Fillable Printable Employee Pay Stub Sample
Fillable Printable Employee Pay Stub Sample
Employee Pay Stub Sample
EmployeeID=PayrollIDNumberSALARY=ContractPayFICA=SocialSecurityTaxSWCOMP=Worker’sComp./L&I
CheckDate&PeriodEnding=PayDateVACATION=VacationPay
MEDI=MedicareTax
SWCOMPAD=Worker’sCompadjustment
Status/Exempt=TaxWithholdingInfoRETROPAY=Retroactivechangeof
payFIT=FederalIncomeTaxDues=UnionDues
AdditionalWH=ExtraamountswithheldREGHOUR=TimesheetpayMEDCLPT=OutofpocketcostMiscDeductions.=UnitedWay,Salary
Insurance,LifeInsurance,garnishment,etc
Dept/Loc=BuildingNumberLWOP=Leavewithoutpay
MEDPTADJ=
1timemedicaladjustment
CheckNo.=Check#ifnoDirectDepositADJ=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
MEDI24.02
386.72
SWCOMPAD0.00-6.54
UNEMP0.00
49.76 MEDCL
AT0.75190.82
WCO MP31.56
490.57
CLSTDUES24.84388.30
WCO MP ADJ0.00
-39.54
CLLOCDUE0.506.00
HCA65.17
788.76
CLMSCDUE1.0012.00
MEDICAL729.71
8,210.34
UWAY25.00300.00
DENTAL102.72
1,232.64
NUMERICA143.001,716.0 0
VISION29.50298.00
SERS3125.692,02 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
EarnedUsed
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.