Must be 6 digits (no characters) NEW! Colon required after title: 2 in. from right edge Calendar or fiscal year end (mmddyy)

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Specifications for Business Vouchers (8/15) Ink Color: Black 100% Voucher Size: 8 1/2 in. wide x 3 2/3 in. high Font: All Franklin Gothic 10pt (or similar sans-serif) unless otherwise indicated. Copy example exactly. Registration Marks: Each leg, 1/4 in. 2pt font Lower right edge mark 1/2 in. from bottom and side, Upper edge marks 3 1/4 in. from bottom and 1/2 in. from side No registration mark on lower left edge Voucher Payment Type Title: Franklin Gothic 12pt bold See table on page 2 for voucher types Your 4-Digit Vendor ID: Last digit: 3 1/2 in. from right edge Baseline: 3 in. from bottom : Must be seven digits Baseline: 2 1/2 in. from bottom Must be nine digits Baseline: 2 in. from bottom Must be 6 digits (no characters) Calendar or fiscal year end (mmddyy) Baseline: 1 1/2 in. from bottom Amount of Check: Courier 12 Last cents field: 1/2 in. from right edge with one space separating cents from dollars Baseline: 1 in. from bottom No commas or decimals Scan Line: Must be 66 digits (no characters) OCRA 10 embedded Starts: 7 3/4 in. from right edge Baseline: 1/2 in. from bottom See additional scan line specs Graphics: Graphics available from our website at www.revenue.state.mn.us. Send samples to: E-mail (PDF): Efile.FormApproval@state.mn.us Mail: Minnesota Department of Revenue Tax Operations - Form Approval Mail Station 4100 600 N. Robert St. St. Paul, MN 55146-4100 Voucher Title TAXPAYER NAME CONTACT NAME AND PHONE ADDRESS CITY, STATE ZIP CODE Voucher type address 1234 SAMPLE 3456789 987654321 mmddyy Amount of Check: 00000000 00 3 1/4 in. 3 in. 2 1/2 in. 2 in. 1 1/2 in. 1 in. 010020000000000000000123115000000345678910000000000000000000001234 1/2 in. 8 in. 7 3/4 in. 4 1/2 in. 3 1/2 in. 2 in. 3/4 in. 1/2 in. 0

Business Voucher Types The table below lists all Business Tax voucher types with fields that are specific to the voucher type. Any fields not listed on this table remain constant for all business vouchers. Voucher Title Voucher Mailing Address Scan Line Tax Type Scan Line Extension Corporation Estimated Tax Payment Mail Station 1260, St. Paul, MN 55145-1260 010 00 Corporation Return Payment Mail Station 1250, St. Paul, MN 55145-1250 010 02 Corporation Amended Return Payment Mail Station 1255, St. Paul, MN 55146-1255 010 03 Corporation Extension Payment Mail Station 1765, St. Paul, MN 55145-1765 010 01 Fiduciary Estimated Tax Payment Mail Station 1275, St. Paul, MN 55145-1275 012 00 Fiduciary Return Payment Mail Station 1310, St. Paul, MN 55145-1310 012 02 Fiduciary Amended Return Payment Mail Station 1310, St. Paul, MN 55145-1310 012 03 Fiduciary Extension Payment Mail Station 1765, St. Paul, MN 55145-1765 012 01 Partnership Estimated Tax Payment Mail Station 1275, St. Paul, MN 55145-1275 046 00 Partnership Return Payment Mail Station 1760, St. Paul, MN 55145-1760 046 02 Partnership Amended Return Payment Mail Station 1760, St. Paul, MN 55145-1760 046 03 Partnership Extension Payment Mail Station 1765, St. Paul, MN 55145-1765 046 01 S Corporation Estimated Tax Payment Mail Station 1275, St. Paul, MN 55145-1275 047 00 S Corporation Return Payment Mail Station 1770, St. Paul, MN 55145-1770 047 02 S Corporation Amended Return Payment Mail Station 1770, St. Paul, MN 55145-1770 047 03 S Corporation Extension Payment Mail Station 1765, St. Paul, MN 55145-1765 047 01 UBIT Estimated Tax Payment Mail Station 1257, St. Paul, MN 55146-1257 068 00 UBIT Return Payment Mail Station 1257, St. Paul, MN 55146-1257 068 02 UBIT Amended Return Payment Mail Station 1257, St. Paul, MN 55146-1257 068 03 UBIT Extension Payment Mail Station 1257, St. Paul, MN 55146-1257 068 01 Withholding Tax Deposit/Payment P.O. Box 64439, St. Paul, MN 55164-0439 004 00 Required Voucher Approval Scenarios You must receive approval before reproducing vouchers. Submit 5 samples for each voucher listed on the table above with fictitious names, Minnesota tax ID numbers, tax-year end dates, check amounts and scan lines for testing. Required scenario: Minnesota tax ID number begins with a leading zero. Fictitious information must be different on each sample. Please test and verify that invalid data cannot be entered. Note: Form must be placed at bottom of 8½ x 11 inch page with instructions at the top. SUBMIT CONTENT OF ENTIRE PAGE. See the sample form on page 4.

Scan Line Specifications for Business Vouchers Field element Number of digits Description Tax type 3 010 Extension code 2 02 Filler 17 00000000000000000 Period end date 6 Last day of tax year (mmddyy) Filler 6 000000 Minnesota tax ID 7 Minnesota tax ID (field must have 7 digits) Check digit 1 Check digit (see How to calculate the check digit below) Filler 20 00000000000000000000 Vendor ID code 4 Your 4-digit vendor ID TOTAL 66 Scan line must be 66 digits (no characters) Sample scan line for corporation return voucher: 010020000000000000000012311500000034567891000000000000000000001234 How to Calculate the Check Digit To calculate the check digit, start with the Minnesota tax ID (seven digits). Then do the following steps: Step 1. Multiply the left-most digit and every alternate position of the Minnesota tax ID by two. Step 2. Add the digits from Step 1 to the digits in the basic key field not multiplied by two. Step 3. Subtract the total in Step 2 from the next higher number ending in zero. The difference is the check digit. (Note: If the difference equals 10, the check digit is zero.) Example Minnesota tax ID = 3456789 Basic key field = 3 4 5 6 7 8 9 Alternate digits (starting with left-most digit) = 3 5 7 9 Step 1. Multiply alternate digits by two 6 10 14 18 Step 2. Add digits in Step 1 to the digits not multiplied by two 6 + 4 + (1+0) + 6 + (1+4) + 8 + (1+8) = 39 Step 3. Subtract total in Step 2 from the next higher number ending in zero 40 39 = 1 The check digit is 1.

Corporation Return Payment Pay by Check If you are not required to pay electronically, you can use this voucher to pay by check. Make your check payable to. Print your number in the memo portion of your check. Mail the voucher below with your payment to the address on the voucher. If your voucher information is missing or incorrect your payment may be delayed. Note: When printing this voucher, set your printer to full-size (not shrink to fit ). Did you know? You can pay electronically for free. Visit our website at www.revenue.state.mn.us and enter payment in the Search box. Corporation Return Payment TAXPAYER NAME CONTACT NAME AND PHONE ADDRESS CITY, STATE ZIP CODE Mail Station 1250, St. Paul, MN 55145-1250 1234 SAMPLE 3456789 987654321 mmddyy Amount of Check: 00000000 00 010020000000000000000123115000000345678910000000000000000000001234

Pay by Check If you are not required to pay electronically, you can use this voucher to pay by check. Make your check payable to. Print your number in the memo portion of your check. Mail the voucher below with your payment to the address on the voucher. If your voucher information is missing or incorrect your payment may be delayed. Note: When printing this voucher, set your printer to full-size (not shrink to fit ). Did you know? You can pay electronically for free. Visit our website at www.revenue.state.mn.us and enter payment in the Search box. Amount of Check: