A printer driver and a method are provided for reformatting a document for manual annotations in a printer driver software program. The method includes: accepting an electronically formatted document page setup for a printed medium sheet; selecting a manual annotation option; in response to the selected option, editing the relationship between the document page and the printed medium sheet; and, creating a manual annotation region on the sheet adjacent the document page. For example, the manual annotation region can be created in a region to the right of the page. However in other aspects, the annotation can be to the left of the page, above the page, below the page, or between image objects (i.e., between lines of text).