CO. FILE DEPT.
CLOCK NUMBER
5NT 883110 512276 667167 4868420
1
Earnings Statement
AMERISAVE MORTGAGE CORPORATION Period Beginning: 02/09/2024
1200 ALTMORE AVE BULDING 2 300 Period Ending: 02/22/2024
SANDY SPRINGS, GA 30342-2409 Pay Date: 02/23/2024
Social Security Number: XXX-XX-XXX
Taxable Marital Status: SINGLE
Exemptions/Allowances: ADRIENNE NELSON
822 PENDERGAST ST
Federal: 1
WAYCROSS, GA 31501
Earnings Rate hours this period year to date Other Benefits and
Regular 32.94 80.00 2,635.20 9,908.35 Information this period total to date
Overtime Persl Balance 0.000 0.00
Vacation Vac Balance 0.000 0.00
Sick PTO
Gross Pay $2,635.20 9,908.35
Important Notes
Deductions Statutory
Fed Income Tax 319.65 1,201.88 Basis of Pay: Biweekly
Social Security 163.38 614.32
Medicare 38.21 143.67
State Income Tax 132.81 499.38
Net Pay $1,981.14
©2008, 2001, 2000, 1999 ADP, sms.
* Excluded from federal taxable wages
Your federal wages this period are $2,635.20
TEAR HERE
▲
AMERISAVE MORTGAGE CORPORATION Payroll check number: 4868420
1200 ALTMORE AVE BULDING 2 300 Pay date: 02/23/2024
SANDY SPRINGS, GA 30342-2409
Pay to the
order of: ADRIENNE NELSON
This amount:
ONE THOUSAND NINE HUNDRED EIGHTYONE AND 14/100DOLLAR $1,981.14
VOID AFTER 180 DAYS
THE ORIGINAL DOCUMENT HAS A REFLECTIVE WATERMARK ON THE BACK.
NON-NEGOTIABLE
HOLD AT AN ANGLE TO VIEW WHEN CHECKING THE ENDORSEMENT.