DEVELOPER IDENTIFICATION

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Michigan Department of Treasury 4829 (Rev.8-15) Michigan Scanline Specifications for Fiduciary, Individual Income, Michigan Business, and Corporate Income Tax Vouchers Effective for forms filed after January 1, 2016. Scan lines are mandatory for all forms listed below. Form samples are posted on the Michigan Department of Treasury (Treasury) Secure Web site at www.michigan.gov/drafttaxforms or can be requested by contacting Forms, Documentation and E-file Services (FDES). FORMS Item Form A 4, Application for Extension Fiduciary B MI-1040ES, Estimated Individual Income Tax Voucher C MI-1040-V, Individual Income Tax e-file Payment Voucher D MI-1041ES, Fiduciary Voucher for Estimated Income Tax E MBT-V, Michigan Business Tax e-file Annual Payment Voucher F 4, Application for Extension Michigan Business Tax G 4, Application for Extension Individual Income Tax H 4913, Corporate Income Tax Quarterly Return I 4901, CIT-V, Corporate Income Tax e-file Annual Payment Voucher J 4, Application for Extension Corporate Income Tax DEVELOPER IDENTIFICATION Print assigned software developer code on the bottom-left corner of each form. If you are a new developer, FDES will assign a developer code upon completion of Michigan Letter of Intent to Participate in E-file and Substitute Forms Programs (Form 4430). TESTING Submit six samples consisting of one full filled, and five variable filled returns/vouchers, cut to size, with varying names, dates, account numbers (i.e., FEIN/SSN), etc. Ensure the scan line data varies to verify check digit routine. Exception: For Form 4, submit one full filled form and one variable filled form sample for each tax type (i.e. Income Tax, Fiduciary Tax, MBT, and CIT). Form 4 only has four tax types; submit an additional variable filled sample of any tax type for a total of six samples. The vouchers must test successfully through Treasury scanning equipment before approval will be granted to file the voucher with the State. Indicate on cover letter submitted which taxes you support if you do not support all tax types. When submitting sample vouchers, utilize one of the following addresses: A. Submissions by overnight courier (ex: FedEx, UPS, etc.) should be sent to: Michigan Department of Treasury Forms, Documentation and E-file Services 7285 Parsons Drive Dimondale, MI 48821 B. Submissions by U.S. Mail should be sent to: QUESTIONS Michigan Department of Treasury Forms, Documentation and E-file Services P.O. Box 30791 Lansing, MI 48909-8291 FDES e-mail: MIFormsefile@michigan.gov Contact Number: (517) 636-6824

4829, Page 2 FORM SIZE 8-1/2" wide x 3-1/2" high Software programs must print vouchers one to a page with a top line generated to define the cutting edge for the preparer. Position form at the bottom of the page to ensure a dependable feeding edge and positive margin for optical scanning. PAPER STOCK 20 lb. to 24 lb. Provide instruction with software that specifies the required paperweight. Lighter weight papers will jam processing equipment. PERSONALIZATION General Information. Software must not allow users to enter fields independently (hard coded) from the scan line generation or to change the format of any field. Courier font is preferred at a minimum 10 point size. (Follow separate requirements for scan line.) Name/Address. Enter taxpayer s legal name(s) and mailing address in all CAPS in the spaces provided. Account Number Items B, C, and G: Account Number will be the Filer s (and Spouse if applicable) Social Security number (SSN). Enter the nine-digit Account Number as XXX-XX-XXXX. Items A, D, E, F, H, I, and J: Account Number will be the Federal Employer Identification Number (FEIN) or Treasury-Assigned number (TR number). Enter the nine-digit Account Number under which the Taxpayer is registered with Treasury. Include the alpha prefix (TR) and hyphen. The Account Number should be the same on all four quarterly return vouchers. Year-End File Date Items B and D: Express the Due Date for Calendar Year Filers as [MM-DD-YYYY]. Items E, H, and I: Express the year and month of the Taxpayer s Year-End Filing Date as [YYYYMM]. For example, a fiscal year ending in June 2015 would read 201506. The Year-End Filing Date should be the same on all four returns. Items A, F, G, and J: Express the Year End file date as [MM-YYYY]. SCAN LINE CONTENT Scan line is optically read by NCR I-Trans processing equipment. Font and Ink. Must be OCR-A font size 12 point. Carbon content of read ink and ink-to-paper contrast must meet NCR I-Trans machine standards. Location. Place scan line 0.5" from the bottom edge and 0.5" from the right edge of the paper. Data Format. The scan line is divided into six fields of varying length totaling 32 characters, plus one blank space between each field (37 places). Beginning at the left end, the scan line is constructed as follows:

4829, Page 3 FIELD CONTENT 1 Eight-digits (four ASCII bytes) Use the following instructions for the specific item being produced. Items B, C, and G: Represent the first four bytes of the Taxpayer s Last Name. Characters must be converted to uppercase ASCII representation. If the name is shorter than the allotted space, fill in unused space with ASCII 32 (space). Item A and D: Represent the first four bytes of the Fiduciary Name. Use the first four significant characters of the Fiduciary Name. Disregard the word the when it is the first word of the name. Convert characters to uppercase ASCII representation. If the name is shorter than the allotted space, fill in unused space with ASCII 32 (space). Items E, F, H, I, and J: Represent the Ending File Period Year and Month [YYYYMM] followed by an account number indicator. If the first two-digits of the account number are TR, the account number indicator is the uppercase representation of the letter T (ASCII 84 ). If not, the indicator is filled with a space (ASCII 32 ). The first six-digits of Field 1 are the Ending File Period and the last two-digits are either the indicator ASCII 84 (T) or ASCII 32 (space). The Ending File Period Year and Month [YYYYMM] in the scan line must be the same as the Month and Year [MMYYYY] entered in the box allocated for tax year end on the form. Although the format differs, the month and year must be the same in both places. 2 Two-digits represent the. There are ten different types. Use the following guide to determine the appropriate character based on the specific form produced. Item/Form 00... (A) 4, Application for Extension Fiduciary 01... (B) MI-1040ES, Estimated Individual Income Tax Voucher 02... (C) MI-1040-V, Individual Income Tax e-file Payment Voucher 03... (D) MI-1041ES, Fiduciary Voucher for Estimated Income Tax 06... (E) MBT-V, Michigan Business Tax e-file Annual Payment Voucher 08... (F) 4, Application for Extension - Michigan Business Tax 09... (G) 4, Application for Extension - Individual Income Tax 13... (H) 4913, Corporate Income Tax Quarterly Return 14... (I) 4901, CIT-V, Corporate Income Tax e-file Payment Voucher 15... (J) 4, Application for Extension - Corporate Income Tax 3 Four-digits represent for which the payment applies (not the year that the payment was made). Fiscal Year Filers: Use the tax year of Annual Return on which the taxpayer will be claiming this payment. 4 Nine-digits represent Spouse SSN. Items B, C, and G: If there is only one SSN, fill in the field for the Spouse SSN field with zeros. Items A, D, E, F, H, I, and J: Enter zeros.

4829, Page 4 5 Nine-digits represent Primary Filer SSN or Business/Trust FEIN. Items B, C, and G: Enter Primary Filer SSN. Items A, D, E, F, H, I, and J: Enter Business/Trust FEIN. If the first two characters of the account number are TR, substitute ASCII 84 (T) for the TR. 6 One-digit represents. See SCAN LINE CHECK DIGIT CALCULATION on page 5. If the formula calculation results in the number 10, use zero as the check digit. SCAN LINE FORMAT EXAMPLES There is one space between each of the six scan line fields. These spaces are meant to break up the line and make it easier to read. The scan line must be printed in the manner shown below. NOTE: All scan line font must be OCR-A 12-point. Scan line 99999999 99 9999 999999999 999999999 9 Last Name or File Period Spouse SSN Primary SSN EXAMPLE 1: MI-1040ES (Items B, C, and G are for Individual Filers) DAY CORBIN & DOROTHY J. Primary SSN: 380-00-1264 Spouse SSN: 381-00-5678 Scan line 68658932 01 2016 381005678 380001264 3 Day EXAMPLE 2: MI-1041ES (Items A and D are for Fiduciary Filers) THE CORBIN DAY ESTATE FEIN: 38-0001264 Spouse SSN: 000-00-0000 Scan line 67798266 03 2016 000000000 380001264 3 Spouse SSN Primary SSN the MI-1040ES. The for items C & G would be 2016 in the scanline. CORB N/A FEIN or TR Number the MI-1041ES. for Item A would be 2016 in the scanline. EXAMPLE 3: Form 4913, CIT Quarterly Return (Items E, F, H, I, and J are for MBT/CIT Filer) THE CORBIN COMPANY FEIN: TR-6546544 ENDING FILE PERIOD: December 2014 Scan line 20161284 13 2016 000000000 846546544 5 File Period & Indicator N\A FEIN or TR Number Form 4913, CIT Quarterly Return. The for Items E, F, I, and J would be 2016 in the scanline.

4829, Page 5 SCAN LINE CHECK DIGIT CALCULATION The formula for calculating the is as follows: 1. Beginning with the Last Name/File Period through the Primary SSN/FEIN, alternately add the value of the odd digit and twice the value of the even digit (ignore spaces). 2. Divide the sum total by 10. 3. Subtract the remainder from 10. 4. The result will equal the. If it does not, then there is an OCR read error. If the calculation results in the number 10, use zero as the check digit. ILLUSTRATION Sum of the odd digits... 111 Sum of the even digits x 2... 444 Sum of odd digits plus sum of even digits... 555 10 = 55.5. Remainder of 5, subtracted from 10 = check digit of 5. CHECK DIGIT CALCULATION USING EXAMPLE 1/INDIVIDUAL FILERS Odd digits: 6+6+8+3+0+2+1+3+1+0+6+8+8+0+1+6 = 59 Even digits: 8+5+9+2+1+0+1+8+0+5+7+3+0+0+2+4 = 55 Sum of the Odd digits... 59 Sum of the Even digits x 2 (55 x 2)... 110 Totals... 169 10 = 16.9. Remainder of 9, subtracted from 10 = check digit of 1.