Form 41 Ls PDF Details

Are you familiar with Form 41 LS? This is a Louisiana state tax form that is used to report certain types of income derived from sources within the state. The form must be filed by all individuals and businesses that have income taxable in Louisiana. If you're not sure whether or not your income is taxable in LA, or if you need help completing the form, be sure to contact an accountant or tax professional. Filing this form is important, as it helps ensure that you are paying the correct amount of taxes on your income. With just a few simple steps, you can easily complete Form 41 LS and submit it to the Louisiana Department of Revenue.

Here is the information regarding the form you were looking for to fill in. It can show you the span of time you will need to finish form 41 ls, exactly what fields you will have to fill in and several additional specific facts.

Form NameForm 41 Ls
Form Length1 pages
Fillable fields41
Avg. time to fill out8 min 27 sec
Other namesDOJ, live scan 41 ls form, ATI, live scan 41 ls form pdf

Form Preview Example


FORM 41-LS Rev. 07/11

Applicant Submission














Type of Application:




















Code assigned by DOJ


























Job Title or Type of License, Certification or Permit:






























































































Agency Address Set Contributing Agency:





























































Agency authorized to receive criminal history information





Mail Code (five-digit code assigned by DOJ)









































Street No.

Street or PO Box













Contact Name (Mandatory for all school submissions)

























































































Zip Code





Contact Telephone No.



















































































Name of Applicant:



























(Please print)















































Driver’s License No:













































































Date of Birth:














Misc. No. BIL -












































Agency Billing Number





















Misc. Number:










Eye Color:




Hair Color:













Home Address:


























































































Street No.



Street or PO Box


Place of Birth:

































































City, State and Zip Code



Social Security Number:
































































































Your Number:











































OCA No. (Applicant Social Security No.)





Level of Service:







If resubmission, list Original ATI


















































































































Employer: (Additional response for agencies specified by statute)




















































Employer Name






















































Street No.


Street or PO Box











Mail Code (five digit code assigned by DOJ)











































Zip Code



Agency Telephone No. (optional)































































Live Scan Transaction Completed By:



















































Name of Operator





































Transmitting Agency
























Amount Collected/Billed











































ORIGINAL – Live Scan Operator; SECOND COPY – Applicant; THIRD COPY (if needed) – Requesting Agency

How to Edit Form 41 Ls Online for Free

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Step 1: On the following web page, select the orange "Get form now" button.

Step 2: Now you are able to modify 41 ls form. You have a wide range of options with our multifunctional toolbar - you can add, remove, or customize the content, highlight the certain elements, and carry out many other commands.

The next parts are going to make up your PDF file:

writing DOJ part 1

Write down the data in Agency, Billing, Number Height, Weight, Eye, Color Hair, Color Place, of, Birth Social, Security, Number Your, Number OCA, No, Applicant, Social, Security, No If, re, submission, list, Original, AT, I, Number Employer, Name Misc, Number Home, Address Street, No and Street, or, PO, Box

step 2 to entering details in DOJ

The software will ask for additional information as a way to easily prepare the field City, State, Zip, Code Agency, Telephone, No, optional LiveS, can, Transaction, Completed, By Name, of, Operator Date, Transmitting, Agency AT, IN, o and Amount, Collected, Billed

Finishing DOJ part 3

Step 3: After you click the Done button, your ready form can be simply exported to any kind of your devices or to electronic mail provided by you.

Step 4: To protect yourself from probable future risks, it's always advisable to have minimally a couple of duplicates of any form.

Watch Form 41 Ls Video Instruction

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