CO. FILE DEPT. CLOCK VCHR. NO.

030
UXD 000393 000002 0000420050 1 Earnings Statement
IDENTITY INC. Period Beginning: 10/03/2021
414 E. DIAMOND AVE. Period Ending: 10/16/2021
GAITHERSBURG, MD 20877 Pay Date: 10/22/2021

ANAL TORRES NAVARRETE DE MARQ

Filing Status: Single/Married filing separately 9424 MERUST LANE
Exemptions/Allowances:
GAITHERSBURG MD 20879
Federal: Standard Withholding Table

rate hours this period year to date Other Benefits and

Regular 20 6700 72 00 1 488 24 11 905 92 this period total to date
Holiday 20 6700 8 00 165 36 496 08 401K Elig Wages 1 653 60 12 732 72
Self-Care 330 72
Totl Hrs Worked 72 00
Gross Pay $1 653 60 12 732 72

BASIS OF PAY: HOURLY

Statutory
Federal Income Tax -132 85 1 003 27
Social Security Tax -102 52 789 43 Taxable Marital Status:
Medicare Tax -23 97 184 62 MD: Married
Exemptions/Allowances:
MD State Income Tax -114 49 876 48 MD: 1,Joint Filing
Net Pay $1 279 77
Checking 1 -1 279 77

Net Check $0 00

Your federal taxable wages this period are

$1 653 60

2000 A DP, LLC

IDENTITY INC Advice number: 00000420050

414 E DIAMOND AVE Pay date: 10/22/2021
GAITHERSBURG MD 20877

Deposited to the account of account number transit ABA amount

ANAL TORRES NAVARRETE DE MARQUEZ xxxxxxxx7169 xxxx xxxx $1 279 77

NON-NEGOTIABLE