Form 3809, Miscellaneous Adjustment VoucherTitle: Figure 3.12.179-10 Form 3809 (Rev. 8-2012) Miscellaneous Adjustment Voucher. Summary: This figure shows a completed Form 3809 for Doc Code 58 transfers for special accounts. The forms contains a TC 820 for $530.17 in the debit section. The credit section indicates to be applied to Excess Collections. The explanation contains the purpose of the preparation for the duplicate document.