To be clear, Lacerte was not printing to DMS.  I called support and Chris helped me.  We had to delete the Lacerte PDF 6.5 AND driver because two different programs were using the same driver.  Then we re-installed Lacerte.  He walked me through everything and got it fixed.

We usually don't print to PDF but we tried to during troubleshooting.  I received two error Code -41's.  I'm assuming one for DMS and one for PDF.  So this is probably the same fix for both.