SECTION 11. EFFECT ON OTHER

DOCUMENTS

This revenue procedure has no effect on any other document.

Algorithm for Seven Digit 3 of 9 Barcode for Form 1040A and Forms and Schedules Expected to

Accompany Form 1040A

First Digit – Tax Year 1995 Forms ‘‘5’’ for front of form; ‘‘N’’ for back of form

Digits 2 and 3 – Form Type

Required for Approval Optional Barcode

Form Type Code Form Type Code Form Type Code 1040A 1A 911 01 8332 8F 8888 8E 1310 13 8379 83 Sch. 1 /1 2120 2B 8606 86 Sch. 2 /2 2210 22 8615 8A Sch. 3 /3 2441 24 8815 88 Sch. EIC /E 2688 26 8818 8B 2848 28 8821 8C 4868 48 8822 8D 4852 4A 9465 94 5498 54 Sch. B /B 5754 57 Sch. H /H 6251 62 Sch. R /R

Form titles are shown in Exhibit 2.

Digit 4 – Version Code Period or Revision Date Code Annual 5

All forms on this list are to be considered annual. Other version codes will be added as quarterly returns and infrequently revised forms and schedules are included for the DPS.

Digits 5 through 7 – Source Code

This is a three-character code which has been assigned or will be assigned to companies producing substitute forms.

Sample Barcode

416 1995–2 C.B.

EXHIBIT 2

Forms Referenced in Exhibit 1

Form 1040A U.S. Individual Income Tax Return Form 8888 Direct Deposit of Refund Schedule 1 Interest and Dividend Income for Form 1040A Filers Schedule 2 Child and Dependent Care Expenses for Form 1040A Filers Schedule 3 Credit for the Elderly of the Disabled for Form 1040A Filers Schedule EIC Earned Income Credit Form 911 Application for Taxpayer Assistance Order Form 1310 Statement of Person Claiming a Refund Due to Deceased Taxpayer Form 2120 Multiple Support Declaration Form 2441 Child and Dependent Care Expenses Form 2688 Application for Additional Extension of Time to File U.S. Individual Income Tax Return Form 2848 Power of Attorney and Declaration of Representative Form 4868 Application for Automatic Extension of Time to File U.S. Individual Income Tax Return Form 4852 Substitute for Form W–2, Wage and Tax Statement, or Form 1099–R, Distribution from Pensions Form 5498 Individual Retirement Arrangement Information Form 5754 Statement by Person(s) Receiving Gambling Wages Form 6251 Alternative Minimum Tax-Individuals Form 8332 Release of Claim to Exemption for Child of Divorced or Separated Parents Form 8379 Injured Spouse Claim and Allocation Form 8606 Nondeductible IRA Contributions, IRA Basis and Nontaxable IRA Distributions Form 8615 Tax for Children Under Age 14 Who Have Investment Income of more Than $1,100 Form 8815 Exclusion of Interest From Series EE U.S. Savings Bonds Issued After 1989 Form 8818 Optional Form to Record Redemption of Series EE U.S. Savings Bonds Issued After 1989 Form 8821 Tax Information Authorization Form 8822 Change of Address Form 9465 Installment Agreement Request Schedule B Interest and Dividend Deduction Schedule H Household Employment Taxes Schedule R Credit for the Elderly or Disabled

Inclusion on this list of forms and schedules that are not supposed to be filed as attachments to Form 1040A does not imply that these forms are now acceptable as such. Filing of improper forms and schedules may delay processing of the return.

26 CFR 601.601: Rules and regulations. (Also Part I, §§ 103, 148.)

Rev. Proc. 95–47