$omething More for You on Payday.

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1 W-4 information ●
1 Información del W-4

04-862-011 30M Printed in USA © 2001, 1999, 1998, 1997, 1994 Automatic Data Processing, Inc.
CO. FILE DEPT. CLOCK NUMBER
Earnings Statement
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ABC 126543 123456 12345 00000000 1

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2 Easy-to-read
display of your hours
ACME SUPPLIES CORP.
475 KNAPP AVENUE
ANYTOWN, USA 10101
Period ending:
Pay date:
12/29/XXXX
01/05/XXXX
2 Lista fácil de leer de
horas de trabajo, tarifas
worked, rates, and y ganancias
earnings
● 1
Social Security Number: 999-99-9999
Taxable Marital Status: Married
JANE HARPER
101 MAIN STREET ●
3 Ganancias totales antes
● deductions
Exemptions/Allowances:
ANYTOWN, USA 12345 de deducciones
3 Gross earnings before
Federal: 3, $25 Additional Tax
State: 2

●
Local: 2

2 ●
4 Descripción clara de
●
Earnings rate hours this period year to date Other Benefits and
jurisdicciones de
4 Clear description Regular
Overtime
10.00
15.00
32.00
1.00
320.00
15.00
16,640.00
780.00
Information
Group Term Life
this period
0.51
total to date
27.00 impuestos, deducciones
of tax jurisdictions,
●
Holiday 10.00 8.00 80.00 4,160.00 Loan Amt Paid 840.00
voluntarias y ajustos
voluntary deductions
● 7
Tuition 37.43* 1,946.80

3 Gross Pay $ 452.43 23,526.80 Vac Hrs 40.00

and adjustments
Deductions Statutory
Sick Hrs
Title Operator
16.00
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5 Paga neta claramente
subrayada
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Federal Income Tax - 40.60 2,111.20

5 Net pay clearly Social Security Tax - 28.05 1,458.60

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Medicare Tax - 6.56 341.12 Important Notes

©2001, 1999, 1998 Automatic Data Processing, Inc.

highlighted
4 NY State Income Tax
NYC Income Tax
- 8.43
- 5.94
438.36
308.88
EFFECTIVE THIS PAY PERIOD YOUR REGULAR
HOURLY RATE HAS BEEN CHANGED FROM $8.00
6 Sueldos sujetos a
impuestos federales
●
6 Wages subject to
federal tax shown after
NY SUI/SDI Tax

Other
Bond
- 0.60

- 5.00
31.20

100.00
TO $10.00 PER HOUR.

WE WILL BE STARTING OUR UNITED WAY FUND

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8 después de deducciones
y ganancias con impuestos
401(k) - 28.85* 1,500.20 DRIVE SOON AND LOOK FORWARD TO YOUR
pretax earnings and Stock Plan -15.00 150.00 PARTICIPATION. y acontribuídos
deductions Life Insurance
Loan
- 5.00
- 30.00
50.00
150.00 ●
9
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7 Información anual a la
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7 Year-to-date and other
relevant information
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5
Adjustment
Life Insurance

Net Pay
+ 13.50

$ 291.90
fecha de hoy, y otra
información pertinete
your company may que su compañía podrá

TEAR HERE
* Excluded from federal taxable wages
choose to communicate escoger comunicarle
●
6 Your federal wages this period are $386.15

● ●
▲

8 Employee changes 8 Cambios de empleados

and tax events clearly 32728310E y sucesos de impuestos
claramente notados
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ACME SUPPLIES CORP. Payroll check number: 0000000000
noted 475 KNAPP AVENUE
10 Pay date: 01/05XXXX

● ●
ANYTOWN, USA 10101 Social Security No. 999-99-9999

9 Company messages 9 Avisos de la compañía y

and notices of Pay to the
order of: JANE HARPER
➞
PLE ➞
noticias de sucesos que
se efectuarán
upcoming events
M
This amount:
____________________________________

____________________________________

____________________________________

TWO HUNDRED NINETY-ONE AND 90/100 DOLLARS ____________________________________ $291.90

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ADP’s Expanded Paycheck El Cheque Extendido de Paga y

and Earnings Statement Declaración de Ganancias de ADP
Benefits of ADP’s expanded paycheck Beneficios del cheque extendido y la
and earnings statement are: declaración de ganancias de ADP:
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04-694-052 7M Printed in USA © 2002, 2001, 2000, 1999, 1998, 1994, 1993 ADP, Inc.