ADDL INFO

  2D SPECS: ADDL INFO
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    ADDL INFO FORM               BOTTOM CENTER -
PAGE 2		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR ADDINF23 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    BUSINESS ORGANIZATION NAME PRIMNM 1 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION NUMBER BUSIDNO 2 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    TAXABLE PERIOD BEGINNING PERBEGDT 3 8   0-9 mmddccyy N    
    TAXABLE PERIOD ENDING PERENDDT 4 8   0-9 mmddccyy N    
    TRAILER FIELD *EOD* 5 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


AFFL SCHD

  2D SPECS: AFFILIATION SCHEDULE
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    AFFILIATION SCHEDULE FORM               UPPER RIGHT SIDE -
PAGE 1		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR AFFSCH23 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    BUSINESS ORGANIZATION NAME PRIMNM 1 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION NUMBER BUSIDNO 2 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    TAXABLE PERIOD BEGINNING PERBEGDT 3 8   0-9 mmddccyy N    
    TAXABLE PERIOD ENDING PERENDDT 4 8   0-9 mmddccyy N    
    TRAILER FIELD *EOD* 5 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


AU-22

  2D SPECS: AU-22
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    AU-22 FORM                  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 00AU2220 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    BUSINESS NAME BUSNAME 1 60   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(60) N    
    ADDRESS STNUMADD 2 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    ADDRESS (CONTINUED) ADDCONT 3 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    CITY / TOWN CITY 4 20   A-Z, PLUS SPACE, ALLOW FOR FOREIGN ADDRESS X(20) N    
    STATE STATE 5 2   A-Z, ALLOW FOR FOREIGN ADDRESS XX N    
    ZIP CODE + 4 ZIP 6 10   A-Z, 0-9, PLUS (-) , ALLOW FOR FOREIGN ADDRESS 99999-9999 A1A 1A1 N    
    SEND TO - CHECKBOX, YES SENDTOY 7 1   0 OR 1 X N    
    SEND TO - CHECKBOX, NO SENDTON 8 1   0 OR 1 X N    
    TAXPAYER IDENTIFICATION # TIN 9 9   0-9 999999999 N    
    DEPARTMENT IDENTIFICATION # DIN 10 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    SECRETARY OF STATE IDENTIFICATION # SOSID 11 6   0-6 999999 N    
    CST REGISTRATION # CST 12 6   0-9 999999 N    
    M&R LICENSE # M&RLIC 13 6   0-9 999999 N    
    LLC - CHECKBOX ENTITYLLC 14 1   0 or 1 X N    
    PROP - CHECKBOX ENTITYPROP 15 1   0 or 1 X N    
    CORP - CHECKBOX ENTITYCORP 16 1   0 or 1 X N    
    PART - CHECKBOX ENTITYPART 17 1   0 or 1 X N    
    FID - CHECKBOX ENTITYFIDU 18 1   0 or 1 X N    
    GOOD STANDING - CHECKBOX GDSTND 19 1   0 or 1 X N    
    DISSOLUTION - CHECKBOX DISSOL 20 1   0 or 1 X N    
    WITHDRAWAL - CHECKBOX WITHD 21 1   0 or 1 X N    
    SECRETARY OF STATE DATE SOSDATE 22 8   0-9 99999999 N    
    LAST ACTIVITY DATE IN NH LASTBUSDATE 23 8   0-9 99999999 N    
    FINAL RETURN FILED - CHECKBOX, YES WITHDY 24 1   0 or 1 X N    
    FINAL RETURN FILED - CHECKBOX, NO WITHDN 25 1   0 or 1 X N    
    FINAL RETURN FILING DATE FINALBUSDATE 26 8   0-9 99999999 N    
    REQUEST REASON REQREASON 27 60   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(60) N    
    COMBINED GROUP NAME COMBGRPTPNAME 28 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    COMBINED GROUP ID # COMBGRPTIN 29 9   0-9 99999999 N    
    SMLLC NAME SMLLCTPNAME 30 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    SMLLC ID NUMBER SMLLCTIN 31 9   0-9 99999999 N    
    STATEMENT FEE STMTFEE 32 2   0-9 0-9 N    
    SIGNATURE SIGNEDFLG 33 1   X X N    
    TRAILER FIELD *EOD* 34 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


AU-201

  2D SPECS: AU-201
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    AU-201 FORM                  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0AU20123 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
  STEP 1 PERIOD ENDING PERIOD 1 6   0-9 mmddyyyy N    
    AMENDED CHECKBOX AMENDCB 2 1   X X N    
    WHOLESALER PRIMNM 3 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    LICENSE NUMBER LICNO 4 6   0-9 9(6) N    
  STEP 2
1A		 TABLE 1 - LINE 1A S21A 5 16   0-9 9(16) N    
  1B TABLE 1 - LINE 1B S21B 6 16   0-9 9(16) N    
  1C TABLE 1 - LINE 1C S21C 7 16   0-9 9(16) N    
  1D TABLE 1 - LINE 1D S21D 8 16   0-9 9(16) N    
  2A TABLE 1 - LINE 2A S22A 9 16   0-9 9(16) N    
  2B TABLE 1 - LINE 2B S22B 10 16   0-9 9(16) N    
  2C TABLE 1 - LINE 2C S22C 11 16   0-9 9(16) N    
  2D TABLE 1 - LINE 2D S22D 12 16   0-9 9(16) N    
  3A TABLE 1 - LINE 3A S23A 13 16   0-9 9(16) N    
  3B TABLE 1 - LINE 3B S23B 14 16   0-9 9(16) N    
  3C TABLE 1 - LINE 3C S23C 15 16   0-9 9(16) N    
  3D TABLE 1 - LINE 3D S23D 16 16   0-9 9(16) N    
  4A TABLE 1 - LINE 4A S24A 17 16   0-9 9(16) N    
  4B TABLE 1 - LINE 4B S24B 18 16   0-9 9(16) N    
  4C TABLE 1 - LINE 4C S24C 19 16   0-9 9(16) N    
  4D TABLE 1 - LINE 4D S24D 20 16   0-9 9(16) N    
  5A TABLE 1 - LINE 5A S25A 21 16   0-9 9(16) N    
  5B TABLE 1 - LINE 5B S25B 22 16   0-9 9(16) N    
  5C TABLE 1 - LINE 5C S25C 23 16   0-9 9(16) N    
  5D TABLE 1 - LINE 5D S25D 24 16   0-9 9(16) N    
  STEP 3 MANUFACTURER 1 MANUFACTURER1 25 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
  1A TABLE 2 - LINE 1A BF1A1 26 16   0-9 9(16) N    
  1B TABLE 2 - LINE 1B BF1B1 27 16   0-9 9(16) N    
  1C TABLE 2 - LINE 1C BF1C1 28 16   0-9 9(16) N    
  1D TABLE 2 - LINE 1D BF1D1 29 16   0-9 9(16) N    
  2A TABLE 2 - LINE 2A BF1A2 30 16   0-9 9(16) N    
  2B TABLE 2 - LINE 2B BF1B2 31 16   0-9 9(16) N    
  2C TABLE 2 - LINE 2C BF1C2 32 16   0-9 9(16) N    
  2D TABLE 2 - LINE 2D BF1D2 33 16   0-9 9(16) N    
  3A TABLE 2 - LINE 3A BF1A3 34 16   0-9 9(16) N    
  3B TABLE 2 - LINE 3B BF1B3 35 16   0-9 9(16) N    
  3C TABLE 2 - LINE 3C BF1C3 36 16   0-9 9(16) N    
  3D TABLE 2 - LINE 3D BF1D3 37 16   0-9 9(16) N    
  4A TABLE 2 - LINE 4A BF1A4 38 16   0-9 9(16) N    
  4B TABLE 2 - LINE 4B BF1B4 39 16   0-9 9(16) N    
  4C TABLE 2 - LINE 4C BF1C4 40 16   0-9 9(16) N    
  4D TABLE 2 - LINE 4D BF1D4 41 16   0-9 9(16) N    
  5A TABLE 2 - LINE 5A BF1A5 42 16   0-9 9(16) N    
  5B TABLE 2 - LINE 5B BF1B5 43 16   0-9 9(16) N    
  5C TABLE 2 - LINE 5C BF1C5 44 16   0-9 9(16) N    
  5D TABLE 2 - LINE 5D BF1D5 45 16   0-9 9(16) N    
    MANUFACTURER 2 MANUFACTURER2 46 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
  1A TABLE 3 - LINE 1A BF2A1 47 16   0-9 9(16) N    
  1B TABLE 3 - LINE 1B BF2B1 48 16   0-9 9(16) N    
  1C TABLE 3 - LINE 1C BF2C1 49 16   0-9 9(16) N    
  1D TABLE 3 - LINE 1D BF2D1 50 16   0-9 9(16) N    
  2A TABLE 3 - LINE 2A BF2A2 51 16   0-9 9(16) N    
  2B TABLE 3 - LINE 2B BF2B2 52 16   0-9 9(16) N    
  2C TABLE 3 - LINE 2C BF2C2 53 16   0-9 9(16) N    
  2D TABLE 3 - LINE 2D BF2D2 54 16   0-9 9(16) N    
  3A TABLE 3 - LINE 3A BF2A3 55 16   0-9 9(16) N    
  3B TABLE 3 - LINE 3B BF2B3 56 16   0-9 9(16) N    
  3C TABLE 3 - LINE 3C BF2C3 57 16   0-9 9(16) N    
  3D TABLE 3 - LINE 3D BF2D3 58 16   0-9 9(16) N    
  4A TABLE 3 - LINE 4A BF2A4 59 16   0-9 9(16) N    
  4B TABLE 3 - LINE 4B BF2B4 60 16   0-9 9(16) N    
  4C TABLE 3 - LINE 4C BF2C4 61 16   0-9 9(16) N    
  4D TABLE 3 - LINE 4D BF2D4 62 16   0-9 9(16) N    
  5A TABLE 3 - LINE 5A BF2A5 63 16   0-9 9(16) N    
  5B TABLE 3 - LINE 5B BF2B5 64 16   0-9 9(16) N    
  5C TABLE 3 - LINE 5C BF2C5 65 16   0-9 9(16) N    
  5D TABLE 3 - LINE 5D BF2D5 66 16   0-9 9(16) N    
  STEP 4
1A 		TABLE 4 - LINE 1A S4A1 67 16   0-9 9(16) N    
  1B TABLE 4 - LINE 1B S4B1 68 16   0-9 9(16) N    
  1C TABLE 4 - LINE 1C S4C1 69 16   0-9 9(16) N    
  2A TABLE 4 - LINE 2A S4A2 70 16   0-9 9(16) N    
  2B TABLE 4 - LINE 2B S4B2 71 16   0-9 9(16) N    
  2C TABLE 4 - LINE 2C S4C2 72 16   0-9 9(16) N    
  3A TABLE 4 - LINE 3A S4A3 73 16   0-9 9(16) N    
  3B TABLE 4 - LINE 3B S4B3 74 16   0-9 9(16) N    
  3C TABLE 4 - LINE 3C S4C3 75 16   0-9 9(16) N    
    SIGNATURE SIGNFLG 76 1   X X N    
    SIGNATURE NAME & TITLE SIGNNAME 77 42   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(42) N    
    TRAILER FIELD *EOD* 78 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


AU-202

  2D SPECS: AU-202
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    AU-202 FORM                  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0AU20223 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
  STEP 1 PERIOD END PERIOD 1 6   0-9 999999 N    
    AMENDED CHECKBOX AMENDCB 2 1   X X N    
    WHOLESALER PRIMNM 3 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    LICENSE NUMBER LICNO 4 6   0-9 9(6) N    
  STEP 2
1A		 TABLE 1 - LINE 1A S21A 5 16   0-9 9(16) N    
  1B TABLE 1 - LINE 1B S21B 6 16   0-9 9(16) N    
  1C TABLE 1 - LINE 1C S21C 7 16   0-9 9(16) N    
  1D TABLE 1 - LINE 1D S21D 8 16   0-9 9(16) N    
  2A TABLE 1 - LINE 2A S22A 9 16   0-9 9(16) N    
  2B TABLE 1 - LINE 2B S22B 10 16   0-9 9(16) N    
  2C TABLE 1 - LINE 2C S22C 11 16   0-9 9(16) N    
  2D TABLE 1 - LINE 2D S22D 12 16   0-9 9(16) N    
  3A TABLE 1 - LINE 3A S23A 13 16   0-9 9(16) N    
  3B TABLE 1 - LINE 3B S23B 14 16   0-9 9(16) N    
  3C TABLE 1 - LINE 3C S23C 15 16   0-9 9(16) N    
  3D TABLE 1 - LINE 3D S23D 16 16   0-9 9(16) N    
  4A TABLE 1 - LINE 4A S24A 17 16   0-9 9(16) N    
  4B TABLE 1 - LINE 4B S24B 18 16   0-9 9(16) N    
  4C TABLE 1 - LINE 4C S24C 19 16   0-9 9(16) N    
  4D TABLE 1 - LINE 4D S24D 20 16   0-9 9(16) N    
  5A TABLE 1 - LINE 5A S25A 21 16   0-9 9(16) N    
  5B TABLE 1 - LINE 5B S25B 22 16   0-9 9(16) N    
  5C TABLE 1 - LINE 5C S25C 23 16   0-9 9(16) N    
  5D TABLE 1 - LINE 5D S25D 24 16   0-9 9(16) N    
  6A TABLE 1 - LINE 6A S26A 25 16   0-9 9(16) N    
  6B TABLE 1 - LINE 6B S26B 26 16   0-9 9(16) N    
  6C TABLE 1 - LINE 6C S26C 27 16   0-9 9(16) N    
  6D TABLE 1 - LINE 6D S26D 28 16   0-9 9(16) N    
  7A TABLE 1 - LINE 7A S27A 29 16   0-9 9(16) N    
  7B TABLE 1 - LINE 7B S27B 30 16   0-9 9(16) N    
  7C TABLE 1 - LINE 7C S27C 31 16   0-9 9(16) N    
  7D TABLE 1 - LINE 7D S27D 32 16   0-9 9(16) N    
  8A TABLE 1 - LINE 8A S28A 33 16   0-9 9(16) N    
  8B TABLE 1 - LINE 8B S28B 34 16   0-9 9(16) N    
  9A TABLE 1 - LINE 9A S29A 35 16   0-9 9(16) N    
  9B TABLE 1 - LINE 9B S29B 36 16   0-9 9(16) N    
  9C TABLE 1 - LINE 9C S29C 37 16   0-9 9(16) N    
  9D TABLE 1 - LINE 9D S29D 38 16   0-9 9(16) N    
  10A TABLE 1 - LINE 10A S210A 39 16   0-9 9(16) N    
  10B TABLE 1 - LINE 10B S210B 40 16   0-9 9(16) N    
  10C TABLE 1 - LINE 10C S210C 41 16   0-9 9(16) N    
  10D TABLE 1 - LINE 10D S210D 42 16   0-9 9(16) N    
  11A TABLE 1 - LINE 11A S211A 43 16   0-9 9(16) N    
  11B TABLE 1 - LINE 11B S211B 44 16   0-9 9(16) N    
  11C TABLE 1 - LINE 11C S211C 45 16   0-9 9(16) N    
  11D TABLE 1 - LINE 11D S211D 46 16   0-9 9(16) N    
  12A TABLE 1 - LINE 12A S212A 47 16   0-9 9(16) N    
  12B TABLE 1 - LINE 12B S212B 48 16   0-9 9(16) N    
  13A TABLE 1 - LINE 13A S213A 49 16   0-9 9(16) N    
  13B TABLE 1 - LINE 13B S213B 50 16   0-9 9(16) N    
  13C TABLE 1 - LINE 13C S213C 51 16   0-9 9(16) N    
  13D TABLE 1 - LINE 13D S213D 52 16   0-9 9(16) N    
  14A TABLE 1 - LINE 14A S214A 53 16   0-9 9(16) N    
  14B TABLE 1 - LINE 14B S214B 54 16   0-9 9(16) N    
  14C TABLE 1 - LINE 14C S214C 55 16   0-9 9(16) N    
  14D TABLE 1 - LINE 14D S214D 56 16   0-9 9(16) N    
  15A TABLE 1 - LINE 15A S215A 57 16   0-9 9(16) N    
  15B TABLE 1 - LINE 15B S215B 58 16   0-9 9(16) N    
  15C TABLE 1 - LINE 15C S215C 59 16   0-9 9(16) N    
  15D TABLE 1 - LINE 15D S215D 60 16   0-9 9(16) N    
  16A TABLE 1 - LINE 16A S216A 61 16   0-9 9(16) N    
  16B TABLE 1 - LINE 16B S216B 62 16   0-9 9(16) N    
  16C TABLE 1 - LINE 16C S216C 63 16   0-9 9(16) N    
  16D TABLE 1 - LINE 16D S216D 64 16   0-9 9(16) N    
  STEP 3 MANUFACTURER 1 MANUFACTURER1 65 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
  1A TABLE 2 - LINE 1A S31A 66 16   0-9 9(16) N    
  1B TABLE 2 - LINE 1B S31B 67 16   0-9 9(16) N    
  1C TABLE 2 - LINE 1C S31C 68 16   0-9 9(16) N    
  1D TABLE 2 - LINE 1D S31D 69 16   0-9 9(16) N    
  2A TABLE 2 - LINE 2A S32A 70 16   0-9 9(16) N    
  2B TABLE 2 - LINE 2B S32B 71 16   0-9 9(16) N    
  2C TABLE 2 - LINE 2C S32C 72 16   0-9 9(16) N    
  2D TABLE 2 - LINE 2D S32D 73 16   0-9 9(16) N    
  3A TABLE 2 - LINE 3A S33A 74 16   0-9 9(16) N    
  3B TABLE 2 - LINE 3B S33B 75 16   0-9 9(16) N    
  3C TABLE 2 - LINE 3C S33C 76 16   0-9 9(16) N    
  3D TABLE 2 - LINE 3D S33D 77 16   0-9 9(16) N    
  4A TABLE 2 - LINE 4A S34A 78 16   0-9 9(16) N    
  4B TABLE 2 - LINE 4B S34B 79 16   0-9 9(16) N    
  4C TABLE 2 - LINE 4C S34C 80 16   0-9 9(16) N    
  4D TABLE 2 - LINE 4D S34D 81 16   0-9 9(16) N    
  5A TABLE 2 - LINE 5A S35A 82 16   0-9 9(16) N    
  5B TABLE 2 - LINE 5B S35B 83 16   0-9 9(16) N    
  5C TABLE 2 - LINE 5C S35C 84 16   0-9 9(16) N    
  5D TABLE 2 - LINE 5D S35D 85 16   0-9 9(16) N    
  6A TABLE 2 - LINE 6A S36A 86 16   0-9 9(16) N    
  6B TABLE 2 - LINE 6B S36B 87 16   0-9 9(16) N    
  6C TABLE 2 - LINE 6C S36C 88 16   0-9 9(16) N    
  6D TABLE 2 - LINE 6D S36D 89 16   0-9 9(16) N    
  7A TABLE 2 - LINE 7A S37A 90 16   0-9 9(16) N    
  7B TABLE 2 - LINE 7B S37B 91 16   0-9 9(16) N    
  7C TABLE 2 - LINE 7C S37C 92 16   0-9 9(16) N    
  7D TABLE 2 - LINE 7D S37D 93 16   0-9 9(16) N    
  8A TABLE 2 - LINE 8A S38A 94 16   0-9 9(16) N    
  8B TABLE 2 - LINE 8B S38B 95 16   0-9 9(16) N    
  9A TABLE 2 - LINE 9A S39A 96 16   0-9 9(16) N    
  9B TABLE 2 - LINE 9B S39B 97 16   0-9 9(16) N    
  9C TABLE 2 - LINE 9C S39C 98 16   0-9 9(16) N    
  9D TABLE 2 - LINE 9D S39D 99 16   0-9 9(16) N    
  10A TABLE 2 - LINE 10A S310A 100 16   0-9 9(16) N    
  10B TABLE 2 - LINE 10B S310B 101 16   0-9 9(16) N    
  10C TABLE 2 - LINE 10C S310C 102 16   0-9 9(16) N    
  10D TABLE 2 - LINE 10D S310D 103 16   0-9 9(16) N    
  11A TABLE 2 - LINE 11A S311A 104 16   0-9 9(16) N    
  11B TABLE 2 - LINE 11B S311B 105 16   0-9 9(16) N    
  11C TABLE 2 - LINE 11C S311C 106 16   0-9 9(16) N    
  11D TABLE 2 - LINE 11D S311D 107 16   0-9 9(16) N    
  12A TABLE 2 - LINE 12A S312A 108 16   0-9 9(16) N    
  12B TABLE 2 - LINE 12B S312B 109 16   0-9 9(16) N    
  13A TABLE 2 - LINE 13A S313A 110 16   0-9 9(16) N    
  13B TABLE 2 - LINE 13B S313B 111 16   0-9 9(16) N    
  13C TABLE 2 - LINE 13C S313C 112 16   0-9 9(16) N    
  13D TABLE 2 - LINE 13D S313D 113 16   0-9 9(16) N    
  14A TABLE 2 - LINE 14A S314A 114 16   0-9 9(16) N    
  14B TABLE 2 - LINE 14B S314B 115 16   0-9 9(16) N    
  14C TABLE 2 - LINE 14C S314C 116 16   0-9 9(16) N    
  14D TABLE 2 - LINE 14D S314D 117 16   0-9 9(16) N    
  15A TABLE 2 - LINE 15A S315A 118 16   0-9 9(16) N    
  15B TABLE 2 - LINE 15B S315B 119 16   0-9 9(16) N    
  15C TABLE 2 - LINE 15C S315C 120 16   0-9 9(16) N    
  15D TABLE 2 - LINE 15D S315D 121 16   0-9 9(16) N    
  16A TABLE 2 - LINE 16A S316A 122 16   0-9 9(16) N    
  16B TABLE 2 - LINE 16B S316B 123 16   0-9 9(16) N    
  16C TABLE 2 - LINE 16C S316C 124 16   0-9 9(16) N    
  16D TABLE 2 - LINE 16D S316D 125 16   0-9 9(16) N    
  STEP 4
1A		 TABLE 3 - LINE 1A S41A 126 16   0-9 9(16) N    
  1B TABLE 3 - LINE 1B S41B 127 16   0-9 9(16) N    
  1C TABLE 3 - LINE 1C S41C 128 16   0-9 9(16) N    
  2A TABLE 3 - LINE 2A S42A 129 16   0-9 9(16) N    
  2B TABLE 3 - LINE 2B S42B 130 16   0-9 9(16) N    
  2C TABLE 3 - LINE 2C S42C 131 16   0-9 9(16) N    
  3A TABLE 3 - LINE 3A S43A 132 16   0-9 9(16) N    
  3B TABLE 3 - LINE 3B S43B 133 16   0-9 9(16) N    
  3C TABLE 3 - LINE 3C S43C 134 16   0-9 9(16) N    
  4A TABLE 3 - LINE 4A S44A 135 16   0-9 9(16) N    
  4B TABLE 3 - LINE 4B S44B 136 16   0-9 9(16) N    
  4C TABLE 3 - LINE 4C S44C 137 16   0-9 9(16) N    
  5A TABLE 3 - LINE 5A S45A 138 16   0-9 9(16) N    
  5B TABLE 3 - LINE 5B S45B 139 16   0-9 9(16) N    
  5C TABLE 3 - LINE 5C S45C 140 16   0-9 9(16) N    
  6A TABLE 3 - LINE 6A S46A 141 16   0-9 9(16) N    
  6B TABLE 3 - LINE 6B S46B 142 16   0-9 9(16) N    
  6C TABLE 3 - LINE 6C S46C 143 1   0-9 9(16) N    
    SIGNATURE SIGNFLG 144 42   X X N    
    SIGNATURE NAME & TITLE SIGNNAME 145 8   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(42) N    
    TRAILER FIELD *EOD* 146 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


AU-207

  2D SPECS: AU-207
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    AU-207 FORM               BOTTOM CENTER  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0AU20723 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    TAXABLE PERIOD BEGINNING PERBEGDT 1 8   0-9 mmddccyy N    
    TAXABLE PERIOD ENDING PERENDDT 2 8   0-9 mmddccyy N    
    COPORATION - CHECKBOX CORPCB 3 1   X X N    
    PARTNERSHIP - CHECKBOX PARTCB 4 1   X X N    
    PROPRIETORSHIP - CHECKBOX PROPCB 5 1   X X N    
    FIDUCIARY - CHECKBOX FIDCB 6 1   X X N    
    NAME OF BUSINESS ORGANIZATION PRIMNM1 7 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION # BUSIDNO1 8 9   0-9 AND NL PERMITTED IN THE FIRST TWO SPACES 999999999 XX9999999 N    
    NUMBER & STREET ADDRESS ADDR1 9 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    ADDRESS (CONTINUED) ADDR2 10 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    CITY / TOWN City 11 20   A-Z PLUS SPACE X(20) N    
    STATE STATE 12 2   A-Z XX N    
    ZIP CODE + 4 ZIPPSTLCD 13 10   0-9, A-Z, PLUS SPACE 99999-9999 A1A 1A1 N    
    SIGNATURE SIGNEDFLG 14 1   X X N    
    TRAILER FIELD *EOD* 15 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


AU-208

  2D SPECS: AU-208
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    AU-208 FORM               BOTTOM CENTER -
PAGE 3		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0AU20823 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    TAXABLE PERIOD BEGINNING PERBEGDT 1 8   0-9 mmddyyyy N    
    TAXABLE PERIOD ENDING PERENDDT 2 8   0-9 mmddyyyy N    
    NAME OF BUSINESS ORGANIZATION PRIMNM1 3 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION # BUSIDNO1 4 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    NUMBER & STREET ADDRESS ADDR1 5 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, @ X(40) N    
    ADDRESS CONTINUED ADDR2 6 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, @ X(40) N    
    CITY / TOWN City 7 20   A-Z PLUS SPACE X(20) N    
    STATE STATE 8 2   A-Z XX N    
    ZIP CODE + 4 ZIPPSTLCD 9 10   0-9, A-Z, PLUS SPACE 99999-9999 A1A 1A1 N    
    AGGREGATE AMOUNT OF FUNDS AGAMT 10 15   0-9 9(15) N    
    INDIVIDUAL OR BUSINESS NAME QICINTHLR1 11 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION # QICINTHLRNO1 12 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    NUMBER & STREET ADDRESS QIC1ADDR1 13 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, @ X(40) N    
    PROPORTIONAL SHARE OF INCOME INCSHARE1 14 11   0-9 9(11) N    
    CITY / TOWN QIC1CITY 15 2   A-Z PLUS SPACE X(20) N    
    STATE QIC1STATE 16 10   A-Z XX N    
    ZIP CODE + 4 QIC1ZIPPSTLCD 17 46   0-9, A-Z, PLUS SPACE 99999-9999 A1A 1A1 N    
    INDIVIDUAL OR BUSINESS NAME QICINTHLR2 18 9   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION # QICINTHLRNO2 19 40   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    NUMBER & STREET ADDRESS QIC2ADDR1 20 11   A-Z, 0-9, PLUS SPACE, DASH, #, /, @ X(40) N    
    PROPORTIONAL SHARE OF INCOME INCSHARE2 21 40   0-9 9(11) N    
    CITY / TOWN QIC2City 22 2   A-Z PLUS SPACE X(20) N    
    STATE QIC2STATE 23 10   A-Z XX N    
    ZIP CODE + 4 QIC2ZIPPSTLCD 24     0-9, A-Z, PLUS SPACE 99999-9999 A1A 1A1 N    
    INDIVIDUAL OR BUSINESS NAME QICINTHLR3 25     A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION # QICINTHLRNO3 26     0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    NUMBER & STREET ADDRESS QIC3ADDR1 27     A-Z, 0-9, PLUS SPACE, DASH, #, /, @ X(40) N    
    PROPORTIONAL SHARE OF INCOME INCSHARE3 28     0-9 9(11) N    
    CITY / TOWN QIC3City 29     A-Z PLUS SPACE X(20) N    
    STATE QIC3STATE 30     A-Z XX N    
    ZIP CODE + 4 QIC3ZIPPSTLCD 31     0-9, A-Z, PLUS SPACE 99999-9999 A1A 1A1 N    
    INDIVIDUAL OR BUSINESS NAME QICINTHLR4 32     A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION # QICINTHLRNO4 33     0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    NUMBER & STREET ADDRESS QIC4ADDR1 34     A-Z, 0-9, PLUS SPACE, DASH, #, /, @ X(40) N    
    PROPORTIONAL SHARE OF INCOME INCSHARE4 35     0-9 9(11) N    
    CITY / TOWN QIC4City 36     A-Z PLUS SPACE X(20) N    
    STATE QIC4STATE 37     A-Z XX N    
    ZIP CODE + 4 QIC4ZIPPSTLCD 38     0-9, A-Z, PLUS SPACE 99999-9999 A1A 1A1 N    
    INDIVIDUAL OR BUSINESS NAME QICINTHLR5 39     A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION # QICINTHLRNO5 40     0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    NUMBER & STREET ADDRESS QIC5ADDR1 41     A-Z, 0-9, PLUS SPACE, DASH, #, /, @ X(40) N    
    PROPORTIONAL SHARE OF INCOME INCSHARE5 42     0-9 9(11) N    
    CITY / TOWN QIC5City 43     A-Z PLUS SPACE X(20) N    
    STATE QIC5STATE 44     A-Z XX N    
    ZIP CODE + 4 QIC5ZIPPSTLCD 45     0-9, A-Z, PLUS SPACE 99999-9999 A1A 1A1 N    
    QIC MANAGER NAME QICMGRNM 46     A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION # QICMGRNO 47     0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    NUMBER & STREET ADDRESS MGRADDR1 48     A-Z, 0-9, PLUS SPACE, DASH, #, /, @ X(40) N    
    ADDRESS CONTINUED MGRADDR2 49     A-Z, 0-9, PLUS SPACE, DASH, #, /, @ X(40) N    
    CITY / TOWN MGRCity 50     A-Z PLUS SPACE X(20) N    
    STATE MGRSTATE 51     A-Z XX N    
    ZIP CODE + 4 MGRZIPPSTLCD 52     0-9, A-Z, PLUS SPACE 99999-9999 A1A 1A1 N    
    INCOME RECEIVED IN THE TAXABLE PERIOD INCRECVD 53     0-9 9(15) N    
    EXPENSES INCURRED IN THE TAXABLE PERIOD EXPINC 54     0-9 9(15) N    
    FEDERAL TAX RETURN ATTACHED - CHECKBOX FEDCB 55     X X N    
    FEDERAL TAX RETURN DATE FILED FEDRTNDATE 56     0-9 mmddyyyy N Added for TY2023  
    DULY AUTHORIZED REPRESENTATIVE SIGNATURE SIGNEDFLG 57     X X N    
    PRINT SIGNATORY NAME AND TITLE SIGNNAME 58     A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(40) N    
    DATE SIGNDATE 59     0-9 9(8) N    
    PAID PREPARER SIGNATURE PREPSIGNFLG 60     X X N    
    PREPARER'S TAX ID # PREPRID 61     0-9 AND P PERMITTED IN THE FIRST SPACE 999999999 N    
    DATE PREPSIGNDATE 62     0-9 9(8) N    
    PRINT PREPARER'S NAME PREPARNAME 63     A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    NUMBER & STREET ADDRESS PRSTRADDR1 64     A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(50) N    
    ADDRESS CONTINUED PRSTRADDR2 65     A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    CITY / TOWN PREPCITY 66     A-Z X(20) N    
    STATE PREPSTATE 67     A-Z XX N    
    ZIP CODE + 4 PRZIPPSTLCD 68     A-Z, 0-9, PLUS (-) XXXXX-XXXX
A1A-1A1		 N    
    TRAILER FIELD *EOD* 69 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


AU-215

  2D SPECS: AU-215
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    AU-215 FORM               BOTTOM CENTER  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0AU21523 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
  STEP 1 MONTH & YEAR ACQUIRED PERIOD 1 6   0-9 999999 N    
    LAST NAME LASTNM 2 30   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(30) N    
    FIRST NAME FIRSTNM 3 15   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(15) N    
    BUSIDNO BUSIDNO 4 9   0-9 AND NL PERMITTED IN FIRST TWO SPACES 999999999
XX999999		 N    
    ADDRESS ADDR1 5 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    CITY / TOWN CITY 6 20   A-Z X(20) N    
    STATE STATE 7 2   A-Z XX N    
    ZIP CODE + 4 ZIPPSTLCD 8 10   A-Z, 0-9, PLUS (-) 999999999 N    
    TELEPHONE NUMBER PHONE 9 10   0-9 9(10) N    
  STEP 2 TOTAL - CIGARETTES N81 10 15   0-9 PLUS DECIMAL 9(8).99 N    
    TOTAL - ROLL YOUR OWN N82 11 15   0-9 PLUS DECIMAL 9(8).99 N    
    TOTAL - OTHER TOBACCO PRODUCTS N83 12 15   0-9 PLUS DECIMAL 9(8).99 N    
    TOTAL - ECIG CLOSED SYSTEM N84 13 15   0-9 PLUS DECIMAL 9(8).99 N    
    TOTAL - ECIG OPEN SYSTEM N85 14 15   0-9 PLUS DECIMAL 9(8).99 N    
    TOTAL - TAX DUE ALL CATEGORIES TOTALTAX 15 15   0-9 PLUS DECIMAL 9(10).99 N    
    INTEREST INTEREST 16 15   0-9 PLUS DECIMAL 9(10).99 N    
    FAILURE TO PAY FAILPAY 17 15   0-9 PLUS DECIMAL 9(10).99 N    
    FAILURE TO FILE FAILFILE 18 15   0-9 PLUS DECIMAL 9(10).99 N    
    AMOUNT DUE TOTALDUE 19 15   0-9 PLUS DECIMAL 9(10).99 N    
    TRAILER FIELD *EOD* 20 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


BET

  2D SPECS: BET
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    BET FORM               BOTTOM CENTER -
PAGE 1		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 000BET23 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    BUSINESS ORGANIZATION NAME PRIMNM 1 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION NUMBER BUSIDNO 2 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    TAXABLE PERIOD BEGINNING PERBEGDT 3 8   0-9 mmddyyyy N    
    TAXABLE PERIOD ENDING PERENDDT 4 8   0-9 mmddyyyy N    
    CHECK IF AN ELECTION IS BEING MADE BET80FLG 5 1   X X N    
    TOTAL GROSS BUSINESS RECEIPTS FOR THIS BUSINESS ORGANIZATION TOTGRSREC 6 11   0-9 9(11) N    
  1 DIVIDENDS PAID DIV 7 11   0-9 9(11) Y    
  2 COMPENSATION & WAGES PAID OR ACCRUED COMPWAG 8 11   0-9 9(11) Y    
  3 INTEREST PAID OR ACCRUED INT 9 11   0-9 9(11) Y    
  4 TAXABLE ENTERPRISE VALUE TAX BASE NHINCTAX 10 13   0-9 9(13) Y    
  5 NH BUSINESS ENTERPRISE TAX BEFORE CREDITS TAXAMT 11 11   0-9 9(11) Y    
  6 CREDITS AGAINST BET CRTOTAL 12 11   0-9 9(11) Y    
  7 TAX DUE CRSUB 13 13   0-9 9(13) Y    
    TRAILER FIELD *EOD* 14 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


BET CW

  2D SPECS: BET CREDIT WORKSHEET
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    BET CREDIT WORKSHEET               BOTTOM CENTER -
PAGE 1		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0BETCW23 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    BUSINESS ORGANIZATION NAME PRIMNM 1 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION NUMBER BUSIDNO 2 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    TAXABLE PERIOD BEGINNING PERBEGDT 3 8   0-9 mmddyyyy N    
    TAXABLE PERIOD ENDING PERENDDT 4 8   0-9 mmddyyyy N    
  1 BET CREDIT WORKSHEET - LINE 1 BCWBPTTAX 5 11   0-9 9(11) Y    
  2 BET CREDIT WORKSHEET - LINE 2 BCWBETCRED 6 11   0-9 9(11) Y    
  3A BET CREDIT WORKSHEET - LINE 3A BCWBETPAID 7 11   0-9 9(11) Y    
  3B BET CREDIT WORKSHEET - LINE 3B BCWBPTCRDP 8 11   0-9 9(11) Y    
  3C BET CREDIT WORKSHEET - LINE 3C BCWEXCRDP 9 11   0-9 9(11) Y    
  4A BET CREDIT WORKSHEET - LINE 4A BCWCRYOVR9 10 11   0-9 9(11) Y Ninth prior taxable period was added for TY2023  
  4B BET CREDIT WORKSHEET - LINE 4B BCWBPTCRD9 11 11   0-9 9(11) Y  
  4C BET CREDIT WORKSHEET - LINE 4C BCWEXCRD9 12 11   0-9 9(11) Y  
  5A BET CREDIT WORKSHEET - LINE 5A BCWCRYOVR8 13 11   0-9 9(11) Y    
  5B BET CREDIT WORKSHEET - LINE 5B BCWBPTCRD8 14 11   0-9 9(11) Y    
  5C BET CREDIT WORKSHEET - LINE 5C BCWEXCRD8 15 11   0-9 9(11) Y    
  6A BET CREDIT WORKSHEET - LINE 6A BCWCRYOVR7 16 11   0-9 9(11) Y    
  6B BET CREDIT WORKSHEET - LINE 6B BCWBPTCRD7 17 11   0-9 9(11) Y    
  6C BET CREDIT WORKSHEET - LINE 6C BCWEXCRD7 18 11   0-9 9(11) Y    
  7A BET CREDIT WORKSHEET - LINE 7A BCWCRYOVR6 19 11   0-9 9(11) Y    
  7B BET CREDIT WORKSHEET - LINE 7B BCWBPTCRD6 20 11   0-9 9(11) Y    
  7C BET CREDIT WORKSHEET - LINE 7C BCWEXCRD6 21 11   0-9 9(11) Y    
  8A BET CREDIT WORKSHEET - LINE 8A BCWCRYOVR5 22 11   0-9 9(11) Y    
  8B BET CREDIT WORKSHEET - LINE 8B BCWBPTCRD5 23 11   0-9 9(11) Y    
  8C BET CREDIT WORKSHEET - LINE 8C BCWEXCRD5 24 11   0-9 9(11) Y    
  9A BET CREDIT WORKSHEET - LINE 9A BCWCRYOVR4 25 11   0-9 9(11) Y    
  9B BET CREDIT WORKSHEET - LINE 9B BCWBPTCRD4 26 11   0-9 9(11) Y    
  9C BET CREDIT WORKSHEET - LINE 9C BCWEXCRD4 27 11   0-9 9(11) Y    
  10A BET CREDIT WORKSHEET - LINE 10A BCWCRYOVR3 28 11   0-9 9(11) Y    
  10B BET CREDIT WORKSHEET - LINE 10B BCWBPTCRD3 29 11   0-9 9(11) Y    
  10C BET CREDIT WORKSHEET - LINE 10C BCWEXCRD3 30 11   0-9 9(11) Y    
  11A BET CREDIT WORKSHEET - LINE 11A BCWCRYOVR2 31 11   0-9 9(11) Y    
  11B BET CREDIT WORKSHEET - LINE 11B BCWBPTCRD2 32 11   0-9 9(11) Y    
  11C BET CREDIT WORKSHEET - LINE 11C BCWEXCRD2 33 11   0-9 9(11) Y    
  12A BET CREDIT WORKSHEET - LINE 12A BCWCRYOVR1 34 11   0-9 9(11) Y    
  12B BET CREDIT WORKSHEET - LINE 12B BCWBPTCRD1 35 11   0-9 9(11) Y    
  12C BET CREDIT WORKSHEET - LINE 12C BCWEXCRD1 36 11   0-9 9(11) Y    
    TRAILER FIELD *EOD* 37 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


BET-80

  2D SPECS: BET-80
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    BET-80 FORM               BOTTOM CENTER -
PAGE 1		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0BET8023 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    BUSINESS ORGANIZATION NAME PRIMNM 1 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION NUMBER BUSIDNO 2 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    TAXABLE PERIOD BEGINNING PERBEGDT 3 8   0-9 mmddyyyy N    
    TAXABLE PERIOD ENDING PERENDDT 4 8   0-9 mmddyyyy N    
  12 DIVIDENDS PAID DIVPD 5 11   0-9 9(11) Y    
  13 LESS: DIVIDEND DEDUCTION DIVDED 6 11   0-9 9(11) Y    
  15 DIVIDEND APPORTIONMENT FACTOR DIVAPPTN 7 9   0-9 9(02)v9(06) N    
  16 TAXABLE DIVIDENDS DIVTAX 8 11   0-9 9(11) Y    
  17 TOTAL TAXABLE DIVIDENDS DIV 9 11   0-9 9(11) Y    
  18 EVERYWHERE COMPENSATION & WAGES PAID OR ACCRUED COMPPD 10 11   0-9 9(11) Y    
  19 LESS: RETAINED COMPENSATION COMPRET 11 11   0-9 9(11) Y    
  21 COMPENSATION APPORTIONMENT FACTOR COMPAPPTN 12 9   0-9 9(02)v9(06) N    
  23 LESS: DIVIDEND OFFSET DIVOFFSET1 13 11   0-9 9(11) Y    
  24 TOTAL TAXABLE COMPENSATION COMPWAG 14 11   0-9 9(11) Y    
  25 INTEREST PAID OR ACCRUED INTPD 15 11   0-9 9(11) Y    
  26 INTEREST APPORTIONMENT FACTOR INTAPPTN 16 9   0-9 9(02)v9(06) N    
  27 TAXABLE INTEREST INTTAX 17 11   0-9 9(11) Y    
  28 LESS: DIVIDEND OFFSET DIVOFFSET2 18 11   0-9 9(11) Y    
  29 TOTAL TAXABLE INTEREST INT 19 11   0-9 9(11) Y    
    TRAILER FIELD *EOD* 20 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


BET-80-WE

  2D SPECS: BET-80-WE
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    BET-80-WE FORM               BOTTOM CENTER -
PAGE 1		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR BT80WE23 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    BUSINESS ORGANIZATION NAME PRIMNM 1 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION NUMBER BUSIDNO 2 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    TAXABLE PERIOD BEGINNING PERBEGDT 3 8   0-9 mmddccyy N    
    TAXABLE PERIOD ENDING PERENDDT 4 8   0-9 mmddccyy N    
    TRAILER FIELD *EOD* 5 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


BT-EXT

  2D SPECS: BT-EXT
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    BT-EXT FORM               BOTTOM CENTER -
PAGE 1		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR BETEXT23 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    TAXABLE PERIOD BEGINNING PERBEGDT 1 8   0-9 mmddyyyy N    
    TAXABLE PERIOD ENDING PERENDDT 2 8   0-9 mmddyyyy N    
    PROPRIETORSHIP - CHECKBOX PROPCB 3 1   X X N    
    CORPORATION - CHECKBOX CORPCB 4 1   X X N    
    PARTNERSHIP - CHECKBOX PARTCB 5 1   X X N    
    FIDUCIARY - CHECKBOX FIDCB 6 1   X X N    
    NON-PROFIT - CHECKBOX NPCB 7 1   X X N    
    COMBINED GROUP - CHECKBOX COMBCB 8 1   X X N    
    SOCIAL SECURITY NUMBER INDVIDNO1 9 9   0-9 999999999 N    
    TAXPAYER IDENTIFICATION NUMBER BUSIDNO1 10 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    PROPRIETOR'S LAST NAME LASTNM1 11 30   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(30) N    
    FIRST NAME FIRSTNM1 12 15   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(15) N    
    MIDDLE INITIAL MIDINIT1 13 1   A-Z X N    
    CORPORATE, PARTNERSHIP, ESTATE, TRUST, NON-PROFIT, OR LLC NAME PRIMNM 14 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    PRINCIPAL BUSINESS ACTIVITY CODE PIACODE 15 6   0-9 9(6) N    
    NUMBER & STREET ADDRESS ADDR1 16 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, @ X(40) N    
    ADDRESS (CONTINUED) ADDR2 17 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, @ X(40) N    
    CITY / TOWN CITY 18 20   A-Z PLUS SPACE X(20) N    
    STATE STATE 19 2   A-Z XX N    
    ZIP CODE + 4 ZIPPSTLCD 20 10   0-9, A-Z, PLUS SPACE 99999-9999 A1A 1A1 N    
    100% OF THE BET DETERMINED TO BE DUE TAXDUEBE 21 9   0-9 9(09) Y    
    100% OF THE BPT DETERMINED TO BE DUE TAXDUEBP 22 9   0-9 9(09) Y    
    SUBTOTAL TAXDUESUB 23 9   0-9 9(09) Y    
    LESS: CREDIT CARRIED OVER FROM PRIOR YEAR AND TOTAL ADVANCE PAYMENTS CRPYMT 24 9   0-9 9(09) Y    
    BALANCE DUE BALANCE 25 9   0-9 9(09) Y    
    TRAILER FIELD *EOD* 26 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


BT-SUM

  2D SPECS: BT-SUMMARY
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    BT-SUMMARY               BOTTOM CENTER -
PAGE 3		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0BTSUM23 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    TAXABLE PERIOD BEGINNING PERBEGDT 1 8   0-9 mmddyyyy N    
    TAXABLE PERIOD ENDING PERENDDT 2 8   0-9 mmddyyyy N    
    NAME CHANGE - CHECKBOX FORMERNAMECB 3 1   X XXXXXXYY N    
    FORMER NAME FORMERNAME 4 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    SOCIAL SECURITY NUMBER INDVIDNO1 5 9   0-9 999999999 N    
    TAXPAYER IDENTIFICATION NUMBER BUSIDNO 6 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    PROPRIETORSHIP LAST NAME LASTNM1 7 30   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(30) N    
    FIRST NAME FIRSTNM1 8 15   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(15) N    
    MIDDLE INITIAL MIDINIT1 9 1   A-Z X(1) N    
    CORPORATE, PARTNERSHIP, ESTATE, TRUST, NON-PROFIT OR LLC NAME PRIMNM 10 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    NUMBER & STREET ADDRESS ADDR1 11 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    ADDRESS - CONTINUED ADDR2 12 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    UNIT TYPE UNITTYPE 13 12   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(12) N    
    UNIT # UNITNO 14 7   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(7) N    
    CITY / TOWN CITY 15 20   A-Z, PLUS SPACE X(20) N    
    STATE STATE 16 2   A-Z XX N    
    ZIP CODE + 4 ZIPPSTLCD 17 10   0-9, A-Z, PLUS SPACE 99999-9999 A1A 1A1 N    
    PRINCIPAL BUSINESS ACTIVITY CODE PIACODE 18 6   0-9 9(6) N    
    REQUIRED TO FILE A BET RETURN - CHECKBOX, YES BETCBY 19 1   X X N    
    REQUIRED TO FILE A BET RETURN - CHECKBOX, NO BETCBN 20 1   X X N    
    REQUIRED TO FILE A BPT RETURN - CHECKBOX, YES BPTCBY 21 1   X X N    
    REQUIRED TO FILE A BPT RETURN - CHECKBOX, NO BPTCBN 22 1   X X N    
    DO YOU FILE A FORM 990/990T - CHECKBOX, YES NP990TFLGY 23 1   X X N    
    DO YOU FILE A FORM 990/990T - CHECKBOX, NO NP990TFLGN 24 1   X X N    
    DO YOU FILE A FEDERAL FORM 8023 - CHECKBOX, YES FEDFORMFLGY 25 1   X X N    
    DO YOU FILE A FEDERAL FORM 8023 - CHECKBOX, NO FEDFORMFLGN 26 1   X X N    
    DO YOU FILE IRS APPROVED 52/53 WEEK YEAR - CHECKBOX, YES 5253WKFLY 27 1   X X N    
    DO YOU FILE IRS APPROVED 52/53 WEEK YEAR - CHECKBOX, NO 5253WKFLN 28 1   X X N    
    CORPORATION - CHECKBOX CORPCB 29 1   X X N    
    COMBINED GROUP - CHECKBOX COMBCB 30 1   X X N    
    PARTNERSHIP - CHECKBOX PARTCB 31 1   X X N    
    NON-PROFIT - CHECKBOX NPCB 32 1   X X N    
    PROPRIETORSHIP - CHECKBOX PROPCB 33 1   X X N    
    FIDUCIARY - CHECKBOX FIDCB 34 1   X X N    
    AMENDED RETURN - CHECKBOX AMNDRTNFLG 35 1   X X N    
    FINAL RETURN - CHECKBOX FINLRTNFLG 36 1   X X N    
    LLC RETURN - CHECKBOX LLCFLAG 37 1   X X N    
    IRS ADJUSTMENT - CHECKBOX RP87FLAG 38 1   X X N    
  1A LINE 1A CRSUB 39 13   0-9 9(13) Y    
  1B LINE 1B TAXNETSTCR 40 13   0-9 9(13) Y    
  1C LINE 1C TOTTAXNET 41 13   0-9 9(13) Y    
  2A LINE 2A TOTEXTN 42 11   0-9 9(11) Y    
  2B LINE 2B TOTESTIM 43 11   0-9 9(11) Y    
  2C LINE 2C TOTPREVYR 44 11   0-9 9(11) Y    
  2D LINE 2D TOTPDORIG 45 11   0-9 9(11) Y    
  2E LINE 2E TOTPYMT 46 13   0-9 9(13) Y    
  3 LINE 3 BALTAXDUE 47 13   0-9 9(13) Y    
  4A LINE 4A TOTINT 48 11   0-9 9(11) Y    
  4B LINE 4B TOTFP 49 11   0-9 9(11) Y    
  4C LINE 4C TOTFF 50 11   0-9 9(11) Y    
  4D LINE 4D TOTUND 51 11   0-9 9(11) Y    
  4E LINE 4E TOTADDTN 52 13   0-9 9(13) Y    
  5A LINE 5A SUBTOTAL5(a) 53 13   0-9 9(13) Y    
  5B LINE 5B EFTFETPYT 54 11   0-9 9(11) Y    
  5C LINE 5C BALANCEDUE 55 11   0-9 9(11) Y    
  6 LINE 6 OVRPYMT 56 9   0-9 9(9) Y COMMENT: LINE 6A OVERPAYMENT LIMIT IS NOT IN 2D BARCODE  
  7A LINE 7A OVRPYMTCR 57 9   0-9 9(9) Y    
  7B LINE 7B OVRPYMTRFD 58 9   0-9 9(9) Y    
    POWER OF ATTORNEY - CHECKBOX POAFLG 59 1   X X N    
    TAXPAYER SIGNATURE SIGNEDFLG 60 1   X X N    
    TAXPAYER SIGNED NAME SIGNNAME 61 40   A-Z, PLUS SPACE X(40) N    
    TAXPAYER EMAIL SIGNEMAIL 62 50   A-Z, 0-9, PLUE SPACE, DASH, PERIOD, #, /, @, !, $, %, _, +, -, ^, {|}, ~, * X(50) N    
    TAXPAYER PHONE # SIGNTELE 63 10   0-9 9999999999 N    
    SURVIVING SPOUSE SURVSPSFLG 64 1   X X N    
    PREPARER NAME PREPARNAME 65 40   A-Z, PLUS SPACE X(40) N    
    PREPARER EMAIL PREPREMAIL 66 50   A-Z, 0-9, PLUE SPACE, DASH, PERIOD, #, /, @, !, $, %, _, +, -, ^, {|}, ~, * X(50) N    
    PREPARER PHONE # PREPRTELE 67 10   0-9 9999999999 N    
    PREPARER ID # PREPRID 68 9   0-9 AND P IS PERMITTED IN THE FIRST SPACE 999999999 X99999999 N    
    PREPARER ADDRESS STRADDR1 69 40   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(40) N    
    PREPARER ADDRESS - CONTINUED STRADDR2 70 40   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(40) N    
    PREPARER CITY / TOWN CITY 71 20   A-Z, PLUS SPACE X(20) N    
    PREPARER STATE STATE 72 2   A-Z XX N    
    PREPARER ZIP CODE + 4 ZIPPSTLCD 73 10   0-9, A-Z, PLUS SPACE 99999-9999 A1A 1A1 N    
    TRAILER FIELD *EOD* 74 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


CD-3

  2D SPECS: CD-3
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		 cd-          
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    CD-3 FORM                  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 000CD323 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
  1 BUSINESS NAME (DBA) BUSNMDBA 1 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
  2 MAILING ADDRESS ADDR1 2 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
  3 MAILING ADDRESS (CONTINUED) ADDR2 3 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
  5 CITY / TOWN CITY 4 20   A-Z AND SPACE X(20) N    
  5 ZIP CODE + 4 ZIPPSTLCD 5 10   A-Z, 0-9, PLUS (-) 99999-9999 A1A 1A1 N    
  2 SECRETARY OF STATE ID # SOSID 6 6   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(6) N    
  4 EMAIL ADDRESS BUSEMAIL 7 34   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(50) N    
  6A PROPRIETORSHIP - CHECKBOX PROP 8 1   X X N    
  6A CORPORATION - CHECKBOX CORP 9 1   X X N    
  6A PARTNERSHIP - CHECKBOX PART 10 1   X X N    
  6A FIDUCIARY - CHECKBOX FIDU 11 1   X X N    
  6A NON-PROFIT - CHECKBOX NONPROF 12 1   X X N    
  6B LLC - CHECKBOX, YES LLCYES 13 1   X X N    
  6B LLC - CHECKBOX, NO LLCNO 14 1   X X N    
  6C NAME OF OWNER/ENTITY OWNERNAME 15 42   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(42) N    
  7 FEIN OWNFEIN 16 9   0-9 999999999 N    
  8 FILED FEIN - CHECKBOX FILFEIN 17 1   X X N    
  8 FILED SSN - CHECKBOX FILSSN 18 1   X X N    
  8 FILED FEIN OR SSN # FILINGID 19 9   0-9 999999999 N    
  8 FILED DIN # FILDIN 20 9   0-9 999999999 N    
  9A LINE 9A - LAST NAME LASTNM9A 21 30   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(30) N    
  9A LINE 9A - FIRST NAME FIRSTNM9A 22 15   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(15) N    
  9A LINE 9A - MIDDLE INITIAL MIDINIT9A 23 1   a-z x(1) N    
  9A LINE 9A - TITLE TITLE9A 24 15   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(15) N    
  9A LINE 9A - RESIDENCE ADDRESS ADDR9A 25 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
  9A LINE 9A - SOCIAL SECURITY # INDVID9A 26 9   0-9 999999999 N    
  9A LINE 9A - CITY / TOWN CITY9A 27 20   A-Z AND SPACE X(20) N    
  9A LINE 9A - STATE STATE9A 28 2   A-Z XX N    
  9A LINE 9A - ZIP CODE + 4 ZIPCD9A 29 10   A-Z 0-9 PLUS (-) 99999-9999 A1A 1A1 N    
  9A LINE 9A - PHONE NUMBER PHONE9A 30 10   0-9 X(10) N    
  9B LINE 9B - LAST NAME LASTNM9B 31 30   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(30) N    
  9B LINE 9B - FIRST NAME FIRTSNM9B 32 15   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(15) N    
  9B LINE 9B - MIDDLE INITIAL MIDINIT9B 33 1   A-Z X(1) N    
  9B LINE 9B - TITLE TITLE9B 34 15   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(15) N    
  9B LINE 9B - SOCIAL SECURITY # INDVID9B 35 9   0-9 999999999 N    
  9B LINE 9B - RESIDENCE ADDRESS ADDR9B 36 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
  9B LINE 9B - CITY / TOWN CITY9B 37 20   A-Z AND SPACE X(20) N    
  9B LINE 9B - STATE STATE9B 38 2   A-Z XX N    
  9B LINE 9B - ZIP CODE + 4 ZIPCD9B 39 10   A-Z, 0-9, PLUS (-) 99999-9999 A1A 1A1 N    
  9B LINE 9B - PHONE NUMBER PHONE9B 40 10   0-9 X(10) N    
  9C LINE 9C - LAST NAME LASTNM9C 41 30   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(30) N    
  9C LINE 9C - FIRST NAME FIRTSNM9C 42 15   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(15) N    
  9C LINE 9C - MIDDLE INITIAL MIDINIT9C 43 1   A-Z X(1) N    
  9C LINE 9C - TITLE TITLE9C 44 15   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(15) N    
  9C LINE 9C - SOCIAL SECURITY # INDVID9C 45 9   0-9 999999999 N    
  9C LINE 9C - RESIDENCE ADDRESS ADDR9C 46 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
  9C LINE 9C - CITY / TOWN CITY9C 47 20   A-Z AND SPACE X(20) N    
  9C LINE 9C - STATE STATE9C 48 2   A-Z XX N    
  9C LINE 9C - ZIP CODE + 4 ZIPCD9C 49 10   A-Z, 0-9, PLUS (-) 99999-9999 A1A 1A1 N    
  9C LINE 9C - PHONE NUMBER PHONE9C 50 10   0-9 X(10) N    
  10 CONTACT LAST NAME CONTACTNMLAS 51 30   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(30) N    
  10 CONTACT FIRST NAME CONTACTNMFIRST 52 15   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(15) N    
  10 TITLE CONTACTTITLE 53 20   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(20) N    
  10 PHONE NUMBER CONTACTPHONE 54 10   0-9 X(10)      
  11 BUSINESS PHONE NUMBER BUSPHONE 55 10   0-9 X(10) N    
  12 PHYSICAL BUSINESS ADDRESS PHYSBUSNHADD 56 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
  12 CITY / TOWN CONTACTTOWN 57 20   A-Z AND SPACE X(20) N    
  12 STATE CONTACTSTATE 58 2   A-Z XX N    
  12 ZIP CODE + 4 CONTACTZIP 59 10   A-Z, 0-9, PLUS (-) 99999-9999 A1A 1A1 N    
  13 PROPOSED OPENING DATE PROPOPENDATE 60 8   0-9 X(8) N    
  14 BUSINESS ACTIVITY BUSACTIVITY 61 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
  15 FOOD - CHECKBOX SERVICEFOOD 62 1   X X N    
  15 ALCOHOLIC BEVERAGES - CHECKBOX SERVICEBEV 63 1   X X N    
  15 NUMBER OF SEATS SERVICESEATS 64 6   0-9 X(6) N    
  16 SLEEPING ACCOMIDATIONS - CHECKBOX RENTALSEATS 65 1   X X N    
  16 NUMBER OF ROOMS NUMSLEEPRMS 66 6   0-9 X(6) N    
  16 FUNCTION ROOMS - CHECKBOX RENTALFUNCTION 67 1   X X N    
  16 NUMBER OF ROOMS NUMFUNCRMS 68 6   0-9 X(6) N    
  16 MOTOR VEHICLES - CHECKBOX RENTALVEHICLES 69 1   X X N    
  16 NUMBER OF VEHICLES NUMVEHICLES 70 6   0-9 X(6) N    
  17 SEASON FILER - CHECKBOX SESAONFILER 71 1   X X N    
  17 JANUARY - CHECKBOX SEASONMOJAN 72 1   X X N    
  17 FEBRUARY - CHECKBOX SEASONMOFEB 73 1   X X N    
  17 MARCH - CHECKBOX SEASONMOMAR 74 1   X X N    
  17 APRIL - CHECKBOX SEASONNOAPR 75 1   X X N    
  17 MAY - CHECKBOX SEASONMOMAY 76 1   X X N    
  17 JUNE - CHECKBOX SEASONMOJUN 77 1   X X N    
  17 JULY - CHECKBOX SEASONMOJUL 78 1   X X N    
  17 AUGUST - CHECKBOX SEASONMOAUG 79 1   X X N    
  17 SEPTEMBER - CHECKBOX SEASONMOSEP 80 1   X X N    
  17 OCTOBER - CHECKBOX SEASONMOOCT 81 1   X X N    
  17 NOVEMBER - CHECKBOX SEASONMONOV 82 1   X X N    
  17 DECEMBER - CHECKBOX SEASONMODEC 83 1   X X N    
  18 NH BANKING INSTITUTION OF OWNER OWNERBANK 84 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
  19 ACCOUNT HOLDER'S NAME ACCTHOLDRNAME 85 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
  20A MEMBER CONSOLIDATED M&R FILING - CHECKBOX, YES CONSFILINGYES 86 1   X X N    
  20A MEMBER CONSOLIDATED M&R FILING - CHECKBOX, NO CONSFILINGNO 87 1   X X N    
  20A PRIMARY LICENSE NUMBER PRIMLICNUM 88 6   0-9 X(6) N    
  20B MASTER CONSOLIDATED M&R FILING - CHECKBOX, YES MASTERFILERYES 89 1   X X N    
  20B MASTER CONSOLIDATED M&R FILING - CHECKBOX, NO MASTERFILERNO 90 1   X X N    
    SIGNATURE - OPERATOR 9A SIGNFLAG 91 1   X X N    
    SIGNATURE - OPERATOR 9B SIGNFLAG2 92 1   X X N    
    SIGNATURE - OPERATOR 9C SIGNFLAG3 93 1   X X N    
    TRAILER FIELD *EOD* 94 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


CD-57-HC-P

  2D SPECS: CD-57-HC-P
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		 cd-          
             
  LINE   FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    CD-57-HC-P FORM                  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR CD57HP23 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
  STEP 1 INDIVIDUAL - CHECKBOX BYRENTIT1 1 1   0 or 1 X N    
    JOINT - CHECKBOX BYRENTIT2 2 1   0 or 1 X N    
    PARTNERSHIP - CHECKBOX BYRENTIT3 3 1   0 or 1 X N    
    CORPORATION - CHECKBOX BYRENTIT4 4 1   0 or 1 X N    
    TRUST - CHECKBOX BYRENTIT5 5 1   0 or 1 X N    
    LLC - CHECKBOX BYRENTIT6 6 1   0 or 1 X N    
    ORIGINAL RETURN - CHECKBOX ORIGINAL 7 1   0 or 1 X N    
    AMENDED RETURN - CHECKBOX AMENDED 8 1   0 or 1 X N    
    PURCHASER - LAST NAME BYRLNAME 9 40   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(40) N    
    PURCHASER - FIRST NAME BYRFNAM 10 15   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(15) N    
    FEIN / SSN BYREIN 11 9   0-9 999999999 N    
    STREET NUMBER BYRSTNUM 12 6   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(6) N    
    STREET NAME BYRSNAM 13 30   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(30) N    
    UNIT NUMBER BYRUNIT 14 4   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(4) N    
    CITY / TOWN BYRCITY 15 20   A-Z PLUS SPACE X(20) N    
    STATE BYRSTATE 16 2   A-Z XX N    
    ZIP CODE + 4 BYRZIP 17 10   A-Z, 0-9, plus (-) 99999-9999 A1A 1A1 N    
  STEP 3 HOLDING COMPANY NAME HCSFNAM 18 40   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(40) N    
    HOLDING COMPANY ID # HCSEIN 19 15   0-9 999999999 N    
    CITY / TOWN TOWN 20 9   A-Z PLUS SPACE X(20) N    
  STEP 4 COUNTY COUNTY 21 20   A-Z X(20) N    
  STEP 5 TRANSFER DATE TDATE 22 20   0-9 99999999 N    
  STEP 6
1		 LINE 1 FAIRMV 23 15   0-9 9(12).99 N    
  2 LINE 2 PINTEREST 24 4   0-9 9.99 N    
  6 LINE 6 SSUBTOT 25 15   0-9 9(15).99 N    
  8 LINE 8 TOTALTAX 26 15   0-9 9(15).99 N    
    CLAIMING TAX EXEMPTION - CHECKBOX, YES EXMPYNY 27 1   X X N    
    CLAIMING TAX EXEMPTION - CHECKBOX, NO EXMPYNN 28 1   X X N    
    TRAILER FIELD *EOD* 29 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


CD-57-HC-S

  2D SPECS: CD-57-HC-S
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		 cd-          
             
  LINE   FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    CD-57-HC-S FORM                  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR CD57HS23 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
  STEP 1 INDIVIDUAL - CHECKBOX SLRENTIT1 1 1   0 or 1 X N    
    JOINT - CHECKBOX SLRENTIT2 2 1   0 or 1 X N    
    PARTNERSHIP - CHECKBOX SLRENTIT3 3 1   0 or 1 X N    
    CORPORATION - CHECKBOX SLRENTIT4 4 1   0 or 1 X N    
    TRUST - CHECKBOX SLRENTIT5 5 1   0 or 1 X N    
    LLC - CHECKBOX SLRENTIT6 6 1   0 or 1 X N    
    ORIGINAL RETURN - CHECKBOX ORIGINAL 7 1   0 or 1 X N    
    AMENDED RETURN - CHECKBOX AMENDED 8 1   0 or 1 X N    
    PURCHASER - LAST NAME SLRLNAME 9 40   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(40) N    
    PURCHASER - FIRST NAME SLRFNAM 10 15   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(15) N    
    FEIN / SSN SLREIN 11 9   0-9 999999999 N    
    STREET NUMBER SLRSTNUM 12 6   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(6) N    
    STREET NAME SLRSTNAM 13 30   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(30) N    
    UNIT NUMBER SLRUNIT 14 4   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(4) N    
    CITY / TOWN SLRCITY 15 20   A-Z PLUS SPACE X(20) N    
    STATE SLRSTATE 16 2   A-Z XX N    
    ZIP CODE + 4 SLRZIP 17 10   A-Z, 0-9, plus (-) 99999-9999 A1A 1A1 N    
  STEP 3 HOLDING COMPANY NAME HCSFNAM 18 40   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(40) N    
    HOLDING COMPANY ID # HCSEIN 19 15   0-9 999999999 N    
    CITY / TOWN TOWN 20 9   A-Z PLUS SPACE X(20) N    
  STEP 4 COUNTY COUNTY 21 20   A-Z X(20) N    
  STEP 5 TRANSFER DATE TDATE 22 20   0-9 99999999 N    
  STEP 6
1		 LINE 1 FAIRMV 23 15   0-9 9(12).99 N    
  2 LINE 2 PINTEREST 24 4   0-9 9.99 N    
  6 LINE 6 SSUBTOT 25 15   0-9 9(15).99 N    
  8 LINE 8 TOTALTAX 26 15   0-9 9(15).99 N    
    CLAIMING TAX EXEMPTION - CHECKBOX, YES EXMPYNY 27 1   X X N    
    CLAIMING TAX EXEMPTION - CHECKBOX, NO EXMPYNN 28 1   X X N    
    TRAILER FIELD *EOD* 29 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


CD-57-P

  2D SPECS: CD-57-P
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		 cd-          
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    CD-57-P FORM               BOTTOM CENTER - PAGE 2  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0CD57P23 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
  STEP 1 AMENDED RETURN - CHECKBOX AMNDRTNFLG 1 1 X X X N    
    LAST NAME - BUYER BYRLNAME 2 40   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(40) N    
    FIRST NAME - BUYER BYRFNAM 3 15   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(15) N    
    FEIN / SSN BYREIN 4 9   0-9 999999999 N    
  STEP 4 BOOK NUMBER BOOK 5 8   0-9 99999999 N    
    PAGE NUMBER PAGE 6 8   0-9 99999999 N    
    TRAILER FIELD *EOD* 7 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


CD-57-S

  2D SPECS: CD-57-S
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		 cd-          
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    CD-57-S FORM               BOTTOM CENTER - PAGE 2  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0CD57S23 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
  STEP 1 AMENDED RETURN - CHECKBOX AMNDRTNFLG 1 1 X X X N    
    SELLER 1 - LAST NAME SLRLNAME 2 40   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(40) N    
    SELLER 1 - FIRST NAME SLRFNAM 3 15   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(15) N    
    FEIN / SSN BYREIN 4 9   0-9 999999999 N    
  STEP 4 BOOK NUMBER BOOK 5 8   0-9 99999999 N    
    PAGE NUMBER PAGE 6 8   0-9 99999999 N    
    TRAILER FIELD *EOD* 7 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


CD-92

  2D SPECS: CD-92
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		 cd-          
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    CD-92 FORM                  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 00CD9223 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    WHOLESALER PRMNM 1 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    DATE DATE 2 8   0-9 99999999 N    
    LICENSE # LICNO 3 6   0-9 9(6) N    
    FEIN BUSIDNO 4 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    ADDRESS 1 ADDR1 5 40   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(40) N    
    ADDRESS 2 ADDR2 6 40   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(40) N    
    CITY / TOWN CITY 7 20   A-Z AND SPACE X(20) N    
    STATE STATE 8 2   A-Z XX N    
    ZIP CODE + 4 ZIPPSTLCD 9 10   A-Z, 0-9, PLUS (-) 99999-9999 A1A 1A1 N    
    MANUFACTURER MFCTR 10 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    MANUFACTURER LICENSE # MFCTRLICNO 11 6   0-9 9(6) N    
    SHIPPING DATE SHIPDATE 12 8   0-9 99999999 N    
  1 LINE 1 - NUMBER OF PACKS PKS20 13 5   0-9 9(5) N    
  1 LINE 1 VALUE20 14 11   0-9 X(11) N    
  2 LINE 2 - NUMBER OF PACKS PKS25 15 5   0-9 9(5) N    
  2 LINE 2 VALUE25 16 11   0-9 X(11) N    
  3 LINE 3 TOTAL 17 11   0-9 X(11) N    
    SIGNATURE SIGNEDFLG 18 1   X X N    
    SIGNATURE NAME AND TITLE SIGNNAME 19 42   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(42) N    
    TRAILER FIELD *EOD* 20 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


CD-100

  2D SPECS: CD-100
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		 cd-          
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    CD-100 FORM                  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0CD10023 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    BUSINESS NAME (DBA) BUSNMDBA 1 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    OPERATOR LICENSE # OPLICNUM 2 6   0-9 X(6) N    
    TRAILER FIELD *EOD* 21 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-4

  2D SPECS: DP-4
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		 cd-          
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-4 FORM                  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 000DP421 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    PERIOD PERIOD 1 6   0-9 999999999 N    
    COUNTY COUNTY 2 20   A-Z X(20) N    
    CONTACT NAME CONTACT 3 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION # FEIN 4 9   0-9 999999999 N    
    TELEPHONE # PHONE 5 10   0-9 9(10) N    
    NUMBER & STREET ADDRESS STRADDR1 6 40   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(40) N    
    ADDRESS (CONTINUED) STRADDR2 7 40   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(40) N    
    CITY / TOWN CITY 8 20   A-Z PLUS SPACE X(20) N    
    STATE STATE 9 2   A-Z XX N    
    ZIP CODE + 4 ZIPPSTLCD 10 10   A-Z, 0-9, PLUS (-) 99999-9999 A1A 1A1 N    
  1A LINE 1a - START NUMBER START1A 11 14   0-9 X(14) N    
  1A LINE 1a - END NUMBER END1A 12 14   0-9 X(14) N    
  1A LINE 1a - RETT RETT1A 13 15   0-9 X(15) N    
  1B LINE 1b - START NUMBER START1B 14 14   0-9 X(14) N    
  1B LINE 1b - END NUMBER END1B 15 14   0-9 X(14) N    
  1B LINE 1b - RETT RETT1B 16 15   0-9 X(15) N    
  1C LINE 1c - START NUMBER START1C 17 14   0-9 X(14) N    
  1C LINE 1c - END NUMBER END1C 18 14   0-9 X(14) N    
  1C LINE 1c - L-CHIP LCHIP1C 19 15   0-9 X(15) N    
  1D LINE 1d - START NUMBER START1D 20 14   0-9 X(14) N    
  1D LINE 1d - END NUMBER END1D 21 14   0-9 X(14) N    
  1D LINE 1d - RETT RETT1D 22 15   0-9 X(15) N    
  1E LINE 1e - START NUMBER START1E 23 14   0-9 X(14) N    
  1E LINE 1e - END NUMBER END1E 24 14   0-9 X(14) N    
  1E LINE 1e - L-CHIP LCHIP1E 25 15   0-9 X(15) N    
  1F LINE 1f - RETT RETT1F 26 15   0-9 X(15) N    
  1F LINE 1f - L-CHIP LCHIP1F 27 15   0-9 X(15) N    
  2 LINE 2 - RETT RETT2 28 15   0-9 X(15) N    
  2 LINE 2 - L-CHIP LCHIP2 29 15   0-9 X(15) N    
  3 LINE 3 - RETT RETT3 30 15   0-9 X(15) N    
  3 LINE 3 - L-CHIP LCHIP3 31 15   0-9 X(15) N    
  4A LINE 4a - RETT RETT4A 32 15   0-9 X(15) N    
  4B LINE 4b - L-CHIP LCHIP4B 33 15   0-9 X(15) N    
  5A LINE 5a - RETT NETTRANS5A 34 15   0-9 X(15) N    
  5B LINE 5b - L-CHIP NETTRANS5B 35 15   0-9 X(15) N    
  6A LINE 6a - RETT DEDUCTCOMM6A 36 15   0-9 X(15) N    
  6B LINE 6b - L-CHIP DEDUCTCOMM6B 37 15   0-9 X(15) N    
  7A LINE 7a - RETT ADDCOMM7A 38 15   0-9 X(15) N    
  7B LINE 7b - L-CHIP ADDCOMM7B 39 15   0-9 X(15) N    
  8A LINE 8a - RETT SUBTOT8A 40 15   0-9 X(15) N    
  8B LINE 8b - L-CHIP SUBTOT8B 41 15   0-9 X(15) N    
  9 LINE 9 - L-CHIP TOTALDUE 42 15   0-9 X(15) N    
  10 LINE 10 - L-CHIP DEDUCTPMT 43 15   0-9 X(15) N    
  11 LINE 11 - L-CHIP NETDUE 44 15   0-9 X(15) N    
    NAME OF REGISTER OF DEEDS OR AUTHORIZED AGENT NAME SIGNNAME 45 42   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(42) N    
    SIGNATURE SIGNEDFLG 46 1   0 OR 1 X N    
    TRAILER FIELD *EOD* 47 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-8

  2D SPECS: DP-8
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-8 FORM               BOTTOM CENTER -
PAGE 2		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 000DP822 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    SSN CLAIMANT SSN1 1 9   0-9 999999999 N    
    SSN CO-CLAIMANT SSN2 2 9   0-9 999999999 N    
    FIRST NAME - CLAIMANT FIRSTNM1 3 15   A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @ X(15) N    
    MIDDLE INITIAL - CLAIMANT MIDINITL1 4 1   A-Z X(1) N    
    LAST NAME - CLAIMANT LASTNM1 5 30   A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @ X(30) N    
    FIRST NAME - CO-CLAIMANT FIRSTNM2 6 15   A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @ X(15) N    
    MIDDLE INITIAL - CO-CLAIMANT MIDINITL2 7 1   A-Z X(1) N    
    LAST NAME - CO-CLAIMANT LASTNM2 8 30   A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @ X(30) N    
    CURRENT MAILING ADDRESS ADDRESS1 9 40   A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @ X(40) N    
    CITY/TOWN CITY 10 20   A-Z PLUS SPACE X(20) N    
    STATE STATE 11 2   A-Z XX N    
    ZIP CODE + 4 ZIPCODE 12 10   A-Z, 0-9, PLUS (-) 99999-9999 A1A 1A1 N    
    LOCATION OF HOMESTEAD PROPERTY MUNICIPALI 13 30   A-Z, ( ), & X(30) N    
    MAP AND LOT # MAPLOT 14 20   A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD X(20) N    
    RESDIE - CHECKBOX, YES RESIDEY 15 1   X X N    
    RESDIE - CHECKBOX, NO RESIDEN 16 1   X X N    
    TRUST - CHECKBOX, YES TRUSTY 17 1   X X N    
    TRUST - CHECKBOX, NO TRUSTN 18 1   X X N    
    SINGLE - CHECKBOX INCOMETBLS 19 1   X X N    
    MARRIED - CHECKBOX INCOMETBLM 20 1   X X N    
  10A LINE 10A NOFEDRLINC 21 1   X X N    
  10B LINE 10B GROSSINC1 22 13   0-9 PLUS (-) X(13) Y    
  10C LINE 10C GROSSINC2 23 13   0-9 PLUS (-) X(13) Y    
  11A LINE 11A GROSSINC3 24 13   0-9 PLUS (-) X(13) Y    
  11B LINE 11B GROSSINC 25 13   0-9 PLUS (-) X(13) Y    
  12A LINE 12A FILEPCTWN 26 5   0-9 9.9999 N    
  12B LINE 12B FLASSESVAL 27 13   0-9 9(11).99 N    
  12C LINE 12C FL12AX12B 28 13   0-9 9(11).99 N    
  12D LINE 12D FLEQUALVAL 29 6   0-9 9(6) N    
  12E LINE 12E FLADJVAL 30 13   0-9 9(11).99 N    
  13 LINE 13 FLADVAL1M 31 9   0-9 9(9).99 N    
  14 LINE 14 FLTAXRATE 32 3   0-9 9(3).99 N    
  15 LINE 15 FILED13X14 33 13   0-9 9(11).99 N    
  16 LINE 16 FLRELIEFRT 34 3   0-9 9(3).99 N    
  17 LINE 17 FLRELIEFAM 35 13   0-9 9(11).99 N    
    SIGNATURE - CLAIMANT SIGNATURE1 36 1   X X N    
    SIGNATURE - CO-CLAIMANT SIGNATURE2 37 1   X X N    
    TRAILER FIELD *EOD* 38 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-9

  2D SPECS: DP-9
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-9 FORM               BOTTOM CENTER -
PAGE 2		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 000DP923 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    S CORP NAME PRIMNM 1 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION NUMBER BUSIDNO1 2 9   0-9 999999999 N    
    CALENDAR YEAR CALNDRYR 3 4   0-9 9(4) N    
    AGGREGATE AMOUNT AGAMT 4 15   0-9 9(15) N    
    INDIVIDUAL ID - #1 INDVIDNO1 5 9   0-9 999999999 N    
    DISTRIUTION AMOUNT - #1 DISTAMT1 6 11   0-9 9(11) N    
    INDIVIDUAL ID - #2 INDVIDNO2 7 9   0-9 999999999 N    
    DISTRIUTION AMOUNT - #2 DISTAMT2 8 11   0-9 9(11) N    
    INDIVIDUAL ID - #3 INDVIDNO3 9 9   0-9 999999999 N    
    DISTRIUTION AMOUNT - #3 DISTAMT3 10 11   0-9 9(11) N    
    INDIVIDUAL ID - #4 INDVIDNO4 11 9   0-9 999999999 N    
    DISTRIUTION AMOUNT - #4 DISTAMT4 12 11   0-9 9(11) N    
    INDIVIDUAL ID - #5 INDVIDNO5 13 9   0-9 999999999 N    
    DISTRIUTION AMOUNT - #5 DISTAMT5 14 11   0-9 9(11) N    
    INDIVIDUAL ID - #6 INDVIDNO6 15 9   0-9 999999999 N    
    DISTRIUTION AMOUNT - #6 DISTAMT6 16 11   0-9 9(11) N    
    INDIVIDUAL ID - #7 INDVIDNO7 17 9   0-9 999999999 N    
    DISTRIUTION AMOUNT - #7 DISTAMT7 18 11   0-9 9(11) N    
    INDIVIDUAL ID - #8 INDVIDNO8 19 9   0-9 999999999 N    
    DISTRIUTION AMOUNT - #8 DISTAMT8 20 11   0-9 9(11) N    
    TRAILER FIELD *EOD* 21 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-10

  2D SPECS: DP-10
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-10 FORM               BOTTOM CENTER -
PAGE 5		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 00DP1023 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    TAXABLE PERIOD BEGINNING PERBEGDT 1 8   0-9 mmddyyyy N    
    TAXABLE PERIOD ENDING PERENDDT 2 8   0-9 mmddyyyy N    
    SOCIAL SECURITY NUMBER INDVIDNO1 3 9   0-9 999999999 N    
    SOCIAL SECURITY NUMBER - SPOUSE INDVIDNO2 4 9   0-9 999999999 N    
    FEDERAL EMPLOYER ID NUMBER OR DEPARTMENT ID NUMBER BUSIDNO 5 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    LAST NAME LASTNM1 6 30   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(30) N    
    FIRST NAME FIRSTNM1 7 15   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(15) N    
    MIDDLE INITIAL MIDINIT1 8 1   A-Z X N    
    LAST NAME - SPOUSE LASTNM2 9 30   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(30) N    
    FIRST NAME - SPOUSE FIRSTNM2 10 15   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(15) N    
    MIDDLE INITIAL - SPOUSE MIDINIT2 11 1   A-Z X N    
    NAME OF PARTNERSHIP, ESTATE, OR LLC PRIMNM 12 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    NUMBER & STREET ADDRESS ADDR1 13 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    ADDRESS- CONTINUED ADDR2 14 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    UNIT TYPE UNITTYPE 15 12   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(12) N    
    UNIT # UNITNO 16 7   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(7) N    
    CITY / TOWN CITY 17 20   0-9 PLUS SPACE X(20) N    
    STATE STATE 18 2   A-Z XX N    
    ZIP CODE + 4 ZIPPSTLCD 19 10   0-9, A-Z, PLUS SPACE 99999-9999 A1A 1A1 N    
    INDIVIDUAL ENTITY TYPE EXMINDVID 20 1   X X N    
    JOINT ENTITY TYPE EXMJOINT 21 1   X X N    
    PARTNERSHIP ENTITY TYPE EXMPPRTNR 22 1   X X N    
    ESTATE ENTITY TYPE EXMPFIDUC 23 1   X X N    
    % OF NH OWNERSHIP INTEREST IN ENTITY TYPE PCTNHOWN 24 9   0-9 9(02)V9(06) N    
    INITIAL RETURN FLAG INITRTNFLG 25 1   X X N    
    DATE ESTABLISHED NH RESIDENCY DTESTAB 26 8   0-9 mmddyyyy N    
    FINAL RETURN FLAG FINLRTNFLG 27 1   X X N    
    DATE ABANDONED NH RESIDENCY DTABNDN 28 8   0-9 mmddyyyy N    
    AMENDED RETURN FLAG AMNDRTNFLG 29 1   X X N    
    FINAL DECEASED FLAG DECEASFLG 30 1   X X N    
    DATE OF DEATH DECESDOD 31 8   0-9 mmddyyyy N    
    SOCIAL SECURITY NUMBER - DECEASED DECESSN 32 9   0-9 999999999 N    
    IRS ADJUSTMENT - CHECKBOX IRSADJ 33 1   X X N    
  1A INTEREST INCOME INTTOTAL1 34 11   0-9 9(11) Y    
  1B DIVIDEND INCOME FEDINCAL1 35 11   0-9 9(11) Y    
  1C FEDERAL TAX EXEMPT INTEREST INCOME FEDINTAL1 36 11   0-9 9(11) Y    
  1D SUBTOTAL INTEREST & DIVIDENDS INCOME SUBTOTAL1 37 11   0-9 9(11) Y    
  2I-1 PAYOR ENTITY CODE 1 PYRENT1 38 1   0-9 9(1) N    
  2III-1 PAYOR'S ID #1 PYRIDTX1 39 9   0-9 999999999 N    
  2I-2 PAYOR ENTITY CODE 2 PYRENT2 40 1   0-9 9(1) N    
  2III-2 PAYOR'S ID #2 PYRIDTX2 41 9   0-9 999999999 N    
  2I-3 PAYOR ENTITY CODE 3 PYRENT3 42 1   0-9 9(1) N    
  2III-3 PAYOR'S ID #3 PYRIDTX3 43 9   0-9 999999999 N    
  2I-4 PAYOR ENTITY CODE 4 PYRENT4 44 1   0-9 9(1) N    
  2III-4 PAYOR'S ID #4 PYRIDTX4 45 9   0-9 999999999 N    
  2 TOTAL DISTRIBUTIONS INCOTHR 46 11   0-9 9(11) Y    
  3 SUBTOTAL GROSS INTEREST & DIVIDENDS INCOME & DISTRIBUTIONS SUBGRSINC 47 11   0-9 9(11) Y    
  4I-1 PAYOR REASON CODE NOT TAXABLE 1 PYRRSNCD1 48 2   0-9 9(2) N    
  4III-1 PAYOR'S ID # NOT TAXABLE 1 PYRIDNT1 49 9   0-9 999999999 N    
  4I-2 PAYOR REASON CODE NOT TAXABLE 2 PYRRSNCD2 50 2   0-9 9(2) N    
  4III-2 PAYOR'S ID # NOT TAXABLE 2 PYRIDNT2 51 9   0-9 999999999 N    
  4I-3 PAYOR REASON CODE NOT TAXABLE 3 PYRRSNCD3 52 2   0-9 9(2) N    
  4III-3 PAYOR'S ID # NOT TAXABLE 3 PYRIDNT3 53 9   0-9 999999999 N    
  4I-4 PAYOR REASON CODE NOT TAXABLE 4 PYRRSNCD4 54 2   0-9 9(2) N    
  4III-4 PAYOR'S ID # NOT TAXABLE 4 PYRIDNT4 55 9   0-9 999999999 N    
  4I-5 PAYOR REASON CODE NOT TAXABLE 5 PYRRSNCD5 56 2   0-9 9(2) N    
  4III-5 PAYOR'S ID # NOT TAXABLE 5 PYRIDNT5 57 9   0-9 999999999 N    
  4A SUBTOTAL OF NON-TAXABLE INCOME SUBNTINC 58 11   0-9 9(11) N    
  4B TOTAL NON-TAXABLE INCOME FROM SUPPLEMENTAL SCHEDULE TOTNTINC 59 11   0-9 9(11) N    
  4C NON-TAXABLE INCOME NTINCOME 60 11   0-9 9(11) N    
  4D PART-YEAR RESIDENT NON-TAXABLE INCOME PRO RATA SHARE NTPARTRES 61 11   0-9 9(11) N    
  4 TOTAL NON-TAXABLE INCOME DEDNNTXBL 62 11   0-9 9(11) Y    
  5 GROSS TAXABLE INCOME GRIDTOT 63 13   0-9 9(13) Y    
  6 DEDUCTION ALLOWED DEDALLOW 64 11   0-9 9(11) Y    
  7 ADJUSTED TAXABLE INCOME ADJTAXINC 65 13   0-9 9(13) Y    
    BLIND EXEMPTION EXMPBLIND 66 1   X X N    
    SPOUSE BLIND EXEMPTION EXMPBLSPS 67 1   X X N    
    65 OR OVER OR DISABLED EXEMPTION EXMP65 68 1   X X N    
    YEAR OF BIRTH EXMPYOB 69 4   0-9 9999 N    
    65 OR OVER OR DISABLED EXEMPTION - SPOUSE EXMP65SPS 70 1   X X N    
    YEAR OF BIRTH - SPOUSE EXMPYOBSPS 71 4   0-9 9999 N    
    TOTAL EXEMPTIONS EXMPTQTY 72 1   0-9 X N    
  8 EXEMPTION AMOUNT EXMPTAMT 73 11   0-9 9(11) Y    
  9 NET TAXABLE INCOME NHINCTAX 74 13   0-9 9(13) Y    
  10 NH INTEREST & DIVIDENDS TAX NET OF ETC TAXAMT 75 9   0-9 9(09) Y    
  11 EDUCATION TAX CREDIT EDUTAXCRD 76 9   0-9 9(09) Y    
  12 TAX DUE TAXNETSTCR 77 9   0-9 9(09) Y    
  13A TAX PAID WITH APPLICATION FOR EXTENSION CREXTN 78 9   0-9 9(09) Y    
  13B PAYMENTS FROM CURRENT TAX PERIOD ESTIMATED TAX CRESTIM 79 9   0-9 9(09) Y    
  13C CREDIT CARRYOVER FROM PRIOR TAX PERIOD CRPREVYR 80 9   0-9 9(09) Y    
  13D PAID WITH ORIGINAL RETURN CRPDORIG 81 9   0-9 9(09) Y    
  13 CREDIT TOTAL CRTOTAL 82 13   0-9 9(13) Y    
  14 SUBTOTAL DUE BALTAXDUE1 83 9   0-9 9(09) Y    
  15A INTEREST ADDTNINT 84 9   0-9 9(09) Y    
  15B FAILURE TO PAY ADDTNFP 85 9   0-9 9(09) Y    
  15C FAILURE TO FILE ADDTNFF 86 9   0-9 9(09) Y    
  15D UNDERPAYMENT OF ESTIMATED TAX ADDTNUND 87 9   0-9 9(09) Y    
  15 TOTAL ADDITIONS TO TAX ADDTNTOT 88 13   0-9 9(13) Y    
  16A SUBTOTAL DUE SUBTOTAL 89 9   0-9 9(09) Y    
  16B RETURN PAYMENT MADE ELECTRONICALLY EFTRETPYT 90 11   0-9 9(11) Y    
  17 NET BALANCE DUE BALTAXDUE2 91 9   0-9 9(09) Y    
  18 OVERPAYMENT OVRPYMT 92 11   0-9 9(11) Y    
  19A AMOUNT APPLIED TO CREDIT OVRPYMTCR 93 11   0-9 9(11) Y    
  19B AMOUNT APPLIED TO REFUND OVRPYMTRFD 94 11   0-9 9(11) Y    
    POWER OF ATTORNEY FLAG POAFLAG 95 1   X X N    
    SIGNATURE SIGNEDFLG 96 1   X X N    
    SIGNATURE - SPOUSE SIGNSPSFLG 97 1   X X N    
    PRINT SIGNATORY NAME SIGNNAME 98 40   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(40) N    
    TAXPAYER'S PHONE # SIGNTELE 99 10   0-9 9999999999 N    
    FILING AS SURVIVING SPOUSE FLAG SURVSPSFLG 100 1   X X N    
    FORM 1310 ATTACHED FLAG F1310FLG 101 1   X X N    
    PRINTED NAME - PREPARER PREPARNAME 102 40   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(40) N    
    PHONE NUMBER - PREPARER PREPRTELE 103 10   0-9 9999999999 N    
    IDENTIFICATION NUMBER - PREPARER PREPRID 104 9   0-9, P IS PERMITTED IN THE FIRST SPACE 999999999 X99999999 N    
    ADDRESS - PREPARER STRADDR1 105 40   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(40) N    
    CITY / TOWN CITY 106 20   A-Z, PLUS SPACE X(20) N    
    STATE STATE 107 2   A-Z XX N    
    ZIP CODE + 4 ZIPPSTLCD 108 10   0-9, A-Z, PLUS SPACE 99999-9999 A1A 1A1 N    
    TRAILER FIELD *EOD* 109 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-10-ES

  2D SPECS: DP-10-ES
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-10-ES FORM               BOTTOM CENTER - OF EACH PAYMENT PAGE  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR DP10ES24 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    TAXABLE PERIOD BEGINNING PERBEGDT 1 8   0-9 mmddyyyy N    
    TAXABLE PERIOD ENDING PERENDDT 2 8   0-9 mmddyyyy N    
    INDIVIDUAL / JOINT - CHECKBOX IDCB 3 1   X X N    
    PARTNERSHIP - CHECKBOX PARTCB 4 1   X X N    
    ESTATE - CHECKBOX FIDCB 5 1   X X N    
    SOCIAL SECURITY NUMBER INDVIDNO1 6 9   0-9 XXXXXXXXX N    
    SOCIAL SECURITY NUMBER INDVIDNO2 7 9   0-9 XXXXXXXXX N    
    FEDERAL EMPLOYER ID NUMBER OR DEPARTMENT ID NUMBER BUSIDNO 8 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    LAST NAME LASTNM1 9 30   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(30) N    
    FIRST NAME FIRSTNM1 10 15   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ x(15) N    
    MIDDLE INITIAL MIDINIT1 11 1   A-Z X N    
    SPOUSE'S LAST NAME LASTNM2 12 30   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(30) N    
    SPOUSE'S FIRST NAME FIRSTNM2 13 15   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ x(15) N    
    SPOUSE'S MIDDLE INITIAL MIDINIT2 14 1   A-Z X N    
    NAME OF PARTNERSHIP, ESTATE, OR LLC PRIMNM 15 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    NUMBER & STREET ADDRESS ADDR1 16 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    ADDRESS CONTINUED ADDR2 17 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    CITY / TOWN CITY 18 20   A-Z PLUS SPACE X(20) N    
    STATE STATE 19 2   A-Z XX N    
    ZIP CODE + 4 ZIPPSTLCD 20 10   0-9, A-Z, PLUS SPACE 99999-9999 A1A 1A1 N    
    AMOUNT OF THIS PAYMENT PYMTESTAMT 21 11   0-9 9(11) N    
    TRAILER FIELD *EOD* 22 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-14

  2D SPECS: DP-14
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-14 FORM               RIGHT OF PAGE  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 00DP1423 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    LICENSE NUMBER LICNO 1 6   0-9 999999 N    
    BUSINESS NAME BUSNAME 2 46   A-Z, 0-9, plus space, dash, period, “#”, “/”, “&”, “@” X(42) N    
    TAX PERIOD PERENDDT 3 6   0-9 mmyyyy N    
    AMENDED RETURN - CHECKBOX AMNDRTNFLG 4 1   X X N    
    BUSINESS DISCONTINUED - CHECKBOX FINALRTNCD 5 1   X X N    
    CHANGE IN ORGANIZATION - CHECKBOX FINALRTNCD2 6 1   X X N    
    BUSINESS SOLD - CHECKBOX FINALRTNCD3 7 1   X X N    
    LAST DAY OF BUSINESS LASTBUSDT 8 8   0-9 mmddyyyy N    
  1 LINE 1 - TAX EXCLUDED RECEIPTS MEALTAX1 9 9   0-9 plus decimal 9999999.99 N    
  2 LINE 2 - MEALS TAX AT 8.5% MEALTAX2 10 9   0-9 plus decimal 9999999.99 N    
  3 LINE 3 - TAX INCLUDED RECEIPTS MEALTAX3 11 9   0-9 plus decimal 9999999.99 N    
  4 LINE 4 - MEALS TAX AT 7.834% MEALTAX4 12 9   0-9 plus decimal 9999999.99 N    
  5 LINE 5 - TOTAL MEALS TAX MEALTAX 13 9   0-9 plus decimal 9999999.99 N    
  6 LINE 6 - ROOM RENAL RECEIPTS ROOM 14 9   0-9 plus decimal 9999999.99 N    
  7 LINE 7 - PERMANENT RESIDENT RECEIPTS ADJPRMRES 15 9   0-9 plus decimal 9999999.99 N    
  8 LINE 8 - TAXABLE ROOM RENTAL RECEIPTS TAXROOM 16 9   0-9 plus decimal 9999999.99 N    
  9 LINE 9 - TOTAL ROOM RENTAL TAX ROOMTAX 17 9   0-9 plus decimal 9999999.99 N    
  10 LINE 10 - MOTOR VEHICLE RENTAL RECEIPTS MOTOR 18 9   0-9 plus decimal 9999999.99 N    
  11 LINE 11 - TOTAL MOTOR VEHICLE RENTAL TAX MVTAX 19 9   0-9 plus decimal 9999999.99 N    
  12 LINE 12 - TOTAL TAX TOTAL TAX 20 9   0-9 plus decimal 9999999.99 N    
  13 LINE 13 - COMMISSION DEDRTCOMM 21 9   0-9 plus decimal 9999999.99 N    
  14 LINE 14 - ORIGINAL RETURN PAYMENT/CREDITS/ESTIMATED PAYMENTS DEDADVPYT 22 9   0-9 plus decimal 9999999.99 N    
  15 LINE 15 - TOTAL DEDUCTIONS TOTALDED 23 9   0-9 plus decimal 9999999.99 N    
  16 LINE 16 - INTEREST ADDTNRTINT 24 7   0-9 plus decimal 99999.99 N    
  17 LINE 17 - PENALTY FOR FAILURE TO PAY ADDTNRTFD 25 7   0-9 plus decimal 99999.99 N    
  18 LINE 18 - PENALTY FOR FAILURE TO FILE ADDTNRTFF 26 7   0-9 plus decimal 99999.99 N    
  19 LINE 19 - TOTAL ADDITIONS REMTAMTPD 27 9   0-9 plus decimal 9999999.99 N    
  20 LINE 20 - TOTAL DUE AMTDUE 28 9   0-9 plus decimal 9999999.99 Y    
  21 LINE 21 - TAX EXEMPT MEALS & RENTAL RECEIPTS TAXEXEPT 29 9   0-9 plus decimal 9999999.99 N    
    SIGNER SIGNEDFLAG 30 1   X X N    
    TRAILER FIELD *EOD* 31 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-31

  2D SPECS: DP-31
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-31 FORM                  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 00DP3121 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
  A NEW LICENSE - CHECKBOX NEWFLG 1 1   0 OR 1 X N    
  B RENEWAL - CHECKBOX RENEWALFLG 2 1   0 OR 1 X N    
    CURRENT LICENSE # CURRENTLICNO 3 6   0 OR 1 X N    
    MANUFACTURER - CHECKBOX MANUFACTURER 4 1   0 OR 1 X N    
    WHOLESALER - CHECKBOX WHOLESALER 5 1   0 OR 1 X N    
  C CIGARETTES - CHECKBOX CIGARETTESFLG 6 1   0 OR 1 X N    
    LOOSE - CHECKBOX LOOSEFLG 7 1   0 OR 1 X N    
    SMOKELESS - CHECKBOX SMOKELESSFLG 8 1   0 OR 1 X N    
    LITTLE CIGARS - CHECKBOX LTLCIGARSFLG 9 1   0 OR 1 X N    
    CIGARS - CHECKBOX CIGARSFLG 10 1   0 OR 1 X N    
    E-CIGARETTES - CHECKBOX ECIGFLG 11 1   0 OR 1 X N    
    OTHER - CHECKBOX OTHERFLG 12 1   0 OR 1 X N    
  D SECTION D - CHECKBOX, YES NPMYESFLG 13 1   0 OR 1 X N    
    SECTION D - CHECKBOX, NO NPMNOFLG 14 1   0 OR 1 X N    
  1 BUSINESS NAME (DBA) PRIMNM 15 42   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(42) N    
  2 LEGAL ENTITY/OWNER LEGALNM 16 42   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(42) N    
  3 BUSINESS ADDRESS BUSADDR 17 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
  4 CITY / TOWN BUSCITY 18 20   A-Z PLUS SPACE X(20) N    
    STATE BUSSTATE 19 2   A-Z XX N    
    ZIP CODE + 4 BUSZIPPSTLCD 20 10   A-Z, 0-9, PLUS (-) 99999-9999 A1A 1A1 N    
  5 MAILING ADDRESS STRADDR2 21 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
  6 E-MAIL ADDRESS EMAIL 22 50   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(50) N    
  7 CITY / TOWN CITY 23 20   A-Z PLUS SPACE X(20) N    
    STATE STATE 24 2   A-Z XX N    
    ZIP CODE + 4 ZIPPSTLCD 25 10   A-Z, 0-9, PLUS (-) 99999-9999 A1A 1A1 N    
  8 BUSINESS PHONE NUMBER BUSPHONE 26 10   0-9 9999999999 N    
  9 PURCHASE / ESTABLISH PURCHASEDT 27 8   0-9 mmddyyyy N    
  10 PREVIOUS OWNER PREVIOUSOWNER 28 42   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(42) N    
  10A PROPRIETORSHIP - CHECKBOX PROPCB 29 1   X X N    
  10A CORPORATION - CHECKBOX CORPCB 30 1   X X N    
  10A PARTNERSHIP - CHECKBOX PARTCB 31 1   X X N    
  10A FIDUCIARY - CHECKBOX FIDCB 32 1   X X N    
  10A NON-PROFIT - CHECKBOX NPCB 33 1   X X N    
  10B LLC - CHECKBOX, YES LLCYESFLG 34 1   X X N    
  10B LLC - CHECKBOX, NO LLCNOFLG 35 1   X X N    
  10C FEDERAL EMPLOYER IDENTIFICATION # FEIN 36 9   0-9 999999999 N    
  10D SOCIAL SECURITY # SSN 37 9   0-9 999999999 N    
  10D DEPARTMENT ISSUED # DIN 38 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
  11A LAST NAME LASTNM11A 39 20   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(20) N    
  11A FIRST NAME FIRSTNM11A 40 20   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(20) N    
  11A MIDDLE INITIAL MIDINIT11A 41 2   A-Z XX N    
  11A TITLE TITLE11A 42 20   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(20) N    
  11A ADDRESS ADDR11A 43 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
  11A SOCIAL SECURITY # INDIVID11A 44 9   0-9 9(09) N    
  11A CITY / TOWN CITY11A 45 20   A-Z PLUS SPACE X(20) N    
  11A STATE STATE11A 46 2   A-Z XX N    
  11A ZIP CODE + 4 ZIPPSTLCD11A 47 10   A-Z, 0-9, PLUS (-) 99999-9999 A1A 1A1 N    
  11A PHONE # PHONE11A 48 10   0-9 9999999999 N    
  11B LAST NAME LASTNM11B 49 20   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(20) N    
  11B FIRST NAME FIRSTNM11B 50 20   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(20) N    
  11B MIDDLE INITIAL MIDINIT11B 51 2   A-Z XX N    
  11B TITLE TITLE11B 52 20   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(20) N    
  11B ADDRESS ADDR11B 53 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
  11B SOCIAL SECURITY # INDIVID11B 54 9   0-9 9(09) N    
  11B CITY / TOWN CITY11B 55 20   A-Z PLUS SPACE X(20) N    
  11B STATE STATE11B 56 2   A-Z XX N    
  11B ZIP CODE + 4 ZIPPSTLCD11B 57 10   A-Z, 0-9, PLUS (-) 99999-9999 A1A 1A1 N    
  11B PHONE # PHONE11B 58 10   0-9 9999999999 N    
  12 MANUFACTURER FEE MANUFACTUR 59 9   0-9 9(09) N    
    WHOLESALER FEE WHOLESALE 60 9   0-9 9(09) N    
    TOTAL AMOUNT ENCLOSED BALTAXDUE 61 9   0-9 9(09) N    
  13A LINE 13a - CHECKBOX, YES YES13A 62 1   0 OR 1 X N    
  13A LINE 13a - CHECKBOX, NO NO13A 63 1   0 OR 1 X N    
  13B LINE 13b - CHECKBOX, YES YES13B 64 1   0 OR 1 X N    
  13B LINE 13b - CHECKBOX, NO NO13B 65 1   0 OR 1 X N    
  13C LINE 13c - CHECKBOX, YES YES13C 66 1   0 OR 1 X N    
  13C LINE 13c - CHECKBOX, NO NO13C 67 1   0 OR 1 X N    
    TRAILER FIELD *EOD* 31 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-59-A

  2D SPECS: DP-59-A
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-59-A FORM               BOTTOM CENTER -
PAGE 1		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0DP59A23 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    TAXABLE PERIOD BEGINNING PERBEGDT 1 8   0-9 mmddccyy N    
    TAXABLE PERIOD ENDING PERENDDT 2 8   0-9 mmddccyy N    
    INDIVIDUAL / JOINT - CHECKBOX IDCB 3 1   X X N    
    PARTNERSHIP - CHECKBOX PARTCB 4 1   X X N    
    ESTATE - CHECKBOX FIDCB 5 1   X X N    
    SOCIAL SECURITY NUMBER INDVIDNO1 6 9   0-9 999999999 N    
    SOCIAL SECURITY NUMBER - SPOUSE INDVIDNO2 7 9   0-9 999999999 N    
    TAXPAYER IDENTIFICATION NUMBER BUSIDNO 8 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    LAST NAME LASTNM1 9 30   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(30) N    
    FIRST NAME FIRSTNM1 10 15   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(15) N    
    MIDDLE INITIAL MIDINIT1 11 1   A-Z X N    
    SPOUSE'S LAST NAME LASTNM2 12 30   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(30) N    
    SPOUSE'S FIRST NAME FIRSTNM2 13 15   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(15) N    
    SPOUSE'S MIDDLE INITIAL MIDINIT2 14 1   A-Z X N    
    NAME OF PARTNERSHIP, ESTATE, OR LLC PRIMNM 15 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    NUMBER & STREET ADDRESS ADDR1 16 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    ADDRESS CONTINUED ADDR2 17 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    CITY / TOWN CITY 18 20   0-9, PLUS SPACE X(20) N    
    STATE STATE 19 2   A-Z XX N    
    ZIP CODE + 4 ZIPPSTLCD 20 10   0-9, A-Z, PLUS (-) 99999-9999 A1A 1A1 N    
  1 LINE 1 TAXDUE 21 9   0-9 9(09) N    
  2A LINE 2A PYMTESTCR 22 9   0-9 9(09) N    
  2B LINE 2B PYMTEXTNCR 23 9   0-9 9(09) N    
  2 LINE 2 PYMTOTHCR 24 9   0-9 9(09) N    
  3 LINE 3 EXTNPYMT 25 9   0-9 9(09) N    
    TRAILER FIELD *EOD* 26 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-80

  2D SPECS: DP-80
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-80 FORM               BOTTOM CENTER -
PAGE 1		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 00DP8023 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    BUSINESS ORGANIZATON NAME PRIMNM 1 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION NUMBER BUSIDNO 2 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    TAXABLE PERIOD BEGINNING PERBEGDT 3 8   0-9 mmddccyy N    
    TAXABLE PERIOD ENDING PERENDDT 4 8   0-9 mmddccyy N    
  1A LINE 1A INCSLSALL 5 15   0-9 9(15) Y    
  1B LINE 1B INCSLSNH 6 15   0-9 9(15) Y    
  1C LINE 1C PCTAPPINC 7 9   0-9 9(02)V9(06) 99.999999 N    
  2A LINE 2A COMPNALL 8 15   0-9 9(15) Y    
  2B LINE 2B COMPNNH 9 15   0-9 9(15) Y    
  2C LINE 2C PCTAPPCOMP 10 9   0-9 9(02)V9(06) 99.999999 N    
  3A LINE 3A INVBEGEV 11 15   0-9 9(15) Y    
  3A LINE 3A INVENDEV 12 15   0-9 9(15) Y    
  3B LINE 3B INVBEGNH 13 15   0-9 9(15) Y    
  3A LINE 3A INVENDNH 14 15   0-9 9(15) Y    
  3A LINE 3A BLDGBEGEV 15 15   0-9 9(15) Y    
  3A LINE 3A BLDGENDEV 16 15   0-9 9(15) Y    
  3B LINE 3B BLDGBEGNH 17 15   0-9 9(15) Y    
  3B LINE 3B BLDGENDNH 18 15   0-9 9(15) Y    
  3A LINE 3A FURNBEGEV 19 15   0-9 9(15) Y    
  3A LINE 3A FURNENDEV 20 15   0-9 9(15) Y    
  3B LINE 3B FURNBEGNH 21 15   0-9 9(15) Y    
  3B LINE 3B FURNENDNH 22 15   0-9 9(15) Y    
  3A LINE 3A LEASBEGEV 23 15   0-9 9(15) Y    
  3A LINE 3A LEASENDEV 24 15   0-9 9(15) Y    
  3B LINE 3B LEASBEGNH 25 15   0-9 9(15) Y    
  3B LINE 3B LEASENDNH 26 15   0-9 9(15) Y    
  3A LINE 3A LANDBEGEV 27 15   0-9 9(15) Y    
  3A LINE 3A LANDENDEV 28 15   0-9 9(15) Y    
  3B LINE 3B LANDBEGNH 29 15   0-9 9(15) Y    
  3B LINE 3B LANDENDNH 30 15   0-9 9(15) Y    
  3A LINE 3A OTTNGBEGEV 31 15   0-9 9(15) Y    
  3A LINE 3A OTTNGENDEV 32 15   0-9 9(15) Y    
  3B LINE 3B OTTNGBEGNH 33 15   0-9 9(15) Y    
  3B LINE 3B OTTNGENDNH 34 15   0-9 9(15) Y    
  3A LINE 3A SUBTOTALS PRSUBBEGEV 35 15   0-9 9(15) Y    
  3A LINE 3A SUBTOTALS PRSUBENDEV 36 15   0-9 9(15) Y    
  3B LINE 3B SUBTOTALS PRSUBBEGNH 37 15   0-9 9(15) Y    
  3B LINE 3B SUBTOTALS PRSUBENDNH 38 15   0-9 9(15) Y    
  3A LINE 3A SUBTOTALS AVGPRPSTEV 39 15   0-9 9(15) Y    
  3B LINE 3B SUBTOTALS AVGPRPSTNH 40 15   0-9 9(15) Y    
  3A LINE 3A SUBTOTALS RENTDPRPEV 41 15   0-9 9(15) Y    
  3B LINE 3B SUBTOTALS RENTDPRPNH 42 15   0-9 9(15) Y    
  3A LINE 3A SUBTOTALS TOTPROPEV 43 15   0-9 9(15) Y    
  3B LINE 3B SUBTOTALS TOTPROPNH 44 15   0-9 9(15) Y    
  3C LINE 3C NHPROPPCT 45 9   0-9 9(02)V9(06) 99.999999 N    
    TRAILER FIELD *EOD* 46 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-110-ES

  2D SPECS: DP-110-ES
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-110-ES FORM               BOTTOM CENTER  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0110ES23 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    NAME OF TAXPAYER PRIMNM 1 42   A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @ X(42) N    
    TAXPAYER IDENTIFICATION # BUSIDNO1 2 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    NUMBER & STREET ADDRESS STADDR1 3 40   A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @ X(40) N    
    ADDRESS - CONTINUED STADDR2 4 40   A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @ X(40) N    
    CITY / TOWN CITY 5 20   A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @ X(20) N    
    STATE STATE 6 2   A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @ XX N    
    ZIP CODE + 4 ZIPPSTLCD 7 10   A-Z, 0-9, PLUS (-) 99999-9999 A1A 1A1 N    
    PAYMENT AMOUNT PYMESTAMT 8 11   0-9(11) 9(09) N    
    TRAILER FIELD *EOD* 9 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-111-ES

  2D SPECS: DP-111-ES
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-111-ES FORM               BOTTOM CENTER  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0111ES23 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    NAME OF TAXPAYER PRIMNM 1 42   A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @ X(42) N    
    TAXPAYER IDENTIFICATION # BUSIDNO1 2 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    NUMBER & STREET ADDRESS STADDR1 3 40   A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @ X(40) N    
    ADDRESS - CONTINUED STADDR2 4 40   A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @ X(40) N    
    CITY / TOWN CITY 5 20   A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @ X(20) N    
    STATE STATE 6 2   A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @ XX N    
    ZIP CODE + 4 ZIPPSTLCD 7 10   A-Z, 0-9, PLUS (-) 99999-9999 A1A 1A1 N    
    PAYMENT AMOUNT PYMESTAMT 8 11   0-9(11) 9(09) N    
    TRAILER FIELD *EOD* 9 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-120

  2D SPECS: DP-120
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-120 FORM               BOTTOM RIGHT -
PAGE 1		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0DP12023 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    BUSINESS ORGANIZATON NAME PRIMNM 1 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION NUMBER BUSIDNO 2 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    TAXABLE PERIOD BEGINNING PERBEGDT 3 8   0-9 mmddccyy N    
    TAXABLE PERIOD ENDING PERENDDT 4 8   0-9 mmddccyy N    
    DISTRIBUTIONS MADE TO NH SHAREHOLDERS/MEMBERS - YES NHDISTFLGY 5 1   X X N    
    DISTRIBUTIONS MADE TO NH SHAREHOLDERS/MEMBERS - NO NHDISTFLGN 6 1   X X N    
  1A LINE 1A INCBUS 7 11   0-9 9(11) Y    
  1B LINE 1B INCREACT 8 11   0-9 9(11) Y    
  1C LINE 1C INCREOTH 9 11   0-9 9(11) Y    
  1D LINE 1D INCPORTINT 10 11   0-9 9(11) Y    
  1E LINE 1E INCPORTDIV 11 11   0-9 9(11) Y    
  1F LINE 1F INCPORTROY 12 11   0-9 9(11) Y    
  1G LINE 1G CAPGNASTSS 13 11   0-9 9(11) Y    
    NET SHORT TERM LOSS CAPLSASTSS 14 11   0-9 9(11) Y    
  1H LINE 1H CAPGNASTSL 15 11   0-9 9(11) Y    
  1I LINE 1I NETGN1231 16 11   0-9 9(11) Y    
  1J LINE 1J INCOTHER 17 11   0-9 9(11) Y    
  1K LINE 1K INCOTHERNR 18 11   0-9 9(11) Y    
  1L LINE 1L IRC179DED 19 11   0-9 9(11) Y    
  1M LINE 1M CONTRPTD 20 11   0-9 9(11) Y    
  1N LINE 1N INVINTEXP 21 11   0-9 9(11) Y    
  1O LINE 1O IRC59EEXP 22 11   0-9 9(11) Y    
  1P LINE 1P OTHDEDRPT 23 11   0-9 9(11) Y    
  1Q LINE 1Q FRGNINCEXP 24 11   0-9 9(11) Y    
  2 LINE 2 GROSPROFS 25 13   0-9 9(13) Y    
    TRAILER FIELD *EOD* 26 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-120-P

  2D SPECS: DP-120-P
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-120-P FORM               BOTTOM CENTER -
PAGE 1		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR DP120P23 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    BUSINESS ORGANIZATON NAME PRIMNM 1 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION NUMBER BUSIDNO 2 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    TAXABLE PERIOD BEGINNING PERBEGDT 3 8   0-9 mmddccyy N    
    TAXABLE PERIOD ENDING PERENDDT 4 8   0-9 mmddccyy N    
  1A LINE 1A INCBUS 5 11   0-9 9(11) Y    
  1B LINE 1B INCREACT 6 11   0-9 9(11) Y    
  1C LINE 1C INCREACOTH 7 11   0-9 9(11) Y    
  1D LINE 1D GUARPYMT 8 11   0-9 9(11) Y    
  1E LINE 1E INCPORTINT 9 11   0-9 9(11) Y    
  1F LINE 1F INCPORTDIV 10 11   0-9 9(11) Y    
  1G LINE 1G INCPORTROY 11 11   0-9 9(11) Y    
  1H LINE 1H CAPGNASTSS 12 11   0-9 9(11) Y    
    NET SHORT TERM LOSS CAPLSASTSS 13 11   0-9 9(11) Y    
  1I LINE 1I CAPGNASTSL 14 11   0-9 9(11) Y    
  1J LINE 1J NETGN1065 15 11   0-9 9(11) Y    
  1K LINE 1K INCOTH1065 16 11   0-9 9(11) Y    
  1L LINE 1L INCOTHERNR 17 11   0-9 9(11) Y    
  1M LINE 1M IRC179DED 18 11   0-9 9(11) Y    
  1N LINE 1N CONT1065 19 11   0-9 9(11) Y    
  1O LINE 1O INTEXP1065 20 11   0-9 9(11) Y    
  1P LINE 1P EXP59E1065 21 11   0-9 9(11) Y    
  1Q LINE 1Q DEDOTH1065 22 11   0-9 9(11) Y    
  1R LINE 1R FRGN1065 23 11   0-9 9(11) Y    
  2 LINE 2 GROSPROFS 24 13   0-9 9(13) Y    
    TRAILER FIELD *EOD* 25 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-121

  2D SPECS: DP-121
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-121 FORM               BOTTOM CENTER -
PAGE 1		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0DP12123 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    BUSINESS ORGANIZATON NAME PRIMNM 1 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION NUMBER BUSIDNO 2 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    TAXABLE PERIOD BEGINNING PERBEGDT 3 8   0-9 mmddccyy N    
    TAXABLE PERIOD ENDING PERENDDT 4 8   0-9 mmddccyy N    
    PROPRIETORSHIP - CHECKBOX PROPCB 5 1   X X N    
    SMLLC - CHECKBOX LLCCB 6 1   X X N    
    JOINTLY OWNED PROPERTY - CHECKBOX JOINTCB 7 1   X X N    
  P1-1 NET PROFIT OR LOSS FROM PROPRIETOR PLPROPRIET 8 13   0-9 9(13) Y    
  P1-2 NET RENTAL PROFIT OR LOSS PLRENTAL 9 13   0-9 9(13) Y    
  P1-3 NET FARM RENTAL PROFIT OR LOSS FRMRENT 10 13   0-9 9(13) Y    
  P1-4 NET FARM PROFIT OR LOSS PLFARM 11 13   0-9 9(13) Y    
  P1-5 NET GAIN OR LOSS FROM THE BUSINESS ASSETS NETSALE 12 13   0-9 9(13) Y    
  P1-6 NET GAIN OR LOSS FROM SALE OF BUSINESS ASSETS NETSALED 13 13   0-9 9(13) Y    
  P1-7 INSTALLMENT SALE GAINS FROM THE SALE OF BUSINESS ASSETS RECOGNIZED DURING THE PERIOD INSTLSALE 14 13   0-9 9(13) Y    
  P1-8 OTHER INCOME INCOTH1040 15 13   0-9 9(13) Y    
  P1-9 OTHER NET BUSINESS INCOME FOR SMLLC BUSINESS INCOME INCNETOTH 16 13   0-9 9(13) Y    
  P1-10 TOTAL, LINES 1 - 9 TOTAL1040 17 15   0-9 9(15) Y    
    TRUST OR ESTATE - CHECKBOX TECB 18 1   X X Y    
  P2-1 INTEREST INCOME REPORTED INCINT 19 13   0-9 9(13) Y    
  P2-2 TOTAL DIVIDENDS REPORTED INCDIV 20 13   0-9 9(13) Y    
  P2-3 BUSINESS INCOME OR LOSS INCLOSSBUS 21 13   0-9 9(13) Y    
  P2-4 NET CAPITAL GAIN NETCAPGAIN 22 13   0-9 9(13) Y    
  P2-5 RENTS & ROYALTIES RENTSROYAL 23 13   0-9 9(13) Y    
  P2-6 FARM INCOME OR LOSS FRMRENT41 24 13   0-9 9(13) Y    
  P2-7 ORDINARY GAIN OR LOSS ORDGAIN 25 13   0-9 9(13) Y    
  P2-8 OTHER INCOME INCOTH1041 26 13   0-9 9(13) Y    
  P2-9 DEDUCT OTHER BUSINESS EXPENSES OTHBUSEXP 27 13   0-9 9(13) Y    
  P2-10 TOTAL, LINES 1-8 AND FROM THE RESULT SUBTRACT LINE 9 TOTAL1041 28 15   0-9 9(15) Y    
    TRAILER FIELD *EOD* 29 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-131-A

  2D SPECS: DP-131-A
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-131-A FORM                  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR DP131A23 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    BUSINESS ORGANIZATON NAME PRIMNM 1 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION NUMBER BUSIDNO 2 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    TAXABLE PERIOD BEGINNING PERBEGDT 3 8   0-9 mmddccyy N    
    TAXABLE PERIOD ENDING PERENDDT 4 8   0-9 mmddccyy N    
    TRAILER FIELD *EOD* 5 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-132

  2D SPECS: DP-132
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-132 FORM               BOTTOM CENTER -
PAGE 1		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0DP13223 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    BUSINESS ORGANIZATON NAME PRIMNM 1 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION NUMBER BUSIDNO 2 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    TAXABLE PERIOD BEGINNING PERBEGDT 3 8   0-9 mmddccyy N    
    TAXABLE PERIOD ENDING PERENDDT 4 8   0-9 mmddccyy N    
  1A LINE 1A PERENDDT1 5 8   0-9 mmddccyy N    
  1B LINE 1B NOLCRYFWD1 6 13   0-9 9(13) Y    
  1C LINE 1C NOLCFUSED1 7 13   0-9 9(13) Y    
  1D LINE 1D NOLDEUSESD1 8 13   0-9 9(13) Y    
  1E LINE 1E NOLCFFUTR1 9 13   0-9 9(13) Y    
  2A LINE 2A PERENDDT2 10 8   0-9 mmddccyy N    
  2B LINE 2B NOLCRYFWD2 11 13   0-9 9(13) Y    
  2C LINE 2C NOLCFUSED2 12 13   0-9 9(13) Y    
  2D LINE 2D NOLDEUSESD2 13 13   0-9 9(13) Y    
  2E LINE 2E NOLCFFUTR2 14 13   0-9 9(13) Y    
  3A LINE 3A PERENDDT3 15 8   0-9 mmddccyy N    
  3B LINE 3B NOLCRYFWD3 16 13   0-9 9(13) Y    
  3C LINE 3C NOLCFUSED3 17 13   0-9 9(13) Y    
  3D LINE 3D NOLDEUSESD3 18 13   0-9 9(13) Y    
  3E LINE 3E NOLCFFUTR3 19 13   0-9 9(13) Y    
  4A LINE 4A PERENDDT4 20 8   0-9 mmddccyy N    
  4B LINE 4B NOLCRYFWD4 21 13   0-9 9(13) Y    
  4C LINE 4C NOLCFUSED4 22 13   0-9 9(13) Y    
  4D LINE 4D NOLDEUSESD4 23 13   0-9 9(13) Y    
  4E LINE 4E NOLCFFUTR4 24 13   0-9 9(13) Y    
  5A LINE 5A PERENDDT5 25 8   0-9 mmddccyy N    
  5B LINE 5B NOLCRYFWD5 26 13   0-9 9(13) Y    
  5C LINE 5C NOLCFUSED5 27 13   0-9 9(13) Y    
  5D LINE 5D NOLDEUSESD5 28 13   0-9 9(13) Y    
  5E LINE 5E NOLCFFUTR5 29 13   0-9 9(13) Y    
  6A LINE 6A PERENDDT6 30 8   0-9 mmddccyy N    
  6B LINE 6B NOLCRYFWD6 31 13   0-9 9(13) Y    
  6C LINE 6C NOLCFUSED6 32 13   0-9 9(13) Y    
  6D LINE 6D NOLDEUSESD6 33 13   0-9 9(13) Y    
  6E LINE 6E NOLCFFUTR6 34 13   0-9 9(13) Y    
  7A LINE 7A PERENDDT7 35 8   0-9 mmddccyy N    
  7B LINE 7B NOLCRYFWD7 36 13   0-9 9(13) Y    
  7C LINE 7C NOLCFUSED7 37 13   0-9 9(13) Y    
  7D LINE 7D NOLDEUSESD7 38 13   0-9 9(13) Y    
  7E LINE 7E NOLCFFUTR7 39 13   0-9 9(13) Y    
  8A LINE 8A PERENDDT8 40 8   0-9 mmddccyy N    
  8B LINE 8B NOLCRYFWD8 41 13   0-9 9(13) Y    
  8C LINE 8C NOLCFUSED8 42 13   0-9 9(13) Y    
  8D LINE 8D NOLDEUSESD8 43 13   0-9 9(13) Y    
  8E LINE 8E NOLCFFUTR8 44 13   0-9 9(13) Y    
  9A LINE 9A PERENDDT9 45 8   0-9 mmddccyy N    
  9B LINE 9B NOLCRYFWD9 46 13   0-9 9(13) Y    
  9C LINE 9C NOLCFUSED9 47 13   0-9 9(13) Y    
  9D LINE 9D NOLDEUSESD9 48 13   0-9 9(13) Y    
  9E LINE 9E NOLCFFUTR9 49 13   0-9 9(13) Y    
  10A LINE 10A PERENDDTX 50 8   0-9 mmddccyy N    
  10B LINE 10B NOLCRYFWDX 51 13   0-9 9(13) Y    
  10C LINE 10C NOLCFUSEDX 52 13   0-9 9(13) Y    
  10D LINE 10D NOLDEUSESDX 53 13   0-9 9(13) Y    
  10E LINE 10E NOLCFFUTRX 54 13   0-9 9(13) Y    
  11B LINE 11B NOLCRYFWDT 55 15   0-9 9(15) Y    
  11C LINE 11C NOLCFUSEDT 56 15   0-9 9(15) Y    
  11D LINE 11D NOLDEUSEDT 57 15   0-9 9(15) Y    
  11E LINE 11E NOLCFFUTRT 58 15   0-9 9(15) Y    
    TRAILER FIELD *EOD* 59 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-132-WE

  2D SPECS: DP-132-WE
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-132-WE FORM               BOTTOM CENTER -
PAGE 1		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0132WE23 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    BUSINESS ORGANIZATON NAME PRIMNM 1 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION NUMBER BUSIDNO 2 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    TAXABLE PERIOD BEGINNING PERBEGDT 3 8   0-9 mmddccyy N    
    TAXABLE PERIOD ENDING PERENDDT 4 8   0-9 mmddccyy N    
    TRAILER FIELD *EOD* 5 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-135

  2D SPECS: DP-135
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-135 FORM               BOTTOM CENTER -
PAGE 2		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0DP13522 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    TAX PERIOD - BEGINNING DATE PERBEGDT 1 8   0-9 99999999 N    
    TAX PERIOD - ENDING DATE PERENDDT 2 8   0-9 99999999 N    
  STEP 1 COMPANY NAME PRIMNM 3 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ 9(40) N    
    REGISTRATION # REGNO 4 6   0-9 999999 N    
    TAXPAYER IDENTIFICATION # TXPYRID 5 9   0-9 999999999 N    
  STEP 2 INITIAL RETURN - CHECKBOX INITRTNFLG 6 1   X X N    
    AMENDED RETURN - CHECKBOX AMNDRTNFLG 7 1   X X N    
    FINAL RETURN - CHECKBOX FINLRTNFLG 8 1   X X N    
  STEP 3
1		 LINE 1 NHINCTAX 9 16   0-9 9(16) N    
  2a LINE 2a FEDGRSCHG 10 16   0-9 9(16) N    
  2b LINE 2b LOCGRSCHG 11 16   0-9 9(16) N    
  2c LINE 2c RESGRSCHG 12 16   0-9 9(16) N    
  2d LINE 2d OTHERDED 13 16   0-9 9(16) N    
  2 LINE 2 TOTDED 14 16   0-9 9(16) N    
  3 LINE 3 NHTXBUSPRF 15 16   0-9 9(16) N    
  4 LINE 4 TAXAMT 16 12   0-9 9(12) N    
  5 LINE 5 GRCNOP 17 12   0-9 9(12) N    
  6 LINE 6 TXONCSHREC 18 12   0-9 9(12) N    
  7 LINE 7 NHCST 19 12   0-9 9(12) N    
  8a LINE 8a CRESTIM 20 12   0-9 9(12) N    
  8b LINE 8b CRPRIORRTN 21 12   0-9 9(12) N    
  8c LINE 8c TXPDRETAIL 22 12   0-9 9(12) N    
  8d LINE 8d CRPDORIG 23 12   0-9 9(12) N    
  8 LINE 8 CRTOTAL 24 12   0-9 9(12) N    
  9 LINE 9 BALTAXDUE 25 12   0-9 9(12) N    
  10a LINE 10a ADDTNINT 26 12   0-9 9(12) N    
  10b LINE 10b ADDTNFP 27 12   0-9 9(12) N    
  10c LINE 10c ADDTNFF 28 12   0-9 9(12) N    
  10d LINE 10d ADDTNUND 29 12   0-9 9(12) N    
  10 LINE 10 ADDTNTOT 30 12   0-9 9(12) N    
  11 LINE 11 BALANCE 31 12   0-9 9(12) N    
  12 LINE 12 OVRPYMTCR 32 12   0-9 9(12) N    
  STEP 4 SIGNATURE SIGNEDFLG 33 1   0 OR 1 X N    
    TRAILER FIELD *EOD* 34 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-135-ES

  2D SPECS: DP-135-ES
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-135-ES FORM                  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0135ES23 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    TAX PERIOD - END DATE PERENDDT 1 6   0-9 MMCCYY N    
    REGISTRATION # REGNO 2 6   0-9 999999 N    
    FEIN BUSIDNO1 3 9   0-9 999999999 N    
  1 TOTAL ESTIMATED FOR TAX MONTH TOTESTMON 4 9   0-9 PLUS DECIMAL 9(9).99 N    
  2 AMOUNT OF CREDIT CRDAMT 5 9   0-9 PLUS DECIMAL 9(9).99 N    
  3 AMOUNT OF PAYMENT PYMTESTAMT 6 9   0-9 PLUS DECIMAL 9(9).99 N    
    TRAILER FIELD *EOD* 7 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-139

  2D SPECS: DP-139
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-139 FORM               CENTER OF PAGE  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0DP13920 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    OWNER/COMPANY NAME PRIMNM 1 42   A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @ X(42) N    
    TAXPAYER IDENTIFICATION # BUSIDNO1 2 9   0-9 999999999 N    
    BUSINESS NAME TRADENM 3 46   A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @ X(46) N    
    FEIN - CHECKBOX FEINCB 4 1   X X N    
    SSN - CHECKBOX SSNCB 5 1   X X N    
    BUSINESS PHYSICAL LOCATION - ADDRESS STRADDR1 6 40   A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @ X(40) N    
    CITY / TOWN CITY 7 20   A-Z PLUS SPACE X(20) N    
    STATE STATE 8 2   A-Z XX N    
    ZIP CODE + 4 ZIPPSTLCD 9 10   A-Z, 0-9, PLUS (-) 99999-9999 A1A 1A1 N    
    NH BUSINESS PHONE # BUSPHONE 10 10   0-9 9999999999 N    
    CORPORATE HEADQUARTERS PHONE # CORPPHONE 11 10   0-9 9999999999 N    
    PROPRIETORSHIP - CHECKBOX PROPCB 12 1   X X N    
    CORPORATION - CHECKBOX CORPCB 13 1   X X N    
    PARTNERSHIP - CHECKBOX PARTCB 14 1   X X N    
    FIDUCIARY - CHECKBOX FIDCB 15 1   X X N    
    NON-PROFIT - CHECKBOX NPCB 16 1   X X N    
    SELLING COMMUNICATIONS SERVICES DATE BUSSTDT 17 8   0-9 99999999 N    
    BUSINESS LOCATION IN NH BUSLOCNH 18 30   A-Z X(30) N    
    COMMUNICATIONS SERVICES TAX - CHECKBOX, YES COLTAXFLGY 19 1   X X N    
    COMMUNICATIONS SERVICES TAX - CHECKBOX, NO COLTAXFLGN 20 1   X X N    
    COMMUNICATIONS SERVICES TAX - WHOM COLLECTS COLTAXWHO 21 30   A-Z X(30) N    
    A - CHECKBOX BOXFLGA 22 1   X X N    
    B - CHECKBOX BOXFLGB 23 1   X X N    
    C - CHECKBOX BOXFLGC 24 1   X X N    
    POWER OF ATTORNEY (POA) - CHECKBOX POAFLG 25 1   X X N    
    SIGNATURE SIGNEDFLG 26 1   X X N    
    TRAILER FIELD *EOD* 27 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-143

  2D SPECS: DP-143
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-143 FORM               BOTTOM CENTER - PAGE 1  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0DP14320 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    NAME OF APPLICANT PRIMNM 1 60   A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @ X(60) N    
    CST REGISTRATION # REGNO 2 6   0-9 999999 N    
    TAXPAYER IDENTIFICATION # BUSIDNO1 3 9   0-9 999999999 N    
    NUMBER & STREET ADDRESS STADDR1 4 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    ADDRESS (CONTINUED) STADDR2 5 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    CITY / TOWN CITY 6 20   A-Z PLUS SPACE X(20) N    
    STATE STATE 7 2   A-Z XX N    
    ZIP CODE + 4 ZIPPSTLCD 8 10   A-Z, 0-9, PLUS (-) 99999-9999 A1A 1A1 N    
    RESELL 100% OF PURCHASES - CHECKBOX, YES RESELLFLGY 9 1   X X N    
    RESELL 100% OF PURCHASES - CHECKBOX, NO RESELLFLGN 10 1   X X N    
    COMMUNICATIONS SERVICES - CHECKBOX, YES CSTADMINFLGY 11 1   X X N    
    COMMUNICATIONS SERVICES - CHECKBOX, NO CSTADMINFLGN 12 1   X X N    
    SIGNATURE SIGNEDFLG 13 1   X X N    
    TRAILER FIELD *EOD* 14 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-144

  2D SPECS: DP-144
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-144 FORM               BOTTOM CENTER  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0DP14420 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    COMPANY NAME PRIMNM 1 42   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(42) N    
    CST REGISTRATION # REGNO 2 6   0-9 999999 N    
    TAXPAYER IDENTIFICATION # BUSIDNO1 3 9   0-9 999999999 N    
    TRAILER FIELD *EOD* 4 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-151

  2D SPECS: DP-151
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-151 FORM               BOTTOM CENTER - PAGE 2  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0DP15121 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
  STEP 1 PERIOD PERIOD 1 6   0-9 MMCCYY N    
    LICENSE # LICNO 2 6   0-9 999999 N    
    FEIN# BUSIDNO1 3 9   0-9 999999999 N    
    WHOLESALER PRIMNM 4 42   A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @ X(42) N    
    NUMBER & STREET ADDRESS (MAILING ADDRESS) STRADDR1 5 40   A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @ X(40) N    
    ADDRESS (CONTINUED) STRADDR2 6 40   A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @ X(40) N    
    CITY / TOWN CITY 7 20   A-Z PLUS SPACE X(20) N    
    STATE STATE 8 2   A-Z X(2) N    
    ZIP CODE + 4 ZIPPSTLCD 9 10   A-Z, 0-9 PLUS (-) 99999-9999 A1A 1A1 N    
    INITIAL RETURN - CHECKBOX INITRTNFLG 10 1   X X N    
    AMENDED RETURN - CHECKBOX AMNDRTNFLG 11 1   X X N    
    FINAL RETURN - CHECKBOX FINLRTNFLG 12 1   X X N    
    TOBACCO TAX CREDIT - CHECKBOX CREDITRTNFLG 13 1   X X N    
  STEP 3
1		 LINE 1 - SMOKELESS TOBACCO SOLD OR DISTRIBUTED IN NH SMOKESOLD 14 9   0-9 PLUS DECIMAL 9(9).99 N    
  2 LINE 2 - LOOSE TOBACCO OTHER THAN RYO SOLD IN NH LOOSESOLD 15 9   0-9 PLUS DECIMAL 9(9).99 N    
  3 LINE 3 - SMOKELESS AND LOOSE TOBACCO - TOTAL TOTALSOLD 16 9   0-9 PLUS DECIMAL 9(9).99 N    
  4 LINE 4 - SMOKELESS AND LOOSE TOBACCO - TOTAL TAX TOTSMKLOS 17 9   0-9 PLUS DECIMAL 9(9).99 N    
  5 LINE 5 - LITTLE CIGARS LCIGARSOLD 18 9   0-9 PLUS DECIMAL 9(9).99 N    
  6 LINE 6 - TOTAL WEIGHT IN OUNCES OF RYO SOLD TOTWTR40 19 9   0-9 PLUS DECIMAL 9(9).99 N    
  7 LINE 7 - TOTAL RYO TAX RYOSOLD 20 9   0-9 PLUS DECIMAL 9(9).99 N    
  8 LINE 8 - TOTAL WHOLESALE SALES PRICE OF ALL CIGARS NOT MEETING DEINITION OF RSA 78:1, I & V CIGSOLD 21 9   0-9 PLUS DECIMAL 9(9).99 N    
  9 LINE 9 - TOTAL WHOLESALE SALES PRICE OF ALL PREMIUM CIGARS PCIGARSOLD 22 9   0-9 PLUS DECIMAL 9(9).99 N    
  10 LINE 10 - TOTAL WHOLESALE SALES PRICE OF ALL CIGARS CIGTAXABLE 23 9   0-9 PLUS DECIMAL 9(9).99 N    
  11 LINE 11 - CIGAR TAX CIGARTAX 24 9   0-9 PLUS DECIMAL 9(9).99 N    
  12 LINE 12 - VOLUME IN MM FOR CLOSED SYSTEM E-CIGARETTES CSECML 25 9   0-9 PLUS DECIMAL 9(9).99 N    
  13 LINE 13 - TOTAL CLOSED SYSTEM E-CIGARETTE TAX CSECTX 26 9   0-9 PLUS DECIMAL 9(9).99 N    
  14 LINE 14 - TOTAL WHOLESALE SALES PRICE OF ALL OPEN SYSTEM E-CIGARETTES OSECWS 27 9   0-9 PLUS DECIMAL 9(9).99 N    
  15 LINE 15 - TOTAL OPEN SYSTEM E-CIGARETTE TAX OSECTX 28 9   0-9 PLUS DECIMAL 9(9).99 N    
  16 LINE 16 - TOTAL TAX LIABILITY TOTALTAX 29 9   0-9 PLUS DECIMAL 9(9).99 N    
  17A LINE 17a - ADVANCE PAYMENTS CRADVANCE 30 9   0-9 PLUS DECIMAL 9(9).99 N    
  17B LINE 17b - CREDIT CARRIED OVER FROM PRIOR PERIOD CRPRIORRTN 31 9   0-9 PLUS DECIMAL 9(9).99 N    
  17C LINE 17c - PAID WITH ORIGINAL RETURN CRPDORIG 32 9   0-9 PLUS DECIMAL 9(9).99 N    
  18 LINE 18 - SUM OF LINES 17a - 17c CRTOTAL 33 9   0-9 PLUS DECIMAL 9(9).99 N    
  19 LINE 19 - BALANCE OF LINE 16 MINUS LINE 18 BALTAXDUE 34 9   0-9 PLUS DECIMAL 9(9).99 N    
  20A LINE 20a - INTEREST ADDTNINT 35 9   0-9 PLUS DECIMAL 9(9).99 N    
  20B LINE 20b - FAILURE TO PAY ADDTNFP 36 9   0-9 PLUS DECIMAL 9(9).99 N    
  20C LINE 20c - FAILURE TO FILE ADDTNFF 37 9   0-9 PLUS DECIMAL 9(9).99 N    
  21 LINE 21 - SUM OF LINES 20a - 20c ADDTNTOT 38 9   0-9 PLUS DECIMAL 9(9).99 N    
  22 LINE 22 - BALANCE DUE BALDUE 39 9   0-9 PLUS DECIMAL 9(9).99 Y    
  23 LINE 23 - OVERPAYMENT OVRPYMT 40 9   0-9 PLUS DECIMAL 9(9).99 N    
  24A LINE 24a - CREDIT CREDITAMT 41 9   0-9 PLUS DECIMAL 9(9).99 N    
  24B LINE 24b - REFUND REFUNDAMT 42 9   0-9 PLUS DECIMAL 9(9).99 N    
  STEP 4 SIGNATURE SIGNEDFLG 43 1   X X N    
    TRAILER FIELD *EOD* 44 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-153

  2D SPECS: DP-153
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-153 FORM                  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0DP15322 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    TAX PERIOD BEGIN DATE PERBEGDT 1 8   0-9 mmddyyyy N    
    TAX PERIOD END DATE PERENDDT 2 8   0-9 mmddyyyy N    
  STEP 1 NAME OF HOSPITAL HOSPITALNAME 3 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION # HOSPITALID 4 9   0-9 999999999 N    
    HOSPITAL FISCAL YEAR END DATE HOSPITALFISCYEAREND 5 8   0-9 mmddyyyy N    
    NUMBER & STREET ADDRESS ADDR1 6 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    ADDRESS (CONTINUED) ADDR2 7 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    CITY / TOWN CITY 8 20   A-Z PLUS SPACE X(20) N    
    STATE STATE 9 2   A-Z XX N    
    ZIP CODE + 4 ZIPPSTLCD 10 10   A-Z, 0-9, PLUS (-) 99999-9999 A1A 1A1 N    
  STEP 2 INITIAL RETURN - CHECKBOX INITRTNFLG 11 1   X X N    
    AMENDED RETURN - CHECKBOX AMENDRETFLG 12 1   X X N    
    FINAL RETURN - CHECKBOX FINLRTNFLG 13 1   X X N    
    LAST DAY OF BUSINESS LASTBUSDAY 14 8   0-9 mmddyyyy N    
  STEP 3
1A		 LINE 1a - INPATIENT HOSPITAL SERVICES INPATIENTHOSPITALSERVICES 15 16   0-9 9(16) N    
  1B LINE 1b - OUTPATIENT HOSPITAL SERVICES OUTPATIENTHOSPITALSERVICES 16 16   0-9 9(16) N    
  1C LINE 1c - TOTAL TOTALGROSSCHARGES 17 16   0-9 9(16) N    
  2 LINE 2 - NET EXCLUDED CHARGES FOR OUTPATIENT NETEXCLCHRGOUTPAT 18 16   0-9 9(16) N    
  3 LINE 3 - SUBTOTAL SUBTOTALHOSPITALCHARGES 19 16   0-9 9(16) N    
  4A LINE 4a - BAD DEBTS BADDEBTS 20 16   0-9 9(16) N    
  4B LINE 4b - CHARITY CARE CHARITYCARE 21 16   0-9 9(16) N    
  4C LINE 4c - PAYOR DISCOUNTS PAYORDISCOUNTS 22 16   0-9 9(16) N    
  4 LINE 4 - TOTAL DEDUCTIONS TOTALDEDUCTIONS 23 16   0-9 9(16) N    
  5 LINE 5 - NET PATIENT SERVICES REVENUE NETPATSERVREV 24 16   0-9 9(16) N    
  6 LINE 6 - NH MEDICAID ENHANCEMENT TAX NEWHAMPMEDENHTAX 25 16   0-9 9(16) N    
  7A LINE 7a - CREDIT CARRYOVER CREDITCARRYOVER 26 16   0-9 9(16) N    
  7B LINE 7b - PAYMENT MADE WITH ORIGINAL RETURN PAYMENTORIGINALRETURN 27 16   0-9 9(16) N    
  7 LINE 7 - TOTAL CREDITS TOTALCREDITS 28 16   0-9 9(16) N    
  8 LINE 8 - BALANCE OF TAX DUE BALANCETAXDUE 29 16   0-9 9(16) Y    
  9A LINE 9a - INTEREST INTEREST 30 16   0-9 9(16) N    
  9B LINE 9b - FAILURE TO PAY PENALTY FAILURETOPAY 31 16   0-9 9(16) N    
  9C LINE 9c - FAILURE TO FILE PENALTY FAILURETOFILE 32 16   0-9 9(16) N    
  9 LINE 9 - TOTAL ADDITIONS TOTALADDITIONSTOTAX 33 16   0-9 9(16) N    
  10 LINE 10 - BALANCE DUE BALANCEDUE 34 16   0-9 9(16) Y    
  11 LINE 11 - OVERPAYMENT OVERPAYMENT 35 16   0-9 9(16) N    
  12A LINE 12a - CREDIT OVERPAYMENTCREDIT 36 16   0-9 9(16) N    
  12B LINE 12b - REFUND OVERPAYMENTREFUND 37 16   0-9 9(16) N    
  STEP 4 OFFICER - SIGNATURE SIGNEDFLAG 38 1   X X N    
    PRINT SIGNATORY NAME & TITLE PRINTSIGNATORYNAME 39 42   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(42) N    
    PHONE NUMBER SIGNTELE 40 10   0-9 9999999999 N    
    PREPARER - SIGNATURE SIGNEDFLAG 41 1   X X N    
    PRINTED NAME OF PREPARER PREPARERNAME 42 40   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(40) N    
    PHONE NUMBER PREPRTELE 43 10   0-9 9999999999 N    
    PREPARER'S TAX IDENTIFICATION # PREPRID 44 9   0-9, P PERMITTED IN FIRST SPACE 999999999
P99999999		 N    
    PREPARER'S ADDRESS STRADDR1 45 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40)      
    CITY / TOWN CITY 46 20   A-Z PLUS SPACE X(20) N    
    STATE STATE 47 2   A-Z X(2) N    
    ZIP CODE + 4 ZIPPSTLCD 48 10   A-Z, 0-9, PLUS (-) 99999-9999 A1A 1A1 N    
    TRAILER FIELD *EOD* 49 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-153-ES

  2D SPECS: DP-153-ES
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-153-ES FORM                  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0153ES23 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    TAX PERIOD BEGIN DATE PERBEGDT 1 8   0-9 mmddccyy N    
    TAX PERIOD END DATE PERENDDT 2 8   0-9 mmddccyy N    
    NAME OF HOSPITAL HOSPITALNAME 3 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION # HOSPITALID 4 9   0-9 999999999 N    
    NUMBER & STREET ADDRESS ADDR1 5 40   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(40) N    
    ADDRESS (CONTINUED) ADDR2 6 40   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(40) N    
    CITY / TOWN CITY 7 20   A-Z PLUS SPACE X(20) N    
    STATE STATE 8 2   A-Z XX N    
    ZIP CODE + 4 ZIPPSTLCD 9 10   0-9, A-Z, PLUS SPACE 99999-9999 A1A 1A1 N    
    PROJECTED MEDICAID ENHANCEMENT TAX PAYMENT ESTPAYMENT 10 16   0-9 9(16) N    
    TRAILER FIELD *EOD* 11 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-156

  2D SPECS: DP-156
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-156 FORM                  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0DP15623 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    ASSESSMENT PERIOD JAN-MAR ASPERJANTOMAR 1 1   X X N    
    ASSESSMENT PERIOD APR-JUN ASPERAPRTOJUN 2 1   X X N    
    ASSESSMENT PERIOD JUL-SEP ASPERJULTOSEP 3 1   X X N    
    ASSESSMENT PERIOD OCT-DEC ASPEROCTTODEC 4 1   X X N    
    ASSESSMENT YEAR ASPERYEAR 5 4   0-9 9999 N    
    FACILITY NAME FACILITYNAME 6 46   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(46) N    
    FACILITY ID NUMBER FACILITYID 7 9   0-9 999999999 N    
    ADDRESS ADDR1 8 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    ADDRESS - CONTINUED ADDR2 9 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    CITY / TOWN CITY 10 20   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(20) N    
    STATE STATE 11 2   A-Z XX N    
    ZIP CODE + 4 ZIPPSTLCD 12 10   A-Z, 0-9, PLUS (-) 99999-9999
A1A 1A1		 N    
    INITIAL RETURN INITRTNFLG 13 1   X X N    
    AMENDED RETURN AMENDRETFLG 14 1   X X N    
    FINAL RETURN FINLRTNFLG 15 1   X X N    
    LAST DAY OF BUSINESS LASTDAYBUS 16 8   0-9 MMDDYYYY N    
  1 LINE 1 NETPATIENTSERVICES 17 16   0-9 9(13).99 Y    
  2 LINE 2 QUALITYASSESSMENT 18 16   0-9 9(13).99 Y    
  3A LINE 3A EXTENSIONPAYMENT 19 16   0-9 9(13).99 Y    
  3B LINE 3B CREDITCARRYFORWARD 20 16   0-9 9(13).99 Y    
  3C LINE 3C ORIGINALPAYMENT 21 16   0-9 9(13).99 Y    
  3 LINE 3 CREDITSUM 22 16   0-9 9(13).99 Y    
  4 LINE 4 BALANCEASSESSMENTDUE 23 16   0-9 9(13).99 Y    
  5A LINE 5A INTEREST 24 16   0-9 9(13).99 Y    
  5B LINE 5B FAILURETOPAY 25 16   0-9 9(13).99 Y    
  5C LINE 5C FAILURETOFILE 26 16   0-9 9(13).99 Y    
  5 LINE 5 INTERESTPENALTIESSUM 27 16   0-9 9(13).99 Y    
  6 LINE 6 BALANCEDUE 28 16   0-9 9(13).99 Y    
  7 LINE 7 APPLIEDOVERPAYMENTTOCREDIT 29 16   0-9 9(13).99 Y    
    SIGNATURE FLAG SIGNATUREFLAG 30 1   1 OR 0 x N    
    OFFICER NAME PRINTSIGNATORYNAME 31 42   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(42) N    
    OFFICER PHONE # SIGNTELE 32 10   0-9 999999999 N    
    PREPARER SIGNATURE FLAG PREPARERSIGFLAG 33 1   1 OR 0 x N    
    PREPARER NAME PREPARERNAME 34 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    PREPARER ID # PREPRID 35 9   0-9 AND P PERMITTED IN FIRST SPACE 999999999 N    
    PREPARER PHONE # PREPRTELE 36 10   0-9 9999999999 N    
    PREPARER ADDRESS STRADDR1 37 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    CITY / TOWN CITY 38 20   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(20) N    
    STATE STATE 39 2   A-Z XX N    
    ZIP CODE + 4 ZIPPSTLCD 40 10   A-Z, 0-9, PLUS (-) 99999-9999 A1A 1A1 N    
    TRAILER FIELD *EOD* 41 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-160

  2D SPECS: DP-160
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		                
                 
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT      
    DP-160 FORM               BOTTOM CENTER -
PAGE 1		      
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N        
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N        
    STATE   H3 2 NH STATIC VALUE NH N        
    FORM ID & YEAR 0DP16023 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N        
    BUSINESS ORGANIZATION NAME PRIMNM 1 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N        
    TAXPAYER IDENTIFICATION NUMBER BUSIDNO 2 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N        
    TAXABLE PERIOD BEGINNING PERBEGDT 3 8   0-9 mmddyyyy N        
    TAXABLE PERIOD ENDING PERENDDT 4 8   0-9 mmddyyyy N        
  A1 PART A, LINE 1 BETASUMCR1 5 11   0-9 9(11) PLUS DECIMAL Y        
  A2 PART A, LINE 2 BETASUMCR2 6 11   0-9 9(11) PLUS DECIMAL Y        
  A3 PART A, LINE 3 BETASUMCR3 7 11   0-9 9(11) PLUS DECIMAL Y        
  A4 PART A, LINE 4 BETASUMCR4 8 11   0-9 9(11) PLUS DECIMAL Y        
  A5 PART A, LINE 5 BETASUMCR5 9 11   0-9 9(11) PLUS DECIMAL Y        
  A6 PART A, LINE 6 BETAEDUCRD 10 11   0-9 9(11) PLUS DECIMAL Y        
  A7 PART A, LINE 7 BETASUMCR6 11 11   0-9 9(11) PLUS DECIMAL Y        
  A8 PART A, LINE 8 BETASUMCR7 12 11   0-9 9(11) PLUS DECIMAL Y        
  A9 PART A, LINE 9 BETASUMCR8 13 11   0-9 9(11) PLUS DECIMAL Y        
  B1 PART B, LINE 1 BPTBSUMCR1 14 11   0-9 9(11) PLUS DECIMAL Y        
  B2 PART B, LINE 2 BPTBSUMCR2 15 11   0-9 9(11) PLUS DECIMAL Y        
  B3 PART B, LINE 3 BPTBSUMCR3 16 11   0-9 9(11) PLUS DECIMAL Y        
  B4 PART B, LINE 4 BPTBSUMCR4 17 11   0-9 9(11) PLUS DECIMAL Y        
  B5 PART B, LINE 5 BPTBSUMCR5 18 11   0-9 9(11) PLUS DECIMAL Y        
  B6 PART B, LINE 6 BPTBEDUCRD 19 11   0-9 9(11) PLUS DECIMAL Y        
  B7 PART B, LINE 7 BPTBSUMCR7 20 11   0-9 9(11) PLUS DECIMAL Y        
  B8 PART B, LINE 8 BPTBSUMCR8 21 11   0-9 9(11) PLUS DECIMAL Y        
  B9 PART B, LINE 9 BPTBSUMCR9 22 11   0-9 9(11) PLUS DECIMAL Y        
  B-10A PART B, LINE 10A BETCRYOVR9 23 11   0-9 9(11) PLUS DECIMAL Y Ninth prior taxable period was added for TY2023
  B-10B PART B, LINE 10B BETCRYOVR8 24 11   0-9 9(11) PLUS DECIMAL Y        
  B-10C PART B, LINE 10C BETCRYOVR7 25 11   0-9 9(11) PLUS DECIMAL Y        
  B-10D PART B, LINE 10D BETCRYOVR6 26 11   0-9 9(11) PLUS DECIMAL Y        
  B-10E PART B, LINE 10E BETCRYOVR5 27 11   0-9 9(11) PLUS DECIMAL Y        
  B-10F PART B, LINE 10F BETCRYOVR4 28 11   0-9 9(11) PLUS DECIMAL Y        
  B-10G PART B, LINE 10G BETCRYOVR3 29 11   0-9 9(11) PLUS DECIMAL Y        
  B-10H PART B, LINE 10H BETCRYOVR2 30 11   0-9 9(11) PLUS DECIMAL Y        
  B-10I PART B, LINE 10I BETCRYOVR1 31 11   0-9 9(11) PLUS DECIMAL Y        
  B-10J PART B, LINE 10J BETCRYOVRS 32 11   0-9 9(11) PLUS DECIMAL Y        
  B11 PART B, LINE 11 BETSUMCRED 33 11   0-9 9(11) PLUS DECIMAL Y        
  C1 PART C, LINE 1 CRRESEARCH 34 11   0-9 9(11) PLUS DECIMAL Y        
  C2 PART C, LINE 2 CRRESEARC2 35 11   0-9 9(11) PLUS DECIMAL Y        
  C3 PART C, LINE 3 CRRESEARC3 36 11   0-9 9(11) PLUS DECIMAL Y        
  C4 PART C, LINE 4 CRRESEARC4 37 11   0-9 9(11) PLUS DECIMAL Y        
  C5 PART C, LINE 5 CRRESEARC5 38 11   0-9 9(11) PLUS DECIMAL Y        
  D1 PART D, LINE 1 CRECONOMIC 39 11   0-9 9(11) PLUS DECIMAL Y        
  D1 PART D, LINE 2 CRECONOMI2 40 11   0-9 9(11) PLUS DECIMAL Y        
  D3 PART D, LINE 3 CRECONOMI3 41 11   0-9 9(11) PLUS DECIMAL Y        
  D4 PART D, LINE 4 CRECONOMI4 42 11   0-9 9(11) PLUS DECIMAL Y        
  D5 PART D, LINE 5 CRECONOMI5 43 11   0-9 9(11) PLUS DECIMAL Y        
  D6 PART D, LINE 6 CRECONOMI6 44 11   0-9 9(11) PLUS DECIMAL Y        
  E1 PART E, LINE 1 CRCMYDVAUT 45 11   0-9 9(11) PLUS DECIMAL Y        
  E2 PART E, LINE 2 CRRSA162L2 46 11   0-9 9(11) PLUS DECIMAL Y        
  E3 PART E, LINE 3 CRRSA162L3 47 11   0-9 9(11) PLUS DECIMAL Y        
  E4 PART E, LINE 4 CRRSA162L4 48 11   0-9 9(11) PLUS DECIMAL Y        
  E5 PART E, LINE 5 CRRSA162L5 49 11   0-9 9(11) PLUS DECIMAL Y        
  E6 PART E, LINE 6 CRRSA162L6 50 11   0-9 9(11) PLUS DECIMAL Y        
  E7 PART E, LINE 7 CRRSA162L7 51 11   0-9 9(11) PLUS DECIMAL Y        
  F1 PART F, LINE 1 CCJOBTAXCR 52 11   0-9 9(11) PLUS DECIMAL Y        
  F2 PART F, LINE 2 CCJOBTAXC2 53 11   0-9 9(11) PLUS DECIMAL Y        
  F3 PART F, LINE 3 CCJOBTAXC3 54 11   0-9 9(11) PLUS DECIMAL Y        
  F4 PART F, LINE 4 CCJOBTAXC4 55 11   0-9 9(11) PLUS DECIMAL Y        
  F5 PART F, LINE 5 CCJOBTAXC5 56 11   0-9 9(11) PLUS DECIMAL Y        
  F6 PART F, LINE 6 CCJOBTAXC6 57 11   0-9 9(11) PLUS DECIMAL Y        
  G1 PART G, LINE 1 EDUTAXCRD 58 11   0-9 9(11) PLUS DECIMAL Y        
  G2 PART G, LINE 2 EDUTAXBPT 59 11   0-9 9(11) PLUS DECIMAL Y        
  G3 PART G, LINE 3 EDUTAXBET 60 11   0-9 9(11) PLUS DECIMAL Y        
  G4 PART G, LINE 4 EDUTAXID 61 11   0-9 9(11) PLUS DECIMAL Y        
  G5 PART G, LINE 5 EDUTOTCRD 62 11   0-9 9(11) PLUS DECIMAL Y        
  G6 PART G, LINE 6 EDUCRDCRY 63 11   0-9 9(11) PLUS DECIMAL Y        
  H1 PART H, LINE 1 CRINSTX 64 11   0-9 9(11) PLUS DECIMAL Y        
  H2 PART H, LINE 2 CRINSTXBPT 65 11   0-9 9(11) PLUS DECIMAL Y        
  I1 PART I, LINE 1 CRCTETX 66 11   0-9 9(11) PLUS DECIMAL Y        
  I2 PART I, LINE 2 CRCTETTXBPT 67 11   0-9 9(11) PLUS DECIMAL Y        
  J1 PART J, LINE 1 GRGSPFLPTX 68 11   0-9 9(11) PLUS DECIMAL Y        
  J2 PART J, LINE 2 BETGSPFLPTX 69 11   0-9 9(11) PLUS DECIMAL Y        
    TRAILER FIELD *EOD* 70 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N        


DP-165

  2D SPECS: DP-165
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-165 FORM               BOTTOM CENTER -
PAGE 1		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0DP16523 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    PERIOD BEGIN DATE PERBEGDT 1 8   0-9 99999999 N    
    PERIOD END DATE PERENDDT 2 8   0-9 99999999 N    
    PRINCIPLE NH FILER PRINCNAME 3 42   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(42) N    
    TAXPAYER IDENTIFICATION NUMBER BUSINNO1 4 9   0-9 999999999 N    
    DIN - CHECKBOX DIN 5 1   X X N    
    FEIN - CHECKBOX FEIN 6 1   X X N    
    SSN - CHECKBOX SSN 7 1   X X N    
    STREET ADDRESS 1 STADDR1 8 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    STREET ADDRESS 2 STADDR2 9 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    CITY / TOWN CITY 10 20   A-Z X(20) N    
    STATE STATE 11 2   A-Z XX N    
    ZIP CODE + 4 ZIPPSTLCD 12 10   A-Z, 0-9, PLUS (-) 99999-9999 N    
    CONTACT NAME CONTACTNM 13 42   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(42) N    
    CONTACT PHONE CONTACTPH 14 10   0-9 9(10) N    
    CORP - CHECKBOX CORP 15 1   X X N    
    COMB - CHECKBOX COMB 16 1   X X N    
    PART - CHECKBOX PART 17 1   X X N    
    NONPROF - CHECKBOX NONPROF 18 1   X X N    
    PROP - CHECKBOX PROP 19 1   X X N    
    FIDU - CHECKBOX FIDU 20 1   X X N    
  A LINE A QMRDFEDWAGES 21 15   0-9 PLUS DECIMAL 9(15) N    
  B LINE B QMRDNHWAGES 22 15   0-9 PLUS DECIMAL 9(15) N    
  C LINE C RDCRREQ 23 15   0-9 PLUS DECIMAL 9(15) N    
    TRAILER FIELD *EOD* 24 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-175

  2D SPECS: DP-175
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-175 FORM               BOTTOM RIGHT  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0DP17523 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    FIRST NAME FIRSTNM1 1 15   A-Z, 0-9, plus space, dash, period, “#”, “/”, “&”, “@” X(15) N    
    LAST NAME LASTNM1 2 30   A-Z, 0-9, plus space, dash, period, “#”, “/”, “&”, “@” X(30) N    
    BUSINESS NAME BUSNAME 3 40   A-Z, 0-9, plus space, dash, “#”, “/”, “&”, “@” X(40) N    
    TAXPAYER ID NUMBER BUSINNO1 4 9   0-9 999999999 N    
    DIN - CHECKBOX DINCB 5 1   X X N    
    FEIN - CHECKBOX FEINCB 6 1   X X N    
    SSN - CHECKBOX SSNCB 7 1   X X N    
    TRAILER FIELD *EOD* 8 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-200

  2D SPECS: DP-200
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-200 FORM               BOTTOM CENTER  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0DP20023 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    BUSINESS NAME BUSNAME 1 42   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    STREET ADDRESS 1 STADDR1 2 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    CITY / TOWN CITY 3 20   A-Z X(20) N    
    STATE STATE 4 2   A-Z XX N    
    ZIP CODE + 4 ZIPPSTLCD 5 10   A-Z, 0-9, PLUS (-) 99999-9999 N    
    MEMBER NAME MEMNAME 6 42   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    MEMBER ID NUMBER MEMIDNO 7 9   0-9 999999999 N    
    FEIN - CHECKBOX MEMFEIN 8 1   X X N    
    SSN - CHECKBOX MEMSSN 9 1   X X N    
    MEMBER ADDRESS MEMSTADDR 10 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    MEMBER CITY / TOWN MEMCITY 11 20   A-Z X(20) N    
    MEMBER STATE MEMSTATE 12 2   A-Z XX N    
    MEMBER ZIP CODE + 4 MEMZIP 13 10   A-Z, 0-9, PLUS (-) 99999-9999 N    
    PROP - CHECKBOX PROP 14 1   X X N    
    CORP - CHECKBOX CORP 15 1   X X N    
    COMB - CHECKBOX COMB 16 1   X X N    
    PART - CHECKBOX PART 17 1   X X N    
    FIDU - CHECKBOX FIDUC 18 1   X X N    
    FEDERAL INCOME REPORTED - CHECKBOX YFEDINCREP 19 1   X X N    
    FEDERAL INCOME NOT REPORTED - CHECKBOX NFEDINCREP 20 1   X X N    
    MEMBER NAME #2 REPMEMNAME 21 42   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    MEMBER ID #2 REPMEMIDNO 22 9   0-9 999999999 N    
    FEIN - CHECKBOX #2 REPFEIN 23 1   X X N    
    SSN - CHECKBOX #2 REPSSN 24 1   X X N    
    MEMBER ADDRESS #2 REPMEMSTADDR 25 42   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    MEMBER CITY / TOWN #2 REPMEMCITY 26 20   A-Z X(20) N    
    MEMBER STATE #2 REPMEMSTATE 27 2   A-Z XX N    
    MEMBER ZIP CODE + 4 #2 REPMEMZIP 28 10   A-Z, 0-9, PLUS (-) 99999-9999 N    
    SIGNATURE SIGNEDFLG 29 1   X X N    
    TRAILER FIELD *EOD* 30 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-255-ES

  2D SPECS: DP-255-ES
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-255-ES FORM               BOTTOM CENTER  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0255ES23 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    NAME OF TAXPAYER PRIMNM 1 42   A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @ X(42) N    
    TAXPAYER IDENTIFICATION # BUSIDNO1 2 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    NUMBER & STREET ADDRESS STADDR1 3 40   A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @ X(40) N    
    ADDRESS - CONTINUED STADDR2 4 40   A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @ X(40) N    
    CITY / TOWN CITY 5 20   A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @ X(20) N    
    STATE STATE 6 2   A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @ XX N    
    ZIP CODE + 4 ZIPPSTLCD 7 10   A-Z, 0-9, PLUS (-) 99999-9999 A1A 1A1 N    
    PAYMENT AMOUNT PYMESTAMT 8 11   0-9(11) 9(09) N    
    TRAILER FIELD *EOD* 9 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


DP-2210 2220

  2D SPECS: DP-2210/2220
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-2210/2220 FORM               BOTTOM CENTER -
PAGE 2		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR DP221023 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    BUSINESS ORGANIZATION NAME PRIMNM 1 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION # BUSIDNO 2 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    TAXABLE PERIOD BEGINNING PERBEGDT 3 8   0-9 mmddyyyy N    
    TAXABLE PERIOD ENDING PERENDDT 4 8   0-9 mmddyyyy N    
  15A EXCEPTION, TAX ON ANNUALIZED INCOME - LINE 15, COLUMN A XCPTINST1 5 9   0-9 9(09) N    
  15B EXCEPTION, TAX ON ANNUALIZED INCOME - LINE 15, COLUMN B XCPTINST2 6 9   0-9 9(09) N    
  15C EXCEPTION, TAX ON ANNUALIZED INCOME - LINE 15, COLUMN C XCPTINST3 7 9   0-9 9(09) N    
  15D EXCEPTION, TAX ON ANNUALIZED INCOME - LINE 15, COLUMN D XCPTINST4 8 9   0-9 9(09) N    
  21A PENALTY FOR UNDERPAYMENT OF ESTIMATED TAX - LINE 21, COLUMN A UNDPNLTYQ1 9 9   0-9 9(09) N    
  21B PENALTY FOR UNDERPAYMENT OF ESTIMATED TAX - LINE 21, COLUMN B UNDPNLTYQ2 10 9   0-9 9(09) N    
  21C PENALTY FOR UNDERPAYMENT OF ESTIMATED TAX - LINE 21, COLUMN C UNDPNLTYQ3 11 9   0-9 9(09) N    
  21D PENALTY FOR UNDERPAYMENT OF ESTIMATED TAX - LINE 21, COLUMN D UNDPNLTYQ4 12 9   0-9 9(09) N    
  22 PENALTY FOR UNDERPAYMENT OF ESTIMATED TAX - TOTAL TOTAMTDUE 13 9   0-9 9(09) N    
    TRAILER FIELD *EOD* 14 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    
                       


DP-2848

  2D SPECS: DP-2848
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    DP-2848 FORM               BOTTOM CENTER -
PAGE 1		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR DP284823 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    NAME OF TAXPAYER PRIMNM1 1 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46)      
    TAXPAYER IDENTIFICATION NUMBER BUSIDNO1 2 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		      
    NAME OF SPOUSE (IF FILING JOINTLY) PRIMNM2 3 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46)      
    TAXPAYER IDENTIFICATION NUMBER OF SPOUSE (IF FILING JOINTLY) BUSIDNO2 4 9   0-9 999999999      
    DEPARTMENT ISSUED LICENSE NUMBER LICNO 5 6   0-9 999999999      
    TRAILER FIELD *EOD* 6 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    
                       


ED-02

  2D SPECS: ED-02
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    ED-02 FORM                  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 00ED0222 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
  STEP 1 BUSINESS / INDIVIDUAL NAME ACCTNAME 1 60   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(60) N    
    NUMBER & STREET ADDRESS STRADDR1 2 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    ADDRESS (CONTINUED) STRADDR2 3 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    CITY / TOWN CITY 4 20   A-Z PLUS SPACE X(20) N    
    STATE STATE 5 2   A-Z XX N    
    ZIP CODE + 4 ZIPPSTLCD 6 10   A-Z, 0-9, PLUS (-) 99999-9999 A1A 1A1 N    
    CONTACT NAME AND TITLE CONTACT 7 60   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(60) N    
    CONTACT PHONE # CONTACTPH 8 10   0-9 x(10 N    
    CONTACT EMAIL CONTACTEMAIL 9 60   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(60) N    
    TAXPAYER IDENTIFICATION # TXPYRID 10 9   0-9 999999999 N    
    DIN - CHECKBOX DINCB 11 1   X X N    
    FEIN - CHECKBOX FEINDCB 12 1   X X N    
    SSN - CHECKBOX SSNCB 13 1   X X N    
    CORPORATION - CHECKBOX CORPCB 14 X   X X N    
    PARTNERSHIP - CHECKBOX PARTCB 15 X   X X N    
    PROP/INDIVIDUAL - CHECKBOX PROPCB 16 X   X X N    
    NON-PROFIT - CHECKBOX NPCB 17 X   X X N    
    FIDUCIARY - CHECKBOX FIDCB 18 X   X X N    
  STEP 2
6		 LINE 6 SCHOLAAMT 19 6   0-9 999999 N    
  7 LINE 7 TAXCREDAMT 20 6   0-9 999999 N    
    TRAILER FIELD *EOD* 21 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


ED-03

  2D SPECS: ED-03
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    ED-03 FORM                  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 00ED0322 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
  STEP 1 SCHOLARSHIP ORGANIZATION SCHOLORG 1 60   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(60) N    
    NUMBER & STREET ADDRESS STARADDR1 2 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    CITY / TOWN CITY 3 20   A-Z PLUS SPACE X(20) N    
    STATE STATE 4 2   A-Z XX N    
    ZIP CODE + 4 ZIPPSTLCD 5 10   A-Z, 0-9, PLUS (-) 99999-9999 A1A 1A1 N    
    TAXPAYER IDENTIFICATION # TXPYRID 6 9   0-9 999999999 N    
    DIN - CHECKBOX DINCB 7 1   0 OR 1 X N    
    FEIN - CHECKBOX FEINCB 8 1   0 OR 1 X N    
    SSN - CHECKBOX SSNCB 9 1   0 OR 1 X N    
  STEP 2 DONATING BUSINESS ORG NAME DONATNAME 10 60   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(60) N    
    NUMBER & STREET ADDRESS DONSTRADDR1 11 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    CITY / TOWN DONCITY 12 20   A-Z PLUS SPACE X(20) N    
    STATE DONSTATE 13 2   A-Z XX N    
    ZIP CODE + 4 DONZIPPSTLCD 14 10   A-Z, 0-9, PLUS (-) 99999-9999 A1A 1A1 N    
    TAXPAYER IDENTIFICATION # DONTXPYRID 15 9   0-9 999999999 N    
    DIN - CHECKBOX DONDINCB 16 1   X X N    
    FEIN - CHECKBOX DONFEINCB 17 1   X X N    
    SSN - CHECKBOX DONSSNCB 18 1   X X N    
  STEP 3 DONATION AMOUNT DONATAMT 19 6   0-9 999999 N    
    DONATION DATE DONATDATE 20 8   0-9 999999999 N    
    TRAILER FIELD *EOD* 21 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


NH-1040

  2D SPECS: NH-1040
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    NH-1040 FORM               BOTTOM CENTER -
PAGE 3		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 00104023 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    BUSINESS ORGANIZATION NAME PRIMNM 1 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION # BUSIDNO 2 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    TAXABLE PERIOD BEGINNING PERBEGDT 3 8   0-9 mmddyyyy N    
    TAXABLE PERIOD ENDING PERENDDT 4 8   0-9 mmddyyyy N    
  1A LINE 1A NETPROF 5 11   0-9 9(11) Y    
  1B LINE 1B INCRENT 6 11   0-9 9(11) Y    
  1C LINE 1C FRMRENT 7 11   0-9 9(11) Y    
  1D LINE 1D NETFARM 8 11   0-9 9(11) Y    
  1E LINE 1E NETSALE1 9 11   0-9 9(11) Y    
  1F LINE 1F NETSALE2 10 11   0-9 9(11) Y    
  1G LINE 1G TOTINSTSLS 11 11   0-9 9(11) Y    
  1H LINE 1H INCOTHLLC 12 11   0-9 9(11) Y    
  1I LINE 1I INCOTH1040 13 11   0-9 9(11) Y    
  1J LINE 1J GRBPTOT 14 13   0-9 9(13) Y    
  2A LINE 2A IRC179EXP 15 11   0-9 9(11) Y    
  2B LINE 2B IRCBONDEPR 16 11   0-9 9(11) Y    
  2C LINE 2C IRCOTHDEDF 17 11   0-9 9(11) Y    
  2D LINE 2D IRCADDDEPR 18 11   0-9 9(11) Y    
  2E LINE 2E IRCOTHITEM 19 11   0-9 9(11) Y    
  2F LINE 2F IRCSLSALL 20 11   0-9 9(11) Y    
  2G LINE 2G IRCSUBTOT 21 11   0-9 9(11) Y    
  3 LINE 3 IRCCNETINC 22 11   0-9 9(11) Y    
  4 LINE 4 ADJNTITY 23 11   0-9 9(11) Y    
  5 LINE 5 GRBPTOT 24 11   0-9 9(11) Y    
  6A LINE 6A ADJINTDIV 25 11   0-9 9(11) Y    
  6B LINE 6B ADJUSTINT 26 11   0-9 9(11) Y    
  6C LINE 6C DEDCOMP 27 11   0-9 9(11) Y    
  6D LINE 6D ADJTAXES 28 11   0-9 9(11) Y    
  6E LINE 6E ADJWAGES 29 11   0-9 9(11) Y    
  6F LINE 6F ADJEXPIN 30 11   0-9 9(11) Y    
  6G LINE 6G ADJRESRCH 31 11   0-9 9(11) Y    
  6H-A LINE 6H-A ADJGBPINCA 32 11   0-9 9(11) Y    
    ELECTION - CHECKBOX, YES ELECTFLG 33 1   X X N    
    MULTIPLE TRANSACTIONS - CHECKBOX, YES MULTIFLG 34 1   X X N    
  6H-B LINE 6H-B ADJGPINCD 35 11   0-9 9(11) Y    
  6H-C LINE 6H-C ADJDEPR 36 11   0-9 9(11) Y    
  6H-D LINE 6H-D ADJNETGNL 37 11   0-9 9(11) Y    
  6H LINE 6H ADJCHPT168 38 11   0-9 9(11) Y    
  6I LINE 6I ADJQICPROF 39 11   0-9 9(11) Y    
  6J LINE 6J ADJSTOT 40 13   0-9 9(13) Y    
  7 LINE 7 NHINCTAX 41 13   0-9 9(13) Y    
  8 LINE 8 PCTAPPN 42 9   0-9 9.999999 N    
  9 LINE 9 NHBPPRENOL 43 11   0-9 9(11) Y    
  10A LINE 10A ADJNOLAVAI 44 11   0-9 9(11) Y    
  10 LINE 10 ADJNOLDED 45 11   0-9 9(11) Y    
  10B LINE 10B ADJNOLCRYF 46 11   0-9 9(11) Y    
  11 LINE 11 NHTXBUSPRF 47 11   0-9 9(11) Y    
  12 LINE 12 TAXAMTPRIM 48 11   0-9 9(11) Y    
  13A LINE 13A CRBET 49 13   0-9 9(13) Y    
  13B LINE 13B CRTAXCR 50 9   0-9 9(09) Y    
  14 LINE 14 TAXNETSTCR 51 13   0-9 9(13) Y    
    TRAILER FIELD *EOD* 52 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


NH-1040-ES

  2D SPECS: NH-1040-ES
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    NH-1040-ES FORM               BOTTOM CENTER -
ON EACH PAYMENT FORM		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 1040ES24 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    TAXABLE PERIOD - BEGINNING PERBEGDT 1 8   0-9 mmddccyy N    
    TAXABLE PERIOD - ENDING PERENDDT 2 8   0-9 mmddccyy N    
    SOCIAL SECURITY NUMBER INDVIDNO1 3 9   0-9 999999999 N    
    FEDERAL EMPLOYER ID # OR DEPARTMENT ID # BUSIDNO1 4 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    LAST NAME (PROPRIETOR'S) LASTNM1 5 30   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(30) N    
    FIRST NAME FIRSTNM1 6 15   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(15) N    
    MIDDLE INITIAL MIDINIT1 7 1   A-Z X(1) N    
    LIMITED LIABILITY COMPANY PRIMNM 8 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    NUMBER & STREET ADDRESS ADDR1 9 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    ADDRESS - CONTINUED ADDR2 10 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    CITY / TOWN City 11 20   A-Z PLUS SPACE X(20) N    
    STATE STATE 12 2   A-Z XX N    
    ZIP CODE + 4 ZIPPSTLCD 13 10   A-Z, 0-9, PLUS (-) 99999-9999 A1A 1A1 N    
    1/4 BET ESTAMTBE 14 9   0-9 9(09) N    
    1/4 BPT ESTAMTBP 15 9   0-9 9(09) N    
    AMOUNT OF PAYMENT ESTAMTTOT 16 9   0-9 9(09) N    
    TRAILER FIELD *EOD* 17 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


NH-1041

  2D SPECS: NH-1041
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    NH-1041 FORM               BOTTOM CENTER -
PAGE 3		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 00104123 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    BUSINESS ORGANIZATION NAME PRIMNM 1 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION # BUSIDNO 2 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    TAXABLE PERIOD BEGINNING PERBEGDT 3 8   0-9 mmddyyyy N    
    TAXABLE PERIOD ENDING PERENDDT 4 8   0-9 mmddyyyy N    
  1A LINE 1A INCINT 5 11   0-9 9(11) Y    
  1B LINE 1B INCDIV 6 11   0-9 9(11) Y    
  1C LINE 1C BUSINC1041 7 11   0-9 9(11) Y    
  1D LINE 1D NETGN1041 8 11   0-9 9(11) Y    
  1E LINE 1E INCRENTROY 9 11   0-9 9(11) Y    
  1F LINE 1F NETFARM 10 11   0-9 9(11) Y    
  1G LINE 1G ORDGN1041 11 11   0-9 9(11) Y    
  1H LINE 1H INCOTHER 12 11   0-9 9(11) Y    
  1I LINE 1I EXPOTHER 13 11   0-9 9(11) Y    
  1J LINE 1J INCTOTAL 14 13   0-9 9(13) Y    
  2A LINE 2A IRC179EXP 15 11   0-9 9(11) Y    
  2B LINE 2B IRCBONDEPR 16 11   0-9 9(11) Y    
  2C LINE 2C IRCOTHDEDF 17 11   0-9 9(11) Y    
  2D LINE 2D IRCADDDEPR 18 11   0-9 9(11) Y    
  2E LINE 2E IRCOTHITEM 19 11   0-9 9(11) Y    
  2F LINE 2F IRCSLSALL 20 11   0-9 9(11) Y    
  2G LINE 2G IRCSUBTOT 21 11   0-9 9(11) Y    
  3 LINE 3 IRCCNETINC 22 11   0-9 9(11) Y    
  4 LINE 4 ADJNTITY 23 11   0-9 9(11) Y    
  5 LINE 5 GRBSUB 24 13   0-9 9(13) Y    
  6A LINE 6A DEDINTDVD 25 11   0-9 9(11) Y    
  6B LINE 6B ADJUSTINT 26 11   0-9 9(11) Y    
  6C LINE 6C ADJTAXES 27 11   0-9 9(11) Y    
  6D LINE 6D ADJWAGES 28 11   0-9 9(11) Y    
  6E LINE 6E ADJEXPIN 29 11   0-9 9(11) Y    
  6F LINE 6F ADJRESRCH 30 11   0-9 9(11) Y    
  6G-A LINE 6G-A ADJGBPINCA 31 11   0-9 9(11) Y    
    ELECTION - CHECKBOX, YES ELECTFLG 32 1   X X N    
    MULTIPLE TRANSACTIONS - CHECKBOX, YES MULTIFLG 33 1   X X N    
  6G-B LINE 6G-B ADJGPINCD 34 11   0-9 9(11) Y    
  6G-C LINE 6G-C ADJDEPR 35 11   0-9 9(11) Y    
  6G-D LINE 6G-D ADJNETGNL 36 11   0-9 9(11) Y    
  6G LINE 6G ADJCHPT168 37 11   0-9 9(11) Y    
  6H LINE 6H ADJQICPROF 38 11   0-9 9(11) Y    
  6I LINE 6I ADJASSISTP 39 11   0-9 9(11) Y    
  6J LINE 6J ADJSTOT 40 13   0-9 9(13) Y    
  7 LINE 7 NHINCTAX 41 13   0-9 9(13) Y    
  8 LINE 8 PCTAPPN 42 9   0-9 9.999999 N    
  9 LINE 9 NHBPPRENOL 43 11   0-9 9(11) Y    
  10A LINE 10A ADJNOLAVAI 44 11   0-9 9(11) Y    
  10 LINE 10 ADJNOLDED 45 11   0-9 9(11) Y    
  10B LINE 10B ADJNOLCRYF 46 11   0-9 9(11) Y    
  11 LINE 11 NHTXBUSPRF 47 11   0-9 9(11) Y    
  12 LINE 12 TAXAMT 48 11   0-9 9(11) Y    
  13A LINE 13A CRBET 49 13   0-9 9(13) Y    
  13B LINE 13B CRTAXCR 50 9   0-9 9(09) Y    
  14 LINE 14 TAXNETSTCR 51 13   0-9 9(13) Y    
    TRAILER FIELD *EOD* 52 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


NH-1041-ES

  2D SPECS: NH-1041-ES
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    NH-1041-ES FORM               BOTTOM LEFT -
ON EACH PAYMENT FORM CENTERED UNDER 1D BARCODE		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 1041ES24 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    TAXABLE PERIOD - BEGINNING PERBEGDT 1 8   0-9 mmddccyy N    
    TAXABLE PERIOD - ENDING PERENDDT 2 8   0-9 mmddccyy N    
    TAXPAYER IDENTIFICATION NUMBER BUSIDNO 3 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    NAME OF ESTATE OR TRUST PRIMNM 4 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    NUMBER & STREET ADDRESS ADDR1 5 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    ADDRESS - CONTINUED ADDR2 6 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    CITY / TOWN City 7 20   A-Z PLUS SPACE X(20) N    
    STATE STATE 8 2   A-Z XX N    
    ZIP CODE + 4 ZIPPSTLCD 9 10   0-9, A-Z, PLUS SPACE 99999-9999 A1A 1A1 N    
    1/4 BET ESTAMTBE 10 9   0-9 9(09) N    
    1/4 BPT ESTAMTBP 11 9   0-9 9(09) N    
    AMOUNT OF PAYMENT ESTAMTTOT 12 9   0-9 9(09) N    
    TRAILER FIELD *EOD* 13 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


NH-1065

  2D SPECS: NH-1065
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    NH-1065 FORM               BOTTOM CENTER -
PAGE 3		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 00106523 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    BUSINESS ORGANIZATION NAME PRIMNM 1 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION # BUSIDNO 2 9   0-9, NL PERMITTED IN THE FIRST TWO SPACES 999999999 XX9999999 N    
    TAXABLE PERIOD BEGINNING PERBEGDT 3 8   0-9 mmddyyyy N    
    TAXABLE PERIOD ENDING PERENDDT 4 8   0-9 mmddyyyy N    
  1A LINE 1A INCORDIN 5 11   0-9 9(11) Y    
  1B LINE 1B INCREACT 6 11   0-9 9(11) Y    
  1C LINE 1C INCREACOTH 7 11   0-9 9(11) Y    
  1D LINE 1D GUARPYMT 8 11   0-9 9(11) Y    
  1E LINE 1E INCPORTINT 9 11   0-9 9(11) Y    
  1F LINE 1F INCPORTDIV 10 11   0-9 9(11) Y    
  1G LINE 1G INCPORTROY 11 11   0-9 9(11) Y    
  1H LINE 1H CAPGNASTSS 12 11   0-9 9(11) Y    
    NET SHORT TERM CAPLSASTSS 13 11   0-9 9(11) Y    
  1I LINE 1I CAPGNASTSL 14 11   0-9 9(11) Y    
  1J LINE 1J NETGN1231 15 11   0-9 9(11) Y    
  1K LINE 1K INCOTHER 16 11   0-9 9(11) Y    
  1L LINE 1L INCOTHERNR 17 11   0-9 9(11) Y    
  1M LINE 1M IRC179DED 18 11   0-9 9(11) Y    
  1N LINE 1N CONTRPTD 19 11   0-9 9(11) Y    
  1O LINE 1O INVINTEXP 20 11   0-9 9(11) Y    
  1P LINE 1P IRC59EEXP 21 11   0-9 9(11) Y    
  1Q LINE 1Q OTHDEDRPT 22 11   0-9 9(11) Y    
  1R LINE 1R FRGNINCEXP 23 11   0-9 9(11) Y    
  1S LINE 1S GRBPSUB 24 13   0-9 9(13) Y    
  2A LINE 2A IRC179EXP 25 11   0-9 9(11) Y    
  2B LINE 2B IRCBONDEPR 26 11   0-9 9(11) Y    
  2C LINE 2C IRCOTHDEDF 27 11   0-9 9(11) Y    
  2D LINE 2D IRCADDDEPR 28 11   0-9 9(11) Y    
  2E LINE 2E IRCOTHITEM 29 11   0-9 9(11) Y    
  2F LINE 2F IRCSLSALL 30 11   0-9 9(11) Y    
  2G LINE 2G IRCSUBTOT 31 11   0-9 9(11) Y    
  3 LINE 3 IRCCNETINC 32 11   0-9 9(11) Y    
  4 LINE 4 ADJNTITY 33 11   0-9 9(11) Y    
  5 LINE 5 GRBPTOT 34 13   0-9 9(13) Y    
  6A LINE 6A DEDINTDVD 35 11   0-9 9(11) Y    
  6B LINE 6B ADJUSTINT 36 11   0-9 9(11) Y    
  6C LINE 6C DEDCOMP 37 11   0-9 9(11) Y    
  6D LINE 6D ADJTAXES 38 11   0-9 9(11) Y    
  6E LINE 6E ADJWAGES 39 11   0-9 9(11) Y    
  6F LINE 6F ADJDIVIDNH 40 11   0-9 9(11) Y    
  6G LINE 6G ADJRESRCH 41 11   0-9 9(11) Y    
  6H-A LINE 6H-A ADJGBPINCA 42 11   0-9 9(11) Y    
    ELECTION - CHECKBOX, YES ELECTFLG 43 1   X X N    
    MULTIPLE TRANSACTIONS - CHECKBOX, YES MULTIFLG 44 1   X X N    
  6H-B LINE 6H-B ADJGPINCD 45 11   0-9 9(11) Y    
  6H-C LINE 6H-C ADJDEPR 46 11   0-9 9(11) Y    
  6H-D LINE 6H-D ADJNETGNL 47 11   0-9 9(11) Y    
  6H LINE 6H ADJCHPT168 48 11   0-9 9(11) Y    
  6I LINE 6I ADJQICPROF 49 11   0-9 9(11) Y    
  6J LINE 6J DEDTOTAL 50 13   0-9 9(11) Y    
  7 LINE 7 NHINCTAX 51 13   0-9 9(13) Y    
  8 LINE 8 PCTAPPN 52 9   0-9 9.999999 N    
  9 LINE 9 NHBPPRENOL 53 11   0-9 9(11) Y    
  10A LINE 10A ADJNOLAVAI 54 11   0-9 9(11) Y    
  10 LINE 10 ADJNOLDED 55 11   0-9 9(11) Y    
  10B LINE 10B ADJNOLCRYF 56 11   0-9 9(11) Y    
  11 LINE 11 NHTXBUSPRF 57 11   0-9 9(11) Y    
  12 LINE 12 TAXAMT 58 11   0-9 9(11) Y    
  13A LINE 13A CRBETAP 59 13   0-9 9(13) Y    
  13B LINE 13B CRTAXCR 60 9   0-9 9(09) Y    
  14 LINE 14 TAXNETSTCR 61 13   0-9 9(13) Y    
    TRAILER FIELD *EOD* 62 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


NH-1065-ES

  2D SPECS: NH-1065-ES
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    NH-1065-ES FORM               BOTTOM LEFT -
ON EACH PAYMENT FORM CENTERED UNDER 1D BARCODE		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 1065ES24 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    TAXABLE PERIOD - BEGINNING PERBEGDT 1 8   0-9 mmddccyy N    
    TAXABLE PERIOD - ENDING PERENDDT 2 8   0-9 mmddccyy N    
    TAXPAYER IDENTIFICATION # BUSIDNO1 3 9   0-9 AND NL PERMITTED IN THE FIRST TWO SPACES 999999999 XX9999999 N    
    NAME OF PARTNERSHIP / LIMITED LIABILITY COMPANY PRIMNM1 4 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    NUMBER & STREET ADDRESS ADDR1 5 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    ADDRESS - CONTINUED ADDR2 6 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    CITY / TOWN CITY 7 20   A-Z PLUS SPACE X(20) N    
    STATE STATE 8 2   A-Z XX N    
    ZIP CODE + 4 ZIPPSTLCD 9 10   A-Z, 0-9, PLUS (-) 99999-9999 A1A 1A1 N    
    1/4 BET ESTAMTBE 10 9   0-9 9(09) N    
    1/4 BPT ESTAMTBP 11 9   0-9 9(09) N    
    AMOUNT OF PAYMENT ESTAMTTOT 12 9   0-9 9(09) N    
    TRAILER FIELD *EOD* 13 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


NH-1120

  2D SPECS: NH-1120
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    NH-1120 FORM               BOTTOM CENTER -
PAGE 3		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 00112023 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    BUSINESS ORGANIZATION NAME PRIMNM 1 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION # BUSIDNO 2 9   0-9, NL PERMITTED IN THE FIRST TWO SPACES 999999999 XX9999999 N    
    TAXABLE PERIOD BEGINNING PERBEGDT 3 8   0-9 mmddyyyy N    
    TAXABLE PERIOD ENDING PERENDDT 4 8   0-9 mmddyyyy N    
  1 LINE 1 GRBPSUB 5 13   0-9 9(13) Y    
  2A LINE 2A IRC179EXP 6 13   0-9 9(13) Y    
  2B LINE 2B IRCBONDEPR 7 13   0-9 9(13) Y    
  2C LINE 2C IRCOTHDEDF 8 13   0-9 9(13) Y    
  2D LINE 2D IRCADDDEPR 9 13   0-9 9(13) Y    
  2E LINE 2E IRCOTHITEM 10 13   0-9 9(13) Y    
  2F LINE 2F IRCSLSALL 11 13   0-9 9(13) Y    
  2G LINE 2G IRCSUBTOT 12 13   0-9 9(13) Y    
  3 LINE 3 IRCCNETINC 13 13   0-9 9(13) Y    
  4 LINE 4 ADJNTITY 14 13   0-9 9(13) Y    
  5 LINE 5 GRBPTOT 15 13   0-9 9(13) Y    
  6A LINE 6A ADJUSINT 16 11   0-9 9(11) Y    
  6B LINE 6B ADJTAXES 17 11   0-9 9(11) Y    
  6C LINE 6C ADJIRC337 18 13   0-9 9(13) Y    
  6D LINE 6D ADJWAGES 19 11   0-9 9(11) Y    
  6E LINE 6E ADJEXPEXIN 20 11   0-9 9(11) Y    
  6F LINE 6F ADJFORGN 21 11   0-9 9(11) Y    
  6G LINE 6G ADJRESRCH 22 11   0-9 9(11) Y    
  6H-A LINE 6H-A ADJGBPINCA 23 11   0-9 9(11) Y    
    ELECTION - CHECKBOX, YES ELECTFLG 24 1   X X N    
    MULTIPLE TRANSACTIONS - CHECKBOX, YES MULTIFLG 25 1   X X N    
  6H-B LINE 6H-B ADJGPINCD 26 11   0-9 9(11) Y    
  6H-C LINE 6H-C ADJDEPR 27 11   0-9 9(11) Y    
  6H-D LINE 6H-D ADJNETGNL 28 11   0-9 9(11) Y    
  6H LINE 6H ADJINCASTS 29 11   0-9 9(11) Y    
  6I LINE 6I ADJQICPROF 30 11   0-9 9(11) Y    
  6J LINE 6J ADJASSISTP 31 11   0-9 9(11) Y    
  6K LINE 6K ADJTOTAL 32 11   0-9 9(11) Y    
  7 LINE 7 NHINCTAX 33 13   0-9 9(13) Y    
  8 LINE 8 PCTAPPN 34 9   0-9 9.999999 N    
  9 LINE 9 NHBPPRENOL 35 11   0-9 9(11) Y    
  10A LINE 10A ADJNOLAVAI 36 11   0-9 9(11) Y    
  10 LINE 10 ADJNOLDED 37 11   0-9 9(11) Y    
  10B LINE 10B ADJNOLCRYF 38 11   0-9 9(11) Y    
  11 LINE 11 NHTXBUSPRF 39 11   0-9 9(11) Y    
  12 LINE 12 TAXAMT 40 11   0-9 9(11) Y    
  13A LINE 13A CRBET 41 13   0-9 9(13) Y    
  13B LINE 13B CRTAXCR 42 9   0-9 9(09) Y    
  14 LINE 14 TAXNETSTCR 43 13   0-9 9(13) Y    
    TRAILER FIELD *EOD* 44 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


NH-1120-ES

  2D SPECS: NH-1120-ES
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    NH-1120-ES FORM               BOTTOM LEFT -
ON EACH PAYMENT FORM CENTERED UNDER 1D BARCODE		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 1120ES24 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    TAXABLE PERIOD - BEGINNING PERBEGDT 1 8   0-9 mmddccyy N    
    TAXABLE PERIOD - ENDING PERENDDT 2 8   0-9 mmddccyy N    
    TAXPAYER IDENTIFICATION # BUSIDNO1 3 9   0-9 AND NL PERMITTED IN THE FIRST TWO SPACES 999999999 XX9999999 N    
    NAME OF CORPORATION / LIMITED LIABILITY COMPANY PRIMNM1 4 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    NUMER & STREET ADDRESS ADDR1 5 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    ADDRESS - CONTINUED ADDR2 6 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    CITY / TOWN CITY 7 20   A-Z PLUS SPACE X(20) N    
    STATE STATE 8 2   A-Z XX N    
    ZIP CODE + 4 ZIPPSTLCD 9 10   A-Z, 0-9, PLUS (-) 99999-9999 A1A 1A1 N    
    1/4 BET ESTAMTBE 10 9   0-9 9(09) N    
    1/4 BPT ESTAMTBP 11 9   0-9 9(09) N    
    AMOUNT OF PAYMENT ESTAMTTOT 12 9   0-9 9(09) N    
    TRAILER FIELD *EOD* 13 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


NH-1120-WE

  2D SPECS: NH-1120-WE
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    NH-1120-WE FORM               BOTTOM CENTER -
PAGE 3		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 1120WE23 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    BUSINESS ORGANIZATION NAME PRIMNM 1 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION # BUSIDNO 2 9   0-9, NL PERMITTED IN THE FIRST TWO SPACES 999999999 XX9999999 N    
    TAXABLE PERIOD BEGINNING PERBEGDT 3 8   0-9 mmddyyyy N    
    TAXABLE PERIOD ENDING PERENDDT 4 8   0-9 mmddyyyy N    
    1120 - CHECKBOX PRBUS1120CB 5 1   X X N    
    1120S - CHECKBOX PRBUS1120SCB 6 1   X X N    
    1065 - CHECKBOX PRBUS1065CB 7 1   X X N    
    1041 - CHECKBOX PRBUS1041CB 8 1   X X N    
    1040 - CHECKBOX PRBUS1040CB 9 1   X X N    
  1 LINE 1 USCONSOLID 10 13   0-9 9(13) Y    
  2 LINE 2 OVERSEABUS 11 13   0-9 9(13) Y    
  3 LINE 3 NONUNITARY 12 13   0-9 9(13) Y    
  4 LINE 4 CONSELIMIN 13 13   0-9 9(13) Y    
  5 LINE 5 UNITARYENT 14 13   0-9 9(13) Y    
  6 LINE 6 INTERCOINC 15 13   0-9 9(13) Y    
  7 LINE 7 SUBTOTAL 16 15   0-9 9(15) Y    
  8A LINE 8A INCEXEMPT 17 13   0-9 9(13) Y    
  8B LINE 8B RELEXPENSE 18 13   0-9 9(13) Y    
  9 LINE 9 COMBNETINC 19 15   0-9 9(15) Y    
  10A LINE 10A IRC179EXP 20 13   0-9 9(13) Y    
  10B LINE 10B IRCBONDEPR 21 13   0-9 9(13) Y    
  10C LINE 10C IRCOTHDEDF 22 13   0-9 9(13) Y    
  10D LINE 10D IRCADDDEPR 23 13   0-9 9(13) Y    
  10E LINE 10E IRCOTHITEM 24 13   0-9 9(13) Y    
  10F LINE 10F IRSLSALL 25 13   0-9 9(13) Y    
  10G LINE 10G IRCSUBTOT 26 13   0-9 9(13) Y    
  11A LINE 11A INCTAXABLE 27 13   0-9 9(13) Y    
  11B LINE 11B ADJNTITY 28 13   0-9 9(13) Y    
  11C LINE 11C GRBPSUB 29 13   0-9 9(13) Y    
  11D LINE 11D FRDIVIDND 30 13   0-9 9(13) Y    
  11E LINE 11E GRBPTOT 31 13   0-9 9(13) Y    
  12A LINE 12A ADJINTDIV 32 13   0-9 9(13) Y    
  12B LINE 12B ADJUSINT 33 11   0-9 9(11) Y    
  12C LINE 12C ADJCOMPDED 34 13   0-9 9(13) Y    
  12D LINE 12D ADJTAXES 35 11   0-9 9(11) Y    
  12E LINE 12E ADJIRC337 36 13   0-9 9(13) Y    
  12F LINE 12F ADJWAGES 37 11   0-9 9(11) Y    
  12G LINE 12G ADJFORGN 38 11   0-9 9(11) Y    
  12H LINE 12H ADJRESRCH 39 11   0-9 9(11) Y    
  12I-A LINE 12I-A ADJGBPINCA 40 11   0-9 9(11) Y    
    ELECTION - CHECKBOX, YES ELECTFLG 41 1   X X N    
    MULTIPLE TRANSACTIONS - CHECKBOX, YES MULTIFLG 42 1   X X N    
  12I-B LINE 12I-B ADJGPINCD 43 11   0-9 9(11) Y    
  12I-C LINE 12I-C ADJDEPR 44 11   0-9 9(11) Y    
  12I-D LINE 12I-D ADJNETGNL 45 11   0-9 9(11) Y    
  12I LINE 12I ADJINCASTS 46 11   0-9 9(11) Y    
  12J LINE 12J ADJQICPROF 47 11   0-9 9(11) Y    
  12K LINE 12K ADJASSISTP 48 11   0-9 9(11) Y    
  12L LINE 12L ADJTOTAL 49 11   0-9 9(11) Y    
  13 LINE 13 NHINCTAX 50 13   0-9 9(13) Y    
  14 LINE 14 PCTAPPN 51 9   0-9 9.999999 N    
  15 LINE 15 NHBUSPRSUB 52 13   0-9 9(13) Y    
  16 LINE 16 FRDIVPRF 53 13   0-9 9(13) Y    
  17A LINE 17A ADJNOLAVAI 54 11   0-9 9(11) Y    
  17 LINE 17 ADJNOLDED 55 11   0-9 9(11) Y    
  17B LINE 17B ADJNOLCRYF 56 11   0-9 9(11) Y    
  18 LINE 18 NHTXBUSPRF 57 11   0-9 9(11) Y    
  19 LINE 19 TAXAMT 58 11   0-9 9(11) Y    
  20A LINE 20A CRBET 59 13   0-9 9(13) Y    
  20B LINE 20B CRTAXCR 60 9   0-9 9(09) Y    
  21 LINE 21 TAXNETSTCR 61 13   0-9 9(13) Y    
    TRAILER FIELD *EOD* 62 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


NH-1310

  2D SPECS: NH-1310
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    NH-1310 FORM               BOTTOM CENTER  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 00131023 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    TAXABLE PERIOD BEGINNING PERBEGDT 1 8   0-9 99999999 N    
    TAXABLE PERIOD ENDING PERENDDT 2 8   0-9 99999999 N    
    NAME - DECEASED DECEASEDNAME 3 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    DATE OF DEATH DEATHDATE 4 8   0-9 99999999 N    
    TAXPAYER IDENTIFICATION NUMBER - DECEASED DECEASEDID 5 9   0-9 999999999 N    
    ADDRESS - DECEASED DECSTADDR 6 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    CITY / TOWN - DECEASED DECCITY 7 20   A-Z X(20) N    
    STATE - DECEASED DECSTATE 8 2   A-Z XX N    
    ZIP CODE + 4 - DECEASED DECZIP 9 10   A-Z, 0-9, PLUS (-) 99999-9999 N    
    NAME - CLAIMANT CLAIMNTNAME 10 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    ADDRESS - CLAIMANT CLAIMSTADDR 11 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
    CITY / TOWN - CLAIMANT CLAIMCITY 12 20   A-Z X(20) N    
    STATE - CLAIMANT CLAIMSTATE 13 2   A-Z XX N    
    ZIP CODE + 4 - CLAIMANT CLAIMZIP 14 10   A-Z, 0-9, PLUS (-) 99999-9999 N    
  A SURVIVING SPOUSE - CHECKBOX SURVSPSE 15 1   X X N    
  B ADMINISTRATOR OR EXECUTOR - CHECKBOX EXECUTOR 16 1   X X N    
  C TRUSTEE OF THE TRUST - CHECKBOX TRUSTEE 17     X X N    
    SIGNATURE - CLAIMANT SIGNEDFLG 18 1   X X N    
    TRAILER FIELD *EOD* 19 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


PA-34

  2D SPECS: PA-34
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    NH-1310 FORM               PAGE 3 - BOTTOM CENTER  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 00PA3423 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
  STEP 1 GRANTEE - LAST NAME/ENTITY (BUYER 1) BYR1LNAM 1 30 A-Z, 0-9, plus space, dash, comma, period, ‘#’, “/”, “&”, “@” Text X(30) N    
    GRANTEE - FIRST NAME (BUYER 1) BYR1FNAM 2 15 A-Z, 0-9, plus space, dash, comma, period, ‘#’, “/”, “&”, “@” Text X(15) N    
  STEP 3 REAL ESTATE - MUNICIPALITY TOWN 3 20 A-Z, 0-9, plus space, dash, comma, period, ‘#’, “/”, “&”, “@” Text X(20) N    
    REAL ESTATE - COUNTY COUNTY 4 20 A-Z, 0-9, plus space, dash, comma, period, ‘#’, “/”, “&”, “@” Text X(20) N    
    REAL ESTATE - STREET NUMBER STNUM 5 6 A-Z, 0-9 Text X(6) N    
    REAL ESTATE - STREET NAME STNAME 6 30 A-Z, 0-9, plus space, dash, comma, period, ‘#’, “/”, “&”, “@” Text X(30) N    
  STEP 4 DEED - BOOK NUMBER BOOK 7 6 0-9 Numeric 9(6) N    
    DEED - PAGE NUMBER PAGE 8 6 0-9 Numeric 9(6) N    
    TRAILER FIELD *EOD* 9 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


PYMNT VCHR

  2D SPECS: PAYMENT VOUCHER
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    PYMT VCHR FORM               BOTTOM CENTER  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 0NHPYT23 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
  TAX TYPE BUSINESS - CHECKBOX TAXBXBS 1 1   X X N    
  ENTITY TYPE CORPORATION - CHECKBOX ENTBX2 2 1   X X N    
  ENTITY TYPE COMBINED - CHECKBOX ENTBX6 3 1   X X N    
  ENTITY TYPE PARTNERSHIP - CHECKBOX ENTBX3 4 1   X X N    
  ENTITY TYPE PROPRIETORSHIP - CHECKBOX ENTBX1 5 1   X X N    
  ENTITY TYPE FIDUCIARY - CHECKBOX ENTBX4 6 1   X X N    
  ENTITY TYPE NON-PROFIT - CHECKBOX ENTBX5 7 1   X X N    
  TAX TYPE INTEREST & DIVIDENDS - CHECKBOX TAXBXID 8 1   X X N    
  ENTITY TYPE INDIVIDUAL / JOINT - CHECKBOX ENTBXIJT 9 1   X X N    
  ENTITY TYPE PARTNERSHIP - CHECKBOX ENTBXPRT 10 1   X X N    
  ENTITY TYPE ESTATE - CHECKBOX ENTBXFID 11 1   X X N    
  TAX TYPE MEALS & RENTALS - CHECKBOX TAXBXMR 12 1   X X N    
  ENTITY TYPE ALL ENTITY TYPES - CHECKBOX ENTBXALL 13 1   X X N    
  3 TAXABLE PERIOD BEGINNING PERBEGDT 14 8   0-9 mmddyyyy N    
  3 TAXABLE PERIOD ENDING PERENDDT 15 8   0-9 mmddyyyy N    
  4 FEIN - CHECKBOX IDBXF 16 1   X X N    
  4 DIN - CHECKBOX IDBXD 17 1   X X N    
  4 SSN - CHECKBOX IDBXS 18 1   X X N    
  4 M&R LICENSE NUMBER - CHECKBOX IDBXL 19 1   X X N    
  4 ID NUMBER FIELD TXPYRREF 20 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
  5 AMOUNT PAID AMTPD 21 11   0-9 9(11) N    
  6 LAST NAME - TAXPAYER LNAME 22 30   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(30) N    
  6 FIRST NAME - TAXPAYER FNAME 23 15   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(15) N    
  6 MIDDLE INITIAL - TAXPAYER MIDINIT 24 1   A-Z X(1) N    
  6 BUSINESS NAME PRIMNM 25 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
  6 ADRESS STRADDR1 26 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
  6 ADDRESS (CONTINUED) STRADDR2 27 40   A-Z, 0-9, PLUS SPACE, DASH, #, /, &, @ X(40) N    
  6 CITY / TOWN CITY 28 20   A-Z X(20) N    
  6 STATE STATE 29 2   A-Z XX N    
  6 ZIP CODE + 4 ZIPPSTLCD 30 10   A-Z, 0-9, PLUS (-) 99999-9999
X1X 1X1		 N    
    TRAILER FIELD *EOD* 31 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


SCHD I-A

  2D SPECS: AFFILIATION SCHEDULE
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    SCHEDULE I-A               BOTTOM OF
PAGE 4 OF NH-1120-WE		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR 1120WE23 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    BUSINESS ORGANIZATION NAME PRIMNM 1 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION NUMBER BUSIDNO 2 9   0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES 999999999
SM9999999
NL9999999		 N    
    TAXABLE PERIOD BEGINNING PERBEGDT 3 8   0-9 mmddccyy N    
    TAXABLE PERIOD ENDING PERENDDT 4 8   0-9 mmddccyy N    
    LINE 1 MBRSCORP 5 13   0-9 9(13) Y    
    LINE2 MBRS1120S 6 13   0-9 9(13) Y    
    LINE 3 MBRSPARTN 7 13   0-9 9(13) Y    
    LINE 4 MBRSPROP 8 13   0-9 9(13) Y    
    LINE 5 MBRSLLC 9 13   0-9 9(13) Y    
    LINE 6 MBRSTRUST 10 13   0-9 9(13) Y    
    LINE 7 MBRSTOTAL 11 15   0-9 9(15) Y    
    TRAILER FIELD *EOD* 12 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


SCHD II

  2D SPECS: SCHEDULE II
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    SCHEDULE II FORM               BOTTOM CENTER -
PAGE 1		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR SCHD0223 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    BUSINESS ORGANIZATION NAME PRIMNM 1 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION # BUSIDNO 2 9   0-9 AND NL PERMITTED IN THE FIRST TWO SPACES 999999999 XX9999999 N    
    TAXABLE PERIOD BEGINNING PERBEGDT 3 8   0-9 mmddyyyy N    
    TAXABLE PERIOD ENDING PERENDDT 4 8   0-9 mmddyyyy N    
    LINE 1A - EVERYWHERE SLSINCALL 5 13   0-9 9(13) Y    
    LINE 1A - NH SLSINCNH 6 13   0-9 9(13) Y    
    LINE 1B - EVERYWHERE SLSFDIVALL 7 13   0-9 9(13) Y    
    LINE 1C - EVERYWHERE SLSADJALL 8 13   0-9 9(13) Y    
    LINE 1C - NH SLSADJNH 9 13   0-9 9(13) Y    
  1D LINE 1D SLSPCTNH 10 9   0-9 9(03)V9(06) Y    
  2 LINE 2 FRDIVIDND 11 13   0-9 9(13) Y    
  3 LINE 3 NHFDIVTXBP 12 13   0-9 9(13) Y    
  4A LINE 4A - EVERYWHERE PYRINCALL 13 13   0-9 9(13) Y    
  4A LINE 4A - NH PYRINCNH 14 13   0-9 9(13) Y    
  4B LINE 4B - EVERYWHERE PYRFDIVALL 15 13   0-9 9(13) Y    
  4C LINE 4C - EVERYWHERE PYRADJALL 16 13   0-9 9(13) Y    
  4C LINE 4C - NH PYRADJNH 17 13   0-9 9(13) Y    
  4D LINE 4D PYRPCTEVW 18 9   0-9 9(03)V9(06) N    
  5A LINE 5A - EVERYWHERE PRPINCALL 19 13   0-9 9(13) Y    
  5A LINE 5A - NH PRPINCNH 20 13   0-9 9(13) Y    
  5B LINE 5B - EVERYWHERE PRPFDIVALL 21 13   0-9 9(13) Y    
  5C LINE 5C - EVERYWHERE PRPADJALL 22 13   0-9 9(13) Y    
  5C LINE 5C - NH PRPADJNH 23 13   0-9 9(13) Y    
  5D LINE 5D PRPPCTEVW 24 9   0-9 9(03)V9(06) N    
    TRAILER FIELD *EOD* 25 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


SCHD III

  2D SPECS: SCHEDULE III
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    SCHEDULE III FORM               BOTTOM CENTER -
PAGE 2		  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR SCHD0323 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    BUSINESS ORGANIZATION NAME PRIMNM 1 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION # BUSIDNO 2 9   0-9 AND NL PERMITTED IN THE FIRST TWO SPACES 999999999 XX9999999 N    
    TAXABLE PERIOD BEGINNING PERBEGDT 3 8   0-9 mmddyyyy N    
    TAXABLE PERIOD ENDING PERENDDT 4 8   0-9 mmddyyyy N    
  1A LINE 1, COLUMN A - NAME OF PAYOR PAYOR1 5 40   A-Z PLUS SPACE X(40) N    
  1B LINE 1, COLUMN B - DIVIDEND DIVIDEND1 6 13   0-9 9(13) Y    
  1C LINE 1, COLUMN C - TAXABLE INCOME TAXINC1 7 13   0-9 9(13) Y    
  1D LINE 1, COLUMN D - PERCENTAGE PERCENT1 8 13   0-9 DECIMAL 9(13) N    
  1E LINE 1, COLUMN E - SALES & RECEIPTS SALESREC1 9 13   0-9 9(13) Y    
  1F LINE 1, COLUMN F - PAYROLL PAYROLL1 10 13   0-9 9(13) Y    
  1G LINE 1, COLUMN G - BEGINNING PROPERTY BEGPROP1 11 13   0-9 9(13) Y    
  1H LINE 1, COLUMN H - ENDING PROPERTY ENDPROP1 12 13   0-9 9(13) Y    
  1I LINE 1, COLUMN I - AVERAGE PROPERTY AVGPROP1 13 13   0-9 9(13) Y    
  1J LINE 1, COLUMN J - RENTS RENTX81 14 13   0-9 9(13) Y    
  1K LINE 1, COLUMN K - TOTAL PROPERTY LINE TOTPROP1 15 13   0-9 9(13) Y    
  1L LINE 1, COLUMN L - MODIFIED SALES MODSALES1 16 13   0-9 9(13) Y    
  1M LINE 1, COLUMN M - MODIFIED PAYROLL MODPYRL1 17 13   0-9 9(13) Y    
  1N LINE 1, COLUMN N - MODIFIED PROPERTY MODPROP1 18 13   0-9 9(13) Y    
  2A LINE 2, COLUMN A - NAME OF PAYOR PAYOR2 19 40   A-Z PLUS SPACE X(40) N    
  2B LINE 2, COLUMN B - DIVIDEND DIVIDEND2 20 13   0-9 9(13) Y    
  2C LINE 2, COLUMN C - TAXABLE INCOME TAXINC2 21 13   0-9 9(13) Y    
  2D LINE 2, COLUMN D - PERCENTAGE PERCENT2 22 13   0-9 DECIMAL 9(13) N    
  2E LINE 2, COLUMN E - SALES & RECEIPTS SALESREC2 23 13   0-9 9(13) Y    
  2F LINE 2, COLUMN F - PAYROLL PAYROLL2 24 13   0-9 9(13) Y    
  2G LINE 2, COLUMN G - BEGINNING PROPERTY BEGPROP2 25 13   0-9 9(13) Y    
  2H LINE 2, COLUMN H - ENDING PROPERTY ENDPROP2 26 13   0-9 9(13) Y    
  2I LINE 2, COLUMN I - AVERAGE PROPERTY AVGPROP2 27 13   0-9 9(13) Y    
  2J LINE 2, COLUMN J - RENTS RENTX82 28 13   0-9 9(13) Y    
  2K LINE 2, COLUMN K - TOTAL PROPERTY LINE TOTPROP2 29 13   0-9 9(13) Y    
  2L LINE 2, COLUMN L - MODIFIED SALES MODSALES2 30 13   0-9 9(13) Y    
  2M LINE 2, COLUMN M - MODIFIED PAYROLL MODPYRL2 31 13   0-9 9(13) Y    
  2N LINE 2, COLUMN N - MODIFIED PROPERTY MODPROP2 32 13   0-9 9(13) Y    
  3A LINE 3, COLUMN A - NAME OF PAYOR PAYOR3 33 40   A-Z PLUS SPACE X(40) N    
  3B LINE 3, COLUMN B - DIVIDEND DIVIDEND3 34 13   0-9 9(13) Y    
  3C LINE 3, COLUMN C - TAXABLE INCOME TAXINC3 35 13   0-9 9(13) Y    
  3D LINE 3, COLUMN D - PERCENTAGE PERCENT3 36 13   0-9 DECIMAL 9(13) N    
  3E LINE 3, COLUMN E - SALES & RECEIPTS SALESREC3 37 13   0-9 9(13) Y    
  3F LINE 3, COLUMN F - PAYROLL PAYROLL3 38 13   0-9 9(13) Y    
  3G LINE 3, COLUMN G - BEGINNING PROPERTY BEGPROP3 39 13   0-9 9(13) Y    
  3H LINE 3, COLUMN H - ENDING PROPERTY ENDPROP3 40 13   0-9 9(13) Y    
  3I LINE 3, COLUMN I - AVERAGE PROPERTY AVGPROP3 41 13   0-9 9(13) Y    
  3J LINE 3, COLUMN J - RENTS RENTX83 42 13   0-9 9(13) Y    
  3K LINE 3, COLUMN K - TOTAL PROPERTY LINE TOTPROP3 43 13   0-9 9(13) Y    
  3L LINE 3, COLUMN L - MODIFIED SALES MODSALES3 44 13   0-9 9(13) Y    
  3M LINE 3, COLUMN M - MODIFIED PAYROLL MODPYRL3 45 13   0-9 9(13) Y    
  3N LINE 3, COLUMN N - MODIFIED PROPERTY MODPROP3 46 13   0-9 9(13) Y    
  4A LINE 4, COLUMN A - NAME OF PAYOR PAYOR4 47 40   A-Z PLUS SPACE X(40) N    
  4B LINE 4, COLUMN B - DIVIDEND DIVIDEND4 48 13   0-9 9(13) Y    
  4C LINE 4, COLUMN C - TAXABLE INCOME TAXINC4 49 13   0-9 9(13) Y    
  4D LINE 4, COLUMN D - PERCENTAGE PERCENT4 50 13   0-9 DECIMAL 9(13) N    
  4E LINE 4, COLUMN E - SALES & RECEIPTS SALESREC4 51 13   0-9 9(13) Y    
  4F LINE 4, COLUMN F - PAYROLL PAYROLL4 52 13   0-9 9(13) Y    
  4G LINE 4, COLUMN G - BEGINNING PROPERTY BEGPROP4 53 13   0-9 9(13) Y    
  4H LINE 4, COLUMN H - ENDING PROPERTY ENDPROP4 54 13   0-9 9(13) Y    
  4I LINE 4, COLUMN I - AVERAGE PROPERTY AVGPROP4 55 13   0-9 9(13) Y    
  4J LINE 4, COLUMN J - RENTS RENTX84 56 13   0-9 9(13) Y    
  4K LINE 4, COLUMN K - TOTAL PROPERTY LINE TOTPROP4 57 13   0-9 9(13) Y    
  4L LINE 4, COLUMN L - MODIFIED SALES MODSALES4 58 13   0-9 9(13) Y    
  4M LINE 4, COLUMN M - MODIFIED PAYROLL MODPYRL4 59 13   0-9 9(13) Y    
  4N LINE 4, COLUMN N - MODIFIED PROPERTY MODPROP4 60 13   0-9 9(13) Y    
  5A LINE 5, COLUMN A - NAME OF PAYOR PAYOR5 61 40   A-Z PLUS SPACE X(40) N    
  5B LINE 5, COLUMN B - DIVIDEND DIVIDEND5 62 13   0-9 9(13) Y    
  5C LINE 5, COLUMN C - TAXABLE INCOME TAXINC5 63 13   0-9 9(13) Y    
  5D LINE 5, COLUMN D - PERCENTAGE PERCENT5 64 13   0-9 DECIMAL 9(13) N    
  5E LINE 5, COLUMN E - SALES & RECEIPTS SALESREC5 65 13   0-9 9(13) Y    
  5F LINE 5, COLUMN F - PAYROLL PAYROLL5 66 13   0-9 9(13) Y    
  5G LINE 5, COLUMN G - BEGINNING PROPERTY BEGPROP5 67 13   0-9 9(13) Y    
  5H LINE 5, COLUMN H - ENDING PROPERTY ENDPROP5 68 13   0-9 9(13) Y    
  5I LINE 5, COLUMN I - AVERAGE PROPERTY AVGPROP5 69 13   0-9 9(13) Y    
  5J LINE 5, COLUMN J - RENTS RENTX85 70 13   0-9 9(13) Y    
  5K LINE 5, COLUMN K - TOTAL PROPERTY LINE TOTPROP5 71 13   0-9 9(13) Y    
  5L LINE 5, COLUMN L - MODIFIED SALES MODSALES5 72 13   0-9 9(13) Y    
  5M LINE 5, COLUMN M - MODIFIED PAYROLL MODPYRL5 73 13   0-9 9(13) Y    
  5N LINE 5, COLUMN N - MODIFIED PROPERTY MODPROP5 74 13   0-9 9(13) Y    
  6A LINE 6, COLUMN A - NAME OF PAYOR PAYOR6 75 40   A-Z PLUS SPACE X(40) N    
  6B LINE 6, COLUMN B - DIVIDEND DIVIDEND6 76 13   0-9 9(13) Y    
  6C LINE 6, COLUMN C - TAXABLE INCOME TAXINC6 77 13   0-9 9(13) Y    
  6D LINE 6, COLUMN D - PERCENTAGE PERCENT6 78 13   0-9 DECIMAL 9(13) N    
  6E LINE 6, COLUMN E - SALES & RECEIPTS SALESREC6 79 13   0-9 9(13) Y    
  6F LINE 6, COLUMN F - PAYROLL PAYROLL6 80 13   0-9 9(13) Y    
  6G LINE 6, COLUMN G - BEGINNING PROPERTY BEGPROP6 81 13   0-9 9(13) Y    
  6H LINE 6, COLUMN H - ENDING PROPERTY ENDPROP6 82 13   0-9 9(13) Y    
  6I LINE 6, COLUMN I - AVERAGE PROPERTY AVGPROP6 83 13   0-9 9(13) Y    
  6J LINE 6, COLUMN J - RENTS RENTX86 84 13   0-9 9(13) Y    
  6K LINE 6, COLUMN K - TOTAL PROPERTY LINE TOTPROP6 85 13   0-9 9(13) Y    
  6L LINE 6, COLUMN L - MODIFIED SALES MODSALES6 86 13   0-9 9(13) Y    
  6M LINE 6, COLUMN M - MODIFIED PAYROLL MODPYRL6 87 13   0-9 9(13) Y    
  6N LINE 6, COLUMN N - MODIFIED PROPERTY MODPROP6 88 13   0-9 9(13) Y    
  7A LINE 7, COLUMN A - NAME OF PAYOR PAYOR7 89 40   A-Z PLUS SPACE X(40) N    
  7B LINE 7, COLUMN B - DIVIDEND DIVIDEND7 90 13   0-9 9(13) Y    
  7C LINE 7, COLUMN C - TAXABLE INCOME TAXINC7 91 13   0-9 9(13) Y    
  7D LINE 7, COLUMN D - PERCENTAGE PERCENT7 92 13   0-9 DECIMAL 9(13) N    
  7E LINE 7, COLUMN E - SALES & RECEIPTS SALESREC7 93 13   0-9 9(13) Y    
  7F LINE 7, COLUMN F - PAYROLL PAYROLL7 94 13   0-9 9(13) Y    
  7G LINE 7, COLUMN G - BEGINNING PROPERTY BEGPROP7 95 13   0-9 9(13) Y    
  7H LINE 7, COLUMN H - ENDING PROPERTY ENDPROP7 96 13   0-9 9(13) Y    
  7I LINE 7, COLUMN I - AVERAGE PROPERTY AVGPROP7 97 13   0-9 9(13) Y    
  7J LINE 7, COLUMN J - RENTS RENTX87 98 13   0-9 9(13) Y    
  7K LINE 7, COLUMN K - TOTAL PROPERTY LINE TOTPROP7 99 13   0-9 9(13) Y    
  7L LINE 7, COLUMN L - MODIFIED SALES MODSALES7 100 13   0-9 9(13) Y    
  7M LINE 7, COLUMN M - MODIFIED PAYROLL MODPYRL7 101 13   0-9 9(13) Y    
  7N LINE 7, COLUMN N - MODIFIED PROPERTY MODPROP7 102 13   0-9 9(13) Y    
  8A LINE 8, COLUMN A - NAME OF PAYOR PAYOR8 103 40   A-Z PLUS SPACE X(40) N    
  8B LINE 8, COLUMN B - DIVIDEND DIVIDEND8 104 13   0-9 9(13) Y    
  8C LINE 8, COLUMN C - TAXABLE INCOME TAXINC8 105 13   0-9 9(13) Y    
  8D LINE 8, COLUMN D - PERCENTAGE PERCENT8 106 13   0-9 DECIMAL 9(13) N    
  8E LINE 8, COLUMN E - SALES & RECEIPTS SALESREC8 107 13   0-9 9(13) Y    
  8F LINE 8, COLUMN F - PAYROLL PAYROLL8 108 13   0-9 9(13) Y    
  8G LINE 8, COLUMN G - BEGINNING PROPERTY BEGPROP8 109 13   0-9 9(13) Y    
  8H LINE 8, COLUMN H - ENDING PROPERTY ENDPROP8 110 13   0-9 9(13) Y    
  8I LINE 8, COLUMN I - AVERAGE PROPERTY AVGPROP8 111 13   0-9 9(13) Y    
  8J LINE 8, COLUMN J - RENTS RENTX88 112 13   0-9 9(13) Y    
  8K LINE 8, COLUMN K - TOTAL PROPERTY LINE TOTPROP8 113 13   0-9 9(13) Y    
  8L LINE 8, COLUMN L - MODIFIED SALES MODSALES8 114 13   0-9 9(13) Y    
  8M LINE 8, COLUMN M - MODIFIED PAYROLL MODPYRL8 115 13   0-9 9(13) Y    
  8N LINE 8, COLUMN N - MODIFIED PROPERTY MODPROP8 116 13   0-9 9(13) Y    
    TOTAL DIVIDENDS TOTDIV 117 13   0-9 9(13) Y    
    TOTAL MODIFIED SALES TOTMODSLS 118 13   0-9 9(13) Y    
    TOTAL MODIFIED PAYROLL TOTMODPYR 119 13   0-9 9(13) Y    
    TOTAL MODIFIED PROPERTY TOTMODPRP 120 13   0-9 9(13) Y    
    TRAILER FIELD *EOD* 121 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    


SCHD IV

  2D SPECS: SCHEDULE IV
PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)		            
             
  LINE IDENTIFICATION FIELD NAME FIELD NUMBER MAX LENGTH ACCEPTABLE VALUES TYPE FORMAT CAN BE NEGATIVE? PLACEMENT  
    SCHEDULE IV FORM               BOTTOM CENTER  
    HEADER FIELD   H1 2 T1 STATIC VALUE T1 N    
    DEVELOPER CODE   H2 4 DEVELOPER CODE - SAME AS VENDOR CODE ISSUED BY NACTP 0-9 9999 N    
    STATE   H3 2 NH STATIC VALUE NH N    
    FORM ID & YEAR SCHD0423 H4 8 1st 8 BYTES OF FORM ID BARCODE = 6 BYTES FORM ID AND 2 BYTES YEAR YY FORMIDYY XXXXXXyy N    
    BUSINESS ORGANIZATION NAME PRIMNM 1 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
    TAXPAYER IDENTIFICATION # BUSIDNO 2 9   0-9 AND NL PERMITTED IN THE FIRST TWO SPACES 999999999 XX9999999 N    
    TAXABLE PERIOD BEGINNING PERBEGDT 3 8   0-9 mmddyyyy N    
    TAXABLE PERIOD ENDING PERENDDT 4 8   0-9 mmddyyyy N    
  PART A
1		 GILTI FOREIGN DIVIDENDS GILTIFDADD 5 11   0-9 9(11) N    
  2 TCJA FOREIGN DIVIDENDS FORDIVTCJA 6 11   0-9 9(11) N    
  3 TCJA BUSINESS INTEREST DEDUCTED TCJAINTDED 7 11   0-9 9(11) N    
  4 TCJA CHARITABLE DEDUCTIONS CHARDED 8 11   0-9 9(11) N    
  5 IRC §181 DEDUCTIONS IRC181DED 9 11   0-9 9(11) N    
  6 - DESC MISC. ADDITIONS - LINE 6 MISCA1 10 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
  6 - AMT MISC. ADDITIONS AMOUNT - LINE 6 MISCA1AMT 11 11   0-9 9(11) N    
  7 - DESC MISC. ADDITIONS - LINE 7 MISCA2 12 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
  7 - AMT MISC. ADDITIONS AMOUNT - LINE 7 MISCA2AMT 13 11   0-9 9(11) N    
  8 - DESC MISC. ADDITIONS - LINE 8 MISCA3 14 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
  8 - AMT MISC. ADDITIONS AMOUNT - LINE 8 MISCA3AMT 15     0-9 9(11) N    
  9 TOTAL ADDITIONS TOTIRCADD 16 11   0-9 9(11) N    
  PART B
1 		GILTI IRC §250(a) deduction GILTIADD 17 11   0-9 9(11) N    
  2 - DESC MISC. DEDUCTIONS - LINE 2 MISCB1 18 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
  2 - AMT MISC. DEDUCTIONS AMOUNT - LINE 2 MISCB1AMT 19 11   0-9 9(11) N    
  3 - DESC MISC. DEDUCTIONS - LINE 3 MISCB2 20 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
  3 - AMT MISC. DEDUCTIONS AMOUNT - LINE 3 MISCB2AMT 21 11   0-9 9(11) N    
  4 - DESC MISC. DEDUCTIONS - LINE 4 MISCB3 22 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
  4 - AMT MISC. DEDUCTIONS AMOUNT - LINE 4 MISCB3AMT 23 11   0-9 9(11) N    
  5 - DESC MISC. DEDUCTIONS - LINE 5 MISCB4 24 46   A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @ X(46) N    
  5 - AMT MISC. DEDUCTIONS AMOUNT - LINE 5 MISCB4AMT 25 11   0-9 9(11) N    
  6 TOTAL DEDUCTIONS TOTIRCDED 26 11   0-9 9(11) N    
    TRAILER FIELD *EOD* 27 5 TRAILER VALUE *EOD* STATIC VALUE *EOD* N    



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