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Social

ID Name Security # Address Occupation


154875 John Smith 123-45-6789 123 ABC St CEO
Regular Overtime Exempt from
Hire Date Annual Salary Hourly Rate Hourly Rate Overtime
10/26/15 $100,000.00 48.0769230769 60 N
Federal 401(K)
Allowances Contribution
(W-4) (%)
3 10%

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