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Cash balance, December 16 Question 1 options: Question 2 (1 point) Payroll cash balance, December 20 Question 2 options: Question 3 (1 point) Total FICA

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Cash balance, December 16 Question 1 options: Question 2 (1 point) Payroll cash balance, December 20 Question 2 options: Question 3 (1 point) Total FICA taxes paid during November and December Question 3 options: Question 4 (1 point) FICA taxes owed December 31 Question 4 options: Question 5 (1 point) SIMPLE contributions for November Question 5 options: Question 6 (1 point) Amount paid to employees, December 4 Question 6 options: Question 7 (1 point) Union dues deducted, December 18 Question 7 options: Question 8 (1 point) Total payroll deductions, December 4 Question 8 options: Question 9 (1 point) O'Neill's taxable OASDI earnings, December 18 Question 9 options: Question 10 (1 point) Total Plant Wages, December 18 Question 10 options: Question 11 (1 point) Catherine Ford, total yearly earnings Question 11 options: Question 12 (1 point) How many employees had SIMPLE deductions? Question 12 options: Question 13 (1 point) Total amount paid for overtime, fourth quarter Question 13 options: Question 14 (1 point) Overtime rate for Bonno during October Question 14 options: Question 15 (1 point) Ferguson's CIT deduction, November 20 Question 15 options: Question 16 (1 point) Ferguson's FIT deduction, November Question 16 options: Question 17 (1 point) Glo-Brite Paint Company's total cost pertaining to payroll for the year Question 17 options: Question 18 (1 point) Total Union Dues paid during the quarter Question 18 options: Question 19 (1 point) Amount of State Income Tax paid, October 20 Question 19 options: Question 20 (1 point) Total unemployment tax on wages for the quarter Question 20 options: Question 21 (1 point) Norman Ryan's W-2 amount; Box 3 Question 21 options: Question 22 (1 point) Total wages reported on PA Form UC-2 Question 22 options: Question 23 (1 point) Amount on Line 5 of Form 940 Question 23 options: Question 24 (1 point) How much is the difference between Box 5a and Box 5c, Form 941, Column 1 Question 24 options: Question 25 (1 point) Philadelphia Monthly Wage Tax for November Question 25 options: Excel Templates for Payroll Project's Short Version The payroll project that follows is the Excel version of the Chapter 7 project beginning on page 7-16 of your text. For this project, you will use the Appendix A: Payroll Project Short Version file that is downloadable from the student companion Web site, linked in the Study Tools tab of your CNOWv2 course. You are employed by Glo-Brite Paint Company as the person in the Accounting Department responsible for the company's payroll processing using Excel. This is the short version of the payroll project presented in Chapter 7. You will complete the payrolls for the month of December and the optional last quarter and year-end activities. The opening balance file you will use already contains all the processing through the first two months of the fourth quarter. In order for you to complete all the transactions for the month of December, a review of the transactions starting with the November 20 payroll are explained. In subsequent pay period processing, whenever a new operational procedure is used for the first time, additional instruction will be provided. The Excel workbook has been set up like the project in Chapter 7. As explained earlier, there are five worksheets: a worksheet including basic Excel instructions, the journal, the general ledger, the payroll register, and employees' earnings records. Figure A.1, below, shows the five worksheets. To navigate between worksheets, click the appropriate tab. Figure A.1Worksheet Tabs 1. Excel Instructions worksheet has a shortened explanation of Excel. The first part of this appendix should be reviewed whenever you have a question about Excel. In addition, each Excel worksheet has been protected. This means certain cells have been protected so changes can't be made to the information in those cells. Cells have been protected because of formatting and when common equations are used. Looking at the partial payroll register worksheet in Figure A.2, if you try to enter an amount in cell Z55 you will receive an error message that looks like the screen below. The cell contains a formula used to automatically calculate total earnings for you and is protected so you aren't able to change it. Figure A.2Protected Cell Error Message 2. Journal is called the book of original entry. Transactions are recorded and then posted to the general ledger accounts. Information for each payroll is taken from the Payroll Register to record the payroll entry. 3. General Ledger is used to keep a continuous record of each account balance. The chart of accounts in Figure A.3 is a partial list of Glo-Brite's accounts and only includes the accounts necessary to complete this payroll project. Figure A.3 Partial Chart of Accounts Account Title Account No. Cash 11 Payroll Cash 12 FICA Taxes PayableOASDI 20.1 FICA Taxes PayableHI 20.2 FUTA Taxes Payable 21 SUTA Taxes PayableEmployer 22 Employees PIT Payable 24 Employees SIT Payable 25 Employees SUTA Payable 25.1 Employees CIT Payable 26 Group Insurance Premiums Collected 27 Union Dues Payable 28 Administrative Salaries 51 Office Salaries 52 Sales Salaries 53 Plant Wages 54 Payroll Taxes 56 4. Payroll Register provides the information needed for journalizing each payroll and for posting to the employees' earnings records. 5. Employees' Earnings Records provides a summary of each employee's earnings, deductions, and taxable wages. The information recorded in this worksheet is posted from the Payroll Register. In addition, information in these records is used to prepare a Form W-2 Wage and Tax Statement for each employee. From the personnel data given in Figure A.4, an employee's earnings record has been maintained for each employee. These records have been maintained through the November 20 payroll and represent all earnings, wage changes, etc., through November 30. Figure A.4 Glo-Brite Employees Personnel DataNovember 30, 20- BONNO, Anthony Victor, 694 Bristol Avenue, Philadelphia, PA 19135-0617. Married, claiming 4 withholding allowances. Telephone, 555-9827. Social Security No. 000-003481. Position, mixer operator in plant. Wages, $17.60 per hour. Group insurance, $55,000. FERGUSON, James Claude, 808 Sixth Street, Philadelphia, PA 19106-0995. Married, claiming 5 withholding allowances. Telephone, 555-8065. Social Security No. 000-008645. Position, sales manager. Salary, $58,500 per year. Group insurance, $88,000. Department: Sales. FORD, Catherine Louise, 18 Dundee Avenue, Philadelphia, PA 19151-1919. Divorced, claiming 2 withholding allowances. Telephone, 555-0235. Social Security No. 000-004567. Position, executive secretary. Salary, $2,773.33 per month. Group insurance, $50,000. Department: Ofce. MANN, Dewey Wilson, 3007 Bisque Drive, Philadelphia, PA 19199-0718. Married, claiming 0 withholding allowances. Telephone, 555-0774. Social Security No. 000-009352. Position, sales representative. Salary, $2,925 per month. Group insurance, $53,000. Department: Sales. O'NEILL, Joseph Tyler, 2100 Broad Street, Philadelphia, PA 19121-7189. Married, claiming 3 withholding allowances. Telephone, 555-2332. Social Security No. 000-001534. Position, president. Salary, $60,000 per year, paid $2,307.69 biweekly. Group insurance, $90,000. Department: Administrative. RUSSELL, Virginia Aloise, 8004 Dowling Road, Philadelphia, PA 19135-9001. Single, claiming 2 withholding allowances. Telephone, 555-3681. Social Security No. 000-006337. Position, time clerk. Salary, $2,730 per month. Group insurance, $49,000. Department: Ofce. RYAN, Norman Allen, 7300 Harrison Street, Philadelphia, PA 19124-6699. Married, claiming 4 withholding allowances. Telephone, 555-6660. Social Security No. 000-001223. Position, electrician in plant. Wages, $18.00 per hour. Group insurance, $56,000. SOKOWSKI, Thomas James, 133 Cornwells Street, Philadelphia, PA 19171-5718. Single, claiming 2 withholding allowances. Telephone, 555-5136. Social Security No. 000-00-8832. Position, supervisor in plant. Salary, $1,025 per week. Group insurance, $80,000. STUDENT, 7018 Erdrick Street, Philadelphia, PA 19135-8517. Single, claiming 1 withholding allowance. Position, accounting trainee. Wages, $14.00 per hour. Group insurance, $39,000. Department: Ofce. WILLIAMS, Ruth Virginia, 9433 State Street, Philadelphia, PA 19149-0819. Single, claiming 0 withholding allowances. Telephone, 555-5845. Social Security No. 000-006741. Position, programmer. Salary, $2,650 per month. Group insurance, $48,000. Department: Ofce. WOODS, Beth Anne, 8102 Franklin Court, Philadelphia, PA 19105-0915. Single, claiming 1 withholding allowance. Telephone, 555-1128. Social Security No. 000-001587. Position, programmer. Salary, $2,600 per month. Group insurance, $47,000. Department: Office. Additional information from Chapter 7 you will need while completing the short version: 1. General company information for Glo-Brite Paint Company: located at 2215 Salvador Street, Philadelphia, PA 19175-0682, phone number is 215-555-9559, federal identification number is 00-0000660, state account number is 000-0-3300, and city identifying number is 0000001855. 2. In completing the time record columns of the payroll register for all workers, you should place an 8 in the day column for each full day worked. If an employee works less than a full day, show the actual hours for which the employee will be paid. 3. In the case of an employee who begins work during a pay period, compute the earnings by paying the employees their weekly rate for any full week worked. For any partial week, compute the earnings for that week by multiplying the hours worked by the hourly rate of pay. 4. If time lost is to be deducted from a salaried employee's pay, the employee's pay must be determined by multiplying the actual hours worked for that week by the hourly rate. If hours are missed but no pay is deducted, include those hours in the Time Record columns on the payroll register. The following schedule shows the weekly and hourly wage rates of the salaried employees: Employee Weekly Rate Hourly Rate Ferguson, James C. $1,125.00 $28.13 Ford, Catherine L. 610.00 15.25 Mann, Dewey W. 675.00 16.88 O'Neill, Joseph T. 2,307.69 28.85 Russell, Virginia A. 600.00 15.00 Sokowski, Thomas J. 1,025.00 25.63 Williams, Ruth V. 611.54 15.29 5. The workweek for all employees is 40 hours, except for the student's 36hour workweek. 6. Overtime is paid to all employees except exempt administrative employeesthe president (O'Neill), the sales manager (Ferguson), the sales representative (Mann), and the supervisor (Sokowski). Overtime is paid at time and a half for any overtime exceeding 40 hours a week. Bonno and Ryan are paid time and a half for any hours worked over eight each workday and for work on Saturdays and twice the regular hourly rate of pay for work on Sundays or holidays. 7. Employees are paid biweekly on Friday. Information for each pay period is provided in the time clerk's report. 8. Federal income tax withholding is determined using the Biweekly Wage Bracket Tables located on pages T-7 and T-8 in the back of the textbook. If in any pay period the taxable earnings exceed the table values, you will need to use the percentage method to determine FIT. The filing status and withholding allowances for each employee can be located on the Employees' Earnings Records. 9. Group-term life insurance is carried on all employees in an amount equal to one and one-half times the annual salary or wages paid each employee (rounded to the nearest thousand). A notation has been made on each employee's earnings record to show that each month, on the last payday of the month, 30 for each $1,000 of insurance coverage is deducted from the employee's earnings to pay a portion of the premium cost. The amount deducted is credited to the liability account titled Group Insurance Premiums Collected. The taxable portion of group-term life insurance in excess of $50,000 is ignored since the employees pay for the insurance. Example: Anthony Bonno's earnings record indicates group insurance coverage in the amount of $55,000. The deduction for Group Insurance Premiums Collected would be $16.50 [($55,000/$1,000) $.30]. The $5,000 in coverage in excess of $50,000 is not taxable since Bonno is paying for the insurance coverage. 10. Union dues of $8 are deducted each pay period from the wages of Bonno and Ryan. The amount deducted is credited to the liability account titled Union Dues Payable. The amount withheld during the preceding month is remitted to the union treasurer on or before the tenth of the month. 11. Figure A.5 shows how salaries and wages are to be debited to the labor cost accounts. This information is first entered in the Payroll Register in the columns titled Labor Cost Distribution. Remember the Payroll Register is completed first and is used to update Employees' Earnings Records and to make the Journal entry. Figure A.5Glo-Brite Labor Cost Accounts 12. Payroll taxes are levied upon Glo-Brite Company and its employees as shown in Figure A.6. Figure A.6 Glo-Brite Payroll Taxes Payroll Taxes Levied upon Glo-Brite Paint Company and Its Employees Federal Income Taxes (FIT) Withheld from each employee's gross earnings in accordance with information given on Form W-4 and employee's earnings record. Wage-bracket method is use to determine FIT withholding. Pennsylvania State Income Taxes (SIT) 3.07 percent withheld from each employee's gross earnin during the fourthquarter. Philadelphia City IncomeTaxes (CIT) 3.8809 percent withheld from gross earnings of each resident employee. Pennsylvania State Unemployment Taxes (SUTA) Employee: 0.06 percent (0.0006) on total gross earnings (no limit for theemployee's portion). Employer: 3.6890 percent on rst $10,000 gross earnings paid each employee during th calendar year (PA rate for new employe Federal UnemploymentTaxes (FUTA) Employer: Net tax rate of 0.6 percent on rst $7,0 gross earnings paid each worker in the calendar year. Federal InsuranceContributions OASDI Employee and 6.2 percent on rst $132,900 of gross earnings paid each worker in the calend Act (FICA) Employer: year (maximum OASDI tax of $8,239.80 HIEmployee: 1.45 percent on total gross earnings pa each worker in thecalendar year, plus a additional 0.9 percent on wages over$200,000. HIEmployer: 1.45 percent on total gross earnings pa each worker in thecalendar year. 13. Payroll taxes are deposited according the rules shown in Figure A.7. Figure A.7 Deposit Rules Deposit Rules for Glo-Brite Paint Company Federal The FICA taxes and FIT taxes must be deposited on or before the 15th of the month following the month in which the taxes were withheld. Since Glo-Brite is a new employer and has no tax liabilities during the lookback period, the company is subject to the monthly deposit mie. Pennsylvan ia Since the state income taxes withheld total $1,000 or more each quarter, the company must remit the withheld taxes semimonthly. The taxes must be remitted within three banking days after the semimonthly periods ending on the 15th and the last day of the month. Philadelphi a Since the city income taxes withheld are more than $350 but less than $16,000 each month, the company is subject to the monthly rule. The city income taxes withheld during the month must be remitted by the 15th day of the following month. Excel Instructions CAUTION: Read Appendix A for specific instructions relating to these templates. 1. Enter the appropriate numbers/formulas in the shaded (gray) cells. An asterisk (*) will appear to the right of an incorrect answer. 2. A formula begins with an equals sign (=) and can consist of any of the following elements: Operators such as + (for addition), - (for subtraction), * (for multiplication), and / (for division). Cell references, including cell addresses such as B52, as well as named cells and ranges Values and text Worksheet functions (such as SUM) 3. You can enter a formula into a cell manually (typing it in) or by pointing to the cells. To enter a formula manually, follow these steps: Move the cell pointer to the cell that you want to hold the formula. Type an equals sign (=) to signal the fact that the cell contains a formula. Type the formula, then press Enter. 4. Rounding: These templates have been formatted to round numbers to either the nearest whole number or the nearest cent. For example, 17.65 x 1.5=26.475. The template will display and hold 26.48, not 26.475. There is no need to use Excel's rounding function. 5. Remember to save your work. When saving your workbook, Excel overwrites the previous copy of your file. You can save your work at any time. You can save the file to the current name, or you may want to keep multiple versions of your work by saving each successive version under a different name. To save to the current name, you can select File, Save from the menu bar or click on the disk icon in the standard toolbar. It is recommended that you save the file to a new name that identifies the file as yours, such as Chapter_7_long_version_Your_Name.xlsx To save under a different name, follow these steps: Select File, Save As to display the Save As Type drop-box, chose Excel Workbook (*.xlsx) Select the folder in which to store the workbook. Enter the new filename in the File name box. Click Save. Page 41 JOURNAL DATE DESCRIPTION POST. REF. DEBIT CREDIT 20-- Oct. 9 Payroll Cash Cash 12 11 12,315.64 9 Administrative Salaries Office Salaries Sales Salaries Plant Wages FICA Taxes Payable - OASDI FICA Taxes Payable - HI Employees FIT Payable Employees SIT Payable Employees SUTA Payable Employees CIT Payable Union Dues Payable Payroll Cash 51 52 53 54 20.1 20.2 24 25 25.1 26 28 12 2,307.69 4,651.08 3,600.00 4,898.00 9 Payroll Taxes FICA Taxes Payable - OASDI FICA Taxes Payable - HI FUTA Taxes Payable SUTA Taxes Payable - Employer 56 20.1 20.2 21 22 1,381.61 12,315.64 958.33 224.14 859.00 474.55 9.25 599.86 16.00 12,315.64 958.32 224.12 22.91 176.26 Page 42 JOURNAL DATE 20-- DESCRIPTION POST. REF. DEBIT CREDIT Page 43 JOURNAL DATE 20-- DESCRIPTION POST. REF. DEBIT CREDIT Page 44 JOURNAL DATE 20-- DESCRIPTION POST. REF. DEBIT CREDIT Page 45 JOURNAL DATE 20-- DESCRIPTION POST. REF. DEBIT CREDIT Page 46 JOURNAL DATE 20-- DESCRIPTION POST. REF. DEBIT CREDIT Page 47 JOURNAL DATE DESCRIPTION POST. REF. DEBIT CREDIT 20-- ### ### ### ### Page 48 JOURNAL DATE 20-- DESCRIPTION POST. REF. DEBIT CREDIT GENERAL LEDGER ACCOUNT: Checkpoints CASH BALANCE POST. DATE ITEM REF. DEBIT CREDIT DEBIT 20-- Oct. 1 Balance 9 Debit Balance ACCOUNT NO. 11 a J41 199,846.33 12,315.64 187,530.69 CREDIT Oct. 31, 20-Nov. 30, 20-Dec. 31, 20-- Credit Balance ACCOUNT: PAYROLL CASH ITEM REF. DEBIT J41 J41 12,315.64 CREDIT DEBIT 12,315.64 12,315.64 0.00 20-- Oct. 9 9 Debit Balance BALANCE POST. DATE Checkpoints ACCOUNT NO. 12 CREDIT Oct. 31, 20-Nov. 30, 20-Dec. 31, 20-- Credit Balance ACCOUNT: FICA TAXES PAYABLE - OASDI ACCOUNT NO. 20.1 BALANCE POST. DATE ITEM REF. DEBIT CREDIT 20-- Oct. 9 9 J41 J41 958.33 958.32 DEBIT CREDIT Oct. 31, 20-Nov. 30, 20-958.33 Dec. 31, 20-1,916.65 Checkpoints Debit Balance Credit Balance ACCOUNT: FICA TAXES PAYABLE - HI ACCOUNT NO. 20.2 BALANCE POST. DATE ITEM REF. DEBIT CREDIT 20-- Oct. 9 9 J41 J41 224.14 224.12 DEBIT CREDIT Oct. 31, 20-Nov. 30, 20-224.14 Dec. 31, 20-448.26 Checkpoints Debit Balance Credit Balance ACCOUNT: FUTA TAXES PAYABLE ACCOUNT NO. 21 BALANCE POST. DATE ITEM REF. DEBIT CREDIT 20-- Oct. 1 Balance 9 a J41 22.91 DEBIT CREDIT Oct. 31, 20-Nov. 30, 20-392.94 Dec. 31, 20-415.85 Checkpoints Debit Balance Credit Balance ACCOUNT: SUTA TAXES PAYABLE - EMPLOYER ACCOUNT NO. 22 BALANCE POST. DATE ITEM REF. DEBIT CREDIT 20-- Oct. 9 J41 176.26 DEBIT CREDIT Oct. 31, 20-Nov. 30, 20-176.26 Dec. 31, 20-- Checkpoints Debit Balance Credit Balance ACCOUNT: EMPLOYEES FIT PAYABLE ACCOUNT NO. 24 BALANCE POST. DATE ITEM REF. DEBIT CREDIT 20-- Oct. 9 J41 859.00 DEBIT CREDIT Oct. 31, 20-Nov. 30, 20-859.00 Dec. 31, 20-- Checkpoints Debit Balance Credit Balance ACCOUNT: EMPLOYEES SIT PAYABLE ACCOUNT NO. 25 BALANCE POST. DATE ITEM REF. DEBIT CREDIT 20-- Oct. 9 J41 474.55 DEBIT CREDIT Oct. 31, 20-Nov. 30, 20-474.55 Dec. 31, 20-- Checkpoints Debit Balance Credit Balance ACCOUNT: EMPLOYEES SUTA PAYABLE ACCOUNT NO. 25.1 BALANCE POST. DATE ITEM REF. DEBIT CREDIT 20-- Oct. 9 J41 9.25 DEBIT Checkpoints Debit Balance CREDIT Oct. 31, 20-Nov. 30, 20-9.25 Dec. 31, 20-- Credit Balance ACCOUNT: EMPLOYEES CIT PAYABLE ACCOUNT NO. 26 BALANCE POST. DATE ITEM REF. DEBIT CREDIT 20-- Oct. 9 J41 599.86 DEBIT CREDIT Oct. 31, 20-Nov. 30, 20-599.86 Dec. 31, 20-- Checkpoints Debit Balance Credit Balance ACCOUNT: GROUP INSURANCE PREMIUMS COLLECTED 20-- ITEM REF. Debit Balance BALANCE POST. DATE Checkpoints ACCOUNT NO. 27 DEBIT CREDIT DEBIT CREDIT Oct. 31, 20-Nov. 30, 20-Dec. 31, 20-- Credit Balance ACCOUNT: UNION DUES PAYABLE ITEM REF. DEBIT CREDIT 20-- Oct. 9 J41 Debit Balance BALANCE POST. DATE Checkpoints ACCOUNT NO. 28 16.00 DEBIT CREDIT Oct. 31, 20-Nov. 30, 20-16.00 Dec. 31, 20-- Credit Balance ACCOUNT: SIMPLE CONTRIBUTIONS PAYABLE 20-- ITEM REF. Debit Balance BALANCE POST. DATE Checkpoints ACCOUNT NO. 29 DEBIT CREDIT DEBIT CREDIT Oct. 31, 20-Nov. 30, 20-Dec. 31, 20-- Credit Balance ACCOUNT: ADMINISTRATIVE SALARIES ITEM REF. DEBIT CREDIT DEBIT 20-- Oct. 1 Balance 9 a J41 Debit Balance BALANCE POST. DATE Checkpoints ACCOUNT NO. 51 2,307.69 42,692.27 44,999.96 CREDIT Oct. 31, 20-Nov. 30, 20-Dec. 31, 20-- Credit Balance ACCOUNT: OFFICE SALARIES ITEM REF. DEBIT CREDIT DEBIT 20-- Oct. 1 Balance 9 a J41 Debit Balance BALANCE POST. DATE Checkpoints ACCOUNT NO. 52 4,651.08 28,350.00 33,001.08 CREDIT Oct. 31, 20-Nov. 30, 20-Dec. 31, 20-- Credit Balance ACCOUNT: SALES SALARIES ITEM REF. DEBIT CREDIT DEBIT 20-- Oct. 1 Balance 9 a J41 Debit Balance BALANCE POST. DATE Checkpoints ACCOUNT NO. 53 3,600.00 28,525.00 32,125.00 CREDIT Oct. 31, 20-Nov. 30, 20-Dec. 31, 20-- Credit Balance ACCOUNT: PLANT WAGES ITEM REF. DEBIT CREDIT DEBIT 20-- Oct. 1 Balance 9 a J41 Debit Balance BALANCE POST. DATE Checkpoints ACCOUNT NO. 54 4,898.00 42,657.30 47,555.30 CREDIT Oct. 31, 20-Nov. 30, 20-Dec. 31, 20-- Credit Balance ACCOUNT: PAYROLL TAXES ITEM REF. DEBIT CREDIT DEBIT 20-- Oct. 1 Balance 9 a J41 Debit Balance BALANCE POST. DATE Checkpoints ACCOUNT NO. 56 1,381.61 14,353.07 15,734.68 CREDIT Oct. 31, 20-Nov. 30, 20-Dec. 31, 20-- Credit Balance Payday, October 9, 20-Bonno, A. Ferguson, J. Ford, C. Mann, D. O'Neill, J. Russell, V. Ryan, N. Sokowski, T. (Student) Williams, R. No. W/H Allow. NAME Marital Status PAYROLL REGISTER Time Record S M T W T Regular Earnings Rate Per F S S M T W T F S Hrs. Hour For Period Ending October 3, 20-M 4 8 8 8 8 8 M 5 8 8 8 8 8 S 2 8 8 8 8 8 M 4 8 8 8 8 8 M 3 8 8 8 8 8 S 1 8 8 8 8 8 M 4 8 8 8 8 8 M 2 8 8 8 8 8 S 1 8 8 8 8 4 S 0 8 8 D 8 8 8 8 8 8 8 8 8 8 8 8 TOTALS GLO-BRITE PAINT COMPANY 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 4 8 80 17.60 80 80 80 80 80 80 18.00 80 72 14.00 80 Amount Overtime Earnings Rate Per Hrs. Hour Amount Deductions Total Earnings OASDI HI FIT SIT SUTA 1,408.00 2,250.00 1,220.00 1,350.00 2,307.69 1,200.00 1,440.00 2,050.00 1,008.00 1,223.08 1,408.00 2,250.00 1,220.00 1,350.00 2,307.69 1,200.00 1,440.00 2,050.00 1,008.00 1,223.08 87.30 139.50 75.64 83.70 143.08 74.40 89.28 127.10 62.50 75.83 20.42 32.63 17.69 19.58 33.46 17.40 20.88 29.73 14.62 17.73 31.00 104.00 83.00 25.00 150.00 99.00 33.00 138.00 75.00 121.00 43.23 69.08 37.45 41.45 70.85 36.84 44.21 62.94 30.95 37.55 0.84 1.35 0.73 0.81 1.38 0.72 0.86 1.23 0.60 0.73 15,456.77 15,456.77 958.33 224.14 859.00 474.55 9.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Payday, October 23, 20-- For Period Ending October 17, 20-Bonno, A. Ferguson, J. Ford, C. Mann, D. O'Neill, J. Russell, V. Ryan, N. Sokowski, T. (Student) Williams, R. TOTALS Payday, November 6, 20-- For Period Ending October 31, 20-Bonno, A. Ferguson, J. Ford, C. Mann, D. O'Neill, J. Russell, V. Ryan, N. Sokowski, T. (Student) Williams, R. TOTALS Payday, November 13, 20-- For Period Ending November 14, 20-Williams, R. TOTALS No. W/H Allow. NAME Marital Status PAYROLL REGISTER Time Record S M T W T GLO-BRITE PAINT COMPANY Regular Earnings Rate Per F S S M T W T F S Hrs. Hour Amount Overtime Earnings Rate Per Hrs. Hour Amount Deductions Total Earnings OASDI HI FIT SIT SUTA Payday, November 20, 20-- For Period Ending November 14, 20-Bonno, A. Ferguson, J. Ford, C. Mann, D. O'Neill, J. Russell, V. Ryan, N. Sokowski, T. (Student) TOTALS Payday, December 4, 20-- For Period Ending November 28, 20-Bonno, A. M 4 8 8 8 8 8 8 Ferguson, J. M 5 8 8 8 8 8 Ford, C. M 2 8 8 8 8 8 Mann, D. M 0 8 8 8 8 8 O'Neill, J. M 3 8 8 8 8 8 Russell, V. S 2 8 8 8 8 8 Ryan, N. M 4 8 8 8 8 8 Sokowski, T. S 2 8 8 8 8 8 (Student) S 1 8 8 8 4 8 Woods, B. S 1 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 9 10 8 8 8 8 8 8 8 8 8 8 TOTALS 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 4 8 88 80 80 80 80 80 79 80 72 72 17.60 28.12 16.00 16.88 28.85 15.75 18.00 25.63 14.00 15.00 1,548.80 2,249.60 1,280.00 1,350.40 2,308.00 1,260.00 1,422.00 2,050.40 1,008.00 1,080.00 15,557.20 8 26.40 0.00 0.00 0.00 211.40 1,760.20 2,249.60 1,280.00 1,350.40 2,308.00 1,260.00 1,422.00 2,050.40 1,008.00 1,080.00 109.13 139.48 79.36 83.72 143.10 78.12 88.16 127.12 62.50 66.96 25.52 32.62 18.56 19.58 33.47 18.27 20.62 29.73 14.62 15.66 211.40 15,768.60 977.65 228.65 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.04 69.06 39.30 41.46 70.86 38.68 43.66 62.95 30.95 33.16 1.06 1.35 0.77 0.81 1.38 0.76 0.85 1.23 0.60 0.65 0.00 484.12 9.46 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Payday, December 14, 20-- For Period Ending December 12, 20-Russell, V. TOTALS Payday, December 18, 20-- For Period Ending December 12, 20-Bonno, A. Ferguson, J. Ford, C. Mann, D. O'Neill, J. Ryan, N. Sokowski, T. (Student) Woods, B. Young, P. TOTALS QTR YEAR No. W/H Allow. NAME Marital Status PAYROLL REGISTER Time Record S M T W T GLO-BRITE PAINT COMPANY Regular Earnings Rate Per F S S M T W T F S Hrs. Hour Amount Overtime Earnings Rate Per Hrs. Hour Amount Deductions Total Earnings OASDI HI 31,225.37 1,935.98 452.79 173,449.94 10,753.90 2,515.06 FIT SIT 859.00 958.67 16,776.00 5,324.96 SUTA 18.71 104.05 Deductions NAME Payday, October 9, 20-Bonno, A. Ferguson, J. Ford, C. Mann, D. O'Neill, J. Russell, V. Ryan, N. Sokowski, T. (Student) Williams, R. TOTALS Net Paid CIT Group Ins. Union Dues Ck. SIMPLE No. 0.00 16.00 Amount OASDI HI FUTA Labor Cost Distribution SUTA Admin. Office Sales Plant Checkpoints For Period Ending October 3, 20-54.64 8.00 87.32 47.35 52.39 89.56 46.57 55.88 8.00 79.56 39.12 47.47 599.86 Taxable Earnings 672 673 674 675 676 677 678 679 680 681 0.00 1,162.57 1,816.12 958.14 1,127.07 1,819.36 925.07 1,187.89 1,611.44 785.21 922.77 1,408.00 2,250.00 1,220.00 1,350.00 2,307.69 1,200.00 1,440.00 2,050.00 1,008.00 1,223.08 1,408.00 2,250.00 1,220.00 1,350.00 2,307.69 1,200.00 1,440.00 2,050.00 1,008.00 1,223.08 12,315.64 15,456.77 15,456.77 1,408.00 2,250.00 700.00 1,350.00 1,220.00 1,350.00 0.00 0.00 0.00 1,350.00 2,307.69 760.00 1,200.00 1,200.00 1,440.00 2,050.00 1,008.00 1,008.00 3,818.00 4,778.00 1,008.00 1,223.08 2,307.69 4,651.08 3,600.00 4,898.00 Checkpoints Total earnings Net paid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Checkpoints Payday, November 6, 20-- For Period Ending October 31, 20-Bonno, A. Ferguson, J. Ford, C. Mann, D. O'Neill, J. Russell, V. Ryan, N. Sokowski, T. (Student) Williams, R. TOTALS 0.00 0.00 0.00 Total earnings Net paid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Checkpoints Payday, November 13, 20-- For Period Ending November 14, 20-Williams, R. TOTALS 0.00 0.00 0.00 15,456.77 12,315.64 1,220.00 Payday, October 23, 20-- For Period Ending October 17, 20-Bonno, A. Ferguson, J. Ford, C. Mann, D. O'Neill, J. Russell, V. Ryan, N. Sokowski, T. (Student) Williams, R. TOTALS Total earnings Net paid Total earnings Net paid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2,079.32 1,494.06 Deductions NAME Net Paid CIT Group Ins. Union Dues Ck. SIMPLE No. Taxable Earnings Amount OASDI HI FUTA Labor Cost Distribution SUTA Admin. Office Sales Plant Checkpoints Payday, November 20, 20-- For Period Ending November 14, 20-Bonno, A. Ferguson, J. Ford, C. Mann, D. O'Neill, J. Russell, V. Ryan, N. Sokowski, T. (Student) TOTALS 0.00 0.00 0.00 Total earnings Net paid 0.00 TOTALS 611.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Checkpoints Payday, December 4, 20-- For Period Ending November 28, 20-Bonno, A. 68.31 Ferguson, J. 87.30 Ford, C. 49.68 Mann, D. 52.41 O'Neill, J. 89.57 Russell, V. 48.90 Ryan, N. 55.19 Sokowski, T. 79.57 (Student) 39.12 Woods, B. 41.91 1,502.14 1,919.79 1,092.33 1,152.42 1,969.62 1,075.27 1,213.52 1,749.80 860.21 921.66 0.00 13,456.76 Total earnings Net paid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Checkpoints Payday, December 14, 20-- For Period Ending December 12, 20-Russell, V. TOTALS 0.00 0.00 0.00 Total earnings Net paid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Checkpoints Payday, December 18, 20-- For Period Ending December 12, 20-Bonno, A. Ferguson, J. Ford, C. Mann, D. O'Neill, J. Ryan, N. Sokowski, T. Total earnings Net paid Checkpoints-Annual (Student) Woods, B. Young, P. TOTALS Total earnings Qtr's taxable OASDI earnings Total earnings for FIT Total earnings for SIT/CIT Total earnings for FUTA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Deductions NAME QTR YEAR Net Paid CIT 1,211.82 6,731.42 Group Ins. 0.00 930.40 Union Ck. Dues SIMPLE No. 16.00 0.00 160.00 0.00 Taxable Earnings Amount OASDI HI FUTA 25,772.40 15,456.77 15,456.77 3,818.00 130,154.15 157,681.34 157,681.34 69,308.00 Labor Cost Distribution SUTA 4,778.00 88,268.00 Admin. 2,307.69 Office 4,651.08 Sales 3,600.00 Plant 4,898.00 DEPARTMENT OCCUPATION WORKS IN (STATE) Plant Mixer Operator PA SEX M F x S.S. ACCOUNT NO. 000-00-3481 OTHER DEDUCTIONS INFORMATION GROUP INSURANCE NAME - LAST FIRST BONNO Anthony $ $ $ $ SALARY UNION DUES OTHER WEEKLY RATE HOURLY RATE $55,000 --$.30/M 20___ PAYDAY HRS. RATE AMOUNT 10/9 2 10/23 3 11/6 4 11/20 5 12/4 6 12/18 80 OVERTIME EARNINGS HRS. RATE 10,293.40 1,408.00 YEAR-TO-DATE 1 $8 each pay REGULAR EARNINGS 17.60 OVERTIME RATE CUMULATIVE EARNINGS AMOUNT 11,322.00 12,730.00 Victor 17.60 26.40 W/H MARITAL ALLOW. STATUS 4 M DEDUCTIONS NET PAID FICA OASDI 1,028.60 0.00 0.00 0.00 0.00 0.00 0.00 MIDDLE OTHER HI 701.96 87.30 164.17 20.42 FIT SIT 810.00 31.00 SUTA 347.59 43.23 CIT 6.79 0.84 SIMPLE 439.40 54.64 CK. DEDUCTIONS NO. 216.80 8.00 AMOUNT 8,635.29 1,162.57 672 QTR. TOT. YR. TOT. Checkpoint Checkpoint DEPARTMENT OCCUPATION WORKS IN (STATE) Sales Sales Manager PA SEX M F x S.S. ACCOUNT NO. 000-00-8645 OTHER DEDUCTIONS INFORMATION GROUP INSURANCE NAME - LAST FIRST FERGUSON $ $ $ $ SALARY UNION DUES OTHER WEEKLY RATE HOURLY RATE $88,000 -- $.30/M 20___ OVERTIME RATE REGULAR EARNINGS OVERTIME EARNINGS PAYDAY HRS. 10/9 2 10/23 3 11/6 4 11/20 5 12/4 6 12/18 80 RATE AMOUNT HRS. RATE 23,125.00 2,250.00 AMOUNT W/H MARITAL ALLOW. STATUS 5 M NET PAID 1,433.75 139.50 OTHER HI 335.31 32.63 FIT 2,291.00 104.00 SIT SUTA 709.94 69.08 QTR. TOT. YR. TOT. Checkpoint Claude FICA OASDI 23,125.00 25,375.00 James 58,500 /yr. 1,125.00 28.13 DEDUCTIONS EARNINGS YEAR-TO-DATE 1 CUMULATIVE MIDDLE Checkpoint 13.88 1.35 CIT 897.46 87.32 SIMPLE CK. DEDUCTIONS NO. AMOUNT 132.30 673 17,311.36 1,816.12 OCCUPATION DEPARTMENT WORKS IN (STATE) SEX S.S. ACCOUNT NO. M Office Executive Secretary x PA 000-00-4567 OTHER DEDUCTIONS INFORMATION GROUP INSURANCE NAME - LAST FIRST FORD $ $ $ $ SALARY UNION DUES OTHER WEEKLY RATE HOURLY RATE $48,000--$.30/M 20___ OVERTIME RATE REGULAR EARNINGS OVERTIME EARNINGS PAYDAY RATE AMOUNT 10/9 2 10/23 3 11/6 4 11/20 5 12/4 6 12/18 HRS. RATE 80 Catherine 2,643.33 /mo. 610.00 15.25 22.88 Louise OASDI 6,300.00 7,520.00 W/H MARITAL ALLOW. STATUS 2 S DEDUCTIONS NET PAID FICA AMOUNT 6,300.00 1,220.00 YEAR-TO-DATE 1 CUMULATIVE EARNINGS HRS. MIDDLE F OTHER HI 390.60 75.64 91.35 17.69 FIT 639.00 83.00 SIT SUTA 193.41 37.45 3.78 0.73 CIT SIMPLE CK. DEDUCTIONS NO. 244.50 47.35 AMOUNT 37.80 4,699.56 958.14 674 QTR. TOT. YR. TOT. Checkpoint Checkpoint OCCUPATION DEPARTMENT WORKS IN (STATE) SEX M Sales Sales Representative S.S. ACCOUNT NO. x PA 000-00-9352 OTHER DEDUCTIONS INFORMATION GROUP INSURANCE NAME - LAST FIRST MANN $ $ $ $ SALARY UNION DUES OTHER WEEKLY RATE HOURLY RATE $53,000 -- $.30/M 20___ OVERTIME RATE REGULAR EARNINGS OVERTIME EARNINGS PAYDAY YEAR-TO-DATE 1 10/9 2 10/23 3 11/6 4 11/20 5 12/4 6 12/18 CUMULATIVE 80 RATE AMOUNT HRS. RATE 5,400.00 1,350.00 AMOUNT Wilson MARITAL ALLOW. STATUS M NET PAID 334.80 83.70 OTHER HI 78.30 19.58 FIT 332.00 25.00 SIT 165.78 41.45 SUTA 3.24 0.81 CIT SIMPLE 209.57 52.39 TR. TOT. YR. TOT. Checkpoint W/H 4 FICA OASDI 5,400.00 6,750.00 Dewey 2,925 /mo. 675.00 16.88 DEDUCTIONS EARNINGS HRS. MIDDLE F Checkpoint CK. DEDUCTIONS NO. AMOUNT 31.50 675 4,244.81 1,127.07 OCCUPATION DEPARTMENT WORKS IN (STATE) SEX S.S. ACCOUNT NO. M Administrative President x PA 000-00-1534 OTHER DEDUCTIONS INFORMATION GROUP INSURANCE NAME - LAST FIRST O'NEILL $ $ $ $ SALARY UNION DUES OTHER BI-WEEKLY RATE HOURLY RATE $90,000 -- $.30/M 20___ OVERTIME RATE REGULAR EARNINGS OVERTIME EARNINGS PAYDAY RATE AMOUNT 10/9 2 10/23 3 11/6 4 11/20 5 12/4 6 12/18 HRS. RATE 80 Joseph 60,000 /yr. 2,307.69 Tyler OASDI 42,692.27 44,999.96 W/H MARITAL ALLOW. STATUS 3 M DEDUCTIONS NET PAID FICA AMOUNT 42,692.27 2,307.69 YEAR-TO-DATE 1 CUMULATIVE EARNINGS HRS. MIDDLE F OTHER HI 2,646.92 143.08 619.04 33.46 FIT 6,116.00 150.00 SIT SUTA 1,310.65 70.85 25.62 1.38 CIT SIMPLE 1,656.84 89.56 CK. DEDUCTIONS NO. AMOUNT 202.50 30,114.70 1,819.36 676 TR. TOT. YR. TOT. Checkpoint Checkpoint OCCUPATION DEPARTMENT WORKS IN (STATE) SEX M Office Time Clerk x PA S.S. ACCOUNT NO. NAME - LAST 000-00-6337 RUSSELL OTHER DEDUCTIONS INFORMATION GROUP INSURANCE FIRST $ $ $ $ SALARY UNION DUES OTHER WEEKLY RATE HOURLY RATE $47,000 -- $.30/M 20___ OVERTIME RATE REGULAR EARNINGS OVERTIME EARNINGS PAYDAY YEAR-TO-DATE 1 10/9 2 10/23 3 11/6 4 11/20 5 12/4 6 12/14 CUMULATIVE 80 RATE AMOUNT HRS. RATE 6,240.00 1,200.00 AMOUNT Aloise MARITAL ALLOW. STATUS S NET PAID 386.88 74.40 OTHER HI 90.48 17.40 FIT 642.00 99.00 SIT 191.56 36.84 SUTA 3.74 0.72 CIT SIMPLE 242.17 46.57 TR. TOT. YR. TOT. Checkpoint W/H 1 FICA OASDI 6,240.00 7,440.00 Virginia 2,600 /mo. 600.00 15.00 22.50 DEDUCTIONS EARNINGS HRS. MIDDLE F Checkpoint CK. DEDUCTIONS NO. AMOUNT 31.50 677 4,651.67 925.07 OCCUPATION DEPARTMENT WORKS IN (STATE) SEX M Plant Electrician S.S. ACCOUNT NO. x PA 000-00-1223 OTHER DEDUCTIONS INFORMATION GROUP INSURANCE NAME - LAST FIRST RYAN Norman $ $ $ $ SALARY UNION DUES OTHER WEEKLY RATE HOURLY RATE $56,000 -- $.30/M 20___ $8 each pay REGULAR EARNINGS OVERTIME EARNINGS PAYDAY RATE AMOUNT 10/9 2 10/23 3 11/6 4 11/20 5 12/4 6 12/18 80 HRS. RATE 13,287.50 1,440.00 YEAR-TO-DATE 1 OVERTIME RATE CUMULATIVE 18.00 18.00 27.00 OASDI 14,685.30 16,125.30 MARITAL ALLOW. STATUS 4 M NET PAID FICA AMOUNT 1,397.80 0.00 0.00 0.00 0.00 0.00 0.00 Allen W/H DEDUCTIONS EARNINGS HRS. MIDDLE F OTHER HI 910.49 89.28 212.94 20.88 FIT 1,070.00 33.00 SIT SUTA 450.84 44.21 8.81 0.86 CIT SIMPLE 569.92 55.88 CK. DEDUCTIONS NO. 235.70 8.00 AMOUNT 678 11,226.60 1,187.89 QTR. TOT. YR. TOT. Checkpoint Checkpoint OCCUPATION DEPARTMENT WORKS IN (STATE) SEX M Plant Supervisor x PA S.S. ACCOUNT NO. NAME - LAST 000-00-8832 SOKOWSKI OTHER DEDUCTIONS INFORMATION GROUP INSURANCE FIRST Thomas $ $ $ $ SALARY UNION DUES OTHER WEEKLY RATE HOURLY RATE $80,000 -- $.30/M 20___ OVERTIME RATE REGULAR EARNINGS OVERTIME EARNINGS PAYDAY YEAR-TO-DATE 1 10/9 2 10/23 3 11/6 4 11/20 5 12/4 6 12/18 CUMULATIVE 80 RATE AMOUNT HRS. RATE 16,650.00 2,050.00 AMOUNT 1,025.00 25.63 STATUS M NET PAID 1,032.30 127.10 OTHER HI 241.43 29.73 FIT 2,002.00 138.00 SIT 511.16 62.94 SUTA 9.99 1.23 CIT SIMPLE 646.17 79.56 QTR. TOT. YR. TOT. Checkpoint MARITAL ALLOW. 2 FICA OASDI 16,650.00 18,700.00 James W/H DEDUCTIONS EARNINGS HRS. MIDDLE F Checkpoint CK. DEDUCTIONS NO. AMOUNT 94.50 679 12,112.45 1,611.44 OCCUPATION DEPARTMENT WORKS IN (STATE) SEX S.S. ACCOUNT NO. M Office Accounting Trainee PA FIRST $ $ $ $ SALARY UNION DUES OTHER WEEKLY RATE HOURLY RATE $39,000 -- $.30/M 20___ OVERTIME RATE REGULAR EARNINGS OVERTIME EARNINGS PAYDAY RATE AMOUNT 10/9 2 10/23 3 11/6 4 11/20 5 12/4 6 12/18 72 HRS. RATE 14.00 14.00 21.00 OASDI 5,550.00 6,558.00 W/H MARITAL ALLOW. STATUS 1 S DEDUCTIONS NET PAID FICA AMOUNT 5,550.00 1,008.00 YEAR-TO-DATE 1 CUMULATIVE EARNINGS HRS. MIDDLE Student OTHER DEDUCTIONS INFORMATION GROUP INSURANCE NAME - LAST F OTHER HI 344.10 62.50 80.48 14.62 FIT 409.00 75.00 SIT SUTA 170.38 30.95 3.33 0.60 CIT SIMPLE CK. DEDUCTIONS NO. 215.39 39.12 AMOUNT 32.40 4,294.92 785.21 680 QTR. TOT. YR. TOT. Checkpoint Checkpoint OCCUPATION DEPARTMENT WORKS IN (STATE) SEX M Office Programmer x PA S.S. ACCOUNT NO. NAME - LAST 000-00-6741 WILLIAMS OTHER DEDUCTIONS INFORMATION GROUP INSURANCE FIRST Ruth $ $ $ $ SALARY UNION DUES OTHER WEEKLY RATE HOURLY RATE $48,000 -- $.30/M 20___ OVERTIME RATE REGULAR EARNINGS OVERTIME EARNINGS PAYDAY YEAR-TO-DATE 1 10/9 2 10/23 3 11/6 4 11/13 CUMULATIVE 80 RATE AMOUNT HRS. RATE 10,260.00 1,223.08 AMOUNT MARITAL ALLOW. STATUS S NET PAID 636.12 75.83 OTHER HI 148.77 17.73 FIT 1,606.00 121.00 SIT 314.98 37.55 SUTA 6.16 0.73 CIT SIMPLE 398.18 47.47 5 6 QTR. TOT. YR. TOT. Checkpoint W/H 0 FICA OASDI 10,260.00 11,483.08 Virginia 2,650 /mo. 611.54 15.29 22.94 DEDUCTIONS EARNINGS HRS. MIDDLE F Checkpoint CK. DEDUCTIONS NO. AMOUNT 59.40 681 7,090.39 922.77 OCCUPATION DEPARTMENT WORKS IN (STATE) SEX M S.S. ACCOUNT NO. OTHER DEDUCTIONS INFORMATION GROUP INSURANCE NAME - LAST FIRST $ $ $ $ SALARY UNION DUES OTHER WEEKLY RATE HOURLY RATE OVERTIME RATE 20___ REGULAR EARNINGS OVERTIME EARNINGS PAYDAY CUMULATIVE RATE AMOUNT HRS. RATE MARITAL STATUS NET PAID FICA AMOUNT W/H ALLOW. DEDUCTIONS EARNINGS HRS. MIDDLE F OASDI OTHER HI FIT SIT SUTA CIT SIMPLE CK. DEDUCTIONS NO. AMOUNT YEAR-TO-DATE 1 2 3 4 5 12/4 6 12/18 QTR. TOT. YR. TOT. Checkpoint Checkpoint OCCUPATION DEPARTMENT WORKS IN (STATE) SEX M S.S. ACCOUNT NO. OTHER DEDUCTIONS INFORMATION GROUP INSURANCE NAME - LAST FIRST UNION DUES $ $ $ $ SALARY OTHER WEEKLY RATE HOURLY RATE OVERTIME RATE 20___ REGULAR EARNINGS OVERTIME EARNINGS PAYDAY CUMULATIVE RATE AMOUNT HRS. RATE AMOUNT STATUS OASDI OTHER HI FIT SIT SUTA CIT SIMPLE 1 2 3 4 5 12/18 QTR. TOT. YR. TOT. Checkpoint MARITAL NET PAID FICA YEAR-TO-DATE 6 W/H ALLOW. DEDUCTIONS EARNINGS HRS. MIDDLE F Checkpoint CK. DEDUCTIONS NO. AMOUNT OCCUPATION DEPARTMENT WORKS IN (STATE) SEX M S.S. ACCOUNT NO. OTHER DEDUCTIONS INFORMATION GROUP INSURANCE NAME - LAST FIRST $ $ $ $ SALARY UNION DUES OTHER WEEKLY RATE HOURLY RATE OVERTIME RATE 20___ REGULAR EARNINGS OVERTIME EARNINGS PAYDAY CUMULATIVE RATE AMOUNT HRS. RATE MARITAL STATUS NET PAID FICA AMOUNT W/H ALLOW. DEDUCTIONS EARNINGS HRS. MIDDLE F OASDI OTHER HI FIT SIT SUTA CIT SIMPLE CK. DEDUCTIONS NO. AMOUNT YEAR-TO-DATE 1 2 3 4 5 6 QTR. TOT. YR. TOT. OCCUPATION DEPARTMENT WORKS IN (STATE) SEX M S.S. ACCOUNT NO. OTHER DEDUCTIONS INFORMATION GROUP INSURANCE NAME - LAST FIRST UNION DUES $ $ $ $ SALARY OTHER WEEKLY RATE HOURLY RATE OVERTIME RATE 20___ REGULAR EARNINGS OVERTIME EARNINGS PAYDAY 1 2 3 4 5 6 QTR. TOT. YR. TOT. CUMULATIVE RATE AMOUNT HRS. RATE AMOUNT W/H MARITAL ALLOW. STATUS DEDUCTIONS EARNINGS HRS. YEAR-TO-DATE MIDDLE F NET PAID FICA OASDI OTHER HI FIT SIT SUTA CIT SIMPLE CK. DEDUCTIONS NO. AMOUNT

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