Pay Slip Template

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									[   Company Name]
                                                                        [Company Logo]
                                                                          [Address ]
                                                                           Salary Slip

Employee Name: ____________________________
Employee ID:       ____________________________
Social Security #: ____________________________

Period Begin Date: ____________________________
Period End Date: ____________________________
Check Date:        ____________________________
Check #:           ____________________________
EARNINGS                                                 RATE     HOURS CURRENT YEAR TO DATE          TAXES/DEDUCTIONS CURRENT YEAR TO DATE
Regular Earnings                                          15.00     57.00   855.00         -          Federal Tax         185.33         -
Holiday                                                   25.00      8.00   200.00         -          Social Security Tax  75.00         -
Paid Time Off (PTO)                                       15.00      4.00    60.00         -          Medicare Tax         45.00         -
Sick Leave                                               15.00       0.00      -           -          State Tax            70.00         -
Overtime                                                   22.5      5.00   112.50         -          Medical              50.00         -
Performance Incentives                                                         -           -          Dental                5.00         -
Shared Rewards                                                                 -           -          Other                 -            -
Bonuses                                                                        -           -          Other                 -            -
Total Earnings                                                            1,227.50         -          Total Deductions    430.33         -

                                                                                                      NET PAY                         797.17

                               Paid Time Off Balance:    45.00                                        Federal Tax Exemption:   7
                                Sick Time Off Balance:   32.00                                        State Tax Exemption:     5

                              Signature of the Employee: _________________________       Director:_________________________
                                 STATEMENT OF EARNINGS AND DEDUCTIONS. PLEASE KEEP FOR YOUR RECORDS.
								
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