Employee Name goes here

________________________
Today's date XYZ CORPORATION
15-Feb-11 PAYROLL REPORT

EMPLOYEE NAME DEPARTMENT NAME HOURLY RATE REGULAR HOURS OVERTIME HOURS

Chaser, John Doe Sales 12 32 0

Sparrow, Jack Marketing 8 37.5 0
Smith, John CIS 11 40 2
Perez, Diana Sales 7.2 40 5
Holmes, Sherlock CIS 19.25 35 0
Prince, Carlton Payroll 10 40 6
Smith, Will Payroll 7 40 7
Summer, Cassie Production 14 36 0
Acevedo, Adriana Marketing 8 37.5 0
Turner, Will Sales 13 40 10
TOTALS

RATES

OVERTIME RATE 1.5

FICA RATE 7.50%
SATE TAX RATE 5.00%
FEDERAL TAX RATE 7.00%

Please fill out separate form

Employees Name Social Security Number:

Adress and Postal ZIP code

Total wages Total Tax Withheld Payents Not included in Total Wages
$ $ $
 Payroll Week Ending Date:
27-Feb-11

REGULAR PAY OVERTIME PAY GROSS PAY FICA STATE TAX FERDERAL TAX

384 0 384 28.8 19.2 26.88

300 0 300 22.5 15 21
440 33 473 35.48 23.65 33.11
288 54 342 25.65 17.1 23.94
673 0 673 50.53 33.69 47.16
400 90 490 36.75 24.5 34.3
280 73.5 353.5 26.51 17.68 24.75
504 0 504 37.8 25.2 35.28
300 0 300 22.5 15 21
520 195 715 53.63 35.75 50.05
4534.5 340.15 226.77 317.47

r:

Not included in Total Wages

NET TOTAL

$309.12
$241.50
$380.76
$275.31
$542.37
$394.45
$284.56
$406
$241.50
$575.57
$3,650.86