BUSINESS NAME

Address Line 1
Address Line 2
City, State, Zip LOGO
Phone
Web / Email

Employee Name PAY AND HOURS HOURS PYMNT

Employee Number Regular Hours

Federal Filing Status Overtime Hours

Pay Begin Date Holiday Hours

Pay End Date Vacation Hours

Tax Allowance Sick Time Hours

GROSS CURRENT YTD NET CURRENT YTD

Gross Pay $ - Net Pay

Federal Taxable
Gross Pay

PRE-TAX WITHHOLDINGS FEDERAL / STATE / PAYROLL TAX

401(K) Contribution Federal Tax

Other State Tax

POST-TAX DEDUCTIONS Local Tax

Insurance Premiums Social Security

Other Medicare

LEAVE TYPE HOURS SPENT HOURS REMAINING DAYS REMAINING

Holidays

Vacation

Sick Time

Messages
REGISTER
PRE-TAX WITHHOLDINGS FEDERAL, STATE AND PAYROLL TAXES POST-TAX DEDUCTIONS

FEDERAL
EMPLOYEE EMPLOYEE GENDER HIRE PER HOUR FOOD OVERTIME TAX 401(K) STATE LOCAL SOCIAL SSN
JOB TITLE SHOP RATE PER TRIP FILING OTHER MEDICARE INSURANCE OTHER ADDRESS CITY STATE ZIP
NUMBER NAME M/F DATE RATE ALLOWANCE EXEMPTION ALLOWANCE CONTRIBUTION TAX TAX SECURITY LAST 4
STATUS

Freddie Devibar M 04/06/24 DT Driver $ 300.00 $ 15.00 55.00

Rogelio Labador M 04/06/24 DT Driver $ 300.00 $ 15.00 55.00

Reyman Pelegro M 04/06/24 DT Driver $ 300.00 $ 15.00 55.00

Josue Garbo M 04/06/24 BH Operator $ 250.00 $ 100.00 55.00

Antonio Sumagang M 04/01/24 BH Operator $ 250.00 $ 100.00 55.00

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