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Outline

The R 540Ins Louisiana form is a crucial document for homeowners seeking a refund of assessments paid to the Louisiana Citizens Property Insurance Corporation during the 2019 tax year. This form allows individuals to claim a refundable tax credit, which amounts to 25 percent of the total assessment included in their homeowner’s insurance premiums. To navigate this process, taxpayers must provide personal details, including their Social Security numbers and addresses, along with information about the properties for which the assessments were paid. If a homeowner has more than one property, they will need to complete an additional Supplement Schedule to account for all assessments accurately. Importantly, the form must be filled out correctly to avoid delays; it is designed for electronic scanning, which enhances processing efficiency. Moreover, attaching the Insurance Declaration Page for each property is essential, as failure to do so could result in the return being sent back. Understanding the nuances of this form is vital for ensuring that eligible homeowners receive the refunds they deserve.

Sample - R 540Ins Louisiana Form

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.

Form Information

Fact Name Details
Form Purpose The R-540INS form is used to request a refund of the Louisiana Citizens Property Insurance Corporation assessment paid during the year 2019.
Governing Law This form is governed by Louisiana Revised Statute 47:6025, which provides for a refundable tax credit of 25% of the assessment paid.
Filing Period Taxpayers can use this form to claim refunds for assessments paid between January 1, 2019, and December 31, 2019.
Single vs. Multiple Properties If the assessment was paid for only one property, the taxpayer must provide the property address, insurance company name, and policy number. For multiple properties, a Supplement Schedule must be completed and attached.
Submission Guidelines Taxpayers must attach a copy of their insurance declaration page for all properties listed. Failure to do so will result in the return being rejected.
Signature Requirement The form must be signed and dated by the taxpayer. If filing jointly, both spouses must sign the form.

Detailed Guide for Filling Out R 540Ins Louisiana

Completing the R 540Ins Louisiana form requires accurate information regarding the Louisiana Citizens Property Insurance Corporation assessment you paid in 2019. Following these steps will help ensure that the form is filled out correctly, which is essential for a smooth processing of your refund request.

  1. Gather necessary documents, including your Insurance Declaration Page, which shows the assessment amounts paid.
  2. Enter your first name, middle initial, last name, and suffix in the designated fields.
  3. If filing jointly, include your spouse’s name, middle initial, last name, and suffix.
  4. Provide your current home address, including apartment number or rural route, city, state, and ZIP code.
  5. Fill in your Social Security Number and your spouse’s Social Security Number if applicable.
  6. Input your area code and daytime telephone number.
  7. If you are submitting an amended return, mark the appropriate box.
  8. For one property, enter the property address, insurance company name, and policy number in the specified boxes. If you have more than one property, complete the R-INS Supplement and attach it to the form.
  9. Enter the total amount of the assessment paid on Line 1.
  10. Calculate the refund by multiplying the amount on Line 1 by 25 percent (0.25) and enter this amount on Line 2.
  11. Sign and date the form, ensuring both you and your spouse sign if filing jointly.
  12. If a paid preparer assisted you, they must sign and complete the “Paid Preparer Use Only” section, including their identification number.
  13. Mail the completed form and any required attachments to the Louisiana Department of Revenue at the address provided on the form.

Obtain Answers on R 540Ins Louisiana

  1. What is the R 540Ins Louisiana form?

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

  2. Who is eligible to use this form?

    Any individual who paid the Louisiana Citizens Property Insurance Corporation assessment for their homeowner's insurance during 2019 can use this form. If you paid the assessment for more than one property, you will need to complete an additional form called the R-INS Supplement and attach it to your request.

  3. How do I fill out the form correctly?

    To complete the R 540Ins form, follow these guidelines:

    • Use a pen with black ink.
    • Enter your information clearly in the designated boxes, ensuring numbers are rounded to the nearest dollar.
    • If applicable, mark the box for an amended return.
    • Attach a copy of your insurance declaration page for each property listed.

  4. What information do I need to provide?

    You will need to provide your name, address, Social Security Number, and the details of the property or properties for which you paid the assessment. This includes the property address, the insurance company’s name, and the insurance policy number. If you are filing jointly, include your spouse’s information as well.

  5. What happens if I have more than one property?

    If you paid the assessment for multiple properties, complete the R-INS Supplement form. Attach this supplement to your R 540Ins form and enter the total amount of assessments paid for all properties on Line 1 of the main form. Remember, you must attach the insurance declaration page for each property listed.

  6. Where do I send the completed form?

    Once you have filled out the form, mail it to the Louisiana Department of Revenue at the following address:

    P.O. Box 3576
    Baton Rouge, LA 70821-3576

  7. What if I made a mistake on my form?

    If you need to correct information after submitting your form, you will have to file an amended return. Be sure to mark the “Amended Return” box on the form to avoid any delays in processing.

  8. What are the consequences of not attaching the required documents?

    Failure to attach the insurance declaration page will result in your form being returned to you. This can significantly delay your refund, so it is crucial to include all necessary documentation when submitting your request.

Common mistakes

When filling out the R 540Ins Louisiana form, many individuals make common mistakes that can delay their refund or lead to complications. One frequent error is failing to attach the required Insurance Declaration Page. This page 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 mistake often seen is incorrect entry of Social Security Numbers. Both the taxpayer and spouse's Social Security Numbers must be entered accurately. Any discrepancies can lead to rejection of the form. It is essential to double-check these numbers before submission to ensure they are correct.

Many people also overlook the importance of rounding numbers. The form specifically instructs filers to round amounts to the nearest dollar. Entering cents or failing to round properly can lead to confusion and potential errors in the refund calculation.

Additionally, some individuals neglect to mark the "Amended Return" box when applicable. If you are submitting an amended return, it is vital to indicate this clearly. Failure to do so can result in processing delays or rejection of the amended claim.

Lastly, using the wrong ink color can be a surprising pitfall. The instructions specify that filers should use a pen with black ink. Using other colors can hinder the machine's ability to read the form accurately, leading to further complications in processing.

Documents used along the form

The R-540INS form is an essential document for Louisiana residents seeking a refund for the Louisiana Citizens Property Insurance Corporation assessment. However, several other forms and documents are often used in conjunction with this form to ensure a smooth filing process. Here’s a brief overview of these related documents:

  • Form R-INS Supplement: This form is used when a taxpayer has paid assessments for multiple properties. It allows for the listing of all properties and their respective assessment amounts, which must be totaled and submitted with the R-540INS.
  • Insurance Declaration Page: This document provides detailed information about the insurance policy, including the policyholder's name, coverage details, and the specific assessment amounts paid. It is required to be attached to the R-540INS form.
  • Individual Income Tax Return (Form IT-540): Taxpayers can claim the refund on their individual income tax return instead of the R-540INS. However, they cannot claim the refund on both forms simultaneously.
  • Amended Return (Form IT-540X): If there are errors or changes needed after submitting the original tax return, this form allows taxpayers to amend their filing. It's important to indicate that the R-540INS is being amended if applicable.
  • W-2 Forms: These forms report an employee's annual wages and the amount of taxes withheld. They are necessary for completing the individual income tax return and verifying income.
  • 1099 Forms: If a taxpayer received income from sources other than employment, such as freelance work or interest, these forms report that income and are essential for accurate tax filing.
  • Proof of Payment Documentation: This includes any receipts or statements that confirm the payment of the Louisiana Citizens Property Insurance Corporation assessment. It may be required for verification purposes.
  • Taxpayer Identification Number (TIN): This number is essential for filing tax returns and forms accurately. It may be the Social Security Number or Employer Identification Number, depending on the taxpayer's status.

Having these forms and documents ready can streamline the refund process and ensure compliance with Louisiana tax regulations. Proper preparation is key to avoiding delays and complications in receiving the refund.

Similar forms

The R-540INS Louisiana form is designed for individuals seeking a refund for the Louisiana Citizens Property Insurance Corporation assessment. Several other documents serve similar purposes in different contexts. Here’s a list of eight documents that share characteristics with the R-540INS form:

  • Form 1040: This is the standard individual income tax return form used by U.S. taxpayers. Like the R-540INS, it allows taxpayers to report income and claim deductions or credits, including those related to property assessments.
  • Form 8862: This form is used to claim the Earned Income Credit after a previous denial. Similar to the R-540INS, it requires specific information and documentation to support the claim.
  • Form 8880: This form is for claiming the Retirement Savings Contributions Credit. It involves reporting contributions and calculating the credit, paralleling the process of claiming a refund on the R-540INS.
  • Form 4506-T: This form allows taxpayers to request a transcript of their tax return. It is similar in that it requires personal information and is used to verify tax information, much like the verification process for the R-540INS.
  • Form 8863: This form is used to claim education credits. It involves reporting educational expenses and eligibility, similar to how the R-540INS requires reporting of insurance assessments.
  • Form 1040X: This is the amended U.S. individual income tax return. Like the R-540INS, it allows taxpayers to correct previous filings and claim refunds based on updated information.
  • Form W-2: This form reports wages and taxes withheld for employees. It is similar in that it provides necessary information for tax reporting and refund claims, similar to the information required on the R-540INS.
  • Form 1099: This form is used to report various types of income other than wages. It is comparable to the R-540INS in that it provides essential income information that may affect tax credits and refunds.

Each of these documents shares a common goal: to facilitate accurate reporting and claiming of financial benefits or refunds. Understanding their similarities can help in navigating the tax process more effectively.

Dos and Don'ts

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

  • Do use a pen with black ink to complete the form.
  • Do enter your numbers inside the designated boxes clearly.
  • 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 in the boxes on the far right.
  • Don't forget to mark the "Amended Return" box if applicable.

By adhering to these guidelines, you can help avoid delays and ensure that your refund request is processed efficiently.

Misconceptions

The following are common misconceptions about the R 540Ins Louisiana form, which is used to request a refund of the Louisiana Citizens Property Insurance Corporation assessment.

  • This form is only for homeowners. Many believe that only homeowners can use this form. However, renters who have paid assessments can also claim refunds.
  • Refunds can be claimed on multiple forms. Some think they can file for refunds on both the R 540Ins form and their income tax return. In reality, claiming the refund on both will delay processing.
  • Only one property can be reported. It is a misconception that only one property can be listed. Taxpayers with multiple properties should complete the Supplement Schedule for Refund.
  • The assessment amount is fixed. Some assume that the assessment amount is the same for everyone. In fact, it varies based on individual insurance policies and coverage.
  • There is no need to attach documents. Many individuals believe they can submit the form without additional documentation. However, a copy of the Insurance Declaration Page is required for all properties.
  • Filing an amended return is unnecessary. Some taxpayers think they do not need to mark their return as amended. It is essential to indicate this if changes have been made to the original submission.
  • The form can be filled out in any ink color. It is a common error to use colors other than black ink. The form must be completed using a pen with black ink for machine processing.
  • All numbers should be entered as they appear. Some individuals mistakenly enter cents or ignore rounding. All numbers should be rounded to the nearest dollar and entered in the designated boxes.
  • The refund is automatic. Many believe that submitting the form guarantees a refund. The refund is contingent on accurate information and the proper completion of the form.

Key takeaways

When filling out the R 540Ins Louisiana form, there are several important points to keep in mind:

  • Eligibility: This form is used to request a refund for the Louisiana Citizens Property Insurance Corporation assessment paid during the 2019 calendar year.
  • Single vs. Multiple Properties: If you only paid the assessment for one property, provide its address, the insurance company’s name, and the policy number. For multiple properties, use the R-INS Supplement form and attach it to your submission.
  • Documentation: It is essential to attach a copy of your Insurance Declaration Page for all properties listed. Failure to do so will result in your form being returned.
  • Filing Process: Complete the form using black ink and ensure all numbers are entered correctly, avoiding pre-printed zeros that indicate cents.
  • Refund Calculation: The refund is calculated as 25% of the total assessment paid. Enter this amount on the designated line.
  • Signature Requirement: Both you and your spouse (if filing jointly) must sign and date the form before mailing it to the Louisiana Department of Revenue.

By following these guidelines, you can help ensure a smoother process when requesting your refund.