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Company Name
Company Street Address 1
Company City, AL 10205
Social Security Number:
Taxable Marital Status: Single
Exemptions/allowances: 0

Earnings Statement
Period Beginning: 06/20/2023
Period Ending: 07/19/2023
Pay Date: 07/20/2023
Employee Name
Employee Street Address 1
Employee City, AL 10205
Earnings Rate Amount Year To Date
Earnings Rate Hours Amount Year To Date
Salary 10.00 400.00 2,800.00
Overtime 0.00 0.00 0.00
Holiday 0.00 0.00 0.00
Vacation 0.00 0.00 0.00
Bonus 0.00 0.00 0.00
Float 0.00 0.00 0.00
Tips 0.00 0.00 0.00
Regular Contract 10.00 40.00 400.00 2,800.00
Flat Fee 0.00 0.00 0.00 0.00
Overtime 0.00 0.00 0.00 0.00
Holiday 0.00 0.00 0.00 0.00
Vacation 0.00 0.00 0.00 0.00
Bonus 0.00 0.00 0.00 0.00
Float 0.00 0.00 0.00 0.00
Tips 0.00 0.00 0.00 0.00
  Gross Pay $400.00   2,800.00
 
Deduction Statutory    
  FICA Medicare – 5.80   40.60
  FICA Social Security – 24.80   173.60
  Federal Tax – 0.00   0.00
  State Tax – 6.83   47.83
  SDI – 0.00   0.00
  SUI – 0.00   0.00
  WC – 0.00   0.00
  FLI – 0.00   0.00
  Work Development – 0.00   0.00
  Other    
  Net Pay $362.57    
  Check – 362.57    
  Net Check $0.00    
 
 
 
 
 
 
 
 
 
 
 
Other Benefits and Information This Period Year To Date
Company Name
Company Street Address 1
Company City, AL 10205 		 
Advice Number:   0000042693
Pay Date:   07/20/2023
Social Security Number:  
Deposited to the account of Account Number Transit ABA Amount
Employee Name xxxxxxxxxxx xxxx xxxx $362.57
Pay to the order of Employee Name  
This amount: Three Hundred Sixty Two And 57/100 Dollars $362.57

NON-NEGOTIABLE

Company Name
Company Street Address 1
Company City, AL 10205 		 
Advice Number: 0000042693
Pay date: 07/20/2023
Deposited to the account of Account Number Transit ABA Amount
Employee Name xxxxxxxxxxx xxxx xxxx $362.57
Pay to the order of Amount
Employee Name $362.57
 

NON-NEGOTIABLE
Employee Name Employee Social Employee Address Company Name Company Address Pay Period Begin Pay Period End Check Date
Employee Name xxxx-xx-1202 Employee Street Address 1
Employee City, AL 10205 		Company Name Company Street Address 1
Company City, AL 10205 		06/20/2023 07/19/2023 07/20/2023
Important Notes
The Meal and Rest Break Policy provides you with the opportunity to take meal and rest breaks. As provided in the Meal and Rest Break Policy, requirements vary by state. If you believe that you have been denied the opportunity to take the meal and rest breaks during your scheduled shift under the Meal and Rest Break Policy, promptly notify payroll.
******************
Please review the hours worked and pay in this paycheck and earnings statement, if you believe that there are any errors, promptly notify Payroll.
Gross Pay Pre Tax Deductions Taxes Post Tax Deductions Net Pay
Current 400.00 0.00 37.43 0.00 362.57
YTD 2,800.00 0.00 262.03 0.00 2,537.97
Earnings (**Does not add to gross)
Description Dates Rate Amount YTD
Description Dates Hours Rate Amount YTD
Salary 06/20/2023 – 07/19/2023 10.00 400.00 2,800.00
Overtime 06/20/2023 – 07/19/2023 0.00 0.00 0.00
Holiday 06/20/2023 – 07/19/2023 0.00 0.00 0.00
Vacation 06/20/2023 – 07/19/2023 0.00 0.00 0.00
Bonus 06/20/2023 – 07/19/2023 0.00 0.00 0.00
Float 06/20/2023 – 07/19/2023 0.00 0.00 0.00
Tips 06/20/2023 – 07/19/2023 0.00 0.00 0.00
Regular Contract 06/20/2023 – 07/19/2023 40.00 10.00 400.00 2,800.00
Flat Fee 06/20/2023 – 07/19/2023 0.00 0.00 0.00 0.00
Overtime 06/20/2023 – 07/19/2023 0.00 0.00 0.00 0.00
Holiday 06/20/2023 – 07/19/2023 0.00 0.00 0.00 0.00
Vacation 06/20/2023 – 07/19/2023 0.00 0.00 0.00 0.00
Bonus 06/20/2023 – 07/19/2023 0.00 0.00 0.00 0.00
Float 06/20/2023 – 07/19/2023 0.00 0.00 0.00 0.00
Tips 06/20/2023 – 07/19/2023 0.00 0.00 0.00 0.00
 
 
 
 
 
 
 
 
Earnings 400.00 2,800.00
Associate Taxes
Description Amount YTD
FICA Medicare 5.80 40.60
FICA Social Security 24.80 173.60
Federal Tax 0.00 0.00
State Tax 6.83 47.83
SDI 0.00 0.00
SUI 0.00 0.00
WC 0.00 0.00
FLI 0.00 0.00
Workforce Development 0.00 0.00
   
   
   
   
   
Associate Taxes 37.43 262.03
Company Name
Company Street Address 1
Company City, AL 10205

EARNINGS STATEMENT
EMPLOYEE NAME/ ADDRESS EMPLOYEE NO. REPORTING PERIOD PAY DATE
Employee Name
xxx-xxx1020
 Employee Street Address 1
Employee City, AL 10205 		123 376 06/20/2023 – 07/19/2023 07/20/2023
INCOME RATE CURRENT PAY
INCOME RATE HOURS CURRENT PAY
SALARY $10.00 $400.00
OVERTIME $0.00 $0.00
HOLIDAY $0.00 $0.00
VACATION $0.00 $0.00
BONUS $0.00 $0.00
FLOAT $0.00 $0.00
TIPS $0.00 $0.00
REGULAR CONTRACT $10.00 40.00 $400.00
FLAT FEE $0.00 0.00 $0.00
OVERTIME $0.00 0.00 $0.00
HOLIDAY $0.00 0.00 $0.00
VACATION $0.00 0.00 $0.00
BONUS $0.00 0.00 $0.00
FLOAT $0.00 0.00 $0.00
TIPS $0.00 0.00 $0.00
DEDUCTION TOTAL YTD TOTAL
STATUTORY DEDUCTIONS
FICA Medicare 5.80 40.60
FICA Social Security 24.80 173.60
Federal Tax 0.00 0.00
State Tax 6.83 47.83
SDI 0.00 0.00
SUI 0.00 0.00
WC 0.00 0.00
FLI 0.00 0.00
Workforce Development 0.00 0.00
 
YTD GROSS YTD DEDUCTION YTD NET PAY
$2,800.00 $262.03 $2,537.97
TOTAL DEDUCTION NET PAY
$400.00 $37.43 $362.57

EARNINGS STATEMENT
Company Name Company Address
Company Name Company Street Address 1, Company City, AL 10205
Employee Name Employee Name SSN Marital Status Employee No.
Employee Name XXXX-XX-1020
 Single 100 376
Pay Date Pay Period Pay Mode Pay Type Exemptions
07/20/2023 06/20/2023–07/19/2023 Weekly Hourly 0
INCOME RATE CURRENT TOTAL
INCOME RATE HOURS CURRENT TOTAL
Salary 10.00 400.00
OVERTIME 0.00 0.00
HOLIDAY 0.00 0.00
VACATION 0.00 0.00
BONUS 0.00 0.00
FLOAT 0.00 0.00
TIPS 0.00 0.00
REGULAR CONTRACT 10.00 40.00 400.00
FLAT FEE 0.00 0.00 0.00
OVERTIME 0.00 0.00 0.00
HOLIDAY 0.00 0.00 0.00
VACATION 0.00 0.00 0.00
BONUS 0.00 0.00 0.00
FLOAT 0.00 0.00 0.00
TIPS 0.00 0.00 0.00
DEDUCTIONS CURRENT TOTAL YTD TOTAL
FICA Medicare 5.80 40.60
FICA Social Sec. 24.80 173.60
Federal Tax 0.00 0.00
State Tax 6.83 47.83
SDI 0.00 0.00
SUI 0.00 0.00
WC 0.00 0.00
FLI 0.00 0.00
Workforce Development 0.00 0.00
YTD GROSS YTD DEDUCTIONS YTD NET PAY
2,800.00 262.03 2,537.97
TOTAL DEDUCTIONS NET PAY
400.00 37.43 362.57
Company Name
Company Street Address 1
Company City, AL 10205 		July 20, 2023
Pay Three Hundred Sixty Two And 57/100 Dollars $ 362.57
This is not a check
Pay to the order of Employee Name
Employee Street Address 1
Employee City, AL 10205
Company Name
Company Street Address 1
Company City, AL 10205

Earnings Statement
Employee Information Employee Information Social Sec. ID Employee ID Start Date End Date Check Date
Employee Name
Employee Street Address 1
Employee City, AL 10205 		xxx-xx-1020 123 376 06/20/2023 07/19/2023 07/20/2023
Earnings Rate Current Year to Date
Earnings Rate Hours Current Year to Date
Salary 10.00 400.00 2,800.00
Overtime 0.00 0.00 0.00
Holiday 0.00 0.00 0.00
Vacation 0.00 0.00 0.00
Bonus 0.00 0.00 0.00
Float 0.00 0.00 0.00
Tips 0.00 0.00 0.00
Regular Income Contract 10.00 40.00 400.00 2,800.00
Flat Fee 0.00 0.00 0.00 0.00
Overtime 0.00 0.00 0.00 0.00
Holiday 0.00 0.00 0.00 0.00
Vacation 0.00 0.00 0.00 0.00
Bonus 0.00 0.00 0.00 0.00
Float 0.00 0.00 0.00 0.00
Tips 0.00 0.00 0.00 0.00
Deductions Current Year to Date
FICA Medicare 5.80 40.60
FICA Social Security 24.80 173.60
Federal Tax 0.00 0.00
State Tax 6.83 47.83
SDI 0.00 0.00
SUI 0.00 0.00
WC 0.00 0.00
FLI 0.00 0.00
Workforce Development 0.00 0.00
 
Gross Earnings $400.00 $2,800.00
Gross Deductions $37.43 $262.03
  Check No. #4991
  Net Pay $362.57
  YTD Net Pay $2,537.97
Company Name
Company Street Address 1, Company City, NY 11106

Earnings Statement

Period Ending: 07/19/2023
Pay Date: 07/20/2023
SSN: XXX-XX-1213
Employee Name
Employee Street Address 1, Employee City, AL 11106
Earnings Rate Hours This Period Year to Date
Earnings Rate This Period Year to Date
Salary 10.00 400.00 2,800.00
Overtime 0.00 0.00 0.00
Holiday 0.00 0.00 0.00
Vacation 0.00 0.00 0.00
Bonus 0.00 0.00 0.00
Float 0.00 0.00 0.00
Tips 0.00 0.00 0.00
Regular Income Contract 10.00 40.00 400.00 2,800.00
Flat Fee 0.00 0.00 0.00 0.00
Overtime 0.00 0.00 0.00 0.00
Holiday 0.00 0.00 0.00 0.00
Vacation 0.00 0.00 0.00 0.00
Bonus 0.00 0.00 0.00 0.00
Float 0.00 0.00 0.00 0.00
Tips 0.00 0.00 0.00 0.00
 
Gross Pay $400.00 $2,800.00
Deductions Type This Period Year to Date
FICA Medicare 5.80 40.60
FICA Social Security 24.80 173.60
Federal Tax 0.00 0.00
State Tax 6.83 47.83
SDI 0.00 0.00
SUI 0.00 0.00
WC 0.00 0.00
FLI 0.00 0.00
Workforce Development 0.00 0.00
 
Net Pay $37.43 $262.03
Your deductions for this period are $37.43
Cut Maker
Company Name
Company Street Address 1, Company City, NY 11106 		Payroll Check Number: 4991
Pay Date: 07/20/2023
Employee Name
Three Hundred Sixty Two And 57/100 Dollars $362.57
Authorized Signature

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Company Information

Employee Information

EARNINGS STATEMENT

Paystub-1

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Company Name
Company Street Address 1
Company City, AL 10205
Social Security Number:
Taxable Marital Status: Single
Exemptions/allowances: 0

Earnings Statement
Period Beginning: 06/20/2023
Period Ending: 07/19/2023
Pay Date: 07/20/2023
Employee Name
Employee Street Address 1
Employee City, AL 10205
Earnings Rate Amount Year To Date
Earnings Rate Hours Amount Year To Date
Salary 10.00 400.00 2,800.00
Overtime 0.00 0.00 0.00
Holiday 0.00 0.00 0.00
Vacation 0.00 0.00 0.00
Bonus 0.00 0.00 0.00
Float 0.00 0.00 0.00
Tips 0.00 0.00 0.00
Regular Contract 10.00 40.00 400.00 2,800.00
Flat Fee 0.00 0.00 0.00 0.00
Overtime 0.00 0.00 0.00 0.00
Holiday 0.00 0.00 0.00 0.00
Vacation 0.00 0.00 0.00 0.00
Bonus 0.00 0.00 0.00 0.00
Float 0.00 0.00 0.00 0.00
Tips 0.00 0.00 0.00 0.00
  Gross Pay $400.00   2,800.00
 
Deduction Statutory    
  FICA Medicare – 5.80   40.60
  FICA Social Security – 24.80   173.60
  Federal Tax – 0.00   0.00
  State Tax – 6.83   47.83
  SDI – 0.00   0.00
  SUI – 0.00   0.00
  WC – 0.00   0.00
  FLI – 0.00   0.00
  Work Development – 0.00   0.00
  Other    
  Net Pay $362.57    
  Check – 362.57    
  Net Check $0.00    
 
 
 
 
 
 
 
 
 
 
 
Other Benefits and Information This Period Year To Date
Company Name
Company Street Address 1
Company City, AL 10205 		 
Advice Number:   0000042693
Pay Date:   07/20/2023
Social Security Number:  
Deposited to the account of Account Number Transit ABA Amount
Employee Name xxxxxxxxxxx xxxx xxxx $362.57
Pay to the order of Employee Name  
This amount: Three Hundred Sixty Two And 57/100 Dollars $362.57

NON-NEGOTIABLE

Company Name
Company Street Address 1
Company City, AL 10205 		 
Advice Number: 0000042693
Pay date: 07/20/2023
Deposited to the account of Account Number Transit ABA Amount
Employee Name xxxxxxxxxxx xxxx xxxx $362.57
Pay to the order of Amount
Employee Name $362.57
 

NON-NEGOTIABLE
Employee Name Employee Social Employee Address Company Name Company Address Pay Period Begin Pay Period End Check Date
Employee Name xxxx-xx-1202 Employee Street Address 1
Employee City, AL 10205 		Company Name Company Street Address 1
Company City, AL 10205 		06/20/2023 07/19/2023 07/20/2023
Important Notes
The Meal and Rest Break Policy provides you with the opportunity to take meal and rest breaks. As provided in the Meal and Rest Break Policy, requirements vary by state. If you believe that you have been denied the opportunity to take the meal and rest breaks during your scheduled shift under the Meal and Rest Break Policy, promptly notify payroll.
******************
Please review the hours worked and pay in this paycheck and earnings statement, if you believe that there are any errors, promptly notify Payroll.
Gross Pay Pre Tax Deductions Taxes Post Tax Deductions Net Pay
Current 400.00 0.00 37.43 0.00 362.57
YTD 2,800.00 0.00 262.03 0.00 2,537.97
Earnings (**Does not add to gross)
Description Dates Rate Amount YTD
Description Dates Hours Rate Amount YTD
Salary 06/20/2023 – 07/19/2023 10.00 400.00 2,800.00
Overtime 06/20/2023 – 07/19/2023 0.00 0.00 0.00
Holiday 06/20/2023 – 07/19/2023 0.00 0.00 0.00
Vacation 06/20/2023 – 07/19/2023 0.00 0.00 0.00
Bonus 06/20/2023 – 07/19/2023 0.00 0.00 0.00
Float 06/20/2023 – 07/19/2023 0.00 0.00 0.00
Tips 06/20/2023 – 07/19/2023 0.00 0.00 0.00
Regular Contract 06/20/2023 – 07/19/2023 40.00 10.00 400.00 2,800.00
Flat Fee 06/20/2023 – 07/19/2023 0.00 0.00 0.00 0.00
Overtime 06/20/2023 – 07/19/2023 0.00 0.00 0.00 0.00
Holiday 06/20/2023 – 07/19/2023 0.00 0.00 0.00 0.00
Vacation 06/20/2023 – 07/19/2023 0.00 0.00 0.00 0.00
Bonus 06/20/2023 – 07/19/2023 0.00 0.00 0.00 0.00
Float 06/20/2023 – 07/19/2023 0.00 0.00 0.00 0.00
Tips 06/20/2023 – 07/19/2023 0.00 0.00 0.00 0.00
 
 
 
 
 
 
 
 
Earnings 400.00 2,800.00
Associate Taxes
Description Amount YTD
FICA Medicare 5.80 40.60
FICA Social Security 24.80 173.60
Federal Tax 0.00 0.00
State Tax 6.83 47.83
SDI 0.00 0.00
SUI 0.00 0.00
WC 0.00 0.00
FLI 0.00 0.00
Workforce Development 0.00 0.00
   
   
   
   
   
Associate Taxes 37.43 262.03
Company Name
Company Street Address 1
Company City, AL 10205

EARNINGS STATEMENT
EMPLOYEE NAME/ ADDRESS EMPLOYEE NO. REPORTING PERIOD PAY DATE
Employee Name
xxx-xxx1020
 Employee Street Address 1
Employee City, AL 10205 		123 376 06/20/2023 – 07/19/2023 07/20/2023
INCOME RATE CURRENT PAY
INCOME RATE HOURS CURRENT PAY
SALARY $10.00 $400.00
OVERTIME $0.00 $0.00
HOLIDAY $0.00 $0.00
VACATION $0.00 $0.00
BONUS $0.00 $0.00
FLOAT $0.00 $0.00
TIPS $0.00 $0.00
REGULAR CONTRACT $10.00 40.00 $400.00
FLAT FEE $0.00 0.00 $0.00
OVERTIME $0.00 0.00 $0.00
HOLIDAY $0.00 0.00 $0.00
VACATION $0.00 0.00 $0.00
BONUS $0.00 0.00 $0.00
FLOAT $0.00 0.00 $0.00
TIPS $0.00 0.00 $0.00
DEDUCTION TOTAL YTD TOTAL
STATUTORY DEDUCTIONS
FICA Medicare 5.80 40.60
FICA Social Security 24.80 173.60
Federal Tax 0.00 0.00
State Tax 6.83 47.83
SDI 0.00 0.00
SUI 0.00 0.00
WC 0.00 0.00
FLI 0.00 0.00
Workforce Development 0.00 0.00
 
YTD GROSS YTD DEDUCTION YTD NET PAY
$2,800.00 $262.03 $2,537.97
TOTAL DEDUCTION NET PAY
$400.00 $37.43 $362.57

EARNINGS STATEMENT
Company Name Company Address
Company Name Company Street Address 1, Company City, AL 10205
Employee Name Employee Name SSN Marital Status Employee No.
Employee Name XXXX-XX-1020
 Single 100 376
Pay Date Pay Period Pay Mode Pay Type Exemptions
07/20/2023 06/20/2023–07/19/2023 Weekly Hourly 0
INCOME RATE CURRENT TOTAL
INCOME RATE HOURS CURRENT TOTAL
Salary 10.00 400.00
OVERTIME 0.00 0.00
HOLIDAY 0.00 0.00
VACATION 0.00 0.00
BONUS 0.00 0.00
FLOAT 0.00 0.00
TIPS 0.00 0.00
REGULAR CONTRACT 10.00 40.00 400.00
FLAT FEE 0.00 0.00 0.00
OVERTIME 0.00 0.00 0.00
HOLIDAY 0.00 0.00 0.00
VACATION 0.00 0.00 0.00
BONUS 0.00 0.00 0.00
FLOAT 0.00 0.00 0.00
TIPS 0.00 0.00 0.00
DEDUCTIONS CURRENT TOTAL YTD TOTAL
FICA Medicare 5.80 40.60
FICA Social Sec. 24.80 173.60
Federal Tax 0.00 0.00
State Tax 6.83 47.83
SDI 0.00 0.00
SUI 0.00 0.00
WC 0.00 0.00
FLI 0.00 0.00
Workforce Development 0.00 0.00
YTD GROSS YTD DEDUCTIONS YTD NET PAY
2,800.00 262.03 2,537.97
TOTAL DEDUCTIONS NET PAY
400.00 37.43 362.57
Company Name
Company Street Address 1
Company City, AL 10205 		July 20, 2023
Pay Three Hundred Sixty Two And 57/100 Dollars $ 362.57
This is not a check
Pay to the order of Employee Name
Employee Street Address 1
Employee City, AL 10205
Company Name
Company Street Address 1
Company City, AL 10205

Earnings Statement
Employee Information Employee Information Social Sec. ID Employee ID Start Date End Date Check Date
Employee Name
Employee Street Address 1
Employee City, AL 10205 		xxx-xx-1020 123 376 06/20/2023 07/19/2023 07/20/2023
Earnings Rate Current Year to Date
Earnings Rate Hours Current Year to Date
Salary 10.00 400.00 2,800.00
Overtime 0.00 0.00 0.00
Holiday 0.00 0.00 0.00
Vacation 0.00 0.00 0.00
Bonus 0.00 0.00 0.00
Float 0.00 0.00 0.00
Tips 0.00 0.00 0.00
Regular Income Contract 10.00 40.00 400.00 2,800.00
Flat Fee 0.00 0.00 0.00 0.00
Overtime 0.00 0.00 0.00 0.00
Holiday 0.00 0.00 0.00 0.00
Vacation 0.00 0.00 0.00 0.00
Bonus 0.00 0.00 0.00 0.00
Float 0.00 0.00 0.00 0.00
Tips 0.00 0.00 0.00 0.00
Deductions Current Year to Date
FICA Medicare 5.80 40.60
FICA Social Security 24.80 173.60
Federal Tax 0.00 0.00
State Tax 6.83 47.83
SDI 0.00 0.00
SUI 0.00 0.00
WC 0.00 0.00
FLI 0.00 0.00
Workforce Development 0.00 0.00
 
Gross Earnings $400.00 $2,800.00
Gross Deductions $37.43 $262.03
  Check No. #4991
  Net Pay $362.57
  YTD Net Pay $2,537.97
Company Name
Company Street Address 1, Company City, NY 11106

Earnings Statement

Period Ending: 07/19/2023
Pay Date: 07/20/2023
SSN: XXX-XX-1213
Employee Name
Employee Street Address 1, Employee City, AL 11106
Earnings Rate Hours This Period Year to Date
Earnings Rate This Period Year to Date
Salary 10.00 400.00 2,800.00
Overtime 0.00 0.00 0.00
Holiday 0.00 0.00 0.00
Vacation 0.00 0.00 0.00
Bonus 0.00 0.00 0.00
Float 0.00 0.00 0.00
Tips 0.00 0.00 0.00
Regular Income Contract 10.00 40.00 400.00 2,800.00
Flat Fee 0.00 0.00 0.00 0.00
Overtime 0.00 0.00 0.00 0.00
Holiday 0.00 0.00 0.00 0.00
Vacation 0.00 0.00 0.00 0.00
Bonus 0.00 0.00 0.00 0.00
Float 0.00 0.00 0.00 0.00
Tips 0.00 0.00 0.00 0.00
 
Gross Pay $400.00 $2,800.00
Deductions Type This Period Year to Date
FICA Medicare 5.80 40.60
FICA Social Security 24.80 173.60
Federal Tax 0.00 0.00
State Tax 6.83 47.83
SDI 0.00 0.00
SUI 0.00 0.00
WC 0.00 0.00
FLI 0.00 0.00
Workforce Development 0.00 0.00
 
Net Pay $37.43 $262.03
Your deductions for this period are $37.43
Cut Maker
Company Name
Company Street Address 1, Company City, NY 11106 		Payroll Check Number: 4991
Pay Date: 07/20/2023
Employee Name
Three Hundred Sixty Two And 57/100 Dollars $362.57
Authorized Signature

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