I appreciate the actions that you've taken to get this check alignment issue sorted out, @billmush.

I'd like to provide more troubleshooting steps to narrow down this matter so you can print your checks properly.

Let's go ahead and update Adobe Reader to help fix the alignment of the checks.

Here's how:

1. Press on + New.
2. Click on Print checks.
3. Hit on Print setup.
4. Select No, continue setup.
5. Tick the latest version of the Reader link. This takes you to Adobe’s page where you can download the latest version of Acrobat Reader.
6. After installing Acrobat, go back to QuickBooks. Then select the How? link to set Adobe Reader as your browser’s default PDF viewer.
7. Go back to QuickBooks and select View preview and print sample. Then select Print.
8. Follow the on-screen steps to finish printing your sample check.
9. Check the alignment of your sample against a blank check.

If the alignment looks good, then you’re ready to print on your regular checks.

If doing this doesn't make a difference, let's fine-tune your check alignment to adjust the printing set up of the checks.

To do that:

1. Select + New and press on Print checks.
2. Hit the Print setup.
3. Select No, continue setup. Then select No, continue setup again.This opens up the check in an alignment window where you can adjust the margins to correct the alignment:
4. In the check image window, drag the grid so the numbers are in the same place they appear on your sample print. QuickBooks will automatically adjust the alignment.
5. After adjusting the grid, select View preview and print sample. Then select Print.
6. Follow the on-screen steps to finish printing your sample check
7. Check the alignment of your sample against a blank check.
8. Repeat the grid alignment process and print as many times as you need until your check is aligned correctly.
9. Select Finish Setup.

For complete details about this process, please see this reference: Configure your print settings for printing checks.

However, if the problem persists, you can perform the troubleshooting steps found in this link attached: Troubleshoot printing paychecks, pay stubs, and forms.

Please keep me posted on how it goes by leaving a reply below. I'll make sure you're all set. Stay safe!