Fillable Printable Employee Pay Stub Sample
Fillable Printable Employee Pay Stub Sample
Employee Pay Stub Sample
EmployeeID=PayrollIDNumber SALARY=ContractPay FICA=SocialSecurityTax SWCOMP=Worker’sComp./L&I
CheckDate&PeriodEnding=PayDate VACATION=VacationPay
MEDI=MedicareTax
SWCOMPAD=Worker’sCompadjustment
Status/Exempt=TaxWithholdingInfo RETROPAY=Retroactivechangeof
pay FIT=FederalIncomeTax Dues=UnionDues
AdditionalWH=Extraamountswithheld REGHOUR=Timesheetpay MEDCLPT=Outofpocketcost MiscDeductions.=UnitedWay,Salary
Insurance,LifeInsurance,garnishment,etc
Dept/Loc=BuildingNumber LWOP=Leavewithoutpay
MEDPTADJ=
1timemedicaladjustment
CheckNo.=Check#ifnoDirectDeposit ADJ=Adjustment* SERS2orSERS3=Retirement
UNDERSTANDINGYOURPSDPAYSTUB
PASCO SCHOOL DISTRICT
#1
1215 W. Lewis
Street
Pasco, WA
99301
Employee ID
0654321 E
mployee Name
PARAEDUCATOR,
SUZY
Check Date
12/31/12
Status/Exempt
S/1
State
S/1
Dept/Loc
04
Period Ending
12/31/12
Additional WH
0.00
Stat e Addtnl Check No.
00206199
EARNINGS TAXES PRE-TAX DEDUCTIONS
Description Hours
Rate
Current
Earnings
Y-T-D
Amount
Description
Current
Amount
Y-T-D
Am ou n t Description
Current
Amount
Y-T-D
Amount
CROSSWALK DUTY 3,141.44 FICA 69.55 1,120.14 SERS3 82.80
1,333.50
INSTRUCTIONAL 1,663.88 19,289.87 MEDI 24.02
386.72
DUTY NONINSTR 1,716.64 FIT 125.35
2,538.99
RTRO PAY
2,226.54
RTRO TKN -7.93
-118.65
REG HOUR 13.77
300.59
OVERTIME 20.66
113.63
TOTAL EARNING S: 1,655.95 26,670.06 TOTAL: 218.92 4,045.85 TOTAL: 82.80
1,333.50
BANKING INFORMATION EMPLOYER PAID BENEFITS AFTER-TAX DEDUCTIONS
FICA
102.66
1,653.54
SWCOMP
4.97
73.74
MEDI 24.02
386.72
SWCOMPAD 0.00 -6.54
UNEMP 0.00
49.76 MEDCL
AT 0.75 190.82
WCO MP 31.56
490.57
CLSTDUES 24.84 388.30
WCO MP ADJ 0.00
-39.54
CLLOCDUE 0.50 6.00
HCA 65.17
788.76
CLMSCDUE 1.00 12.00
MEDICAL 729.71
8,210.34
UWAY 25.00 300.00
DENTAL 102.72
1,232.64
NUMERICA 143.00 1,716.0 0
VISION 29.50 298.00
SERS3 125.69 2,02 2.62
TOTAL:
1,211.03
15,093.41
TOTAL:
200.06
2,680.32
Net
Pay
1,154.17
18,610.3 9
Accrual
Beginning
LEAVE
RECORDS
Ending
Description
Balance
Earned Used
Balance
SICK LEAV E BA LANCE 401.54 0.00 7.50
394.04
PERSONAL BALANCE 30.40 0.00 0.00
30.40
Message:
PLEASECHECKTHISMESSAGEAREAEACHMONTHFORIMPORTANTINFORMATION.
