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Aaron: It appears that this product was end-of-lifed before they actually built a Vista driver for it. Official Lexmark support says Windows XP/2000 only. I believe you may be out of luck with this model printer on Vista. (And please do not pay anyone any fees for this driver, as it does not exist.)
Most likely your printer's cartridge settings are incorrect. You possibly have a black and white cartridge in your printer but your computer settings are for a color cartridge. First verify what type of cartridge is in your computer. Then find the printer your are using installed on your computer. If you OS is Microsoft then double click on the Lexmark z12 and click on printer and then properties. Another window will pop up. Click on Cartridge Maintainence and then click on Verify/Change Cartridge. Hope this solves the problem. It worked for me.
unplug the printer and lift the cover and manually try to move the print nozzle assembly back and forth to see if it will move to both sides fully, use a flashlight to see if anything is caught in the belt or sides, the Z12 is an old printer model and the belt may be worn to the point that it wont stay in alignment and might have to get a new printer, fortunately dedicated printers arent that expensive and maybe you can get one at a thrift store real cheap.