Use the following Scenarios when submitting Form OR-41-V. Include a Form OR-41 test data return for scenarios 1, 2, 3 and 4.
Test Scenarios Scenario 1 Scenario 2* Scenario 3 Scenario 4 Scenario 5
Tax Year Begins / Ends Dates 01/01/2020 – 12/31/2020 05/01/2020 – 04/30/2021 01/01/2020 – 12/31/2020 01/01/2020 - 12/31/2020 01/01/2021 - 12/31/2021
FEIN Applied For 79-4567890 46-6789000 22-5567999 34-5671234
Name of Trust or Estate Miller Family Trust O'Neil Trust Mattie Taylor Trust Rob R. Johnson Estate Amy & John Jones Estate
Executor or trustee name Bob Perry Jonathan O'Neil Brian Green Anna Oakley Patricia Madison
Address 104 12th Ave 698 Main St 388 3rd Street PO Box 513 250 N 128th Ave
City Salem Eureka Mill City Beaverton New York
State OR CA OR OR NY
Zip 97310 95501 97360 97075 10001
Phone 503-588-2233 707-443-3333 503-897-6565 503-626-1111 201-293-5040
Original Return X X X
Amended Return X
Prepayment X
Payment Amount 1,000.00 500.00 750.00 1,500.00 2,000.00
*This scenario is for vendors who support fiscal year filers. If you do not support fiscal year filers, please submit this as a calendar year 2020.

Approval Process for Vouchers
You will receive notification that your documents have been received. The department will review your submission and e-mail the results in approximately 5-7 business days. NOTE: We will accept first submission approval requests from November 2, 2020 through February 15, 2021 after the voucher becomes final. We will not accept any first submissions after February 15th unless prior arrangements are made.

Scannable vouchers must be approved by the department prior to providing the forms to your customers.
Do not submit faxed or scanned copies of vouchers as part of your submission. Below are the guidelines for the approval process.

When submitting your scannable forms for approval, please do the following:
Include your company name / software product, NACTP vendor ID number, contact person with phone number, email address, and indicate which forms are being submitted for approval.
Submit one (1) sample of each test scenario provided on page 1. If your software does not support any of the test scenarios, please indicate any limitations in a cover letter or in the main body of your submission email even if previously stated in prior submission.
Use the criteria listed on page 3 when preparing vouchers for approval.
Submit your vouchers for approval by email as PDF attachments. If you need to send a zipped file, the extension must be renamed before sending. The simplest way is to change the extension from “.ZIP” to “.ZP”
If unable to send an electronic submission, send hardcopies via currier or USPS.

Send electronic submission: Send submission by currier or USPS:
forms.a.vendor@oregon.gov Oregon Department of Revenue
Processing Center Operations Unit
955 Center Street NE
Salem OR 97301-2555

Criteria for approval
Must include QR code
Must include target marks
Form number, revision date, and version number must be correct
Information in the scanline including the check digit must be correct
Layout of the voucher must be correct and match the “With grid & data”
Test scenario data on page one must be used to complete the test data return and the voucher

If you have questions about the voucher specifications or test scenarios,
Contact: Mark Noble at 971-701-1125 or Mark.P.Noble@oregon.gov
Rob Caster at 971-701-0664 or Robert.Caster@oregon.gov

2020 Test Scenarios for Form OR-41-V

2

2007 Form 41-V Draft Specifications


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