Tax Payment Form:  U.S.

1. In the Taxpayer ID Number field, enter the tax identification number as assigned by the taxing authority.

2. In the Tax Payment Type Code field, enter the code used to identify the type of tax being paid.

3. In the Tax Period End Date field, enter the date of ending tax period.

4. In the Amount Type 1 field, enter the tax information ID number that identifies the tax type.

5. In the Tax Amount 1 field, enter the amount of tax liability owed and/or paid.

6. In the Amount Type 2 field,enter the tax information ID number that identifies the tax type.  Note:  This field is optional.

7. In the Tax Amount 2 field, enter the amount of tax liability owed and/or paid.  Note:  This field is required if a value has been entered for Amount Type 2.

8. In the Amount Type 3 field, enter the tax information ID number that identifies the tax type.  Note:  This field is optional.

9. In the Tax Amount 3 field, enter the amount of tax liability owed and/or paid.  Note:  This field is required if a value has been entered for Amount Type 3.

10. In the Taxpayer Verification field, enter the information used to verify the taxpayer's identity.  Note:  This field is not used for Federal Tax Payments.

Notes:

• Data entered in this sub-form will be saved along with data from the main form if the transaction is saved as a preformat

• The fields on this form are automatically populated if the transaction was created from a preformat.

• Automatically populated fields may be overwritten.