It must be submitted with your refund request if applicable.

By preparing and submitting these additional documents along with the R-540INS form, you can help ensure that your refund request is processed efficiently and without delays. Always double-check that all necessary forms are complete and correctly filled out before mailing them to the Louisiana Department of Revenue.

Your Questions, Answered

What is the purpose of the R 540Ins Louisiana form?

The R 540Ins form is used to request a refund of the Louisiana Citizens Property Insurance Corporation assessment. This assessment is a charge included in your homeowner's insurance premium, and the form allows you to claim a refundable tax credit equal to 25 percent of the assessment you paid during the year 2019.

Who is eligible to file this form?

Any individual who paid the Louisiana Citizens Property Insurance Corporation assessment for their property during the calendar year 2019 is eligible to file this form. If you are married and filing jointly, both you and your spouse must provide your information on the form.

How do I complete the R 540Ins form?

To complete the form, follow these steps:

  1. Enter your name, Social Security Number, and address in the designated spaces.
  2. If applicable, include your spouse’s information.
  3. Provide the property address, insurance company name, and policy number for the property associated with the assessment.
  4. Calculate the total assessment paid and enter that amount on Line 1.
  5. If you have multiple properties, complete the Supplement Schedule and attach it to your form.
  6. Sign and date the form before mailing it to the Louisiana Department of Revenue.

What if I have more than one property?

If you paid the assessment for more than one property, you must complete the Supplement Schedule for Refund of Louisiana Citizens Property Assessment, known as Form R-INS Supplement. This form allows you to list all properties and their associated assessments. Make sure to attach the Declaration Page for each property to ensure your claim is processed correctly.

What documentation do I need to provide?

You must attach a copy of your Insurance Declaration Page for each property listed on the form. This page includes important information about your insurance policy and the assessment amounts. Without this documentation, your form may be returned, delaying your refund.

Can I claim the refund on both my individual income tax return and this form?

No, you cannot claim the refund on both forms. You must choose one method to claim the Louisiana Citizens Property Insurance Corporation assessment refund. If you attempt to claim it on both, it will delay the review of your individual income tax return.

Where do I mail the completed form?

Once you have completed the R 540Ins form, mail it to the following address:

Louisiana Department of Revenue
P. O. Box 3576
Baton Rouge, LA 70821-3576

Common mistakes

Filling out the R 540Ins Louisiana form can seem straightforward, but many people make common mistakes that can lead to delays or even rejection of their refund request. One significant error is failing to attach the required Insurance Declaration Page. This document is crucial, as it verifies the amount of the Louisiana Citizens Property Insurance Corporation assessment paid. Without it, the form may be returned, causing unnecessary delays in processing.

Another frequent mistake involves incorrectly entering information in the designated boxes. The form is designed for electronic scanning, which means that all numbers must be placed inside the boxes provided. If numbers are written outside the boxes or overlap with pre-printed zeros, it can lead to misinterpretation by the scanning system. This simple oversight can delay the processing of the refund.

People often forget to round their numbers to the nearest dollar. The instructions are clear: all amounts should be rounded. Entering cents can cause confusion and result in errors during processing. Additionally, individuals should only enter amounts on the lines specified for their situation, whether for one property or multiple properties. Misplacing amounts can lead to incorrect calculations and complications with the refund.

When filling out the form, it’s essential to ensure that all names, addresses, and Social Security Numbers are accurate and complete. A common mistake is omitting the spouse’s information when filing jointly. Both spouses must sign the form, and if one signature is missing, it may be deemed incomplete. This can lead to further delays in processing.

Some individuals overlook the importance of marking the “Amended Return” box when applicable. If changes are made to a previously filed return, this box must be checked. Failing to do so can result in confusion and potential rejection of the amended claim.

Lastly, many people neglect to sign and date the return. This step is crucial, as an unsigned form is considered invalid. Both taxpayers must sign if filing jointly, and the absence of a signature can lead to immediate rejection of the refund request. By avoiding these common mistakes, taxpayers can help ensure a smoother process for receiving their refunds.

Misconceptions

  • Misconception 1: The R 540Ins form can be used for assessments paid in years other than 2019.

    This form specifically applies to assessments paid during the calendar year 2019. If you paid assessments in other years, you will need to look for the appropriate form for those specific years.

  • Misconception 2: You can claim the refund on both the R 540Ins form and your individual income tax return.

    Claiming the refund on both forms is not allowed. You must choose one method to avoid delays in processing your individual income tax return.

  • Misconception 3: You do not need to attach any documentation when submitting the R 540Ins form.

    It is crucial to attach a copy of your Insurance Declaration Page for all properties listed. Failure to do so will result in your form being returned, causing delays in receiving your refund.

  • Misconception 4: You can submit the form in any format and with any writing instrument.

    The form must be completed using a pen with black ink. It is designed for electronic scanning, so it’s important to follow the guidelines to ensure accurate processing.

Document Attributes

Fact Name Description
Form Purpose The R-540INS form is used to request a refund for the Louisiana Citizens Property Insurance Corporation assessment paid in 2019.
Governing Law This form is governed by Louisiana Revised Statute 47:6025, which allows a refundable tax credit of 25% of the assessment paid.
Eligibility Period To qualify for the refund, the assessment must have been paid between January 1, 2019, and December 31, 2019.
Filing Options Taxpayers can claim the refund either on this form or on their individual income tax return, but not on both.
Multiple Properties If assessments were paid for more than one property, taxpayers must complete and attach the R-INS Supplement form.
Required Attachments It's essential to attach a copy of the insurance declaration page for all properties listed to avoid processing delays.
Signature Requirement Both taxpayers must sign the form if filing jointly. A paid preparer must also sign and provide their identification number.