2021 Bieg and Toland Payroll Accounting Chapter 7 Project (glo-brite) 50% complete already

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need help finishing 2021 short version publisher template; complete the part a tax deposit template, 2021 manual project part b forms template 2021, and fors 940 &941

2021 short version publisher template: employee earnings tab- only a few things are missing here- mainly FIT calculations, wh allow calculation and totals, and net paid amounts and totals. The blue boxes are a 'check your answer box'; payroll register tab- December 18th entries and totals, annual totals. checkpoints for verification; general register tab-filling any missing data and verifying totals on checkpoints

these totals will feed the part part a tax deposit template and the project part b forms template 2021 and the 940 and 941.

data for entries comes from the noted appendix a

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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 . . . . . . 2 3 Federal income tax withheld from wages, tips, and other compensation . . . . . . 3 4 If no wages, tips, and other compensation are subject to social security or Medicare tax 1 . . . . . Column 1 . . . . . . Column 2 . . . . . . 5a Taxable social security wages . . 5a (i) Qualified sick leave wages . . 5a (ii) Qualified family leave wages . 5b Taxable social security tips . . . 5c Taxable Medicare wages & tips . . 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 . . . . . . . . . 7 Current quarter’s adjustment for fractions of cents . . . . . . . . . 8 Current quarter’s adjustment for sick pay . . . . . . . . 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. . . . . . . 5e . . 5f . . . 6 . . . . 7 . . . . . 8 . . . . . . 9 . . . . . . 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 ▶ . . . . . . . . . . . . . . . . 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. . . . . . . . . . . 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 . . 11d 12 Total taxes after adjustments and nonrefundable credits. Subtract line 11d from line 10 . 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 . . . . . . . . 13d 13e Total deposits and refundable credits. Add lines 13a, 13c, and 13d . . . . . . . . 13e 13f Total advances received from filing Form(s) 7200 for the quarter . . . . . . . . . 13f 13g Total deposits and refundable credits less advances. Subtract line 13f from line 13e . . . . 13g 14 Balance due. If line 12 is more than line 13g, enter the difference and see instructions . . . 14 15 Overpayment. If line 13g is more than line 12, enter the difference Part 2: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 . . . . 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 . / enter the final date you paid wages / . . . . . . . . . . . . . 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 . . . . . . 19 20 Qualified health plan expenses allocable to qualified family leave wages . . . . . . 20 21 Qualified wages for the employee retention credit . . . . . . . 21 22 Qualified health plan expenses allocable to wages reported on line 21 . . . . . . . 22 23 Credit from Form 5884-C, line 11, for this quarter 24 Reserved for future use . . . . . . . . 25 Reserved for future use . . . . . . . . Part 4: . . . Check here. . . . . . . . . . . . . . 23 . . . . . . . . . . . . . . . . . . . 24 . . . . . . . . . . . . . . . 25 . . . . . . . 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 / . . . / 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.
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