2. Complete the employee information form for each employee. Enter the pay rate earnings for each employee. EMPLOYEE EARNINGS RECORD NAME ADDRESS CITY/STATE/ZIP TELEPHONE SOCIAL SECURITY NUMBER Hire Date Date of Birth Position No. of exemptions PT/FT MS Pay Rate Hr/Wk/Mo Fed Inc. State Inc. Tax Tax Taxable Total Income Deductions YTD Gross Social Sec. Pay Tax OT Pay Period Hrs. Ended Worked Reg Pay 401(k) Medicare EMPLOYEE EARNINGS RECORD EMPLOYERANGSORO Pay Rate EMPLOYEE EARRINOS RECORD EMPLOYEE LANOS RECORD ADDRESS Hire Dane Date of CITY/STATE OP TELEPHONE SOCIAL SECURITY NUMBER SOCIAL SECURITY HwWMO Parod H O Ended Worked Reg Pay P Gross Social Sec Pay T o Fade Sure Total 78 Chapt e r EMPLOYEE EARNINGS RECORD CITY STATE/ZIP Hire Die Date of Buth Posion No. of exemption PRIFT MS CITY STATE/Z SOCIAL SECURITY Hw SOCIAL SECUE Pay Rate O Pay 401) Deduction Fedine Statene Tax Tax Gross Sow Sec Pay Tex Medicare EMPLOYEE EARNINGS RECORD Answer: Stop & Exercise ADORESS CITY/STATE/IP Hine Date Date of Birth Position No. of exemptions PT/FT MS TELEPHONE SOCIAL SECURITY NUMBER Pay Rate HwWMO Period Ended Worked Reg Pay OT Pay Gros Social Sec Pay TTT Tax Fed Inc. State in 70 Chapter 2 Poyrol System Procedures Employee Number A-Towle Name and Address Avery Towle 4011 Route 100 Plymouth, VT 05102 802-967-5873 SSN: 089-74-0974 401(k) deduction: 5% A-Long B-Shang Payroll information Hire Date: 2-4-2015 DOB: 7-14-1991 Position: Production Wor PT/FT: FT,nonexempt No. of Exemptions: 1 M/S: S Pay Rate: $12.00/hour Hire Date: 2-7-2015 Charlie Long DOB: 3-16-1987 242 Benedict Road S. Woodstock, VT 05002 Position: Production Wor 802-429-3846 PT/FT: FT, nonexempt SSN: 056-23-4593 No. of Exemptions: 2 401(k) deduction: 2% M/S: M Pay Rate: $12.50/hour Mary Shangraw Hire Date: 2-5-2015 1901 Main Street #2 DOB: 8-20-1994 Bridgewater, VT 05520 Position: Administrative 802-575-5423 Assistant SSN: 075-28-8945 PT/FT: PT. nonexempt 401(k) deduction: 3% No. of Exemptions: 1 M/S: S Pay Rate: $10.50/hour Kristen Lewis Hire Date: 2-2-2015 840 Daily Hollow Road DOB: 4-6-1950 Bridgewater, VT 05523 Position: Office Manager 802-390-5572 PT/FT: FT, exempt SSN: 076-39-5673 No. of Exemptions: 3 401(k) deduction: 4% M/S: M Pay Rate: $32,000/year Joel Schwartz Hire Date: 2-1-2015 55 Maple Farm Way DOB: 5-23-1985 Woodstock, VT 05534 Position: Sales 802-463-9985 PT/FT: FT. exempt SSN: 021-34-9876 No. of Exemptions: 2 401(k) deduction: 5% M/S: M Pay Rate: $24,000/year base plus 3% commission per case sold Toni Prevosti Hire Date: 2-1-2015 10520 Cox Hill Road DOB: 9-18-1967 Bridgewater, VT 05521 802-673-2636 Position: Owner/President PT/FT: FT. exempt No. of Exemptions: 5 M/S: M Pay Rate: $45,000/year B-Lewis B-Schwa B-Prevo SSN: 055-22-0443 401(k) deduction: 6% Employee Number Name and Address A-Mille Thomas Millen 1022 Forest School Rd Woodstock, VT 05001 802-478-5055 SSN: 031-11-3456 401(k) deduction: 3% Payroll information Hire Date: 2-1-2015 DOB: 12-16-1982 Position: Production Manager PT/FT: FT, nonexempt No. of Exemptions: 4 M/S: M Pay Rate: $35,000/year
