Unformatted Attachment Preview
The Summary of Quarterly Totals and the Payroll Reconciliation streamline the preparation of payroll deposits, reports, and f
identify errors and discrepencies between the accounting records and the amounts reported to the taxing authorities. Comp
sheets before completing the Federal, State and City deposits. Verify, that amounts deposited agree to the payroll records.
provided to guide you while preparing the deposits. Please refer to the text for additional guidance.
Use the round function. In the summary worksheet, you must sum amounts which include amounts determined via a formu
of believing that formating an amount to display as 2 decimal places results in the amount being rounded. This is not the cas
value in your sum. As a result, the sum may not be accurate. Therefore, you must use the round function for any product.
Example
19,889 * 6.2 %=
1233.118
If you format that amount to 2 decimal places, 1,233.12 will appear, but Excel
will use 1,233.118 as the value.
The round function must be used.
The format is "=ROUND((formula or cell reference),2)"
In our example you would enter "=round (A10*6.2%,2)"
Click on the value to see my formula.
Now, Excel will recognize the value as 1233.12.
1233.12
payroll deposits, reports, and forms. They also provide a means to
o the taxing authorities. Complete the summary and reconciliation
ed agree to the payroll records. Transaction numbers have been
dance.
mounts determined via a formula. Often, students make the mistake
ng rounded. This is not the case. Excel will store and use the full
und function for any product.
Summary of Quarterly Totals
After completing the payroll registers and employee earnings record, use this form to summarize the quarterly totals and compute the employer's payroll taxes for OASDI, HI, FUTA, and SUTA. Use the round function when
computing taxes. The format is: round(cell reference * tax rate, 2). The summary will help you complete the deposits and forms. Use Excel formulas throughout. (Complete all colored cells.) October and November are
partailly completed for you, but formulas have been removed. The October 941 taxes have been provided to guide your calculations for November and December.
Total Earnings OASDI
HI
Withholding Withholding
9-Oct
23-Oct
Monthly Total
6-Nov
13-Nov
20-Nov
Monthly Total
FIT
Withholding
SIT
Withholding
SUTA
Withholding
CIT
Withholding
15,456.77
15,778.37
31,235.14
958.33
978.26
1,936.59
224.14
228.80
452.94
836.00
868.00
1,704.00
474.55
484.42
958.97
9.25
9.45
18.70
598.37
610.81
1,209.18
15,411.54
2,079.32
13,922.09
31,412.95
955.53
128.92
863.18
1,947.63
223.49
30.15
201.89
455.53
897.00
193.00
605.00
1,695.00
473.16
63.84
427.43
964.43
9.22
1.25
8.34
18.81
596.62
80.49
538.96
1,216.07
4-Dec
14-Dec
18-Dec
Monthly Total
Quarterly Totals
Enter tax rates in table below. Link these cells when creating your formulas above.
Tax
Rate
OASDI
6.20%
HI
1.45%
FUTA
0.60%
SUTA ER
3.6890%
Simple
Pension
OASDI Wage
1,650.00
1,650.00
ER OASDI Tax HI Wage
ER HI Tax
15,456.77
15,778.37
31,235.14
958.32
978.26
1,936.58
15,456.77
15,778.37
31,235.14
224.12
228.79
452.91
15,411.54
2,079.32
13,922.09
31,412.95
955.52
128.92
863.17
1,947.61
15,411.54
2,079.32
13,922.09
31,412.95
223.47
30.15
201.87
455.49
FUTA Wage
3,818.00
692.00
4,510.00
-
ER FUTA SUTA Wage
Tax
ER SUTA
Tax
22.91
4.15
27.06
4,778.00
4,778.00
9,556.00
176.26
176.26
352.52
-
4,748.00
1,788.00
6,536.00
175.15
0
65.96
241.11
Q4 941
Taxes
6,483.02
Note: The transaction numbers correspond to the transaction numbers in your text. See the text for additional instruction
9
Transaction No.
Sample
Federal Deposit Information Worksheet
Employer Identification Number
00-0000660
Name
Month Tax Year Ends
12
Amount of Deposit
Type of Tax (Form Number)
941
Tax Period
Address
City, State, Zip
2215 Salvador St.
Philadelphia, PA 19175-0682
Transaction No.
Phone Number
22
Federal Deposit Information Worksheet
Employer Identification Number
Name
Month Tax Year Ends
Amount of Deposit
Type of Tax (Form Number)
Tax Period
Address
City, State, Zip
Phone Number
Transaction No.
30
Federal Deposit Information Worksheet
Employer Identification Number
Name
Month Tax Year Ends
Amount of Deposit
Type of Tax (Form Number)
Tax Period
Address
City, State, Zip
Phone Number
Note: Transaction No. 36, the FUTA deposit, will be completed in Part B.
text for additional instructions.
Glo-Brite Paint Company
Deposit of October Form 941 Taxes
6,483.02
See Summary of Quarterly Totals for data used to compute this value.
4th Qtr
(215) 555-9559
Deposit of November Form 941 Taxes
Deposit of December Form 941 Taxes
Total Quarter 4 form 941 Deposits (sum J8+J21+J34)
Note: The transaction numbers correspond to the transaction numbers in your text. See the text for additional instruction
Transaction No.
12
Sample
State Filing Information Worksheet
Company Name
Glo-Brite Paint Co.
Payment Frequency
Employer Account #
3300
Gross Compensation
Employer ID #
00-0000660
PA Withholding Tax
Employer Password
GBPCOM
Credits
Quarter Ending Date
12/31/XX
Interest
Telephone Number
(215) 555-9559
Payment
Transaction No.
16
State Filing Information Worksheet
Company Name
Payment Frequency
Employer Account #
Gross Compensation
Employer ID #
PA Withholding Tax
Employer Password
Credits
Quarter Ending Date
Interest
Telephone Number
Payment
Transaction No.
24
State Filing Information Worksheet
Company Name
Payment Frequency
Employer Account #
Gross Compensation
Employer ID #
PA Withholding Tax
Employer Password
Credits
Quarter Ending Date
Interest
Telephone Number
Payment
Transaction No.
28
State Filing Information Worksheet
Company Name
Payment Frequency
Employer Account #
Gross Compensation
Employer ID #
PA Withholding Tax
Employer Password
Credits
Quarter Ending Date
Interest
Telephone Number
Payment
e text for additional instructions.
Semi-monthly
Deposit of Nov 6th and 13th SIT Taxes
17,490.86
See Summary of Quarterly Totals for data used to compute this value.
537.00
537.00
Deposit of Nov 20th SIT Withheld
Deposit of Dec 4th SIT Withheld
Deposit of Dec 18th SIT Withheld
Total Quarter 4 State Income Tax Deposits (sum J16+J32+J48+J64)
Note: The transaction numbers correspond to the transaction numbers in your text. See the text for additional instruction
Transaction No.
10
Sample
Monthly Wage Tax
Account #: 0001855
Tax Type: 01
Period/Yr 10/XX
GLO-BRITE PAINT COMPANY
2215 SALVADOR STREET
PHILADELPHIA, PA 19175-0682
From:
10/1
To:
10/31
Due Date: 11/16
1
2
3
Signature:
Joseph T. O'Neill
Phone #:
(215) 555-9559
Transaction No.
Philadelphia Revenue Department
P.O. Box 8040
Philadelphia, PA 19101-8040
Make checks pay
CITY OF PHILADE
23
Monthly Wage Tax
Account #: 0001855
Tax Type: 01
Period/Yr 10/XX
GLO-BRITE PAINT COMPANY
2215 SALVADOR STREET
PHILADELPHIA, PA 19175-0682
From:
11/1
To:
11/30
Due Date: 12/15
1
2
3
Signature:
Philadelphia Revenue Department
P.O. Box 8040
Philadelphia, PA 19101-8040
Phone #:
Transaction No.
Make checks pay
CITY OF PHILADE
31
Monthly Wage Tax
GLO-BRITE PAINT COMPANY
2215 SALVADOR STREET
PHILADELPHIA, PA 19175-0682
Account #: 0001855
Tax Type: 01
Period/Yr 10/XX
From:
12/1
To:
12/31
Due Date: 1/15
1
2
3
Signature:
Phone #:
Philadelphia Revenue Department
P.O. Box 8040
Philadelphia, PA 19101-8040
Make checks pay
CITY OF PHILADE
he text for additional instructions.
Tax Due
1,209.18
Deposit of October CIT Taxes
Interest and Penalty
See Summary of Quarterly Totals for data used to compute this value.
Total Due (Line 1 & 2)
1,209.18
Make checks payable to:
CITY OF PHILADELPHIA
Deposit of November CIT withhed
Tax Due
Interest and Penalty
Total Due (Line 1 & 2)
Make checks payable to:
CITY OF PHILADELPHIA
Deposit of December CIT Withheld
Tax Due
Interest and Penalty
Total Due (Line 1 & 2)
Make checks payable to:
CITY OF PHILADELPHIA
Total Quarter 4 City Income Tax Deposits (sum L11+L25+L39)
Each tab corresponds with a transaction number. Locate the appropriate transaction number
in your text for additional information.
Accurate information from Part A is necessary to properly complete the part B forms.
Please contact the instructor if you need assistance with your corrections.
Read each form and the provided hints carefully.
Separate supplemental instructions for forms 940 and 941 have been provided in the Canvas instruction
page. Chapter 4 provides information necessary to accurately prepare the W-2s and W-3.
Federal instructions are available at irs.gov
The instructor may provide you with a pdf to complete the form 941 or you may obtain one at ir
r you may obtain one at irs.gov. Submit the 941 pdf to Canvas as a separate file upload.
The instructor may provide you with a pdf to complete the form 940 or you may obtain one at ir
separate file upload.
r you may obtain one at irs.gov. Submit the 940 pdf to Canvas as a
Transaction No.
33
Federal Deposit Information Worksheet
Employer Identification Number
Name
Month Tax Year Ends
Amount of Deposit
Type of Tax (Form Number)
Tax Period
Address
City, State, Zip
Phone Number
Complete Form 940. Since the instructions indicate that you will electronically
deposit the FUTA taxes, you SHOULD NOT complete the 940-V payment
voucher. The voucher is only used if taxes are being submitted with the form.
Complete the Federal Deposit Information Worksheet document the payment.
Transaction No. 34
PA Form UC-2 REV 1-12 Employer's Report for Unemployment Co
1. Total Covered Employees In Pay Period Including 12th of M
1st Month
Signature
2. Gross Wages
Title
3. Employee Contributions
Date
4. Taxable Wages For Employer Contribution
Phone #
5. Employer Contributions Due (SUTA rate* line 4)
Employer's Contribution Rate
Employer's Account No. 000-0-3300
6. Total Contributions Due (Line 3 + 5)
7. Interest on Late Payments
GLO-BRITE PAINT COMPANY
2215 SALVADOR STREET
PHILADELPHIA, PA 19175-0682
8. Penalties on Late Payments
9. Total Due (Lines 6+7+8)
PA Form UC-2A Employer's Quarterly Report of Wages Paid to Ea
Employer's Name
Glo-Brite Paint Company
Employer PA UC Account No.
000-0-3300
1. Name and telephone number of preparer
5. Gross wages, MUST agree with
item 2 on UC-2 and item 11
Qtr/YR
4/20XX
Qtr End
12/31/20XX
2. Total Number of
3. Total number of employee
Pages in this report
listed in section 8
6. Not Applicable
7. Employee's
Social Security
Number
8. Employee's Name
First
Middle
Initial
Initial
11. Total gross wages for this page
12. Total number of employees on this page
13. Page 1 of 1
Last
Name
Unemployment Compensation
Qtr/Yr
Due Date
4th/20XX
1/31/20XX
eriod Including 12th of Month
2nd Month
3rd Month
A rate* line 4)
f Wages Paid to Each Employee
12/31/20XX
3. Total number of employees
listed in section 8
4. Plant No.
NA
9. Gross Wages
paid this Quarter
10. Credit
Weeks
Note: This is a 2-part form. Please scroll to the bottom of this Excel sheet to ensure that you
satisfy all requirements.
Note: This is a 2-part form. Please scroll to the top of this Excel sheet to ensure that you satisfy
all requirements.
A Word document has been provided for completion of the W-2s and W-3. Submit the Word do
as a separate file.
W-3. Submit the Word document to Canvas
Transaction 37
Pennsylvania Department of Revenue
Part I
1a.
1b.
1c.
1d.
2.
W-2 RECONCILIATION
Number of W-2 forms attached
Number of 1099 forms with PA withholding
Number of W-2s reported on magnetic tape(s)
Number of W-2s reported on compact discs
Total compensation subject to PA withholding tax
3.
PA INCOME TAX WITHHELD
Part II
Year
20XX
ANNAUAL RECONCILIATION
Wages paid subject to PA withholding tax
PA tax withheld
1st Quarter
2nd Quarter
3rd Quarter
4th Quarter
TOTAL (must agree to line 2 & 3 above)
20XX
DATE
TELEPHONE
TITLE
Employer Account ID
Employer ID Number
Due Date January 31
Part III
NUMBER OF TAPES
NUMBER OF CDs
FOR MEDIA REPORTING
0
0
BUSINESS NAME AND ADDRESS
GLO-BRITE PAINT COMPANY
2215 SALVADOR ST
PHILADELPHIA, PA 19175-0682
Do not send payment with this form.
SIGNATURE
Transaction 38
Payers Name and Address
1. Rent
$
20-1099-MISC
2. Royalty
$
3. Other Income
Payer's FEIN
Recipient TIN
Recipient's Name and Address
4. Federal Taxes Withheld
$
$
5. Fishing Boat Proceeds
6. Medical Payments
$
$
7. Nonemployee Compensation
8. Substitute Payments
$
$
9. Direct Sales
10. Crop Insurance
$
$
Transaction 39
1096
Annual Summary and Transmittal of
Information Returns
US
Payers Name and Address
Name of person to contact
Telephone Number
1. Employer Identification Number
3. Total Number of Forms
2. Social Security Number
8. Enter an X to indicate the type of form being filed
1099 Misc
1099 OID
1099 PATR
4. Federal Income Tax Withheld
$
1099 Q
20--
5.Total amount reported
with form 1099
1099 SSA
Transaction No. 40
PA Employer's Quarterly Reconciliation Worksheet
Company Name
Account Number
ID #
Telephone #
Quarter Ending Date
Record of PA Withholding Tax
1st half of month
474,55
1. Total Compensation
2nd half of month
484,42
2. Total PA W/H Tax
1st half of month
537,00
3. Total Deposits/Quarter
2nd half of month
427,43
4. Balance Due
1st half of month
2nd half of month
TOTAL
ksheet
Transaction No. 41
CITY OF PHILADELPHIA
ANNUAL RECONCILIATION OF
20XX EMPLOYER TAX
DUE DATE: FEBRUARY 28, 20XX
Name and Address
If your business terminated in 20XX ent
If this is an amended return place an "X
YOU MUST USE THE CHANGE FORM TO REPORT A CHANGE OF ADDRESS
A.
Enter the number of Philadelphia Residents for whom wage tax was remitted for the pay period including M
B.
Enter the number of nonresidents (employees living outside Philadelphia city limits) for whom wage tax was
including March 12, 20XX.
C.
Total number of employees for all company locations reported on the Employer's Federal Quarterly Tax Ret
20XX (for the pay period including March 12, 20XX)
D.
Number of employees working at company locations within Philadelphia city limits, for the pay period inclu
1.
Gross Compensation per W-2 forms for all employees
2.
Non-taxable Gross Compensation included in Line 1. (payments to non-residents working outside of Philade
3.
Gross Compensation per W-2 forms on which Philadelphia Wage Tax was withheld or due (Line 1 minus Line
4.
Total Taxable Gross Compensation paid to residents of Philadelphia in 20XX
5.
Tax Due (Line 4 times tax rate: see text for rate)
6.
Total Taxable Gross Compensation paid to non-residents of Philadelphia in 20XX
7.
Tax due (Line 6 times tax rate: see text)
Enter rate
Enter rate
8.
Total Tax Due (Line 5 plus Line 7)
9.
Tax previously paid for 20XX
10. ADDITIONAL: TAX DUE If line 8 is greater than Line 9, enter the amount here
11. TAX OVERPAID If Line 9 is greater than Line 8, enter the amount here.
Under penalties of perjury, as set forth in 18 PA C. S. Sec. 4902-4903 as amended, I swear that I have reviewe
and to the best of my knowledge and belief, they are true and complete.
Taxpayer Signature
Date
Preparer Signature
Date
City Account Number
0001855
Federal Identification Number
ness terminated in 20XX enter termination date AND file a change form.
amended return place an "X" here:
r the pay period including March 12,20XX
mits) for whom wage tax was remitted for the pay period
r's Federal Quarterly Tax Return for the first quarter of
mits, for the pay period including March 12, 20XX
s working outside of Philadelphia)
eld or due (Line 1 minus Line 2)
A.
B.
C.
D.
d, I swear that I have reviewed this return and accompanying statements and schedules,
XX/XX/XX
Phone:
XX/XX/XX
Phone
XXX-XXX-XXXX
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
20--
Oct.
DESCRIPTION
9 Payroll Cash
Cash
POST.
REF.
DEBIT
12
11
12.340,13
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
CREDIT
12.340,13
958,33
224,14
836,00
474,55
9,25
598,37
16,00
12.340,13
958,32
224,12
22,91
176,26
20 Employees SIT Payable
Cash
25
11
474,55
23 Payroll Cash
Cash
12
11
12.401,43
474,55
12.401,43
Page 42
JOURNAL
DATE
20--
Oct.
Nov.
DESCRIPTION
POST.
REF.
DEBIT
23 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
Group Insurance Premiums Collected
Union Dues Payable
Payroll Cash
51
52
53
54
20,1
20,2
24
25
25,1
26
27
28
12
2.307,69
4.651,08
3.600,00
5.219,60
23 Payroll Taxes
FICA Taxes Payable - OASDI
FICA Taxes Payable - HI
FUTA Taxes Payable
SUTA Taxes Payable - Employer
56
20,1
20,2
21
22
1.387,46
CREDIT
978,26
228,80
868,00
484,42
9,45
610,81
181,20
16,00
12.401,43
978,26
228,79
4,15
176,26
4 Employees SIT Payable
Cash
25
11
484,42
6 Union Dues Payable
Cash
28
11
32,00
484,42
32,00
Page 43
JOURNAL
DATE
20--
Nov.
DESCRIPTION
6 Payroll Cash
Cash
POST.
REF.
DEBIT
12
11
12.240,52
6 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
4.605,85
3.600,00
4.898,00
6 Payroll Taxes
FICA Taxes Payable - OASDI
FICA Taxes Payable - HI
SUTA Taxes Payable - Employer
56
20,1
20,2
22
1.354,14
12
11
1.567,27
13 Payroll Cash
Cash
CREDIT
12.240,52
955,53
223,49
897,00
473,16
9,22
596,62
16,00
12.240,52
955,52
223,47
175,15
1.567,27
Page 44
JOURNAL
DATE
20--
Nov.
DESCRIPTION
POST.
REF.
DEBIT
13 Office Salaries
FICA Taxes Payable - OASDI
FICA Taxes Payable - HI
Employees FIT Payable
Employees SIT Payable
Employees SUTA Payable
Employees CIT Payable
Group Insurance Premiums Collected
Payroll Cash
52
20,1
20,2
24
25
25,1
26
27
12
2.079,32
13 Payroll Taxes
FICA Taxes Payable - OASDI
FICA Taxes Payable - HI
56
20,1
20,2
159,07
16 FICA Taxes Payabe-OASDI
FICA Taxes Payable-HI
Employee FIT Payable
Cash
20,1
20,2
24
11
3.873,17
905,85
1.704,00
16 Employee CIT Payable
Cash
26
11
1.209,18
18 Employees SIT Payable
Cash
25
11
537,00
20 Payroll Cash
Cash
12
11
9.444,49
51
52
53
54
20,1
20,2
24
25
25,1
26
27
28
29
12
2.307,69
3.398,00
3.600,00
4.616,40
20 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
Group Insurance Premiums Collected
Union Dues Payable
SIMPLE Contributions Payable
Payroll Cash
CREDIT
128,92
30,15
193,00
63,84
1,25
80,49
14,40
1.567,27
128,92
30,15
6.483,02
1.209,18
537,00
9.444,49
863,18
201,89
605,00
427,43
8,34
538,96
166,80
16,00
1.650,00
9.444,49
Page 45
JOURNAL
DATE
20--
Nov.
DESCRIPTION
20 Payroll Taxes
FICA Taxes Payable - OASDI
FICA Taxes Payable - HI
SUTA Taxes Payable - Employer
POST.
REF.
56
20,1
20,2
22
DEBIT
CREDIT
1.131,00
863,17
201,87
65,96
Page 46
JOURNAL
DATE
20--
DESCRIPTION
POST.
REF.
DEBIT
CREDIT
Page 47
JOURNAL
DATE
20--
DESCRIPTION
POST.
REF.
DEBIT
CREDIT
Page 48
JOURNAL
DATE
20--
DESCRIPTION
POST.
REF.
DEBIT
CREDIT
Page 49
JOURNAL
DATE
20--
DESCRIPTION
POST.
REF.
DEBIT
CREDIT
Page 50
JOURNAL
DATE
20--
DESCRIPTION
POST.
REF.
DEBIT
CREDIT
Total debits and credits (calculated automatically):
125.275,38 125.275,38
Your debits and credits should be equal after each journal entry is complete
Cumulative Journal Checkpoint Through Month Ending
59.220,32
125.275,38
October 31, 20-November 30, 20--
December 31, 20-January 31, 20--
GENERAL LEDGER
Checkpoints
ACCOUNT:
ACCOUNT NO. 11
CASH
DATE
ITEM
POST.
REF.
BALANCE
DEBIT
CREDIT
DEBIT
20--
Oct.
Nov.
1 Balance
9
20
23
4
6
6
13
16
16
16
20
a
J41
J41
J41
J42
J42
J43
J43
J44
J44
J44
J44
12.340,13
474,55
12.401,43
484,42
32,00
12.240,52
1.567,27
6.483,02
1.209,18
537,00
9.444,49
199.846,33
187.506,20
187.031,65
174.630,22
174.145,80
174.113,80
161.873,28
160.306,01
153.822,99
152.613,81
152.076,81
142.632,32
CREDIT
Debit
Balance
Oct. 31, 20-- 174.630,22
Nov. 30, 20-- 142.632,32
Dec. 31, 20--
Credit
Balance
0,00
0,00
0,00
ACCOUNT:
ACCOUNT NO. 12
PAYROLL CASH
DATE
ITEM
POST.
REF.
BALANCE
DEBIT
CREDIT
DEBIT
20--
Oct.
Nov.
9
9
23
23
6
6
13
13
20
20
J41
J41
J41
J42
J43
J43
J43
J44
J44
J44
Checkpoints
12.340,13
12.340,13
12.401,43
12.401,43
12.240,52
12.240,52
1.567,27
1.567,27
9.444,49
9.444,49
12.340,13
0,00
12.401,43
0,00
12.240,52
0,00
1.567,27
0,00
9.444,49
0,00
CREDIT
Oct. 31, 20-Nov. 30, 20-Dec. 31, 20--
Debit
Balance
0,00
0,00
0,00
Credit
Balance
0,00
0,00
0,00
ACCOUNT:
ACCOUNT NO. 20.1
FICA TAXES PAYABLE - OASDI
DATE
ITEM
POST.
REF.
BALANCE
DEBIT
CREDIT
DEBIT
CREDIT
20--
Oct.
Nov.
9
9
23
23
6
6
13
13
16
20
20
J41
J41
J42
J42
J43
J43
J44
J44
J44
J44
J45
Checkpoints
958,33
958,32
978,26
978,26
955,53
955,52
128,92
128,92
3.873,17
863,18
863,17
958,33
1.916,65
2.894,91
3.873,17
4.828,70
5.784,22
5.913,14
6.042,06
2.168,89
3.032,07
3.895,24
Oct. 31, 20-Nov. 30, 20-Dec. 31, 20--
Debit
Balance
0,00
0,00
0,00
Credit
Balance
3.873,17
3.895,24
ACCOUNT:
ACCOUNT NO. 20.2
FICA TAXES PAYABLE - HI
DATE
ITEM
POST.
REF.
BALANCE
DEBIT
CREDIT
DEBIT
CREDIT
20--
Oct.
Nov.
9
9
23
23
6
6
13
13
16
20
20
J41
J41
J42
J42
J43
J43
J44
J44
J44
J44
J45
Checkpoints
224,14
224,12
228,80
228,79
223,49
223,47
30,15
30,15
905,85
201,89
201,87
224,14
448,26
677,06
905,85
1.129,34
1.352,81
1.382,96
1.413,11
507,26
709,15
911,02
Oct. 31, 20-Nov. 30, 20-Dec. 31, 20--
Debit
Balance
0,00
0,00
0,00
Credit
Balance
905,85
911,02
ACCOUNT:
ACCOUNT NO. 21
FUTA TAXES PAYABLE
DATE
ITEM
POST.
REF.
BALANCE
DEBIT
CREDIT
DEBIT
CREDIT
20--
Oct.
Dec
1 Balance
9
23
4
18
a
J41
J42
J46
J47
Checkpoints
22,91
4,15
6,48
14,76
392,94
415,85
420,00
426,48
441,24
Oct. 31, 20-Nov. 30, 20-Dec. 31, 20--
Debit
Balance
0,00
0,00
0,00
Credit
Balance
420,00
420,00
441,24
ACCOUNT:
ACCOUNT NO. 22
SUTA TAXES PAYABLE - EMPLOYER
DATE
ITEM
POST.
REF.
BALANCE
DEBIT
CREDIT
DEBIT
CREDIT
20--
Oct.
Nov.
Dec
9
23
6
20
4
18
J41
J42
J43
J45
J46
J47
Checkpoints
176,26
176,26
175,15
65,96
55,26
90,75
176,26
352,52
527,67
593,63
648,89
739,64
Oct. 31, 20-Nov. 30, 20-Dec. 31, 20--
Debit
Balance
0,00
0,00
0,00
Credit
Balance
352,52
593,63
739,64
ACCOUNT:
ACCOUNT NO. 24
EMPLOYEES FIT PAYABLE
DATE
ITEM
POST.
REF.
BALANCE
DEBIT
CREDIT
DEBIT
CREDIT
20--
Oct.
Nov.
9
23
6
13
16
20
J41
J42
J43
J44
J44
J44
Checkpoints
Debit
Balance
836,00
868,00
897,00
193,00
1.704,00
605,00
836,00
1.704,00
2.601,00
2.794,00
1.090,00
1.695,00
Oct. 31, 20-Nov. 30, 20-Dec. 31, 20--
Credit
Balance
1.704,00
1.695,00
ACCOUNT:
ACCOUNT NO. 25
EMPLOYEES SIT PAYABLE
DATE
ITEM
POST.
REF.
BALANCE
DEBIT
CREDIT
DEBIT
CREDIT
20--
Oct.
Nov.
9
20
23
4
6
13
18
20
J41
J41
J42
J42
J43
J44
J44
J44
Checkpoints
Debit
Balance
474,55
474,55
484,42
484,42
473,16
63,84
537,00
427,43
474,55
0,00
484,42
0,00
473,16
537,00
0,00
427,43
Oct. 31, 20-Nov. 30, 20-Dec. 31, 20--
Credit
Balance
484,42
427,43
ACCOUNT:
ACCOUNT NO. 25.1
EMPLOYEES SUTA PAYABLE
DATE
ITEM
POST.
REF.
BALANCE
DEBIT
CREDIT
DEBIT
CREDIT
20--
Oct.
Nov.
9
23
6
13
20
J41
J42
J43
J44
J44
Checkpoints
Debit
Balance
9,25
9,45
9,22
1,25
8,34
9,25
18,70
27,92
29,17
37,51
Oct. 31, 20-Nov. 30, 20-Dec. 31, 20--
Credit
Balance
18,70
37,51
ACCOUNT:
ACCOUNT NO. 26
EMPLOYEES CIT PAYABLE
DATE
ITEM
POST.
REF.
BALANCE
DEBIT
CREDIT
DEBIT
CREDIT
20--
Oct.
Nov.
9
23
6
13
16
20
J41
J42
J43
J44
J44
J44
Checkpoints
Debit
Balance
598,37
610,81
596,62
80,49
1.209,18
538,96
598,37
1.209,18
1.805,80
1.886,29
677,11
1.216,07
Oct. 31, 20-Nov. 30, 20-Dec. 31, 20--
Credit
Balance
1.209,18
1.216,07
ACCOUNT:
ACCOUNT NO. 27
GROUP INSURANCE PREMIUMS COLLECTED
DATE
ITEM
POST.
REF.
BALANCE
DEBIT
CREDIT
DEBIT
CREDIT
20--
Oct.
Nov.
Dec
23
13
20
4
14
18
J42
J44
J44
J45
J46
J47
Checkpoints
181,20
14,40
166,80
14,70
14,70
182,10
181,20
195,60
362,40
377,10
362,40
544,50
Oct. 31, 20-Nov. 30, 20-Dec. 31, 20--
Debit
Balance
0,00
0,00
0,00
Credit
Balance
181,20
362,40
544,50
ACCOUNT:
ACCOUNT NO. 28
UNION DUES PAYABLE
DATE
ITEM
POST.
REF.
Checkpoints
BALANCE
DEBIT
CREDIT
DEBIT
CREDIT
20--
Oct.
Nov.
Dec
9
23
6
6
20
4
9
18
J41
J42
J42
J43
J44
J45
J46
J47
16,00
16,00
32,00
16,00
16,00
16,00
32,00
18,00
16,00
32,00
0,00
16,00
32,00
48,00
16,00
34,00
Oct. 31, 20-Nov. 30, 20-Dec. 31, 20--
Debit
Balance
0,00
0,00
0,00
Credit
Balance
32,00
32,00
34,00
ACCOUNT:
ACCOUNT NO. 29
SIMPLE CONTRIBUTIONS PAYABLE
DATE
ITEM
POST.
REF.
BALANCE
DEBIT
CREDIT
DEBIT
CREDIT
20--
Nov.
20
J44
Checkpoints
1.650,00
1.650,00
Oct. 31, 20-Nov. 30, 20-Dec. 31, 20--
Debit
Balance
0,00
0,00
0,00
Credit
Balance
0,00
1.650,00
ACCOUNT:
ACCOUNT NO. 51
ADMINISTRATIVE SALARIES
DATE
ITEM
POST.
REF.
BALANCE
DEBIT
CREDIT
DEBIT
20--
Oct.
Nov.
1 Balance
9
23
6
20
a
J41
J42
J43
J44
Checkpoints
2.307,69
2.307,69
2.307,69
2.307,69
42.692,27
44.999,96
47.307,65
49.615,34
51.923,03
CREDIT
Oct. 31, 20-Nov. 30, 20-Dec. 31, 20--
Debit
Balance
47.307,65
51.923,03
Credit
Balance
0,00
0,00
0,00
ACCOUNT:
ACCOUNT NO. 52
OFFICE SALARIES
DATE
ITEM
POST.
REF.
BALANCE
DEBIT
CREDIT
DEBIT
20--
Oct.
Nov.
Dec
1 Balance
9
23
6
13
20
4
14
18
a
J41
J42
J43
J44
J44
J45
J46
J47
Checkpoints
4.651,08
4.651,08
4.605,85
2.079,32
3.398,00
4.628,00
2.394,00
3.474,00
28.350,00
33.001,08
37.652,16
42.258,01
44.337,33
47.735,33
52.363,33
54.757,33
58.231,33
CREDIT
Oct. 31, 20-Nov. 30, 20-Dec. 31, 20--
Debit
Balance
37.652,16
47.735,33
58.231,33
Credit
Balance
0,00
0,00
0,00
ACCOUNT:
ACCOUNT NO. 53
SALES SALARIES
DATE
ITEM
POST.
REF.
BALANCE
DEBIT
CREDIT
DEBIT
20--
Oct.
Nov.
Dec
1 Balance
9
23
6
20
4
18
a
J41
J42
J43
J44
J45
J46
Checkpoints
3.600,00
3.600,00
3.600,00
3.600,00
3.600,00
4.860,00
28.525,00
32.125,00
35.725,00
39.325,00
42.925,00
46.525,00
51.385,00
CREDIT
Oct. 31, 20-Nov. 30, 20-Dec. 31, 20--
Debit
Balance
35.725,00
42.925,00
51.385,00
Credit
Balance
0,00
0,00
0,00
ACCOUNT:
ACCOUNT NO. 54
PLANT WAGES
DATE
ITEM
POST.
REF.
BALANCE
DEBIT
CREDIT
DEBIT
20--
Oct.
Nov.
Dec
1 Balance
9
23
6
20
4
18
a
J41
J42
J43
J44
J45
J46
Checkpoints
4.898,00
5.219,60
4.898,00
4.616,40
5.188,60
5.509,40
42.657,30
47.555,30
52.774,90
57.672,90
62.289,30
67.477,90
72.987,30
CREDIT
Oct. 31, 20-Nov. 30, 20-Dec. 31, 20--
Debit
Balance
52.774,90
62.289,30
72.987,30
Credit
Balance
0,00
0,00
0,00
ACCOUNT:
ACCOUNT NO. 56
PAYROLL TAXES
DATE
ITEM
POST.
REF.
BALANCE
DEBIT
CREDIT
DEBIT
20--
Oct.
Nov.
1 Balance
9
23
6
13
20
a
J41
J42
J43
J44
J45
Checkpoints
1.381,61
1.387,46
1.354,14
159,07
1.131,00
14.353,07
15.734,68
17.122,14
18.476,28
18.635,35
19.766,35
CREDIT
Oct. 31, 20-Nov. 30, 20-Dec. 31, 20--
Debit
Balance
17.122,14
19.766,35
Credit
Balance
0,00
0,00
0,00
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.
N/AME
Filing 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-MFJ N/A
8 8 8 8 8
MFJ N/A
8 8 8 8 8
S N/A
8 8 8 8 8
MFJ N/A
8 8 8 8 8
MFJ N/A
8 8 8 8 8
S N/A
8 8 8 8 8
MFJ N/A
8 8 8 8 8
MFJ N/A
8 8 8 8 8
S N/A
8 8 8 8 4
S N/A
8 8 D 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
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
TOTALS
Payday, October 23, 20-- For Period Ending October 17, 20-Bonno, A.
MFJ N/A
8 8 8 8 8 4
Ferguson, J.
MFJ N/A
8 8 8 8 8
Ford, C.
S N/A
8 8 8 8 8
Mann, D.
MFJ N/A
8 8 8 8 8
O'Neill, J.
MFJ N/A
8 8 8 8 8
Russell, V.
S N/A
8 8 8 8 8
Ryan, N.
MFJ N/A
8 8 8 8 8
Sokowski, T.
MFJ N/A
8 8 8 8 8
(Student)
S N/A
8 8 8 8 4
Williams, R.
S N/A
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
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
TOTALS
Payday, November 6, 20-- For Period Ending October 31, 20-Bonno, A.
MFJ N/A
8 8 8 8 8
Ferguson, J.
MFJ N/A
8 8 8 8 8
Ford, C.
S N/A
8 8 8 8 8
Mann, D.
MFJ N/A
8 8 8 8 8
O'Neill, J.
MFJ N/A
8 8 8 8 8
Russell, V.
S N/A
8 8 8 8 6
Ryan, N.
MFJ N/A
8 8 8 8 8
Sokowski, T.
S N/A
8 8 8 8 8
(Student)
S N/A
8 8 8 8 4
Williams, R.
S N/A
8 8 8 7 8
Amount
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
8
8
8
8
8
8
8
8
8
8
4
8
80 17,60
80
80
80
80
78
80 18,00
80
72 14,00
79
TOTALS
6
8
136
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
45,00
139,00
82,00
39,00
146,00
80,00
49,00
118,00
56,00
82,00
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
836,00
474,55
9,25
1.513,60
2.250,00
1.220,00
1.350,00
2.307,69
1.200,00
1.656,00
2.050,00
1.008,00
1.223,08
93,84
139,50
75,64
83,70
143,08
74,40
102,67
127,10
62,50
75,83
21,95
32,63
17,69
19,58
33,46
17,40
24,01
29,73
14,62
17,73
55,00
139,00
82,00
39,00
146,00
80,00
71,00
118,00
56,00
82,00
46,47
69,08
37,45
41,45
70,85
36,84
50,84
62,94
30,95
37,55
0,91
1,35
0,73
0,81
1,38
0,72
0,99
1,23
0,60
0,73
15.778,37
978,26
228,80
868,00
484,42
9,45
1.408,00
2.250,00
1.220,00
1.350,00
2.307,69
1.170,00
1.440,00
2.050,00
1.008,00
1.207,85
1.408,00
2.250,00
1.220,00
1.350,00
2.307,69
1.170,00
1.440,00
2.050,00
1.008,00
1.207,85
87,30
139,50
75,64
83,70
143,08
72,54
89,28
127,10
62,50
74,89
20,42
32,63
17,69
19,58
33,46
16,97
20,88
29,73
14,62
17,51
45,00
139,00
82,00
39,00
146,00
75,00
49,00
186,00
56,00
80,00
43,23
69,08
37,45
41,45
70,85
35,92
44,21
62,94
30,95
37,08
0,84
1,35
0,73
0,81
1,38
0,70
0,86
1,23
0,60
0,72
15.411,54
15.411,54
955,53
223,49
897,00
473,16
9,22
2.079,32
2.079,32
128,92
30,15
193,00
63,84
1,25
2.079,32
2.079,32
128,92
30,15
193,00
63,84
1,25
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
15.456,77
Payday, November 13, 20-- For Period Ending November 14, 20-Williams, R.
S N/A
6 8 7 7 6
D D 8
TOTALS
GLO-BRITE PAINT COMPANY
4 26,40
105,60
8 27,00
216,00
321,60
No. W/H Allow.
N/AME
Filing 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
Payday, November 20, 20-- For Period Ending November 14, 20-Bonno, A.
MFJ N/A
8 8 8 8 8
Ferguson, J.
MFJ N/A
8 8 8 8 8
8
Ford, C.
S N/A
8 8 8 8 8
8
Mann, D.
MFJ N/A
8 8 8 8 8
8
O'Neill, J.
MFJ N/A
8 8 8 8 8
8
Russell, V.
S N/A
6 8 8 8 8
8
Ryan, N.
MFJ N/A
8 8 8 8 8
8
Sokowski, T.
S N/A
8 8 8 8 8
8
(Student)
S N/A
8 8 8 8 4
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
64 17,60
80
80
80
80
78
80 18,00
80
72 14,00
TOTALS
Payday, December 4, 20-- For Period Ending November 28, 20-Bonno, A.
m
4 8 8 8 8 8 8
8 8 8 8
Ferguson, J.
m
5 8 8 8 8 8 8
8 8 8
Ford, C.
s
2 8 8 8 8 8 8
8 8 8
Mann, D.
m
0 8 8 8 8 8 8
8 8 8
O'Neill, J.
m
3 8 8 8 8 8 8
8 8 8
Russell, V.
s
2 8 8 8 8 8 8
8 8 8
Ryan, N.
m
4 8 8 8 8 4 8
9 10 8
Sokowski, T.
s
2 8 8 8 8 8 8
8 8 8
(Student)
s
1 8 8 8 8 4 8
8 8 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
8
8
8
8
4
8
80
80
80
80
80
80
76
80
72
72
TOTALS
Payday, December 14, 20-- For Period Ending December 12, 20-Russell, V.
s
2
8 8 8 8 8
8
TOTALS
17,60
15,75
18,00
14,00
15,00
Amount
8
8
d
72
Rate
Per
Hrs. Hour
Amount
Deductions
Total
Earnings
OASDI
HI
FIT
SIT
SUTA
1.126,40
2.250,00
1.220,00
1.350,00
2.307,69
1.170,00
1.440,00
2.050,00
1.008,00
1.126,40
2.250,00
1.220,00
1.350,00
2.307,69
1.170,00
1.440,00
2.050,00
1.008,00
69,84
139,50
75,64
83,70
143,08
72,54
89,28
127,10
62,50
16,33
32,63
17,69
19,58
33,46
16,97
20,88
29,73
14,62
17,00
80,00
82,00
15,00
65,00
75,00
29,00
186,00
56,00
34,58
69,08
37,45
41,45
70,85
35,92
44,21
62,94
30,95
0,68
1,35
0,73
0,81
1,38
0,70
0,86
1,23
0,60
13.922,09
13.922,09
863,18
201,89
605,00
427,43
8,34
1.689,60
2.250,00
1.280,00
1.350,00
2.307,69
1.260,00
1.449,00
2.050,00
1.008,00
1.080,00
104,76
139,50
79,36
83,70
143,08
78,12
89,84
127,10
62,50
66,96
24,50
32,63
18,56
19,58
33,46
18,27
21,01
29,73
14,62
15,66
61,00
51,00
92,00
65,00
69,00
90,00
17,00
193,00
78,00
87,00
51,87
69,08
39,30
41,45
70,85
38,68
44,48
62,94
30,95
33,16
1,01
1,35
0,77
0,81
1,38
0,76
0,87
1,23
0,60
0,65
15.724,29
974,92
228,02
803,00
482,76
9,43
2.394,00
2.394,00
148,43
34,71
2.394,00
2.394,00
148,43
34,71
0,00
0,00
1,44
0,00
0,00
0,00
0,00
0,00
0,00
4.202,00 2.406,16
20.119,00 6.772,45
48,38
133,72
1.408,00
2.250,00
1.280,00
1.350,00
2.307,69
1.260,00
1.368,00
2.050,00
1.008,00
1.080,00
15.361,69
8
Overtime Earnings
8 35,20
281,60
0,00
23,63
3 27,00
0,00
21,00
22,50
81,00
362,60
1,44
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
80.766,38 5.007,57 1.171,20
222.990,95 13.825,49 3.233,47
Deductions
N/AME
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
672
673
674
675
676
677
678
679
680
681
0,00
610,81
181,20
16,00
682
683
684
685
686
687
688
689
690
691
0,00
596,62
0,00
16,00
692
693
694
695
696
697
698
699
700
701
0,00
Payday, November 13, 20-- For Period Ending November 14, 20-Williams, R.
80,49
14,40
TOTALS
80,49
14,40
0,00
FUTA
SUTA
Admin.
Office
Sales
Plant
1.148,70
1.781,34
959,26
1.113,20
1.823,58
944,19
1.172,02
1.631,64
804,31
961,89
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
12.340,13
15.456,77
15.456,77
1.212,34
1.754,94
944,86
1.097,30
1.796,58
930,09
1.317,58
1.607,64
792,61
947,49
1.513,60
2.250,00
1.220,00
1.350,00
2.307,69
1.200,00
1.656,00
2.050,00
1.008,00
1.223,08
1.513,60
2.250,00
1.220,00
1.350,00
2.307,69
1.200,00
1.656,00
2.050,00
1.008,00
1.223,08
12.401,43
15.778,37
15.778,37
1.148,70
1.781,34
959,26
1.113,20
1.823,58
923,58
1.172,02
1.563,64
804,31
950,89
1.408,00
2.250,00
1.220,00
1.350,00
2.307,69
1.170,00
1.440,00
2.050,00
1.008,00
1.207,85
1.408,00
2.250,00
1.220,00
1.350,00
2.307,69
1.170,00
1.440,00
2.050,00
1.008,00
1.207,85
12.240,52
15.411,54
15.411,54
1.567,27
2.079,32
2.079,32
1.567,27
2.079,32
2.079,32
1.408,00
2.250,00
700,00
1.350,00
1.220,00
1.350,00
Total earnings
Net paid
15.456,77
12.340,13
1.220,00
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
1.513,60
2.250,00
250,00
1.220,00
1.350,00
Total earnings
Net paid
15.778,37
12.401,43
1.220,00
1.350,00
2.307,69
1.200,00
1.200,00
1.656,00
2.050,00
442,00
1.008,00
692,00
4.778,00
1.008,00
1.223,08
2.307,69
4.651,08
3.600,00
5.219,60
Checkpoints
Payday, November 6, 20-- For Period Ending October 31, 20-Bonno, A.
54,51
8,00
Ferguson, J.
87,10
Ford, C.
47,23
Mann, D.
52,26
O'Neill, J.
89,34
Russell, V.
45,29
Ryan, N.
55,75
8,00
Sokowski, T.
79,36
(Student)
39,02
Williams, R.
46,76
TOTALS
HI
Checkpoints
Payday, October 23, 20-- For Period Ending October 17, 20-Bonno, A.
58,59
16,50
8,00
Ferguson, J.
87,10
26,40
Ford, C.
47,23
14,40
Mann, D.
52,26
15,90
O'Neill, J.
89,34
27,00
Russell, V.
46,45
14,10
Ryan, N.
64,11
16,80
8,00
Sokowski, T.
79,36
24,00
(Student)
39,02
11,70
Williams, R.
47,35
14,40
TOTALS
OASDI
Labor Cost Distribution
Checkpoints
For Period Ending October 3, 20-54,51
8,00
87,10
47,23
52,26
89,34
46,45
55,75
8,00
79,36
39,02
47,35
598,37
Amount
Taxable Earnings
0,00
1.408,00
2.250,00
1.220,00
1.350,00
Total earnings
Net paid
15.411,54
12.240,52
1.220,00
1.350,00
2.307,69
1.170,00
1.170,00
1.440,00
2.050,00
1.008,00
0,00
4.748,00
1.008,00
1.207,85
2.307,69
4.605,85
3.600,00
4.898,00
Checkpoints
702
2.079,32
0,00
0,00
0,00
2.079,32
Total earnings
Net paid
0,00
0,00
2.079,32
1.567,27
Deductions
N/AME
Net Paid
CIT
Group
Ins.
Union
Dues
Ck.
SIMPLE No.
Payday, October
9, 20,
20--20--For
3, 20-November
ForPeriod
PeriodEnding
EndingOctober
November
14, 20-Bonno, A.
43,61
16,50
8,00
Ferguson, J.
87,10
26,40
500,00
Ford, C.
47,23
14,40
Mann, D.
52,26
15,90
250,00
O'Neill, J.
89,34
27,00
700,00
Russell, V.
45,29
14,10
Ryan, N.
55,75
16,80
8,00
200,00
Sokowski, T.
79,36
24,00
(Student)
39,02
11,70
TOTALS
538,96
166,80
TOTALS
608,72 5.706,69
TOTALS
0,00
0,00
0,00
0,00
HI
FUTA
SUTA
Admin.
Office
Sales
Plant
919,86
1.313,94
944,86
871,30
1.177,58
909,48
975,22
1.539,64
792,61
1.126,40
2.250,00
1.220,00
1.350,00
2.307,69
1.170,00
1.440,00
2.050,00
1.008,00
1.126,40
2.250,00
1.220,00
1.350,00
2.307,69
1.170,00
1.440,00
2.050,00
1.008,00
1.126,40
9.444,49
13.922,09
13.922,09
1.373,05
-380,66
1.000,46
-262,80
-407,11
985,39
-237,29
1.556,64
782,31
834,76
1.689,60
2.250,00
1.280,00
1.350,00
2.307,69
1.260,00
1.449,00
2.050,00
1.008,00
1.080,00
1.689,60
2.250,00
1.280,00
1.350,00
2.307,69
1.260,00
1.449,00
2.050,00
1.008,00
1.080,00
1.080,00
418,00
1.080,00
5.244,75
15.724,29
15.724,29
1.080,00
1.498,00
2.209,42
2.394,00
2.394,00
2.209,42
2.394,00
2.394,00
2.250,00
40,00
550,00
QTR
YEAR
0,00
0,00
3.033,97 6.069,09
8.539,77 6.999,49
0,00
0,00
80,00 3.300,00
224,00 3.300,00
13.922,09
9.444,49
1.220,00
1.350,00
2.307,69
190,00
1.170,00
1.440,00
2.050,00
1.008,00
0,00
1.788,00
1.008,00
2.307,69
3.398,00
3.600,00
4.616,40
1.689,60
2.250,00
Total earnings
Net paid
15.724,29
1.280,00
1.350,00
2.307,69
1.260,00
1.449,00
2.050,00
1.008,00
1.080,00
2.307,69
4.628,00
3.600,00
5.188,60
Checkpoints
722
2.394,00
0,00
0,00
0,00
2.394,00
Total earnings
Net paid
0,00
2.394,00
2.194,72
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.
(Student)
Woods, B.
Young, P.
TOTALS
Total earnings
Net paid
Checkpoints
712
713
714
715
716
717
718
719
720
721
16,00 1.650,00
Payday, December 14, 20-- For Period Ending December 12, 20-Russell, V.
OASDI
Labor Cost Distribution
Checkpoints
703
704
705
706
707
708
709
710
711
16,00 1.650,00
Payday, December 4, 20-- For Period Ending November 28, 20-Bonno, A.
65,41
8,00
Ferguson, J.
87,10 1.750,00
500,00
Ford, C.
49,55
Mann, D.
52,26 1.100,00
250,00
O'Neill, J.
89,34 1.607,69
700,00
Russell, V.
48,78
Ryan, N.
56,09 1.249,00
8,00
200,00
Sokowski, T.
79,36
(Student)
39,02
Woods, B.
41,81
Amount
Taxable Earnings
Total earnings
Net paid
Checkpoints-Annual
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
55.448,01 80.766,38 80.766,38
5.590,00 17.590,00
159.843,56 222.990,95 222.990,95 71.080,00 101.080,00
0,00
0,00
0,00
0,00
11.538,45 26.407,33 18.000,00 24.820,60
58.231,33 51.385,00 72.987,30
73.540,00
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
UNION DUES
$55,000 --$.30/M
$8 each pay
N/AME - LAST
FIRST
BONNO
Anthony
$
$
$
$
SALARY
OTHER
WEEKLY RATE
HOURLY RATE
20___
PAYDAY
REGULAR EARNINGS
HRS.
RATE
YEAR-TO-DATE
1
10/9
2
10/23
3
11/6
4
11/20
5
12/4
6
12/18
QTR. TOT.
YR. TOT.
80
80
80
64
80
80
464
17,60
17,60
17,60
17,60
17,60
17,60
AMOUNT
OVERTIME EARNINGS
HRS. RATE
10.293,40
1.408,00
1.408,00
1.408,00
1.126,40
1.408,00
1.408,00
8.166,40
18.459,80
4
26,40
8
12
35,20
35,20
Checkpoint
OVERTIME RATE
CUMULATIVE
EARNINGS
1.028,60
0.00
105,60
0.00
0.00
281,60
422,40
809,60
1.838,20
11.322,00
12.730,00
14.243,60
15.651,60
16.778,00
18.467,60
20.298,00
8.976,00
20.298,00
8.976,00
20.298,00
DEPARTMENT
OCCUPATION
WORKS IN (STATE)
Sales
Sales Manager
PA
SEX
M
F
x
HI
701,96
87,30
93,84
87,30
69,84
104,76
113,48
556,52
1.258,48
164,17
20,42
21,95
20,42
16,33
24,50
26,54
130,16
294,33
FIT
SIT
810,00
45,00
55,00
45,00
17,00
347,59
43,23
46,47
43,23
34,58
51,87
56,19
275,57
623,16
S.S. ACCOUNT NO.
000-00-8645
OTHER
FERGUSON
$
$
$
$
OVERTIME RATE
OVERTIME EARNINGS
PAYDAY
YEAR-TO-DATE
1
10/9
2
10/23
3
11/6
4
11/20
5
12/4
6
12/18
QTR. TOT.
YR. TOT.
CUMULATIVE
80
80
80
80
80
80
480
RATE
AMOUNT
HRS. RATE
23.125,00
2.250,00
2.250,00
2.250,00
2.250,00
2.250,00
2.250,00
13.500,00
36.625,00
Checkpoint
23.125,00
25.375,00
27.625,00
29.875,00
32.125,00
34.375,00
36.625,00
13.500,00
36.625,00
13.500,00
36.625,00
6,79
0,84
0,91
0,84
0,68
1,01
1,10
5,38
12,17
SIMPLE
438,30
54,51
58,59
54,51
43,61
65,41
70,86
347,49
785,79
OTHER
CK.
DEDUCTIONS NO.
216,80
8,00
24,50
8,00
24,50
AMOUNT
8.636,39
1.148,70
1.212,34
1.148,70
919,86
1.442,05
1.562,23
7.433,88
16.070,27
672
682
692
703
712
723
MIDDLE
James
58.500 /yr.
1.125,00
28,13
Claude
W/H
FILING
ALLOW.
STATUS
N/A
MFJ
NET PAID
FICA
OASDI
AMOUNT
CIT
DEDUCTIONS
EARNINGS
HRS.
MFJ
NET PAID
FIRST
HOURLY RATE
REGULAR EARNINGS
STATUS
N/A
SUTA
N/AME - LAST
WEEKLY RATE
$88,000 -- $.30/M
20___
FILING
ALLOW.
Checkpoint
SALARY
UNION DUES
17,60
26,40
FICA
OTHER DEDUCTIONS INFORMATION
GROUP INSURANCE
Victor
W/H
DEDUCTIONS
OASDI
AMOUNT
MIDDLE
1.433,75
139,50
139,50
139,50
139,50
139,50
139,50
837,00
2.270,75
OTHER
HI
335,31
32,63
32,63
32,63
32,63
32,63
32,63
195,78
531,09
FIT
2.291,00
139,00
139,00
139,00
80,00
SIT
SUTA
709,94
69,08
69,08
69,08
69,08
69,08
69,08
414,48
1.124,42
Checkpoint
13,88
1,35
1,35
1,35
1,35
1,35
1,35
8,10
21,98
CIT
895,22
87,10
87,10
87,10
87,10
87,10
87,10
522,60
1.417,82
SIMPLE
CK.
DEDUCTIONS NO.
132,30
26,40
500,00
500,00
500,00
1.500,00
1.500,00
26,40
26,40
79,20
211,50
673
683
693
704
713
724
AMOUNT
17.313,60
1.781,34
1.754,94
1.781,34
1.313,94
1.420,34
1.393,94
9.445,84
26.759,44
OCCUPATION
DEPARTMENT
WORKS IN (STATE)
SEX
S.S. ACCOUNT NO.
M
Office
Executive Secretary
x
PA
000-00-4567
OTHER DEDUCTIONS INFORMATION
GROUP INSURANCE
N/AME - LAST
FIRST
FORD
$
$
$
$
SALARY
UNION DUES
OTHER
WEEKLY RATE
HOURLY RATE
$48,000--$.30/M
20___
OVERTIME RATE
REGULAR EARNINGS
OVERTIME EARNINGS
PAYDAY
RATE
10/9
2
10/23
3
11/6
4
11/20
5
12/4
6
12/18
QTR. TOT.
AMOUNT
HRS. RATE
80
80
80
80
80
80
480
YR. TOT.
OCCUPATION
DEPARTMENT
WORKS IN (STATE)
SEX
M
Sales
Sales Representative
390,60
75,64
75,64
75,64
75,64
79,36
79,36
461,28
851,88
91,35
17,69
17,69
17,69
17,69
18,56
18,56
107,88
199,23
FIT
SIT
639,00
82,00
82,00
82,00
82,00
193,41
37,45
37,45
37,45
37,45
39,30
39,30
228,40
421,81
S.S. ACCOUNT NO.
000-00-9352
MANN
$
$
$
$
OTHER
WEEKLY RATE
OVERTIME RATE
PAYDAY
YEAR-TO-DATE
1
10/9
2
10/23
3
11/6
4
11/20
5
12/4
6
12/18
QTR. TOT.
YR. TOT.
CUMULATIVE
80
80
80
80
80
80
480
RATE
AMOUNT
HRS. RATE
Checkpoint
5.400,00
6.750,00
8.100,00
9.450,00
10.800,00
12.150,00
13.500,00
8.100,00
13.500,00
8.100,00
SIMPLE
243,89
47,23
47,23
47,23
47,23
49,55
49,55
288,02
531,91
CK.
DEDUCTIONS NO.
AMOUNT
37,80
14,40
14,40
4.700,17
959,26
944,86
959,26
944,86
1.092,46
1.092,46
5.993,16
10.693,33
674
684
694
705
MIDDLE
13.500,00
Dewey
2.925 /mo.
675,00
16,88
Wilson
W/H
FILING
ALLOW.
STATUS
N/A
MFJ
NET PAID
FICA
OASDI
AMOUNT
5.400,00
1.350,00
1.350,00
1.350,00
1.350,00
1.350,00
1.350,00
8.100,00
13.500,00
S
DEDUCTIONS
EARNINGS
HRS.
3,78
0,73
0,73
0,73
0,73
0,77
0,77
4,46
8,24
CIT
FIRST
SALARY
UNION DUES
OVERTIME EARNINGS
SUTA
N/AME - LAST
HOURLY RATE
REGULAR EARNINGS
N/A
Checkpoint
$53,000 -- $.30/M
20___
STATUS
OTHER
HI
OTHER DEDUCTIONS INFORMATION
GROUP INSURANCE
FILING
ALLOW.
F
x
PA
W/H
NET PAID
13.740,00
7.440,00
Louise
FICA
6.300,00
7.520,00
8.740,00
9.960,00
11.180,00
12.460,00
13.740,00
7.440,00
13.740,00
Checkpoint
Catherine
2.643,33 /mo.
610,00
15,25
22,88
DEDUCTIONS
OASDI
AMOUNT
6.300,00
1.220,00
1.220,00
1.220,00
1.220,00
1.280,00
1.280,00
7.440,00
13.740,00
YEAR-TO-DATE
1
CUMULATIVE
EARNINGS
HRS.
MIDDLE
F
334,80
83,70
83,70
83,70
83,70
83,70
83,70
502,20
837,00
OTHER
HI
78,30
19,58
19,58
19,58
19,58
19,58
19,58
117,48
195,78
FIT
SIT
332,00
39,00
39,00
39,00
15,00
165,78
41,45
41,45
41,45
41,45
41,45
41,45
248,70
414,48
SUTA
3,24
0,81
0,81
0,81
0,81
0,81
0,81
4,86
8,10
CIT
209,04
52,26
52,26
52,26
52,26
52,26
52,26
313,56
522,60
SIMPLE
CK.
DEDUCTIONS NO.
31,50
15,90
250,00
250,00
250,00
750,00
750,00
Checkpoint
15,90
15,90
47,70
79,20
675
685
695
706
715
726
AMOUNT
4.245,34
1.113,20
1.097,30
1.113,20
871,30
902,20
886,30
5.983,50
10.228,84
OCCUPATION
DEPARTMENT
WORKS IN (STATE)
SEX
S.S. ACCOUNT NO.
M
Administrative
President
x
PA
000-00-1534
OTHER DEDUCTIONS INFORMATION
GROUP INSURANCE
N/AME - 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
10/9
2
10/23
3
11/6
4
11/20
5
12/4
6
12/18
AMOUNT
HRS. RATE
80
80
80
80
Joseph
60.000 /yr.
2.307,69
Tyler
FILING
ALLOW.
STATUS
N/A
MFJ
NET PAID
FICA
42.692,27
44.999,96
47.307,65
49.615,34
51.923,03
W/H
DEDUCTIONS
OASDI
AMOUNT
42.692,27
2.307,69
2.307,69
2.307,69
2.307,69
YEAR-TO-DATE
1
CUMULATIVE
EARNINGS
HRS.
MIDDLE
F
OTHER
HI
2.646,92
143,08
143,08
143,08
143,08
619,04
33,46
33,46
33,46
33,46
FIT
6.116,00
146,00
146,00
146,00
65,00
SIT
SUTA
1.310,65
70,85
70,85
70,85
70,85
25,62
1,38
1,38
1,38
1,38
CIT
1.652,70
89,34
89,34
89,34
89,34
SIMPLE
CK.
DEDUCTIONS NO.
AMOUNT
202,50
27,00
700,00
27,00
30.118,84
1.823,58
1.796,58
1.823,58
1.177,58
676
686
696
707
QTR. TOT.
YR. TOT.
Checkpoint
Checkpoint
OCCUPATION
DEPARTMENT
WORKS IN (STATE)
SEX
S.S. ACCOUNT NO.
M
Office
Time Clerk
x
PA
000-00-6337
OTHER DEDUCTIONS INFORMATION
GROUP INSURANCE
N/AME - LAST
FIRST
RUSSELL
$
$
$
$
SALARY
UNION DUES
OTHER
WEEKLY RATE
HOURLY RATE
$47,000 -- $.30/M
20___
REGULAR EARNINGS
OVERTIME RATE
OVERTIME EARNINGS
PAYDAY
YEAR-TO-DATE
1
10/9
2
10/23
3
11/6
4
11/20
5
12/4
6
12/14
QTR. TOT.
YR. TOT.
CUMULATIVE
80
80
78
78
80
72
468
RATE
AMOUNT
HRS. RATE
6.240,00
1.200,00
1.200,00
1.170,00
1.170,00
1.260,00
2.394,00
8.394,00
14.634,00
Checkpoint
6.240,00
7.440,00
8.640,00
9.810,00
10.980,00
12.240,00
14.634,00
8.394,00
14.634,00
8.394,00
14.634,00
Aloise
W/H
FILING
ALLOW.
STATUS
N/A
S
NET PAID
FICA
OASDI
AMOUNT
Virginia
2.600 /mo.
600,00
15,00
22,50
DEDUCTIONS
EARNINGS
HRS.
MIDDLE
F
386,88
74,40
74,40
72,54
72,54
78,12
148,43
520,43
907,31
OTHER
HI
90,48
17,40
17,40
16,97
16,97
18,27
34,71
121,72
212,20
FIT
SIT
642,00
80,00
80,00
75,00
75,00
191,56
36,84
36,84
35,92
35,92
38,68
0,00
184,20
375,76
310,00
952,00
SUTA
3,74
0,72
0,72
0,70
0,70
0,76
1,44
5,04
8,78
CIT
SIMPLE
241,56
46,45
46,45
45,29
45,29
48,78
0,00
232,26
473,82
Checkpoint
CK.
DEDUCTIONS NO.
31,50
14,10
14,10
14,70
42,90
74,40
677
687
697
708
717
722
AMOUNT
4.652,28
944,19
930,09
923,58
909,48
1.075,39
2.194,72
6.977,45
11.629,73
OCCUPATION
DEPARTMENT
WORKS IN (STATE)
SEX
M
Plant
Electrician
S.S. ACCOUNT NO.
x
PA
000-00-1223
OTHER DEDUCTIONS INFORMATION
GROUP INSURANCE
UNION DUES
$56,000 -- $.30/M
$8 each pay
N/AME - LAST
FIRST
RYAN
Norman
$
$
$
$
SALARY
OTHER
WEEKLY RATE
HOURLY RATE
20___
REGULAR EARNINGS
OVERTIME EARNINGS
PAYDAY
RATE
YEAR-TO-DATE
1
10/9
2
10/23
3
11/6
4
11/20
5
12/4
6
12/18
QTR. TOT.
OVERTIME RATE
CUMULATIVE
80
80
80
80
79
80
479
18,00
18,00
18,00
18,00
18,00
18,00
YR. TOT.
AMOUNT
13.287,50
1.440,00
1.440,00
1.440,00
1.440,00
1.422,00
1.440,00
8.622,00
21.909,50
HRS. RATE
8
27,00
3
7
27,00
27,00
Checkpoint
OCCUPATION
DEPARTMENT
1.397,80
0.00
216,00
0.00
0.00
81,00
189,00
486,00
1.883,80
14.685,30
16.125,30
17.781,30
19.221,30
20.661,30
22.164,30
23.793,30
9.108,00
23.793,30
9.054,00
23.739,30
SEX
M
Plant
Supervisor
910,49
89,28
102,67
89,28
89,28
93,19
101,00
564,70
1.475,19
212,94
20,88
24,01
20,88
20,88
21,79
23,62
132,06
345,00
FIT
1.070,00
49,00
71,00
49,00
29,00
SIT
S.S. ACCOUNT NO.
N/AME - LAST
000-00-8832
SOKOWSKI
OTHER
WEEKLY RATE
YEAR-TO-DATE
1
10/9
2
10/23
3
11/6
4
11/20
5
12/4
6
12/18
QTR. TOT.
YR. TOT.
CUMULATIVE
80
80
80
80
80
80
480
RATE
AMOUNT
HRS. RATE
Checkpoint
16.650,00
18.700,00
20.750,00
22.800,00
24.850,00
26.900,00
28.950,00
12.300,00
28.950,00
12.300,00
200,00
200,00
200,00
600,00
600,00
CK.
DEDUCTIONS NO.
235,70
8,00
24,80
8,00
24,80
8,00
AMOUNT
678
688
698
709
718
728
11.228,02
1.172,02
1.317,58
1.172,02
975,22
1.074,80
1.190,33
6.901,97
18.129,99
MIDDLE
28.950,00
James
1.025,00
25,63
W/H
FILING
ALLOW.
STATUS
N/A
MFJ
NET PAID
FICA
OASDI
AMOUNT
16.650,00
2.050,00
2.050,00
2.050,00
2.050,00
2.050,00
2.050,00
12.300,00
28.950,00
568,50
55,75
64,11
55,75
55,75
58,18
63,06
352,60
921,10
SIMPLE
DEDUCTIONS
EARNINGS
HRS.
8,81
0,86
0,99
0,86
0,86
0,90
0,98
5,45
14,26
CIT
Thomas
$
$
$
$
OVERTIME RATE
PAYDAY
MFJ
NET PAID
FIRST
SALARY
UNION DUES
OVERTIME EARNINGS
SUTA
450,84
44,21
50,84
44,21
44,21
46,14
50,01
279,62
730,46
HOURLY RATE
REGULAR EARNINGS
N/A
Checkpoint
$80,000 -- $.30/M
20___
STATUS
OTHER
HI
OTHER DEDUCTIONS INFORMATION
GROUP INSURANCE
FILING
ALLOW.
F
x
PA
18,00
27,00
FICA
OASDI
AMOUNT
WORKS IN (STATE)
Allen
W/H
DEDUCTIONS
EARNINGS
HRS.
MIDDLE
F
1.032,30
127,10
127,10
127,10
127,10
127,10
127,10
762,60
1.794,90
OTHER
HI
241,43
29,73
29,73
29,73
29,73
29,73
29,73
178,38
419,81
FIT
2.002,00
118,00
118,00
186,00
186,00
SIT
511,16
62,94
62,94
62,94
62,94
62,94
62,94
377,64
888,80
SUTA
9,99
1,23
1,23
1,23
1,23
1,23
1,23
7,38
17,37
CIT
SIMPLE
644,55
79,36
79,36
79,36
79,36
79,36
79,36
476,16
1.120,71
Checkpoint
CK.
DEDUCTIONS NO.
94,50
24,00
24,00
24,00
72,00
166,50
679
689
699
710
719
729
AMOUNT
12.114,07
1.631,64
1.607,64
1.563,64
1.539,64
1.749,64
1.725,64
9.817,84
21.931,91
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
YEAR-TO-DATE
1
10/9
2
10/23
3
11/6
4
11/20
5
12/4
6
12/18
QTR. TOT.
CUMULATIVE
72
72
72
72
72
71
431
14,00
14,00
14,00
14,00
14,00
14,00
YR. TOT.
AMOUNT
HRS. RATE
5.550,00
6.558,00
7.566,00
8.574,00
9.582,00
10.590,00
11.584,00
6.034,00
11.584,00
Checkpoint
OCCUPATION
DEPARTMENT
WORKS IN (STATE)
SEX
Office
Programmer
OTHER
HI
344,10
62,50
62,50
62,50
62,50
62,50
61,63
374,13
718,23
80,48
14,62
14,62
14,62
14,62
14,62
14,41
87,51
167,99
SIT
x
PA
000-00-6741
409,00
56,00
56,00
56,00
56,00
170,38
30,95
30,95
30,95
30,95
30,95
30,52
185,27
355,65
N/AME - LAST
WILLIAMS
$
$
$
$
UNION DUES
OTHER
WEEKLY RATE
HOURLY RATE
REGULAR EARNINGS
OVERTIME RATE
OVERTIME EARNINGS
PAYDAY
RATE
YEAR-TO-DATE
1
10/9
2
10/23
3
11/6
4
11/13
CUMULATIVE
80
80
79
136
15,29
15,29
AMOUNT
HRS. RATE
SIMPLE
214,85
39,02
39,02
39,02
39,02
39,02
38,48
233,58
448,43
CK.
DEDUCTIONS NO.
AMOUNT
32,40
11,70
11,70
11,70
35,10
67,50
4.295,46
804,31
792,61
804,31
792,61
860,31
836,66
4.890,81
9.186,27
680
690
700
711
720
730
MIDDLE
Virginia
W/H
FILING
ALLOW.
STATUS
N/A
S
NET PAID
FICA
OASDI
AMOUNT
Ruth
2.650 /mo.
611,54
15,29
22,94
DEDUCTIONS
EARNINGS
HRS.
3,33
0,60
0,60
0,60
0,60
0,60
0,60
3,60
6,93
CIT
FIRST
SALARY
$48,000 -- $.30/M
20___
SUTA
F
OTHER DEDUCTIONS INFORMATION
GROUP INSURANCE
FIT
Checkpoint
S.S. ACCOUNT NO.
M
S
NET PAID
11.584,00
6.034,00
FILING
STATUS
N/A
FICA
OASDI
AMOUNT
5.550,00
1.008,00
1.008,00
1.008,00
1.008,00
1.008,00
994,00
6.034,00
11.584,00
14,00
21,00
W/H
ALLOW.
DEDUCTIONS
EARNINGS
HRS.
MIDDLE
Student
OTHER DEDUCTIONS INFORMATION
GROUP INSURANCE
N/AME - LAST
F
OTHER
HI
FIT
SIT
SUTA
CIT
SIMPLE
CK.
DEDUCTIONS NO.
AMOUNT
10.260,00
1.223,08
1.223,08
1.207,85
2.079,32
10.260,00
11.483,08
12.706,16
13.914,01
15.993,33
636,12
75,83
75,83
74,89
128,92
148,77
17,73
17,73
17,51
30,15
1.606,00
82,00
82,00
80,00
193,00
314,98
37,55
37,55
37,08
63,84
6,16
0,73
0,73
0,72
1,25
397,19
47,35
47,35
46,76
80,49
59,40
5.733,33
15.993,33
5.733,33
15.993,33
355,47
991,59
83,12
231,89
437,00
2.043,00
176,02
491,00
3,43
9,59
221,95
619,14
28,80
88,20
4.427,54
11.518,92
4.427,54
11.518,92
14,40
14,40
681
691
701
702
7.091,38
961,89
947,49
950,89
1.567,27
5
6
QTR. TOT.
YR. TOT.
375
Checkpoint
5.733,33
15.993,33
Checkpoint
OCCUPATION
DEPARTMENT
WORKS IN (STATE)
SEX
S.S. ACCOUNT NO.
M
Office
Programmer
x
PA
000-00-1587
OTHER DEDUCTIONS INFORMATION
GROUP INSURANCE
N/AME - LAST
FIRST
Woods
$
$
$
$
SALARY
UNION DUES
OTHER
WEEKLY RATE
HOURLY RATE
$47,000 -- $.30/M
20___
OVERTIME RATE
REGULAR EARNINGS
OVERTIME EARNINGS
PAYDAY
CUMULATIVE
RATE
AMOUNT
HRS. RATE
Beth
2600/mo
600,00
15,00
22,50
Anne
FILING
ALLOW.
STATUS
N/A
S
NET PAID
FICA
OASDI
AMOUNT
W/H
DEDUCTIONS
EARNINGS
HRS.
MIDDLE
F
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.
72
80
152
15,00
15,00
1.080,00
1.200,00
2.280,00
2.280,00
YR. TOT.
1.080,00
2.280,00
2.280,00
2.280,00
Checkpoint
WORKS IN (STATE)
SEX
M
Sales
Field Sales Rep
15,66
17,40
33,06
33,06
S.S. ACCOUNT NO.
x
PA
N/AME - LAST
000-00-6057
Young
$
$
$
$
OTHER
WEEKLY RATE
OVERTIME RATE
OVERTIME EARNINGS
PAYDAY
CUMULATIVE
RATE
AMOUNT
HRS. RATE
MIDDLE
Winston
W/H
FILING
ALLOW.
STATUS
1
S
NET PAID
FICA
OASDI
AMOUNT
Paul
2730/mo
630,00
15,75
DEDUCTIONS
EARNINGS
HRS.
921,76
1.024,19
1.945,95
1.945,95
FIRST
SALARY
UNION DUES
REGULAR EARNINGS
41,81
46,45
88,26
88,26
F
HOURLY RATE
20___
0,65
0,72
1,37
1,37
Checkpoint
OTHER DEDUCTIONS INFORMATION
GROUP INSURANCE
33,16
36,84
70,00
70,00
2.280,00
2.280,00
OCCUPATION
DEPARTMENT
66,96
74,40
141,36
141,36
OTHER
HI
FIT
SIT
SUTA
CIT
SIMPLE
CK.
DEDUCTIONS NO.
AMOUNT
YEAR-TO-DATE
1
2
3
4
5
6
12/18
QTR. TOT.
YR. TOT.
80
80
1.260,00
1.260,00
1.260,00
Checkpoint
1.260,00
1.260,00
1.260,00
1.260,00
1.260,00
78,12
78,12
78,12
18,27
18,27
18,27
38,68
38,68
38,68
0,76
0,76
0,76
48,78
48,78
48,78
Checkpoint
732
1.075,39
1.075,39
1.075,39
OCCUPATION
DEPARTMENT
WORKS IN (STATE)
SEX
M
S.S. ACCOUNT NO.
OTHER DEDUCTIONS INFORMATION
GROUP INSURANCE
N/AME - LAST
FIRST
$
$
$
$
SALARY
UNION DUES
OTHER
WEEKLY RATE
HOURLY RATE
OVERTIME RATE
20___
REGULAR EARNINGS
OVERTIME EARNINGS
PAYDAY
CUMULATIVE
RATE
AMOUNT
HRS. RATE
FILING
STATUS
NET PAID
FICA
OASDI
AMOUNT
W/H
ALLOW.
DEDUCTIONS
EARNINGS
HRS.
MIDDLE
F
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
N/AME - 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
FILING
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
941 for 2021:
Form
(Rev. March 2021)
Employer’s QUARTERLY Federal Tax Return
950121
OMB No. 1545-0029
Department of the Treasury — Internal Revenue Service
Report for this Quarter of 2021
—
Employer identification number (EIN)
(Check one.)
1: January, February, March
Name (not your trade name)
2: April, May, June
Trade name (if any)
3: July, August, September
4: October, November, December
Address
Number
Street
Suite or room number
City
State
Foreign country name
Go to www.irs.gov/Form941 for
instructions and the latest information.
ZIP code
Foreign postal code
Foreign province/county
Read the separate instructions before you complete Form 941. Type or print within the boxes.
Part 1:
Answer these questions for this quarter.
Number of employees who received wages, tips, or other compensation for the pay period
including: Mar. 12 (Quarter 1), June 12 (Quarter 2), Sept. 12 (Quarter 3), or Dec. 12 (Quarter 4)
1
2
Wages, tips, and other compensation
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2
3
Federal income tax withheld from wages, tips, and other compensation .
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3
4
If no wages, tips, and other compensation are subject to social security or Medicare tax
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Column 1
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Column 2
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5a
Taxable social security wages .
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(i) Qualified sick leave wages .
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5a
(ii) Qualified family leave wages
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5b
Taxable social security tips .
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5c
Taxable Medicare wages & tips .
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5d
Taxable wages & tips subject to
Additional Medicare Tax withholding
5e
Total social security and Medicare taxes. Add Column 2 from lines 5a, 5a(i), 5a(ii), 5b, 5c, and 5d
5f
Section 3121(q) Notice and Demand—Tax due on unreported tips (see instructions)
6
Total taxes before adjustments. Add lines 3, 5e, and 5f .
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7
Current quarter’s adjustment for fractions of cents .
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8
Current quarter’s adjustment for sick pay .
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9
Current quarter’s adjustments for tips and group-term life insurance .
10
Total taxes after adjustments. Combine lines 6 through 9
× 0.124 =
× 0.062 =
× 0.062 =
× 0.124 =
× 0.029 =
× 0.009 =
Check and go to line 6.
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5e
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5f
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6
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7
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8
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9
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10
11a
Qualified small business payroll tax credit for increasing research activities. Attach Form 8974
11a
11b
Nonrefundable portion of credit for qualified sick and family leave wages from Worksheet 1
11b
11c
Nonrefundable portion of employee retention credit from Worksheet 1
11c
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Next ■▶
You MUST complete all three pages of Form 941 and SIGN it.
For Privacy Act and Paperwork Reduction Act Notice, see the back of the Payment Voucher.
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Cat. No. 17001Z
Form 941 (Rev. 3-2021)
950221
Name (not your trade name)
Part 1:
Employer identification number (EIN)
Answer these questions for this quarter. (continued)
11d
Total nonrefundable credits. Add lines 11a, 11b, and 11c
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11d
12
Total taxes after adjustments and nonrefundable credits. Subtract line 11d from line 10
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12
13a
Total deposits for this quarter, including overpayment applied from a prior quarter and
overpayments applied from Form 941-X, 941-X (PR), 944-X, or 944-X (SP) filed in the current quarter 13a
13b
Reserved for future use .
13c
Refundable portion of credit for qualified sick and family leave wages from Worksheet 1
13d
Refundable portion of employee retention credit from Worksheet 1 .
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13d
13e
Total deposits and refundable credits. Add lines 13a, 13c, and 13d
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13e
13f
Total advances received from filing Form(s) 7200 for the quarter .
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13f
13g
Total deposits and refundable credits less advances. Subtract line 13f from line 13e
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13g
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Balance due. If line 12 is more than line 13g, enter the difference and see instructions .
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14
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Overpayment. If line 13g is more than line 12, enter the difference
Part 2:
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13b
13c
Check one:
Apply to next return.
Send a refund.
Tell us about your deposit schedule and tax liability for this quarter.
If you’re unsure about whether you’re a monthly schedule depositor or a semiweekly schedule depositor, see section 11 of Pub. 15.
16 Check one:
Line 12 on this return is less than $2,500 or line 12 on the return for the prior quarter was less than $2,500,
and you didn’t incur a $100,000 next-day deposit obligation during the current quarter. If line 12 for the prior
quarter was less than $2,500 but line 12 on this return is $100,000 or more, you must provide a record of your
federal tax liability. If you’re a monthly schedule depositor, complete the deposit schedule below; if you’re a
semiweekly schedule depositor, attach Schedule B (Form 941). Go to Part 3.
You were a monthly schedule depositor for the entire quarter. Enter your tax liability for each month and total
liability for the quarter, then go to Part 3.
Tax liability:
Month 1
Month 2
Month 3
Total liability for quarter
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Total must equal line 12.
You were a semiweekly schedule depositor for any part of this quarter. Complete Schedule B (Form 941),
Report of Tax Liability for Semiweekly Schedule Depositors, and attach it to Form 941. Go to Part 3.
▶
You MUST complete all three pages of Form 941 and SIGN it.
Page 2
Next ■▶
Form 941 (Rev. 3-2021)
950921
Name (not your trade name)
Part 3:
17
Employer identification number (EIN)
Tell us about your business. If a question does NOT apply to your business, leave it blank.
If your business has closed or you stopped paying wages .
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enter the final date you paid wages
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Check here, and
; also attach a statement to your return. See instructions.
18
If you’re a seasonal employer and you don’t have to file a return for every quarter of the year .
19
Qualified health plan expenses allocable to qualified sick leave wages
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20
Qualified health plan expenses allocable to qualified family leave wages .
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21
Qualified wages for the employee retention credit
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21
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Qualified health plan expenses allocable to wages reported on line 21 .
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22
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Credit from Form 5884-C, line 11, for this quarter
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Reserved for future use .
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Reserved for future use .
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Part 4:
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Check here.
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May we speak with your third-party designee?
Do you want to allow an employee, a paid tax preparer, or another person to discuss this return with the IRS? See the instructions
for details.
Yes. Designee’s name and phone number
Select a 5-digit personal identification number (PIN) to use when talking to the IRS.
No.
Part 5:
Sign here. You MUST complete all three pages of Form 941 and SIGN it.
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge
and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
✗
Print your
name here
Sign your
name here
Date
Print your
title here
/
/
Best daytime phone
Paid Preparer Use Only
Check if you’re self-employed
Preparer’s name
PTIN
Preparer’s signature
Date
Firm’s name (or yours
if self-employed)
EIN
Address
Phone
City
Page 3
State
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ZIP code
Form 941 (Rev. 3-2021)
951020
This page intentionally left blank
Form 941-V,
Payment Voucher
Purpose of Form
Specific Instructions
Complete Form 941-V if you’re making a payment with
Form 941. We will use the completed voucher to credit
your payment more promptly and accurately, and to
improve our service to you.
Box 1—Employer identification number (EIN). If you
don’t have an EIN, you may apply for one online by
visiting the IRS website at www.irs.gov/EIN. You may also
apply for an EIN by faxing or mailing Form SS-4 to the
IRS. If you haven’t received your EIN by the due date of
Form 941, write “Applied For” and the date you applied in
this entry space.
Box 2—Amount paid. Enter the amount paid with
Form 941.
Box 3—Tax period. Darken the circle identifying the
quarter for which the payment is made. Darken only
one circle.
Box 4—Name and address. Enter your name and
address as shown on Form 941.
• Enclose your check or money order made payable to
“United States Treasury.” Be sure to enter your
EIN, “Form 941,” and the tax period (“1st Quarter 2021,”
“2nd Quarter 2021,” “3rd Quarter 2021,” or “4th Quarter
2021”) on your check or money order. Don’t send cash.
Don’t staple Form 941-V or your payment to Form 941 (or
to each other).
• Detach Form 941-V and send it with your payment
and Form 941 to the address in the Instructions for
Form 941.
Note: You must also complete the entity information
above Part 1 on Form 941.
To avoid a penalty, make your payment with Form 941
only if:
• Your total taxes after adjustments and nonrefundable
credits (Form 941, line 12) for either the current quarter or
the preceding quarter are less than $2,500, you didn’t
incur a $100,000 next-day deposit obligation during the
current quarter, and you’re paying in full with a timely filed
return; or
• You’re a monthly schedule depositor making a
payment in accordance with the Accuracy of Deposits
Rule. See section 11 of Pub. 15 for details. In this case,
the amount of your payment may be $2,500 or more.
Otherwise, you must make deposits by electronic funds
transfer. See section 11 of Pub. 15 for deposit
instructions. Don’t use Form 941-V to make federal tax
deposits.
Use Form 941-V when making any payment with
! Form 941. However, if you pay an amount with
CAUTION
Form 941 that should’ve been deposited, you
may be subject to a penalty. See Deposit Penalties in
section 11 of Pub. 15.
▲
Form
✁
▼
Detach Here and Mail With Your Payment and Form 941.
941-V
Payment Voucher
Department of the Treasury
Internal Revenue Service
1
▼
▶ Don’t
OMB No. 1545-0029
2021
staple this voucher or your payment to Form 941.
2
Enter your employer identification
number (EIN).
✃
Making Payments With Form 941
Dollars
Cents
Enter the amount of your payment. ▶
Make your check or money order payable to “United States Treasury”
4 Enter your business name (individual name if sole proprietor).
3 Tax Period
1st
Quarter
3rd
Quarter
2nd
Quarter
4th
Quarter
Enter your address.
Enter your city, state, and ZIP code; or your city, foreign country name, foreign province/county, and foreign postal code.
Form 941 (Rev. 3-2021)
Privacy Act and Paperwork Reduction Act Notice.
We ask for the information on Form 941 to carry out the
Internal Revenue laws of the United States. We need it to
figure and collect the right amount of tax. Subtitle C,
Employment Taxes, of the Internal Revenue Code
imposes employment taxes on wages and provides for
income tax withholding. Form 941 is used to determine
the amount of taxes that you owe. Section 6011 requires
you to provide the requested information if the tax is
applicable to you. Section 6109 requires you to provide
your identification number. If you fail to provide this
information in a timely manner, or provide false or
fraudulent information, you may be subject to penalties.
You’re not required to provide the information
requested on a form that is subject to the Paperwork
Reduction Act unless the form displays a valid OMB
control number. Books and records relating to a form or
its instructions must be retained as long as their contents
may become material in the administration of any Internal
Revenue law.
Generally, tax returns and return information are
confidential, as required by section 6103. However,
section 6103 allows or requires the IRS to disclose or
give the information shown on your tax return to others
as described in the Code. For example, we may
disclose your tax information to the Department of
Justice for civil and criminal litigation, and to cities,
states, the District of Columbia, and U.S. commonwealths
and possessions for use in administering their tax laws.
We may also disclose this information to other countries
under a tax treaty, to federal and state agencies to
enforce federal nontax criminal laws, or to federal law
enforcement and intelligence agencies to combat
terrorism.
The time needed to complete and file Form 941 will
vary depending on individual circumstances. The
estimated average time is:
Recordkeeping . . . . . . . . . . 20 hr., 19 min.
Learning about the law or the form . . . . 53 min.
Preparing, copying, assembling, and
sending the form to the IRS . . . . . 1 hr., 16 min.
If you have comments concerning the accuracy of
these time estimates or suggestions for making Form 941
simpler, we would be happy to hear from you. You can
send us comments from www.irs.gov/FormComments. Or
you can send your comments to Internal Revenue
Service, Tax Forms and Publications Division, 1111
Constitution Ave. NW, IR-6526, Washington, DC 20224.
Don’t send Form 941 to this address. Instead, see Where
Should You File? in the Instructions for Form 941.