Tax Worksheet

COMPANY NAME EARNINGS STATEMENT Sample Company Name, Sample Address, 95220

EMPLOYEE NAME Sample Name

SOCIAL SEC. ID XXX-XX-3432

EMPLOYEE ID 44234

CHECK NO. 48869

PAY PERIOD 1/29/16-2/11/16

PAY DATE 2/12/16

INCOME

REGULAR

RATE

15.00

HOURS

80

CURRENT TOTAL

1200.00

DEDUCTIONS

FICA MED TAX

FICA SS TAX

FED TAX

STATE TAX

CURRENT TOTAL

17.40

74.40

150.10

24.00

YEAR-TO-DATE

52.20

223.20

450.30

72.00

YTD GROSS 3,600.00

YTD DEDUCTIONS 797.70

YTD NET PAY 2,874.30

CURRENT TOTAL 1,200.00

CURRENT DEDUCTIONS 265.90

NET PAY 934.10

COMPANY NAME EARNINGS STATEMENT Sample Company Name, Sample Address, 95220

EMPLOYEE NAME SOCIAL SEC. ID EMPLOYEE ID CHECK NO. PAY PERIOD PAY DATE

Sample Name XXX-XX-3432 44234 48869 1/29/16-2/11/16 2/12/16

INCOME RATE HOURS CURRENT TOTAL DEDUCTIONS CURRENT TOTAL YEAR-TO-DATE

REGULAR 15.00 80 1200.00 FICA MED TAX 17.40 52.20

FICA SS TAX 74.40 223.20

FED TAX 150.10 450.30

STATE TAX 24.00 72.00

YTD GROSS 3,600.00

YTD DEDUCTIONS 797.70

YTD NET PAY 2,874.30

CURRENT TOTAL 1,200.00

CURRENT DEDUCTIONS 265.90

NET PAY 934.10

COMPANY NAME EARNINGS STATEMENT Sample Company Name, Sample Address, 95220

EMPLOYEE NAME SOCIAL SEC. ID EMPLOYEE ID CHECK NO. PAY PERIOD PAY DATE

Sample Name XXX-XX-3432 44234 48869 1/29/16-2/11/16 2/12/16

INCOME RATE HOURS CURRENT TOTAL DEDUCTIONS CURRENT TOTAL YEAR-TO-DATE

REGULAR 15.00 80 1200.00 FICA MED TAX 17.40 52.20

FICA SS TAX 74.40 223.20

FED TAX 150.10 450.30

STATE TAX 24.00 72.00

YTD GROSS 3,600.00

YTD DEDUCTIONS 797.70

YTD NET PAY 2,874.30

CURRENT TOTAL 1,200.00

CURRENT DEDUCTIONS 265.90

NET PAY 934.10