Scan Specifications for the 2011 Ohio UUT 1

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1 Scan Specifications for the Ohio UUT Important Note The following document ( UUT ) contains grids for placement of information on this specific tax form. To accurately print do not reduce the size rotate or center this document. Doing so will jeopardize the integrity of the grid. When printing from Adobe Reader please select None for Page Scaling which is under Page Handling. Ohio Department of Taxation Northland Ridge Blvd. Columbus OH tax.ohio.gov

2 Grid layout with notations

3 Account number Adams Allen Ashland Ashtabula Athens Auglaize Belmont Please do not use staples. FEIN or Social Security number XX XX XX XX XX XX XX TIN Reporting period Placement of the D bar code and target marks is critical. Make sure to follow the grid layout. Do not forget to get your bar Must be received code(s) by assignments for every form and page. M.I. Please mark here X if paid through EFT. Do not staple check to form or attach check stub. Do not send cash. Make remittance payable to the Ohio Treasurer of State and mail all four pages of this form to: Ohio Department of Taxation P.O. Box Columbus OH - Make sure that these lines follow grid layout. I declare under penalties of perjury that this return including any accompanying schedules and statements has been examined by me and to the best of my knowledge and belief is a true correct and complete return and report. Signature Title Date UUT pg. of UUT Long Rev. / For State Use Only M M D D Y Y Please mark here if amended return. Address City Try to maintain this look State for these ZIP dropout boxes. If you cannot do this E High St. please contact our division with other alternatives. Also make sure these Please enter the net amount due for this return: boxes follow grid layout. Net amount due STOP Use the following lines only if you made accelerated use tax payments!. Less accelerated payment made for this reporting period ABC Company Inc.. Plus accelerated payment for next reporting period (see instructions) For static text use Arial font and try to match size. For data entry fields use. Balance due Courier font. When a field reflects a negative amount (negative fields are indicated) make sure there is one space between the amount and the negative sign. To Cancel This Account Enter Last Day of Business Page subtotal (enter subtotal on page ) Additional counties continued on pages - X Columbus OH For information about all Ohio taxes visit our Web site at: tax.ohio.gov For State Use Only

4 Please do not use staples. UUT Long Rev. / Account number Reporting period Brown Butler Carroll Champaign Clark Clermont Clinton Columbiana Coshocton Crawford Cuyahoga Darke Defiance Delaware XX XX XX XX XX XX XX XX XX XX XX XX XX XX Delaware(COTA) XX Erie Fairfield XX XX Fairfield(COTA)XX Fayette Franklin Fulton Gallia Geauga Greene Guernsey Hamilton Hancock Hardin Harrison Henry Highland Hocking Holmes XX XX XX XX XX XX XX XX XX XX XX XX XX XX XX Page subtotal UUT pg. of *Enter subtotal on page of this return

5 Please do not use staples. UUT Long Rev. / Account number Reporting period Huron Jackson Jefferson Knox Lake Lawrence Licking XX XX XX XX XX XX XX Licking (COTA) XX Logan XX Lorain XX Lucas XX Madison XX Mahoning XX Marion XX Medina XX Meigs XX Mercer XX Miami XX Monroe XX Montgomery XX Morgan XX Morrow XX Muskingum XX Noble XX Ottawa XX Paulding XX Perry XX Pickaway XX Pike XX Portage XX Preble XX Putnam XX Richland XX Page subtotal UUT pg. of *Enter subtotal on page of this return

6 Please do not use staples. UUT Long Rev. / Account number Reporting period Ross Sandusky Scioto Seneca Shelby Stark Summit Trumbull Tuscarawas Union XX XX XX XX XX XX XX XX XX XX Union (COTA) XX Van Wert XX Vinton XX Warren XX Washington XX Wayne XX Williams XX Wood XX Wyandot XX State XX.. Subtotal this page Page subtotal Page subtotal Page subtotal Net amount due* *Enter as net amount due on front page of return (the net amount due cannot be negative). UUT pg. of - - -

7 Grid layout

8 Account number Adams Allen Ashland Ashtabula Athens Auglaize Belmont Please do not use staples. FEIN or Social Security number XX XX XX XX XX XX XX Reporting period Must be received by Do not staple check to form or attach check stub. Do not send cash. Make remittance payable to the Ohio Treasurer of State and mail all four pages of this form to: Ohio Department of Taxation P.O. Box Columbus OH - I declare under penalties of perjury that this return including any accompanying schedules and statements has been examined by me and to the best of my knowledge and belief is a true correct and complete return and report. Signature Title Date UUT pg. of Please mark here if paid through EFT. UUT Long Rev. / For State Use Only M M D D Y Y Please mark here if amended return. Address City State ZIP Net amount due Please enter the net amount due for this return:. Less accelerated payment made for this reporting period. Plus accelerated payment for next reporting period (see instructions). Balance due STOP ABC Company Inc. TIN Use the following lines only if you made accelerated use tax payments! To Cancel This Account Enter Last Day of Business E High St. Page subtotal (enter subtotal on page ) X Additional counties continued on pages - X Columbus OH For information about all Ohio taxes visit our Web site at: tax.ohio.gov For State Use Only

9 Please do not use staples. UUT Long Rev. / Account number Reporting period Brown Butler Carroll Champaign Clark Clermont Clinton Columbiana Coshocton Crawford Cuyahoga Darke Defiance Delaware XX XX XX XX XX XX XX XX XX XX XX XX XX XX Delaware(COTA) XX Erie Fairfield XX XX Fairfield(COTA)XX Fayette Franklin Fulton Gallia Geauga Greene Guernsey Hamilton Hancock Hardin Harrison Henry Highland Hocking Holmes XX XX XX XX XX XX XX XX XX XX XX XX XX XX XX Page subtotal UUT pg. of *Enter subtotal on page of this return

10 Please do not use staples. UUT Long Rev. / Account number Reporting period Huron Jackson Jefferson Knox Lake Lawrence Licking XX XX XX XX XX XX XX Licking (COTA) XX Logan XX Lorain XX Lucas XX Madison XX Mahoning XX Marion XX Medina XX Meigs XX Mercer XX Miami XX Monroe XX Montgomery XX Morgan XX Morrow XX Muskingum XX Noble XX Ottawa XX Paulding XX Perry XX Pickaway XX Pike XX Portage XX Preble XX Putnam XX Richland XX Page subtotal UUT pg. of *Enter subtotal on page of this return

11 Please do not use staples. UUT Long Rev. / Account number Reporting period Ross Sandusky Scioto Seneca Shelby Stark Summit Trumbull Tuscarawas Union XX XX XX XX XX XX XX XX XX XX Union (COTA) XX Van Wert XX Vinton XX Warren XX Washington XX Wayne XX Williams XX Wood XX Wyandot XX State XX.. Subtotal this page Page subtotal Page subtotal Page subtotal Net amount due* *Enter as net amount due on front page of return (the net amount due cannot be negative). UUT pg. of - - -

12 Document without grid layout

13 Please do not use staples. UUT Long Rev. / Account number FEIN or Social Security number TIN Reporting period Must be received by X Please mark here if paid through EFT. X For State Use Only M M D D Y Y Please mark here if amended return. Address City State ZIP ABC Company Inc. E High St. Columbus OH Net amount due Please enter the net amount due for this return: STOP Use the following lines only if you made accelerated use tax payments!. Less accelerated payment made for this reporting period. Plus accelerated payment for next reporting period (see instructions). Balance due Adams Allen Ashland Ashtabula Athens Auglaize Belmont XX XX XX XX XX XX XX Page subtotal (enter subtotal on page ) Additional counties continued on pages - To Cancel This Account Enter Last Day of Business Do not staple check to form or attach check stub. Do not send cash. Make remittance payable to the Ohio Treasurer of State and mail all four pages of this form to: Ohio Department of Taxation P.O. Box Columbus OH - For information about all Ohio taxes visit our Web site at: tax.ohio.gov I declare under penalties of perjury that this return including any accompanying schedules and statements has been examined by me and to the best of my knowledge and belief is a true correct and complete return and report. For State Use Only Signature Title Date UUT pg. of

14 Please do not use staples. UUT Long Rev. / Account number Reporting period Brown Butler Carroll Champaign Clark Clermont Clinton Columbiana Coshocton Crawford Cuyahoga Darke Defiance Delaware XX XX XX XX XX XX XX XX XX XX XX XX XX XX Delaware(COTA) XX Erie Fairfield XX XX Fairfield(COTA)XX Fayette Franklin Fulton Gallia Geauga Greene Guernsey Hamilton Hancock Hardin Harrison Henry Highland Hocking Holmes XX XX XX XX XX XX XX XX XX XX XX XX XX XX XX Page subtotal UUT pg. of *Enter subtotal on page of this return.

15 Please do not use staples. UUT Long Rev. / Account number Reporting period Huron Jackson Jefferson Knox Lake Lawrence Licking XX XX XX XX XX XX XX Licking (COTA) XX Logan XX Lorain XX Lucas XX Madison XX Mahoning XX Marion XX Medina XX Meigs XX Mercer XX Miami XX Monroe XX Montgomery XX Morgan XX Morrow XX Muskingum XX Noble XX Ottawa XX Paulding XX Perry XX Pickaway XX Pike XX Portage XX Preble XX Putnam XX Richland XX Page subtotal UUT pg. of *Enter subtotal on page of this return.

16 Please do not use staples. UUT Long Rev. / Account number Reporting period Ross Sandusky Scioto Seneca Shelby Stark Summit Trumbull Tuscarawas Union XX XX XX XX XX XX XX XX XX XX Union (COTA) XX Van Wert XX Vinton XX Warren XX Washington XX Wayne XX Williams XX Wood XX Wyandot XX State XX.. Subtotal this page Page subtotal Page subtotal Page subtotal Net amount due* *Enter as net amount due on front page of return (the net amount due cannot be negative). UUT pg. of

17 Blank document

18 Please do not use staples. UUT Long Rev. / Account number FEIN or Social Security number TIN Reporting period Must be received by X Please mark here if paid through EFT. X For State Use Only M M D D Y Y Please mark here if amended return. Address City State ZIP ABC Company Inc. E High St. Columbus OH Net amount due Please enter the net amount due for this return: STOP Use the following lines only if you made accelerated use tax payments!. Less accelerated payment made for this reporting period. Plus accelerated payment for next reporting period (see instructions). Balance due Adams Allen Ashland Ashtabula Athens Auglaize Belmont XX XX XX XX XX XX XX Page subtotal (enter subtotal on page ) Additional counties continued on pages - To Cancel This Account Enter Last Day of Business Do not staple check to form or attach check stub. Do not send cash. Make remittance payable to the Ohio Treasurer of State and mail all four pages of this form to: Ohio Department of Taxation P.O. Box Columbus OH - For information about all Ohio taxes visit our Web site at: tax.ohio.gov I declare under penalties of perjury that this return including any accompanying schedules and statements has been examined by me and to the best of my knowledge and belief is a true correct and complete return and report. For State Use Only Signature Title Date UUT pg. of

19 Please do not use staples. UUT Long Rev. / Account number Reporting period Brown Butler Carroll Champaign Clark Clermont Clinton Columbiana Coshocton Crawford Cuyahoga Darke Defiance Delaware XX XX XX XX XX XX XX XX XX XX XX XX XX XX Delaware(COTA) XX Erie Fairfield XX XX Fairfield(COTA)XX Fayette Franklin Fulton Gallia Geauga Greene Guernsey Hamilton Hancock Hardin Harrison Henry Highland Hocking Holmes XX XX XX XX XX XX XX XX XX XX XX XX XX XX XX Page subtotal UUT pg. of *Enter subtotal on page of this return.

20 Please do not use staples. UUT Long Rev. / Account number Reporting period Huron Jackson Jefferson Knox Lake Lawrence Licking XX XX XX XX XX XX XX Licking (COTA) XX Logan XX Lorain XX Lucas XX Madison XX Mahoning XX Marion XX Medina XX Meigs XX Mercer XX Miami XX Monroe XX Montgomery XX Morgan XX Morrow XX Muskingum XX Noble XX Ottawa XX Paulding XX Perry XX Pickaway XX Pike XX Portage XX Preble XX Putnam XX Richland XX Page subtotal UUT pg. of *Enter subtotal on page of this return.

21 Please do not use staples. UUT Long Rev. / Account number Reporting period Ross Sandusky Scioto Seneca Shelby Stark Summit Trumbull Tuscarawas Union XX XX XX XX XX XX XX XX XX XX Union (COTA) XX Van Wert XX Vinton XX Warren XX Washington XX Wayne XX Williams XX Wood XX Wyandot XX State XX.. Subtotal this page Page subtotal Page subtotal Page subtotal Net amount due* *Enter as net amount due on front page of return (the net amount due cannot be negative). UUT pg. of

22 General information regarding this form

23 ) Dimensions: General Information ( UUT ): Target or registration marks -. X.. Follow grid layout for positioning. D barcode ( of interleaved) -. H x. W. Follow grid layout for positioning. The number for the barcode should be placed under the barcode and centered. D barcode - There is no D barcode for this form. ) D barcode - The last two numbers of the D barcode represent the vendor/version number for this form. Please use the same last two numbers as you did for last year s return. If you have a questions about your barcode assignment please Theresa Goeller at theresa_goeller@tax.state.oh.us. The first six numbers are constant for this form (XX - XX). = year tax form was developed. This will remain. = UUT - = page number XX = vendor/version number (assigned to you by the Ohio Dept. of Taxation Forms Printing Division). ) Use Arial font for text that is a static portion of the form. ) Use Courier font for the data entry portion of the form. This would be taxpayer s information and data. ) Make sure you follow the grid layout for the data entry portions (highlighted in red). Also make sure that the target or registration marks For State Use Only areas and the D barcodes follow grid layout. ) Do not use commas hyphens or decimals in the data entry fields. Use a space where a comma hyphen or decimal would appear. ) When a data entry field reflects a negative amount make sure there is one space between the negative sign and the amount (for example: - ). Do not hard code negative signs. ) Make sure that you explain to your customers within your product : Please do not enclose any worksheets or other documentation unless it is specified on the tax return or instructions. For example taxpayers are sending in worksheets from your software packages. This only slows the processing of their tax return. ) Make sure to keep all the (ie.xx) and (ie. XXXX) fields updated with the most current number code and rate for each. ) For review and approval of your return please submit one sample with every field filled in with the maximum amount of characters per field one blank sample and test scenarios or samples. Please create your own dummy information for these test scenarios.

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