[COMPANY NAME]

[COMPANY ADDRESS]
[COMPANY PHONE NUMBER]

Salary Slip
Employee Name:
Employee Address:
Employee ID:

Pay Period Begin Date:

Pay Period End Date:
Rate:

SSN:

Hours:

Earnings
Regular Earnings
Overtime
Incentive Pay
Bonus

Deductions
Provident Fund
Federal Withholding
Federal MED
Federal OASDI
State Withholding
Loan
Total Deduction

5,200.00
1,100.00
500
300

Total Earnings
Current NET Salary
YTD NET Salary
Payment Information
Check Number:
Check Date:
Name of Bank:

Employee Signature:

8,700.00

Time Off Balance

Paid Time Off Balance:
Sick Time Balance:
Total Time Off Balance:

Director Signature:

358.00
120.00
478.00
8,222.00
47,555.00