State Employment Schema - Payment schema for a state return 2004 Production Release 1.06 April 30, 2004 State Payment EFT=EFT Program, WIR=Wire, CHK=Check, DBT=ACH Debit, CRT=ACH Credit, CC=Credit Card, BULK=Bulk Payment Submitter's Enrollment Information. Must obtained to submit payment. Submitter's Identifer Submitter PIN Number Wire Information Wire Transfer Indentifier Account to be used for this payment Bank ABA Routing Number Bank Name Bank Account Number "1" for Checking or "2" forSaving "1" for Business or "2" for Personal Names on the Account Check Information Check Number ACH Credit Information Transaction Reference Number Total Tax amount to be paid by this credit card. Credir Card Type: VISA, Master Card, American Express, or Discover. Credit Card Number Credit Card Expiration Number. 3 Digit Credit Card Verification Number Name as it is shown on the card. Minimum of Street Address and Zip Code necessary for Address Verification Either Federal Employer Identification Number or Social Security Number. State Employer Identification Number State UI employer account number. Enter the Central Registration Number. Leave blank if not used. Name of payorr. Identification number of bulk payment in this transmission. Identification of payment in this transmission. Payment and Credit Amount Overpayment or Credit Information Illinios credit memo amount for previous overpayment Amount liable. Total amount to be paid with this submission. Date this payment was originated Requested date for settlement of this payment. Actual date settlement of this payment occured. Date this payment information received by state Date of payroll Agency responsible for this payment. Either Federal Employer Identification Number or Social Security Number. State Employer Identification Number State UI employer account number. Enter the Central Registration Number. Leave blank if not used. Name of payor. Enter Transmitter's (Agent) Contact Information Enter Agent's Name Enter Agent's Phone Number Enter Agent's Fax Number Enter Agent's Email Address Detailed Payment Information for each tax payer. Taxpayer Information Either Federal Employer Identification Number or Social Security Number. State Employer Identification Number Tax Payer Name or Company Name Enter the appropriate code for entries in fields 309-319 and 320-330: C - City Income Tax D - County Income Tax E - School District Income Tax F - Other Income Tax Enter the first month and 4 digit year for the calendar quarter for which this report applies; e.g., "01012002" for January-March of 2002. Enter the last month and 4 digit year for the calendar quarter for which this report applies; e.g., "032002" for January-March of 2002. Total liability due this period.