Payslip for the period

DD MM DD MM
Paying/pension paying office

From 01. 01 To 31. 12 2022 Tax number

91 063 4740

Employee: 10-digit social insurance number according to e-Card

FAMILY OR LAST NAME
6861 280566
Osborne
Social Date of birth
FIRST NAME TITLE status 3 (DDMMYYYY) 28.05.1966
Grant
Trans/
Non-binary/ Full- Part-
ADDRESS
Female Male XPrefer not to say time X time
Höfelgasse 10
AVAB was taken AEAB was taken Increased PAB was
POSTAL CODE CITY into account (Y/N) N into account (Y/N) N taken into account (Y/N)

5020 Salzburg If child bonuses were taken into account:

Number of children acc. to § 106 Para. 1
- Complete in UPPERCASE and only with black or AVAB/increased PAB:
blue ink - Amount fields in euros and cents Partner's ins. no.
- The fields with bold borders are also to be filled in
- Applicable points are to be checked
Citations of law without indication refer to
Partner's date of
EStG 1988
birth (DDMMYYYY)

Increased VAB was Family bonus plus was

Voluntary employment tax deduction acc. to §47 Para. 1b taken into account (Y/N) N taken into account (Y/N) N
Extraordinary non-recurring payment acc. to § 772a ASVG, § 400a Number of children for
GSVG, § 394a BSVG, § 95h PG 1965, or § 60 Para. 19 BB-PG N Home office days Family bonus plus

Gross pay acc. to § 25 (w/o § 26 and w/o § 3 Para.1(16b) .......................... 210 39.260,10

Tax-exempt pay acc. to § 68 ................................................... 215

Pay acc. to § 67 Para. 1 and 2 (within annual sixth insofar as not taxed acc. to § 67 Para. 10
and acc. to § 67 Para. 5 second graduation mark (within annual twelfth), before deduction of 5.569,55
social insurance contributions (SI contributions) ............................................. 220
Deducted in total for income liable to employment tax:
SI contributions, Chamber of Labor contribution, housing support................ 6.981,00
Minus retained SI contributions:
for pay acc. to key figure 220 .................. 225 799,28 230 6.181,72
for pay acc. to § 67 Para. 3 to 8 (except § 67 Para. 5 second
GM) and § 3 Para. 1(35), insofar as tax exempt or 226
taxed at fixed tax rate
Remaining Deductions:
Employment abroad acc. to § 3 Para. 1(10) ...................

Aid workers acc. to § 3 Para. 1(11)b ...........

Per diem reimbursement of trip expenses acc. to § 3 Para. 1(16)c...

Employee profit sharing acc. to §3 Para. 1(35) ...........

Commuter rate acc. to § 16 Para. 1(6) .................

Lump sum for income-related costs acc. to 17 Para. 6 forexpatriates....

Deducted voluntary contributions acc. to § 16 Para. 1(3)b ......... Total remaining

deductions
Tax-exempt pay or pay taxed at fixed rates acc. to § 67 Para.
3 to 8 (except § 67 Para. 5 second GM), before deduction of SI contributions .. 243

Cost-of-living bonus acc.to §124b(408)......................

Pay liable for tax
27.508,83
Other tax-exempt pay ............................ 245
4.296,51
Total employment tax deducted .......................
Chargeable employment
tax
Minus employment tax with fixed rates acc. to § 67 Para. 3 to 8
4.296,51
(except § 67 Para. 5 second graduation mark)................. 260

L16, Page 1, Version Dated August 2, 2022


Commuter deduction (§ 33 Para. 5(4))
Amount of family bonus plus that
actually effected a tax reduction
Other payments taxed acc. to pay
scale (§ 67 Para. 2, 5 second GM, 6, 10)
Non-taxable pay (§ 26(4)) and
tax-exempt pay (§ 3 Para. 1(16)b)
Employer contributions to pension
funds abroad (§ 26(7))
Costs incurred for mass transportation and
company transportation, Number of calendar months
........................................
Assumption of costs according to
§ 26(5)b .............................................
273,25 Exemption considered according to
§ 63 or § 103 Para. 1a ............................
OeGB contributions taken into account during
recalculation .............................................
Paid in transfer
amount to BV .............................................

Lease of company car for journeys between

Home office per diem (§ 26(9)a) home and place of work, Number of calendar months
(§ 16 Para. 1(6)b) .........................................................................

Information on family bonus plus:

(If the family bonus plus was taken into account for more than 5 children, another L 16 form is to be filled out)

Child 1
FAMILY or LAST NAME

FIRST NAME

COUNTRY OF RESIDENCE1) on Dec 31, 2022

Change of country of residence during 2022

10-digit social insurance number according to e-card date of birth (DDMMYYYY)

Employee's relationship to child

Family allowance recipient Partner of family allowance recipient Alimony payer

The whole family bonus plus has been taken into account
From (MM) To (MM) 2022

Half the family bonus plus has been taken into account
From (MM) To (MM) 2022

Child 2
FAMILY or LAST NAME

FIRST NAME

COUNTRY OF RESIDENCE1) on Dec 31, 2022

Change of country of residence during 2022

10-digit social insurance number according to e-card date of birth (DDMMYYYY)

Employee's relationship to child

Family allowance recipient Partner of family allowance recipient Alimony payer
1)Enter international license plate ID for child's country ofresidence - for example, A for Austria, D for Germany

L16, Page 2, Version Dated August 2, 2022

 The whole family bonus plus has been taken into account
From (MM) To (MM) 2022

Half the family bonus plus has been taken into account
From (MM) To (MM) 2022

Child 3
FAMILY or LAST NAME

FIRST NAME

COUNTRY OF RESIDENCE1) on Dec. 31, 2022

Change of country of residence 2022

10-digit social insurance number according to e-card Date of birth (DDMMYYYY)

Employee's relationship to child

Family allowance recipient Partner of family allowance recipient Alimony payer

The whole family bonus plus has been taken into account
From (MM) To (MM) 2022

Half the family bonus plus has been taken into account
From (MM) To (MM) 2022

Child 4
FAMILY or LAST NAME

FIRST NAME

COUNTRY OF RESIDENCE1) on Dec. 31, 2022

Change of country of residence during 2022

10-digit social insurance number according to e-card Date of birth (DDMMYYYY)

Employee's relationship to child

Family allowance recipient Partner of family allowance recipient Alimony payer

The whole family bonus plus has been taken into account
From (MM) To (MM) 2022

Half the family bonus plus has been taken into account
From (MM) To (MM) 2022

1)Enter international license plate ID for child's country ofresidence - for example, A for Austria, D for Germany

L16, Page 3, Version Dated August 2, 2022

 Child 5
FAMILY or LAST NAME

FIRST NAME

COUNTRY OF RESIDENCE1) on Dec. 31, 2022

Change of country of residence during 2022

10-digit social insurance number according to e-card Date of birth (DDMMYYYY)

Employee's relationship to child

Family allowance recipient Partner of family allowance recipient Alimony payer

The whole family bonus plus has been taken into account
From (MM) To (MM) 2022

Half the family bonus plus has been taken into account
From (MM) To (MM) 2022

This part only needs to be completed by pension paying offices or public law bodies

Payments not to be entered acc. to Exempt. taken into account

§ 25 Par. 1(2)a and (3)a (75%)..... acc. § 35..................
M M M M
Care allowance Exemption taken into account
from to acc. to § 105 .................

Date of Issue
01.06.2023

Paying/pension paying office The accuracy and completeness is confirmed:

Company
Universität Salzburg
Kapitelgasse 4-6
5020 Salzburg

0662 8044-2101
Name and address, telephone number and ext. Signature

1)Enter international license plate ID for child's country ofresidence - for example, A for Austria, D for Germany

L16, Page 4, Version Dated August 2, 2022