Pay Stub Template
Pay Stub Template
Pay Stub Template
Wages Deductions
Current Y-T-D Current Y-T-D
Description Hours Rate Amount Amount Description Amount Amount
Other
401(k)
2 27.15* 27.15
Life Insurance 2.00 2.00
Loan 30.00 30.00
Dental 2.00* 2.00 2
HMO 20.00* 20.00
Dep Care FSA 30.00* 30.00 401(k)
3 savings is a
pre-tax
deduction.
Totals 452.43 452.43 Deduction Totals 193.06 193.06
3
Taxable Gross 335.85 335.85 Flexible
NET PAY 259.38 259.38 Spending
Accounts
(for health
• Excluded from federal taxable wages care, child
or
dependant
care,
parking
expenses)
ABC Corp. Payroll Advice # 00000000
are pre-tax
450 Chamber Street Advice of Credit Date 1/07/2005
deductions.
Somewhere, USA 01010
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