1.

Pay Period End

DEPARTMENT OF DEFENSE
10/07/23

CIVILIAN LEAVE AND EARNINGS STATEMENT LES 2. Pay Date

10/13/23
VISIT THE DFAS WEB SITE AT: WWW.DFAS.MIL
3. Name 4. Pay Plan/Grade/Step 5. Hourly/Daily Rate 6. Basic OT Rate 7. Basic Pay + Locality/Market Adj = Adjusted Basic Pay
TALACAY LOPE B GS 14 01 63.43 63.43 99908.00 32460.00 132368.00
8. Soc Sec No 9. Locality % 10. FLSA Category 11. SCD Leave 12. Max Leave Carry Over 13. Leave Year End
***-**-3350 32.49 E 06/06/12 240 01/13/24
14. Financial Institution - Net Pay 15. Financial Institution - Allotment #1 16. Financial Institution - Allotment #2
USAA FEDERAL SAVINGS BANK
17. Tax Marital Exemptions Add'l 18. Tax Marital Exemptions Add'l Taxing Authority 19. Cumulative Retirement 20. Military Deposit
Status Status
FED S 0 0 0 0 FERS: 26687.50
DC S 0 0

21. Current Year to Date 22.

GROSS PAY 5074.40 107674.80 TSP DATA 10%
TAXABLE WAGES 4543.48 96991.14
NONTAXABLE WAGES 23.48 493.58
TAX DEFERRED WAGES 507.44 10190.08
DEDUCTIONS 2375.18 49695.79
AEIC
NET PAY 2699.22 57979.01

CURRENT EARNINGS
TYPE HOURS/DAYS AMOUNT TYPE HOURS/DAYS AMOUNT TYPE HOURS/DAYS AMOUNT
REGULAR PAY 80.00 5074.40
DEDUCTIONS
TYPE CODE CURRENT YEAR TO DATE TYPE CODE CURRENT YEAR TO DATE
FEGLI D0 21.60 433.92 FEGLI OPTNL A 0.20 4.20
MEDICARE 73.24 1554.13 OASDI 313.16 6645.24
RETIRE, FERS KF 223.27 4483.59 TAX, FEDERAL 788.13 16839.04
TAX, STATE DC 324.66 6952.01 TSP SAVINGS 507.44 10190.08
DENTAL 23.48 493.58 ROTH DED 100.00 2100.00
LEAVE
PRIOR YR ACCRUED ACCRUED USED USED DONATED/ CURRENT USE-LOSE/
TYPE
BALANCE PAY PD YTD PAY PD YTD RETURNED BALANCE TERM DATE
ANNUAL 240.00 6.00 120.00 80.00 280.00 86.00
SICK 391.50 4.00 80.00 8.00 8.00 463.50
CREDIT HOURS 4.00 12.00 4.00 10.00 6.00
HOLIDAY 56.00
BENEFITS PAID BY GOVERNMENT FOR YOU
TYPE CURRENT YEAR TO DATE TYPE CURRENT YEAR TO DATE
FEGLI 10.80 216.96 MEDICARE 73.24 1554.13
OASDI 313.16 6645.24 RETIRE, FERS 842.35 16915.53
TSP BASIC 50.74 1018.96 TSP MATCHING 202.98 4076.08

REMARKS
YOUR PAYROLL OFFICE ID NUMBER IS 97381500 - DEPARTMENT OF HEALTH AND HUMAN SERVICES.
PLEASE SUPPORT YOUR COMBINED FEDERAL CAMPAIGN GOING ON NOW
STILL WAITING ON HARD COPY TAX FORMS? GET THEM FASTER, PROTECT YOUR PERSONAL INFORMATION,
ACCESS, DOWNLOAD AND PRINT ALL YOUR W2S BY CHOOSING ELECTRONIC DELIVERY THROUGH MYPAY. LOG
IN AT HTTPS://MYPAY.DFAS.MIL AND SELECT THE TURN ON/OFF HARD COPY W2 OPTION.
REVIEW YOUR LES EACH PAY PERIOD! HERE'S HOW:
HTTPS://INTRANET.HHS.GOV/HR/LEAVE-AND-PAY/LEAVE-AND-EARNINGS
HHS PAYROLL LIAISONS: HTTPS://INTRANET.HHS.GOV/HR/LEAVE-AND-PAY/PAYROLL-LIAISONS

THIS REPORT CONTAINS INFORMATION SUBJECT TO THE PRIVACY ACT OF 1974 AS AMENDED