Use the following test scenarios when submitting Form OR-65-V. Include a Form OR-65
test data return for scenarios 1, 2, 3, & 4.

Test Scenarios Scenario 1 Scenario 2 Scenario 3* Scenario 4**

Name of Partnership Joe & Barry's Garage, LP G-M Grooming White Oak Auto, LLP The Pet Store, LLC
Name of Partner / Contact Larry Peters Jimmy Smith Lisa Green Mike Bell
Tax Year - Beginning / Ending Date 01/01/2020 – 12/31/2020 01/01/2020 - 12/31/2020 01/01/2020 – 10/31/2020 05/01/2020 - 04/30/2021
FEIN 88-7654321 Applied For 61-1098765 53-2224456
Partnership Mailing Address 958 Lana Ave 2015 East Jefferson Ave 700 Old Stage Road 855 SW 2nd Street
City Keizer Detroit Medford McMinnville
3State OR MI OR OR
Zip 97303 48201 97504 97128
Partner / Contact Phone 503-393-7878 313-566-3311 541-776-1212 503-472-7744
Original Return Payment X X
Amended Return Payment X X
Payment Amount 150.00 150.00 150.00 150.00
*This scenario is for vendors who support short year returns. If you do not support short year returns, please submit this scenario as a calendar year 2020. **This scenario is for vendors who support fiscal year filers. If you do not support fiscal year filers, please submit this scenario 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, e-mail 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@dor.state.or.us 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 scanline with check digit must be correct
Layout of voucher must be correct and match the “With grid & data” layer.
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-65-V

3

2005 40-V Specifications


Document checksum: 1757591746

Document converted by WebSite-Watcher.
(Plugin #1/1.38/3.1.0/1.0)