This document sets forth a template spreadsheet for a company's pay slip. The form includes the appropriate company information at the top as well as the employee's name, employee ID, and social security number. The form also includes relevant pay period information and earnings information, such as the pay rate, hours worked, taxes and deductions, and net pay. This form serves as a record of payments; companies can use this form each time salary checks are issued to employees.
[ 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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