Field | Length | Format |
|---|---|---|
Company Name Line 1 | 45 | N/A |
Company Name Line 2 | 45 | N/A |
Company Address | 45 | N/A |
Company City | 26 | N/A |
Company State Abbreviation | 2 | N/A |
Company ZIP Code | 10 | xxxxx-xxxx |
Company Phone Number | 13 | (xxx) xxx-xxxx |
Company Business Code | 5 | N/A |
Company Federal ID Number | 11 | N/A |
Company Social Security Number | 13 | N/A |
Division or Location Code | 16 | N/A |
Calendar/Fiscal Beginning Date | 10 | xx/ xx/ xxxx |
Calendar/Fiscal Ending Date | 10 | xx/ xx/ xxxx |
Signature Title | 20 | N/A |
Field | Length |
|---|---|
Pay to Name | A-35 |
Pay to Name 2 | A-35 |
Pay to Address | A-35 |
Pay to City-State-Zip | A-35 |
Account Code | A-17 |
Voucher Number | A-15 |
Amount of Check | D-15 |
Check Number | A-15 |
Stub Description | A-53 |
Check Date | A-10 |
Date to Pay | A-10 |
Payables/Cash Account No. | A-15 |
Prepared By | A-20 |
Approved By | A-20 |
Account Description 1 | A-20 |
Company/Office/Dept 1 | A-24 |
Account 1 | A-10 |
Amount 1 | D-15 |
Account Description 2 | A-20 |
Company/Office/Dept 2 | A-24 |
Account 2 | A-10 |
Amount 2 | D-15 |
Account Description 3 | A-20 |
Company/Office/Dept 3 | A-24 |
Account 3 | A-10 |
Amount 3 | D-15 |
Account Description 4 | A-20 |
Company/Office/Dept 4 | A-24 |
Account 4 | A-10 |
Amount 4 | D-15 |
Account Description 5 | A-20 |
Company/Office/Dept 5 | A-24 |
Account 5 | A-10 |
Amount 5 | D-15 |
Account Description 6 | A-20 |
Company/Office/Dept 6 | A-24 |
Account 6 | A-10 |
Amount 6 | D-15 |
Account Description 7 | A-20 |
Company/Office/Dept 7 | A-24 |
Account 7 Detail | A-10 |
Amount 7 Detail | D-15 |
Account Description 8 | A-20 |
Company/Office/Dept 8 | A-24 |
Account 8 Detail | A-10 |
Amount 8 Detail | D-15 |
Account Description 9 | A-20 |
Company/Office/Dept 9 | A-24 |
Account 9 | A-10 |
Amount 9 | D-15 |
Account Description 10 | A-20 |
Company/Office/Dept 10 | A-24 |
Account 10 | A-10 |
Amount 10 | D-15 |
Account Description 11 | A-20 |
Company/Office/Dept 11 | A-24 |
Account 11 | A-10 |
Amount 11 | D-15 |
Account Description 12 | A-20 |
Company/Office/Dept 12 | A-24 |
Account 12 | A-10 |
Amount 12 | D-15 |
Account Description 13 | A-20 |
Company/Office/Dept 13 | A-24 |
Account 13 | A-10 |
Amount 13 | D-15 |
Account Description 14 | A-20 |
Company/Office/Dept 14 | A-24 |
Account 14 | A-10 |
Amount 14 | D-15 |
Account Description 15 | A-20 |
Company/Office/Dept 15 | A-24 |
Account 15 | A-10 |
Amount 15 | D-15 |
Account Description 16 | A-20 |
Company/Office/Dept 16 | A-24 |
Account 16 | A-10 |
Amount 16 | D-15 |
Account Description 17 | A-20 |
Company/Office/Dept 17 | A-24 |
Account 17 | A-10 |
Amount 17 | D-15 |
Account Description 18 | A-20 |
Company/Office/Dept 18 | A-24 |
Account 18 | A-10 |
Amount 18 | D-15 |
Account Description 19 | A-20 |
Company/Office/Dept 19 | A-24 |
Account 19 | A-10 |
Amount 19 | D-15 |
Account Description 20 | A-20 |
Company/Office/Dept 20 | A-24 |
Account 20 | A-10 |
Amount 20 | D-15 |
Account Description 21 | A-20 |
Company/Office/Dept 21 | A-24 |
Account 21 | A-10 |
Amount 21 | D-15 |
Account Description 22 | A-20 |
Company/Office/Dept 22 | A-24 |
Account 22 | A-10 |
Amount 22 | D-15 |
Account Description 23 | A-20 |
Company/Office/Dept 23 | A-24 |
Account 23 | A-10 |
Amount 23 | D-15 |
Account Description 24 | A-20 |
Company/Office/Dept 24 | A-24 |
Account 24 | A-10 |
Amount 24 | D-15 |
Account Description 25 | A-20 |
Company/Office/Dept 25 | A-24 |
Account 25 | A-10 |
Amount 25 | D-15 |
Account Description 26 | A-20 |
Company/Office/Dept 26 | A-24 |
Account 26 | A-10 |
Amount 26 | D-15 |
Account Description 27 | A-20 |
Company/Office/Dept 27 | A-24 |
Account 27 | A-10 |
Amount 27 | D-15 |
Account Description 28 | A-20 |
Company/Office/Dept 28 | A-24 |
Account 28 | A-10 |
Amount 28 | D-15 |
Page Total | D-15 |
Grand Total | D-15 |
Field | Length |
|---|---|
Gross Sales/Receipts | 15 |
Exemptions/Deductions | 15 |
State Taxable Sales | 15 |
State Taxable Purchases | 15 |
State Sales Tax | 15 |
State Use Tax | 15 |
tate Total Tax | 15 |
County Sales Tax | 15 |
County Use Tax | 15 |
County Total Tax | 15 |
Local Sales Tax | 15 |
Local Use Tax | 15 |
Local Total Tax | 15 |
Total Sales Tax - All Levels | 15 |
Total Use Tax - All Levels | 15 |
Total Tax | 15 |
Total Tax - Rentals | 15 |
Total Tax - Rental All Levels | 15 |
Adjustments | 15 |
Prepayments | 15 |
Discounts | 15 |
Penalties | 15 |
Interest | 15 |
Net Tax Due | 15 |
Tax Collected | 15 |
Amount of Check | 15 |