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Company

Info

Employee

Info

Salary

Info

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COMPANY NAME

COMPANY ADDRESS, CITY, STATE ZIP

Employee ID

Employee Name

EMPLOYEE NAME

Employee Address

EMPLOYEE ADDRESS

CITY, STATE ZIP

Social Security No

XXX-XX-

Payment Period

08/07/2025 to 08/20/2025

Marital Status

Single

Distribution Type

Check

Year to Date
YTD Gross:	$600.00
YTD Deduction:	$2,545.38
YTD Net:	$-1,945.38

Current
Gross:	$1,600.00
Deduction:	$242.02
Net:	$1,357.98

Payment Date
Date:	08/25/2025

Earnings

	Rate	Hours	Current Earnings	YTD
Regular	$20.00	80.00	$1,600.00	$600.00
Gross Earnings			$1,600.00	$600.00

Deductions

	Current	YTD
FICA - Medicare	$278.40	$278.40
FICA - Social Security	$1,190.40	$1,190.40
Federal Tax	$1,076.58	$1,076.58
State Tax	$0.00	$0.00
Total Deduction	$242.02	$2,545.38

Remarks

PREVIEW ONLY

CO.

2rv

FILE

811139

DEPT

583670

CLOCK

45734

VCHR. NO

82034

062

COMPANY NAME

COMPANY ADDRESS

CITY, STATE ZIP

Social Security Number:

Taxable Marital Status:

Exemptions/Allowances:

Employee ID:

XXX-XX-

Single

Earnings

Rate

Hours

Amount

Year to Date

Regular

$20.00

80.00

$1,600.00

$600.00

Gross Pay

$1,600.00

Deduction

Statutory

FICA - Medicare

- $23.20

$278.40

FICA - Social Security

- $99.20

$1,190.40

Federal Tax

- $119.62

$1,076.58

State Tax

- $0.00

$0.00

Net Pay

$1,357.98

Check

-$1,357.98

Earnings Statement

Period Beginning:

Period Ending:

Pay Date:

08/07/2025

08/20/2025

08/25/2025

EMPLOYEE NAME

EMPLOYEE ADDRESS

CITY, STATE ZIP

Other benefits and

Information

This Period

Year To Date

Important Notes

COMPANY NAME

COMPANY ADDRESS

CITY, STATE ZIP

Advice Number:

Pay date:

Social Security Number:

1260895

08/25/2025

XXX-XX-

Pay to the order of:

EMPLOYEE NAME

This amount:

one thousand three hundred fifty seven and 98/100 dollars

$1,357.98

NON-NEGOTIABLE

VOIDED CHECK

PREVIEW ONLY

Earning Statement

Pay period: Aug 7, 2025 - Aug 20, 2025

Pay Day: Aug 25, 2025

Company

COMPANY NAME

COMPANY ADDRESS

CITY, STATE ZIP

Employee

EMPLOYEE NAME

XXX-XX-

EMPLOYEE ADDRESS

CITY, STATE ZIP

Employee Earnings

Description

Regular

Gross Earnings

Rate

$20.00

Hours

80.00

Current

$1,600.00

Year to Date

$600.00

Employee Deductions

Employee Tax

FICA - Medicare

FICA - Social Security

Federal Tax

State Tax

Current

$23.20

$99.20

$119.62

$0.00

Year to Date

$278.40

$1,190.40

$1,076.58

$0.00

Employee Payment Information

Details

Employee Net Pay

Distribution Type

Employee ID

Taxable Marital Status

Description

$1,357.98

Check

Single

Important Notes

Have questions about employee benefits, workplace policies, or resources available to you? Your manager or team lead is here to help. From understanding your benefits to accessing tools that support your growth and success, don’t hesitate to reach out for guidance.

Summary

Description

Current

Year to Date

Gross Earnings

$1,600.00

$600.00

Taxes

$242.02

$2,545.38

Net Pay

$1,357.98

$-1,945.38

Net Check Amount

$1,357.98

$-1,945.38

COMPANY NAME

COMPANY ADDRESS

CITY, STATE ZIP

Advice Number:

Pay date:

Social Security Number:

1260895

08/25/2025

XXX-XX-

Pay to the order of:

EMPLOYEE NAME

This amount:

one thousand three hundred fifty seven and 98/100 dollars

$1,357.98

NON-NEGOTIABLE

VOIDED CHECK

SWIPE TO SEE ALL DESIGNS

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