Pay Slip Template

[ Company Name]

[Company Logo]

[Address]

Salary Slip



Employee Name: ____________________________

Employee ID: ____________________________

Social Security #: ____________________________



Period Begin Date: ____________________________

Period End Date: ____________________________

Check Date: ____________________________

Check #: ____________________________



EARNINGS RATE HOURS CURRENT YEAR TO DATE TAXES/DEDUCTIONS CURRENT YEAR TO DATE

Regular Earnings 15.00 57.00 855.00 - Federal Tax 185.33 -

Holiday 25.00 8.00 200.00 - Social Security Tax 75.00 -

Paid Time Off (PTO) 15.00 4.00 60.00 - Medicare Tax 45.00 -

Sick Leave 15.00 0.00 - - State Tax 70.00 -

Overtime 22.5 5.00 112.50 - Medical 50.00 -

Performance Incentives - - Dental 5.00 -

Shared Rewards - - Other - -

Bonuses - - Other - -

Total Earnings 1,227.50 - Total Deductions 430.33 -



NET PAY 797.17

Paid Time Off Balance: 45.00 Federal Tax Exemption: 7

Sick Time Off Balance: 32.00 State Tax Exemption: 5



Signature of the Employee: _________________________ Director:_________________________



STATEMENT OF EARNINGS AND DEDUCTIONS. PLEASE KEEP FOR YOUR RECORDS.