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Select State

Marital Status

How are you paid?

Exemptions

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Quantity

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Select Template

Contractor

Salary

Disable Date

Water mark is removed after payment or offer completion

Employee id: SSN:

Marital Status:

Exemptions / Allowances:

State:

Earnings	Rate	Hours	Current	YTD

Regular
Overtime
Holiday
Vacation
Bonus
Commission

	Gross Pay

Deductions	Statutory		Current	YTD

	Fica - Medicare
	Fica - Social Security
	Federal Tax
	State Tax
	Other

	Medical/Dental
	Child Support
	Retirement

	Total Deductions

	Net Pay

Earnings Statement

Pay Date:

Reporting Period:

YTD Gross
YTD Deductions
YTD Net Pay
Gross Pay
Deductions
Net Pay

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CO

File.

Dept.

Clock VCHR.

NO.

Social Security Number:

Marital Status:

Exemptions / Allowances:

Earnings Statement

Period Beginning:

Period Ending:

Pay Date:

Earnings	Rate	Hours	This period	Year to date
Salary
Overtime
Holiday
Vacation
Bonus
Float
Gross Pay

Deductions	Statutory
	Medicare Tax
	Social Security Tax
	Federal Income Tax
	State Income Tax



	Net Pay

Company's Telephone Number

VERIFY DOCUMENT AUTHENTICITY - COLORED AREA MUST CHANGE IN TONE GRADUALLY AND EVENLY FROM DARK AT TOP TO LIGHTER AT BOTTOM

Advice Number:

Pay Day:

Deposited to the account of		Account Number	Transit ABA	Amount

This is not a check

The original document has a reflective watermark on the back.

Hold at an angle to view when checking the endorsement.

TERE HERE Serial # 87419 2000 ADP, INC.

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Earnings Statement

Marital Status:

Exemptions:

Pay Period:

Pay Date:

Employee #:

Social Security #:

Earnings	Rate	Hours	Total	YTD Total
Salary
Overtime
Holiday
Vacation
Bonus
Float

	Gross Pay

Deductions	Total	YTD Total





Deduction Total

Net Pay

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Earnings Statement

Employee Name	Social Sec. ID	Employee ID	Check No.	Pay Record	Pay Date

Earnings	Rate	Hours	Current	Deductions	Current	Year to date

Regular Earnings

YTD Gross	YTD Deductions	YTD Net Pay	Current Total	Current Deductions	Net Pay

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Water mark is removed after payment or offer completion

This is not a check

Pay to the order of

Earnings Statement

Employee Information	Social Sec. ID	Employee ID	Start Date	End Date	Check Date

Earnings	Rate	Hours	Current	Year to date	Deductions	Current	Year to date

Regular Earnings









Gross Earings					Gross Deductions

Check No.
Net Pay
YTD Net Pay

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COMPANY NAME

earnings statement

EMPLOYEE NAME

SSN

EMPLOYEE ID

PAY PERIOD

PERIOD DATE

Income	Rate	Hours	Current Total

Deductions	Current Total	Year-to-date

YTD Gross

YTD DEDUCTIONS

YTD NET PAY

CURRENT TOTAL

CURRENT DEDUCTIONS

NET PAY

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Select currency

Water mark is removed after payment or offer completion

Earnings Statement

Employee Id

Period Ending

Pay date

Check Number

Income	Rate	Hours	Current Total

Deductions	Current Total	Year to date

YTD Gross

Ytd deductions

YTd NET pay

Current Total

Deductions

NET PAY

Template Color

Select currency

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Earnings Statement

Employee Id

Period Ending

Pay date

Check Number

Income	Rate	Hours	Current Total

Deductions	Current Total	Year to date

YTD Gross

Ytd deductions

YTd NET pay

Current Total

Deductions

NET PAY

Select Template

Select currency

Water mark is removed after payment or offer completion

Company

Pay Advice

NI Number -

Description	hours	Rate	Amount

Salary
Bonus
Commission
Expenses

Description	Amount

Description	Amount

Wk / Mth	Date	Dept	P/Method	Tax Code	Employee No	Employee Name	Net Pay

Water mark is removed after payment or offer completion

SGE 011

Employee no.

Employee Name

Date

Nat. INS. NO.

Payments

Basic Pay

Total Payments

Hours

Rate

Amount

Deductions

Amount

Mike Moore

This Period

total Payments

total Deductions

Year to date

Taxable Gross pay

Tax Code:

NI Table:

Dept:

Tax Period:

Payment Method:

NET PAY

Water mark is removed after payment or offer completion

RE-ORDER CODE SE96 N.C. 02/99

Employee no.

Employee

Date

National Insurance no.

Payments

Basic Pay

Total Payments

Units

Rate

Amount

Deductions

Amount

Mike Moore

Totals This Period

Total Payments

Total Deductions

Totals Year to date

Taxable Gross pay

Tax Code:

NI Table:

Dept:

Tax Period:

Payment Method:

NET
PAY

Water mark is removed after payment or offer completion

Company Name:

Pay Slip

NI Number -

Description	hours	Rate	Amount
Salary
Bonus
Commission
Expenses

Description	Amount

Description	Amount

Pay Period	Date	Department	Tax Code	Employee No	Employee Name	Net Pay

STOCK CODE 0682 Sage (UK) Limited

Water mark is removed after payment or offer completion

Company Name:

NI Number -

Description	hours	Rate	Amount
Salary
Bonus
Commission
Expenses

Description	Amount

Description	Amount

	Date	Dept	Pay Point	Tax Code	Employee No		Employee Name	Net Pay

Water mark is removed after payment or offer completion

Company Name:

Employee No	Employee Name	Process Date	Insurance Number

Payments	Line Units	Line Rate	Amount

Salary
Bonus
Commission
Expenses

Description	Amount

Mike moore

This Period

Year To Date

Pay Method	Period No	Dept	Tax Code	Pay Period

Net Pay

Water mark is removed after payment or offer completion

Company Name:

Employee No	Employee Name	Process Date	Insurance Number

Payments	Line Units	Line Rate	Amount
Salary
Bonus
Commission
Expenses

Description	Amount

Mike moore

This Period

Year To Date

Pay Method	Period No	Dept	Tax Code	Pay Period

Net Pay

Water mark is removed after payment or offer completion

Company Name:

Employee No	Employee Name	Process Date	Insurance Number

Payments	Line Units	Line Rate	Amount
Salary
Bonus
Commission
Expenses

Description	Amount

Mike moore

This Period

Year To Date

Pay Method	Period No	Dept	Tax Code	Pay Period

Net Pay

Water mark is removed after payment or offer completion

Employee No	Employee Name	Process Date	National Insurance Number

Payments	Units	Rate	Amount
Salary
Bonus
Commission
Expenses

Deductions	Amount

Mike Moore

This Period

Year To Date

Net Pay

Water mark is removed after payment or offer completion

Mike Moore

Employee No	Employee Name	Process Date	National Insurance Number

Description	hours	Rate	Amount
Salary
Bonus
Commission
Expenses

Description	Amount

This Period

Year To Date

Net Pay

Water mark is removed after payment or offer completion

Employee no.

Employee Name

Process Date

National Insurance no.

Payments

Basic Pay

Total Payments

Units

Rate

Amount

Deductions

Amount

Mike moore

This Period

total Payments

total Deductions

Year to date

Taxable Gross pay

Tax Code:

NI Table:

Dept:

Tax Period:

Payment Method:

NET PAY

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Earnings Statement

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CO

File.

Dept.

Clock VCHR.

Earnings Statement

Company's Telephone Number

TERE HERE Serial # 87419 2000 ADP, INC.

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Earnings Statement

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Earnings Statement

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Company Information

Earnings Statement

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Pay Advice

NI Number -