Employee information

Federal Income Tax Total Taxes Insurance Other Regular Total Regular Deductions
Hourly Federal Allowance State Tax Social Security Tax Medicare Tax
Employee ID Name Tax Status (Percentage based on Withheld Deduction Deduction (Excluding taxes, in
Wage (From W-4) (Percentage) (Percentage) (Percentage)
Federal Allowance) (Percentage) (Dollars) (Dollars) dollars)

1 Jay Adams $10.00 1 4 2.30% 28.00% 6.30% 1.45% 38.05% $20.00 $40.00 $60.00

2 0.00% $0.00

3 0.00% $0.00

4 0.00% $0.00

5 0.00% $0.00

6 0.00% $0.00

7 0.00% $0.00

8 0.00% $0.00

9 0.00% $0.00

10 0.00% $0.00

11 0.00% $0.00

12 0.00% $0.00

13 0.00% $0.00

14 0.00% $0.00

15 0.00% $0.00

16 0.00% $0.00

17 0.00% $0.00

18 0.00% $0.00

19 0.00% $0.00

20 0.00% $0.00

21 0.00% $0.00

22 0.00% $0.00

23 0.00% $0.00

24 0.00% $0.00

25 0.00% $0.00
Payroll calculator Period Ending: 2/1/2004

Regular Hours Other

Employee ID Employee Name Vacation Hours Sick Hours Overtime Hours Overtime Rate Gross Pay Taxes and Deductions Net Pay
Worked Deduction

1 Jay Adams 50 5 1 $560.00 $273.08 $20.00 $266.92

2 $0.00 $0.00 $0.00

3 $0.00 $0.00 $0.00

4 $0.00 $0.00 $0.00

5 $0.00 $0.00 $0.00

6 $0.00 $0.00 $0.00

7 $0.00 $0.00 $0.00

8 $0.00 $0.00 $0.00

9 $0.00 $0.00 $0.00

10 $0.00 $0.00 $0.00

11 $0.00 $0.00 $0.00

12 $0.00 $0.00 $0.00

13 $0.00 $0.00 $0.00

14 $0.00 $0.00 $0.00

15 $0.00 $0.00 $0.00

16 $0.00 $0.00 $0.00

17 $0.00 $0.00 $0.00

18 $0.00 $0.00 $0.00

19 $0.00 $0.00 $0.00

20 $0.00 $0.00 $0.00

21 $0.00 $0.00 $0.00

22 $0.00 $0.00 $0.00

23 $0.00 $0.00 $0.00

24 $0.00 $0.00 $0.00

25 $0.00 $0.00 $0.00

[Company Name]
Period: 2/1/2004 Employee Name Jay Adams Employee ID 1

Tax Status 1 Federal Allowance (From W-4) 4 Hours Worked 50

Hourly Rate $10.00 Overtime Rate Sick Hours 1
Social Security Tax $35.28 Federal Income Tax $156.80 Vacation Hours 5
Medicare Tax $8.12 State Tax $12.88 Overtime Hours
Insurance Deduction $20.00 Other Regular Deduction $40.00 Gross Pay $560.00

Total Taxes and Regular Total Taxes and

$273.08 Other Deduction $20.00 $293.08
Deductions Deductions
Net Pay $266.92

[Company Name]
Period: 2/1/2004 Employee Name Employee ID 2

Tax Status Federal Allowance (From W-4) Hours Worked

Hourly Rate Overtime Rate Sick Hours
Social Security Tax $0.00 Federal Income Tax $0.00 Vacation Hours
Medicare Tax $0.00 State Tax $0.00 Overtime Hours
Insurance Deduction Other Regular Deduction Gross Pay $0.00

Total Taxes and Regular Total Taxes and

$0.00 Other Deduction $0.00
Deductions Deductions
Net Pay $0.00

[Company Name]
Period: 2/1/2004 Employee Name Employee ID 3

Tax Status Federal Allowance (From W-4) Hours Worked

Hourly Rate Overtime Rate Sick Hours
Social Security Tax $0.00 Federal Income Tax $0.00 Vacation Hours
Medicare Tax $0.00 State Tax $0.00 Overtime Hours
Insurance Deduction Other Regular Deduction Gross Pay $0.00

Total Taxes and Regular Total Taxes and

$0.00 Other Deduction $0.00
Deductions Deductions
Net Pay $0.00

[Company Name]
Period: 2/1/2004 Employee Name Employee ID 4

Tax Status Federal Allowance (From W-4) Hours Worked

Hourly Rate Overtime Rate Sick Hours
Social Security Tax $0.00 Federal Income Tax $0.00 Vacation Hours
Medicare Tax $0.00 State Tax $0.00 Overtime Hours
Insurance Deduction Other Regular Deduction Gross Pay $0.00

Total Taxes and Regular Total Taxes and

$0.00 Other Deduction $0.00
Deductions Deductions
Net Pay $0.00