BUSINESS NAME
Address Line 1
Address Line 2
Phone
Email LOGO
City, State, Zip Web
Employee Name CURRENT EARNINGS
Employee Number EARNING TYPE HOURS PYMNT
Federal Filing
Regular Pay 0.00 $ -
Status
Pay Begin Date Overtime 0.00 $ -
Pay End Date Leave Hours 0.00 $ -
Tax Allowance TOTALS 0.00 $ -
LEAVE BENEFITS SUMMARY
LEAVE TYPE BEGINNING BALANCE ACCRUED TAKEN BALANCE
Holidays 0.00 0.00 0.00 0.00
Vacation 0.00 0.00 0.00 0.00
Sick Time 0.00 0.00 0.00 0.00
Comp Time 0.00 0.00 0.00 0.00
Other 0.00 0.00 0.00 0.00
Other 0.00 0.00 0.00 0.00
STATEMENT SUMMARY
EARNINGS TYPE CURRENT YTD EARNINGS TYPE CURRENT YTD
Taxable Gross $ - $ - Deductions $ - $ -
Non-Taxable Gross $ - $ - Net Pay $ - $ -
Previous Gross Pay $ - $ - Excess Life $ - $ -
Gross Pay $ - $ - Other $ - $ -
Other $ - $ - Other $ - $ -
DEDUCTION TYPE NOTES CURRENT YTD
Federal Withholding Tax $ - $ -
State Withholding Tax $ - $ -
FICA-Medicare $ - $ -
Other $ - $ -
Other $ - $ -
Other $ - $ -
Other $ - $ -
Other $ - $ -
Other $ - $ -
Other $ - $ -
Other $ - $ -
Other $ - $ -
Other $ - $ -
TOTALS $ - $ -