PAYROLL RELIEF SAMPLE REPORTS

Widget Manufacturing Corp.

Payroll Register Report
Pay Period From 09/18/2012 to 09/24/2012, Pay Date: 09/28/2012, Payroll # 44 (Standard)
Earnings Hours Rate Current YTD Taxes Current YTD Deductions Current YTD ER Taxes* Current YTD

Department : Accounting
Emp# 1009 Nicholas Jefferson Location : NY1 Dept : 003 Group : Manufacturing Credit Weeks : 1
Net Pay: 701.06
Regular 40.00 25.00 1,000.00 33,400.00 FWT 163.32 5,716.20 ER SS 62.00 2,170.00
Holiday 1,600.00 SS W/H 42.00 1,470.00 ER MC 14.50 507.50
MC W/H 14.50 507.50 FUTA 0.00 42.00
NJ State Tax 29.37 1,027.95 NJ SUTA 0.00 636.30
NJ SDI 0.00 60.60
NJ SUI 0.00 128.78
NJ Family Leave Ins. 0.00 24.24
NY State Tax 49.75 1,741.25
Employee Tot: 40.00 1,000.00 35,000.00 298.94 10,676.52 0.00 0.00 76.50 3,355.80

Emp# 1006 Natalie M Mendez Location : NY2 Dept : 003 Group : Administration
Net Pay: 570.74
Regular 40.00 22.00 880.00 28,072.00 FWT 67.00 2,345.00 401(k) 44.00 1,540.00 ER SS 46.81 1,638.35
Vacation 1,056.00 SS W/H 31.71 1,109.85 PreTax Medical (S) 125.00 4,375.00 ER MC 10.95 383.16
Personal Time 264.00 MC W/H 10.95 383.16 FUTA 0.00 42.00
Holiday 1,408.00 NY State Tax 30.00 1,050.00 NY SUTA 0.00 375.74
NY SDI 0.60 21.00
Employee Tot: 40.00 880.00 30,800.00 140.26 4,909.01 169.00 5,915.00 57.76 2,439.25

Dept 003 Tot: 80.00 1,880.00 65,800.00 439.20 15,585.53 169.00 5,915.00 134.26 5,795.05

Department : Engineering
Emp# 1003 Eric M Davis Location : NY1 Dept : 005 Group : Manufacturing
Net Pay: 927.10
Regular 40.00 50.00 2,000.00 66,400.00 FWT 318.03 11,400.04 401(k) 100.00 3,515.00 ER SS 115.63 4,142.53
Overtime 1,575.00 SS W/H 78.33 2,806.23 Child Support 205.00 7,380.00 ER MC 27.05 968.82
Night 1 300.00 MC W/H 27.05 968.82 Pretax Medical (M) 185.00 6,660.00 FUTA 0.00 42.00
Personal Time 400.00 NY State Tax 98.87 3,546.67 NY SUTA 0.00 375.70
Holiday 3,200.00 NYC Resident Tax 60.62 2,172.74
Meals 50.00 1,600.00
Employee Tot: 40.00 2,050.00 73,475.00 582.90 20,894.50 490.00 17,555.00 142.68 5,529.05

Dept 005 Tot: 40.00 2,050.00 73,475.00 582.90 20,894.50 490.00 17,555.00 142.68 5,529.05

Department : Sales

Employer Code: SAMPLE Page 1 Payroll Finalized: 9/26/2012 1:22:46 PM by Carlos Garcia Run on 9/26/2012 at 2:46 PM EDT
 Widget Manufacturing Corp.
Payroll Register Report
Pay Period From 09/18/2012 to 09/24/2012, Pay Date: 09/28/2012, Payroll # 44 (Standard)
Earnings Hours Rate Current YTD Taxes Current YTD Deductions Current YTD ER Taxes* Current YTD

Emp# 1005 Michael C Smith Location : NY2 Dept : 004 Group : Manufacturing
Net Pay: 845.60
Regular 40.00 30.00 1,200.00 40,080.00 FWT 213.00 7,545.00 Union Dues 10.00 350.00 ER SS 74.40 2,700.72
Overtime 360.00 SS W/H 50.40 1,779.12 ER MC 17.40 631.62
Holiday 1,920.00 MC W/H 17.40 614.22 FUTA 0.00 42.00
NY State Tax 63.00 2,228.00 NY SUTA 0.00 375.70
NY SDI 0.60 21.00
Employee Tot: 40.00 1,200.00 42,360.00 344.40 12,187.34 10.00 350.00 91.80 3,750.04

Dept 004 Tot: 40.00 1,200.00 42,360.00 344.40 12,187.34 10.00 350.00 91.80 3,750.04

Department : Shipping
Emp# 1007 Thomas A Montoya Location : NY2 Dept : 002 Group : Manufacturing
Net Pay: 410.78
Regular 40.00 18.00 720.00 23,040.00 FWT 38.00 1,330.00 401(k) 72.00 2,520.00 ER SS 36.89 1,328.04
Vacation 720.00 SS W/H 24.99 874.65 PreTax Medical (S) 125.00 4,375.00 ER MC 8.63 310.59
Sick Time 288.00 MC W/H 8.63 301.96 Union Dues 10.00 350.00 FUTA 0.00 42.00
Holiday 1,152.00 NY State Tax 18.00 630.00 NY SUTA 0.00 375.66
NYC Resident Tax 12.00 420.00
NY SDI 0.60 21.00
Employee Tot: 40.00 720.00 25,200.00 102.22 3,577.61 207.00 7,245.00 45.52 2,056.29

Dept 002 Tot: 40.00 720.00 25,200.00 102.22 3,577.61 207.00 7,245.00 45.52 2,056.29

Grand Tot: 200.00 5,850.00 206,835.00 1,468.72 52,244.98 876.00 31,065.00 414.26 17,130.43

Payroll Summary Total Net Pay: 3,455.28

Regular 200.00 5,800.00 190,992.00 FWT 799.35 28,336.24 401(k) 216.00 7,575.00 ER SS 335.73 11,979.64
Overtime 1,935.00 SS W/H 227.43 8,039.85 Child Support 205.00 7,380.00 ER MC 78.53 2,801.69
Night 1 300.00 MC W/H 78.53 2,775.66 Pretax Medical (M) 185.00 6,660.00 FUTA 0.00 210.00
Vacation 1,776.00 NJ State Tax 29.37 1,027.95 PreTax Medical (S) 250.00 8,750.00 NJ SUTA 0.00 636.30
Sick Time 288.00 NJ SDI 0.00 60.60 Union Dues 20.00 700.00 NY SUTA 0.00 1,502.80
Personal Time 664.00 NJ SUI 0.00 128.78
Holiday 9,280.00 NJ Family Leave Ins. 0.00 24.24
Meals 50.00 1,600.00 NY State Tax 259.62 9,195.92
NYC Resident Tax 72.62 2,592.74
NY SDI 1.80 63.00

Employer Code: SAMPLE Page 2 Payroll Finalized: 9/26/2012 1:22:46 PM by Carlos Garcia Run on 9/26/2012 at 2:46 PM EDT
 Widget Manufacturing Corp.
Payroll Register Report
Pay Period From 09/18/2012 to 09/24/2012, Pay Date: 09/28/2012, Payroll # 44 (Standard)
Earnings Hours Rate Current YTD Taxes Current YTD Deductions Current YTD ER Taxes* Current YTD

Payroll Totals : 200.00 5,850.00 206,835.00 1,468.72 52,244.98 876.00 31,065.00 414.26 17,130.43

* Includes FICA and unemployment taxes only.

Direct Deposit was disabled for this payroll.
Note on Departmental Reporting:
Employee will be included in default department only. Report will not reflect allocation to different departments.

Employer Code: SAMPLE Page 3 Payroll Finalized: 9/26/2012 1:22:46 PM by Carlos Garcia Run on 9/26/2012 at 2:46 PM EDT
 Widget Manufacturing Corp.
Payroll Comparison Report
Payroll #44 (Standard) for 09/18/2012 to 09/24/2012 and Payroll #43 (Standard) for 09/11/2012 to 09/17/2012

09/18/2012 to 09/24/2012 09/11/2012 to 09/17/2012

Earnings Hours Wages Earnings Hours Wages

Regular 200.00 5,800.00 Regular 200.00 5,800.00

Meals 50.00 Meals 50.00
Totals 200.00 5,850.00 (same) Totals 200.00 5,850.00
Taxes/Deductions Current Taxes/Deductions Current
Federal W/H Tax 799.35 Federal W/H Tax 799.35
Soc. Sec. W/H 227.43 Soc. Sec. W/H 227.43
Medicare W/H 78.53 Medicare W/H 78.50
NJ W/H 29.37 NJ W/H 29.37
NJ SDI 0.00 NJ SDI 0.00
NJ SUI 0.00 NJ SUI 0.00
NJ Family Leave Ins. 0.00 NJ Family Leave Ins. 0.00
NY W/H 259.62 NY W/H 259.62
NYC Resident Tax 72.62 NYC Resident Tax 72.62
NY SDI 1.80 NY SDI 1.80
Union Dues 20.00 Union Dues 20.00
PreTax Medical (S) 250.00 PreTax Medical (S) 250.00
Pretax Medical (M) 185.00 Pretax Medical (M) 185.00
Child Support 205.00 Child Support 205.00
401(k) 216.00 401(k) 216.00

Totals 2,344.72 Totals 2,344.69

Net Pay 3,455.28 Net Pay 3,455.31
No. of Checks 5 No. of Checks 5

Employer Code: SAMPLE Page 1 Run on 9/26/2012 at 2:47 PM EDT

 Widget Manufacturing Corp.
Payroll Summary Report
Pay Period From 9/18/2012 to 9/24/2012, Pay Date: 9/28/2012, Payroll # 44 (Standard)

Tax Payment Frequencies

Federal: Semi-Weekly CA: Semi-weekly NJ: Monthly NY: 5 Days
Total Gross Pay: 5,850.00 Employees Paid: 5
Total Reimbursements: 0.00 Total Checks: 5 DD Disabled
Total Direct Deposit: 0.00 Handwritten Checks: 0
Total Child Support: 205.00 DD Checks: 0
Total Net Checks: 3,455.28

Liabilities for This Payroll

Type Debit Date * Due Date Method Amount
NY Child Support 09/26/2012 09/28/2012 EFT 205.00
Payroll Processing Fee 09/27/2012 09/28/2012 EFT 40.45
NY Tax Withholding 09/27/2012 10/03/2012 EFT 332.24
Federal Tax Withholding 09/27/2012 10/03/2012 EFTPS 1,519.57
NJ Tax Withholding 10/24/2012 10/30/2012 EFT 29.37

Total: 2,126.63

* The debit date for any balance due on auto E-Filed forms will be on the day of the Auto E-File process instead of
the debit date shown above. For quarterly forms this is usually around the 22nd of the month.

Third Party Liabilities for this payroll

Description Amount
Sec. 125 435.00
Employee 401(k) 216.00
Child/Spousal Support 205.00
NY SDI Withholding 1.80
Total: $857.80

Gross Pay 5,850.00

Reimbursements 0.00
ER Taxes* 414.26
Processing Fee 40.45

TOTAL COST OF PAYROLL: 6,304.71

*Certain employer taxes like NY Re-Employment Fund, CA – ETT etc are included here but not on Payroll
History report

Employer Code: SAMPLE Page 1 Run on 9/26/2012 at 2:48 PM EDT

 Widget Manufacturing Corp.
Payroll Summary Report
Pay Period From 9/18/2012 to 9/24/2012, Pay Date: 9/28/2012, Payroll # 44 (Standard)

Tax Details
Taxable
Federal Tax Liability: Wages Tax Total
Federal Tax 5,199.00 799.35 799.35

Social Security
Employees Withheld 5,415.00 227.43
Employer 5,415.00 335.73 563.16

Medicare Tax
Employees Withheld 5,415.00 78.53
Employer 5,415.00 78.53 157.06
Total Federal Tax: 1,519.57

NJ Tax Liability:
NJ Tax 0.00 29.37 29.37
Total NJ Tax: 29.37

NY Tax Liability:
NY Tax 5,199.00 259.62 259.62

NYC Resident Tax 2,288.00 72.62 72.62

Total NY Tax: 332.24

Employer Code: SAMPLE Page 2 Run on 9/26/2012 at 2:48 PM EDT

HARRIS, ROLLINS & COLTRANE,
CPA'S
25 North Acacia Avenue
Suite 900 This is only a test. In the case of a real
Haupppauge, NY 11788 emergency RUN and RUN FAST!

Payroll Administrator
Widget Manufacturing Corp.
Ship to: 140 Fell Court
Suite 201
Hauppauge, NY 11788-4368

Code: SAMPLE

CONFIDENTIAL
 Widget Manufacturing Corp.
Tax Liabilities & Payments Details
Period From 7/1/2012 to 9/30/2012

LIABILITIES PAYMENTS

Pay Date Amount Due Date Date Paid Amount Period Method PreFunded

Federal Withholding
07/06/2012 1,519.55 08/15/2012 08/15/2012 14,533.20 Q3 E
07/13/2012 1,519.55 08/15/2012 09/17/2012 6,078.18 Q3 E
07/20/2012 1,519.57 08/15/2012
07/27/2012 1,519.51 08/15/2012
07/31/2012 8,455.02 08/15/2012
08/03/2012 1,519.55 09/17/2012
08/10/2012 1,519.55 09/17/2012
08/17/2012 1,519.57 09/17/2012
08/24/2012 1,519.51 09/17/2012
09/05/2012 9,098.95 10/15/2012
09/07/2012 1,519.55 10/15/2012
09/14/2012 1,500.41 10/15/2012
09/26/2012 1,519.51 10/03/2012
09/28/2012 2,864.17 10/03/2012
09/30/2012 6,914.30 10/05/2012
Totals 44,028.27 20,611.38
CA Tax Withheld
07/31/2012 1,354.36 08/03/2012 08/03/2012 1,354.36 Q3 E
09/05/2012 1,287.41 09/12/2012 09/12/2012 1,287.41 Q3 E
09/28/2012 76.02 10/03/2012
09/30/2012 1,287.41 10/05/2012
Totals 4,005.20 2,641.77
NJ Tax Withheld
07/06/2012 29.37 08/15/2012 08/15/2012 117.48 Q3 E
07/13/2012 29.37 08/15/2012 09/17/2012 117.48 Q3 E
07/20/2012 29.37 08/15/2012
07/27/2012 29.37 08/15/2012
08/03/2012 29.37 09/17/2012
08/10/2012 29.37 09/17/2012
08/17/2012 29.37 09/17/2012
08/24/2012 29.37 09/17/2012
09/05/2012 29.37 10/30/2012
09/07/2012 29.37 10/30/2012
09/14/2012 29.37 10/30/2012
09/26/2012 29.37 10/30/2012
09/28/2012 29.37 10/30/2012
Totals 381.81 234.96

Employer Code: SAMPLE Page 1 Run on 9/26/2012 at 2:56 PM EDT

 Widget Manufacturing Corp.
Tax Liabilities & Payments Details
Period From 7/1/2012 to 9/30/2012

LIABILITIES PAYMENTS

Pay Date Amount Due Date Date Paid Amount Period Method PreFunded

NJ UI/SDI
07/06/2012 45.05 10/30/2012
07/13/2012 45.05 10/30/2012
07/20/2012 45.05 10/30/2012
07/27/2012 45.05 10/30/2012
08/03/2012 45.05 10/30/2012
08/10/2012 45.05 10/30/2012
08/17/2012 45.05 10/30/2012
08/24/2012 45.05 10/30/2012
09/05/2012 13.52 10/30/2012
Totals 373.92
NY Tax Withheld
07/06/2012 332.24 07/25/2012 07/25/2012 996.72 Q3 E
07/13/2012 332.24 07/25/2012 08/08/2012 988.69 Q3 E
07/20/2012 332.24 07/25/2012 08/29/2012 996.72 Q3 E
07/27/2012 332.24 08/08/2012 09/12/2012 988.69 Q3 E
07/31/2012 324.21 08/08/2012
08/03/2012 332.24 08/08/2012
08/10/2012 332.24 08/29/2012
08/17/2012 332.24 08/29/2012
08/24/2012 332.24 08/29/2012
09/05/2012 656.45 09/12/2012
09/07/2012 332.24 09/12/2012
09/14/2012 326.91 10/03/2012
09/26/2012 332.24 10/03/2012
09/28/2012 439.24 10/03/2012
09/30/2012 324.21 10/03/2012
Totals 5,393.42 3,970.82
A - Additional Payments
E - Electronic Payments
M - Manual Payments
O - Overpayments
P - Prefunded Payments

Employer Code: SAMPLE Page 2 Run on 9/26/2012 at 2:56 PM EDT

 Widget Manufacturing Corp.
Check Register Report
9/1/2012 to 9/30/2012

Payroll Period
Check Date Check # Employee Name Net Amount Ending
09/05/2012 David M Jones 5,684.92 08/27/2012
09/30/2012 David M Jones 5,684.91 09/27/2012
09/05/2012 Stephanie Powell 9,260.59 08/27/2012
09/28/2012 Stephanie Powell 2,672.16 09/23/2012
09/30/2012 Stephanie Powell 9,529.18 09/27/2012
09/05/2012 Eric M Davis 927.11 08/27/2012
09/07/2012 Eric M Davis 927.11 09/03/2012
09/14/2012 Eric M Davis 947.76 09/10/2012
09/26/2012 Eric M Davis 927.11 09/17/2012
09/28/2012 Eric M Davis 927.10 09/24/2012
09/05/2012 Kayla Collins 1,828.36 08/27/2012
09/30/2012 Kayla Collins 1,828.36 09/27/2012
09/05/2012 Michael C Smith 845.60 08/27/2012
09/07/2012 Michael C Smith 845.60 09/03/2012
09/14/2012 Michael C Smith 845.60 09/10/2012
09/26/2012 Michael C Smith 845.60 09/17/2012
09/28/2012 Michael C Smith 845.60 09/24/2012
09/28/2012 Michael C Smith 845.60 09/23/2012
09/05/2012 Natalie M Mendez 570.74 08/27/2012
09/26/2012 Natalie M Mendez 570.75 09/17/2012
09/28/2012 Natalie M Mendez 570.74 09/24/2012
09/05/2012 Thomas A Montoya 410.78 08/27/2012
09/26/2012 Thomas A Montoya 410.79 09/17/2012
09/28/2012 Thomas A Montoya 410.78 09/24/2012
09/05/2012 Charles H Garrison 3,655.61 08/27/2012
09/28/2012 Charles H Garrison 890.57 09/23/2012
09/30/2012 Charles H Garrison 3,655.63 09/27/2012
09/05/2012 Nicholas Jefferson 698.94 08/27/2012
09/07/2012 Nicholas Jefferson 701.06 09/03/2012
09/14/2012 Nicholas Jefferson 701.06 09/10/2012
09/26/2012 Nicholas Jefferson 701.06 09/17/2012
09/28/2012 Nicholas Jefferson 701.06 09/24/2012
Total : 32 Printed Checks 60,867.84

Direct Deposits
Payroll Period
Pay Date Check # Employee Name Amount Ending
09/07/2012 Natalie M Mendez 570.74 09/03/2012
09/07/2012 Thomas A Montoya 410.78 09/03/2012
09/14/2012 Natalie M Mendez 570.74 09/10/2012
09/14/2012 Thomas A Montoya 410.78 09/10/2012
09/28/2012 Kayla Collins 408.01 09/23/2012
09/28/2012 David M Jones 1,497.72 09/23/2012
Employer Code: SAMPLE Page 1 Run on 9/26/2012 at 3:09 PM EDT
 Widget Manufacturing Corp.
Check Register Report
9/1/2012 to 9/30/2012

Payroll Period
Pay Date Check # Employee Name Amount Ending
09/28/2012 Thomas A Montoya 410.78 09/23/2012
Total : 7 DD Advices 4,279.55
Total : Net Payroll 65,147.39

Tax Payment Checks

Pay Date Check # Payee Amount Due Date
09/05/2012 376 State of New Jersey NJ-927 146.85 07/30/2012
09/05/2012 377 State of New Jersey NJ-927 225.25 07/30/2012

Total : 2 Tax Payment Checks 372.10

Electronic Tax Payments

Pay Date Payee Amount Due Date Method
09/06/2012 EDD 1,287.41 EFT
09/06/2012 NYS Income Tax 988.69 EFT
09/11/2012 (Federal 8109) 6,078.18 EFT
09/11/2012 State of NJ Gross Income tax 117.48 EFT
Total : 4 Electronic Tax Payments 8,471.76
Total : All Tax Payments 8,843.86

Electronic Child Support Payments

Pay Date Payee Amount
09/07/2012 New York Child Support 205.00
09/14/2012 New York Child Support 205.00
Total : 2 Electronic Child Support Payments 410.00

Grand Total : Disbursements 74,401.25

Employer Code: SAMPLE Page 2 Run on 9/26/2012 at 3:09 PM EDT

 Widget Manufacturing Corp.
General Ledger Report
Paydates from 9/1/2012 to 9/30/2012

Account Number Code Description Debit Credit

6100-03 003 Wages and Salary - Accounting 27,033.87
6100-05 005 Wages and Salary - Engineering 27,846.17
6100-04 004 Wages and Salary - Sales 40,661.60
6100-02 002 Wages and Salary - Shipping 4,320.00
7000 005 Allowances - Engineering 200.00
2200 Social Security Withholding 2,932.91
2300 Medicare Withholding 1,396.99
2100 Federal Withholding 13,360.47
2220 State Withholding 4,658.74
2250 Disability Withholding 195.14
2235 Local Withholding 373.34
Unemployment Withholding 1.88
2400 401(k) 6,930.78
2700 Child Support 1,025.00
2700 Pretax Medical (M) 1,969.00
2700 PreTax Medical (S) 1,750.00
2900 Union Dues 120.00
1000 Net Payroll 65,147.39
(Payroll Entry)

2200-03 003 Social Security Expense - Accounting 1,591.97

2200-05 005 Social Security Expense - Engineering 1,673.33
2200-04 004 Social Security Expense - Sales 842.89
2200-02 002 Social Security Expense - Shipping 221.34
2300-03 003 Medicare Expense - Accounting 372.32
2300-05 005 Medicare Expense - Engineering 391.35
2300-04 004 Medicare Expense - Sales 581.55
2300-02 002 Medicare Expense - Shipping 51.77
2200 Social Security Payable 4,329.53
2300 Medicare Payable 1,396.99
(FICA Expense Accrual)

6500-03 003 SUTA Expense - Accounting 6.30

6150-03 003 Disability Expense Employer - Accounting 5.10
SUTA Taxes Payable 6.30
Other Taxes Payable 5.10
(Unemployment Insurance Accrual)

2100 Federal Withholding/FICA Payable 6,078.18

2220 State/Local Withholding Payable 2,540.43
SUTA Payable 225.25
Employer Code: SAMPLE Page 1 Run on 9/26/2012 at 3:10 PM EDT
 Widget Manufacturing Corp.
General Ledger Report
Paydates from 9/1/2012 to 9/30/2012

Account Number Code Description Debit Credit

Cash 8,843.86
(Payroll Relief AC Tax Payments)
1000 Billing EFT Payment 120.35
1000 Billing EFT Payment 40.45
2700 Child Support EFT Payment 205.00
2700 Child Support EFT Payment 205.00
1000 Cash 570.80
(Payroll Relief AC Third Party Payments)
Total : 115,214.22 115,014.22
Please review employees department allocations. Totals should equal 100%.

Employer Code: SAMPLE Page 2 Run on 9/26/2012 at 3:10 PM EDT

 Widget Manufacturing Corp.
Employer Profile Report
2004 Paycheck Blvd. Primary Contact:
New York City, NY 10001 Charles Garrison
Phone: (212) 889-1000 Payroll Manager
Fax: 631-232-1041 [email protected]
EIN: 11-2090999 800-222-9434

PAYROLL ITEMS :
1st Period 1st Pay 2nd Period 2nd Pay
Pay Schedule Frequency End Date Date End Date Date Federal Tax Deposits
Union Weekly 01/02/2012 01/06/2012 Semi-Weekly
Administrative (1st) Monthly 01/27/2012 01/31/2012
State Withholding Acct Withholding EFT Acct UI Account UI EFT Acct UI Rate Tax Deposit Schedule
CA 11223334 11223334 11223334 11223334 5% Semi-weekly
NJ 271-230-195/000 271-230-195/000 123-456-789/000 1.22% Monthly
NJ 271-230-195/000 271-230-195/000 123-456-789/000 2.1% Monthly
NY 11-2345678 123456 1223334 1223334 4.42% 5 Days

PAY TYPES : * Custom Pay Type

Regular Pay Vacation Pay Meals
Overtime Pay Sick Pay Auto Allowance
Night 1* Personal Pay Reimbursement
Night 2* Holiday Pay
Foreman Salary* Bonus Pay

DEDUCTIONS : * Custom Deduction

401(k) PreTax Medical (S)*
American Red Cross* Union Dues*
Child Support*
Pretax Medical (M)*

ACH App Status : Accepted Locations : Departments : Groups :

Bank Validation Status : Validated
Hauppauge Production Administration
Direct Deposit : 2 Days Manhattan Shipping Manufacturing
EFTPS : Selected San Francisco Accounting
EFT States : CA, NJ, NY Sales
Engineering
Pre-Funding: Disabled
E-File : Fed: 940/941
CA: WT / UI
NJ: WT / UI
NY: WT / UI
Auto E-File: Enabled
Acct Software : ARO
# of Employees : 9

Employer Code: SAMPLE Page 1 Run on 9/26/2012 at 3:12 PM EDT

 Widget Manufacturing Corp.
Retirement Contributions Report
From 01/01/12 to 12/31/12

Period Period Period YTD YTD YTD Base YTD Base YTD EE
Emp # Employee Name DOB DOH DOT Employee Employer Total Employee Employer YTD Total Hours Earnings Calc. Pct.
401(k)
1004 Kayla Collins 1/31/11 1,512.00 378.00 1,890.00 1,512.00 378.00 1,890.00 1,480.00 26,640.00 5.676%
1003 Eric M Davis 3/31/03 3,515.00 878.75 4,393.75 3,515.00 878.75 4,393.75 1,400.00 70,300.00 5.000%
1008 Charles H Garrison 1/1/03 2,769.23 692.31 3,461.54 2,769.23 692.31 3,461.54 1,599.97 46,153.87 6.000%
1001 David M Jones 12/12/45 1/1/03 7,384.62 1,846.15 9,230.77 7,384.62 1,846.15 9,230.77 1,599.97 73,846.10 10.000%
1006 Natalie M Mendez 3/1/03 1,540.00 385.00 1,925.00 1,540.00 385.00 1,925.00 1,400.00 30,800.00 5.000%
1007 Thomas A Montoya 7/1/10 2,592.00 648.00 3,240.00 2,592.00 648.00 3,240.00 1,440.00 25,920.00 10.000%
1002 Stephanie Powell 1/1/05 11,076.93 2,769.23 13,846.16 11,076.93 2,769.23 13,846.16 1,599.97 138,461.60 8.000%
Totals for 401(k) amounts: 30,389.78 7,597.44 37,987.22 30,389.78 7,597.44 37,987.22

Employer Code: SAMPLE Page 1 Run on 9/26/2012 at 3:19 PM EDT

 Widget Manufacturing Corp.
Workers Compensation Report
From 01/01/12 to 12/31/12
Emp # Name Work Hours Base Pay Tips OT Premium Total Wages*

California
8742 - Salesperson
1004 Kayla Collins 1480.00 26,640.00 0.00 0.00 26,640.00
1001 David M Jones 1599.97 73,846.10 0.00 0.00 73,846.10
1002 Stephanie Powell 1599.97 138,461.60 0.00 0.00 138,461.60
8742 - Salesperson Total 4679.94 238,947.70 0.00 0.00 238,947.70

California Total 4679.94 238,947.70 0.00 0.00 238,947.70

New Jersey
7700 - Shipping & Receiving
1009 Nicholas Jefferson 1336.00 35,000.00 0.00 0.00 35,000.00
7700 - Shipping & Receiving Total 1336.00 35,000.00 0.00 0.00 35,000.00

New Jersey Total 1336.00 35,000.00 0.00 0.00 35,000.00

New York
8742 - Salesperson
1005 Michael C Smith 1384.00 43,440.00 0.00 120.00 43,560.00
8742 - Salesperson Total 1384.00 43,440.00 0.00 120.00 43,560.00

8810 - Clerical
1003 Eric M Davis 1373.00 72,950.00 0.00 525.00 73,475.00
1008 Charles H Garrison 1599.97 46,153.87 0.00 0.00 46,153.87
1006 Natalie M Mendez 1276.00 30,800.00 0.00 0.00 30,800.00
1007 Thomas A Montoya 1320.00 25,920.00 0.00 0.00 25,920.00
8810 - Clerical Total 5568.97 175,823.87 0.00 525.00 176,348.87

New York Total 6952.97 219,263.87 0.00 645.00 219,908.87

*Total Wages includes all pay types except Reimbursements, Advance EIC, and Dependent Care Benefits. Your
insurer may require adjustments to exclude certain items such as officers compensation, overtime premium, and tips.

Employer Code: SAMPLE Page 1 Run on 9/26/2012 at 3:20 PM EDT

 Widget Manufacturing Corp.
Employee Payroll Report
From 9/1/2012 to 9/30/2012
Employee Info Federal Other
Pre-Tax Taxable Federal Soc Sec Medicare State Other Deductions
Check # Pay Date Gross Pay Deduction Wages Withholding Withholding Withholding Withholding Withholding SUI/SDI (Additions) Net Pay

Department : Accounting
1004 Kayla Collins

09/05/2012 2,880.00 413.00 2,467.00 331.92 115.71 39.95 NY : 95.21 0.00 0.00 0.00 1,828.36
CA : 55.85
DD 09/28/2012 720.00 197.00 523.00 59.38 24.99 8.62 NY : 0.00 0.00 0.00 0.00 408.01
CA : 22.00
09/30/2012 2,880.00 413.00 2,467.00 331.92 115.71 39.95 NY : 95.21 0.00 0.00 0.00 1,828.36
CA : 55.85
Employee Totals: 6,480.00 1,023.00 5,457.00 723.22 256.41 88.52 324.12 0.00 0.00 0.00 4,064.73

1008 Charles H Garrison

09/05/2012 5,000.00 419.00 4,581.00 418.00 205.01 70.78 NY : 229.00 0.00 2.60 0.00 3,655.61
09/28/2012 1,153.87 188.23 965.64 0.00 43.46 15.01 NY : 14.00 0.00 2.60 0.00 890.57
09/30/2012 5,000.00 419.00 4,581.00 418.00 205.00 70.77 NY : 229.00 0.00 2.60 0.00 3,655.63
Employee Totals: 11,153.87 1,026.23 10,127.64 836.00 453.47 156.56 472.00 0.00 7.80 0.00 8,201.81

1009 Nicholas Jefferson

09/05/2012 1,000.00 0.00 1,000.00 163.32 42.00 14.50 NJ : 29.37 0.24 1.88 0.00 698.94
NY : 49.75
09/07/2012 1,000.00 0.00 1,000.00 163.32 42.00 14.50 NJ : 29.37 0.00 0.00 0.00 701.06
NY : 49.75
09/14/2012 1,000.00 0.00 1,000.00 163.32 42.00 14.50 NJ : 29.37 0.00 0.00 0.00 701.06
NY : 49.75
09/26/2012 1,000.00 0.00 1,000.00 163.32 42.00 14.50 NJ : 29.37 0.00 0.00 0.00 701.06
NY : 49.75
09/28/2012 1,000.00 0.00 1,000.00 163.32 42.00 14.50 NJ : 29.37 0.00 0.00 0.00 701.06
NY : 49.75
Employee Totals: 5,000.00 0.00 5,000.00 816.60 210.00 72.50 395.60 0.24 1.88 0.00 3,503.18

1006 Natalie M Mendez

09/05/2012 880.00 169.00 711.00 67.00 31.71 10.95 NY : 30.00 0.00 0.60 0.00 570.74
DD 09/07/2012 880.00 169.00 711.00 67.00 31.71 10.95 NY : 30.00 0.00 0.60 0.00 570.74
DD 09/14/2012 880.00 169.00 711.00 67.00 31.71 10.95 NY : 30.00 0.00 0.60 0.00 570.74
09/26/2012 880.00 169.00 711.00 67.00 31.71 10.94 NY : 30.00 0.00 0.60 0.00 570.75
09/28/2012 880.00 169.00 711.00 67.00 31.71 10.95 NY : 30.00 0.00 0.60 0.00 570.74

Employer Code: SAMPLE Page 1 Run on 9/26/2012 at 3:22 PM EDT

 Widget Manufacturing Corp.
Employee Payroll Report
From 9/1/2012 to 9/30/2012
Employee Info Federal Other
Pre-Tax Taxable Federal Soc Sec Medicare State Other Deductions
Check # Pay Date Gross Pay Deduction Wages Withholding Withholding Withholding Withholding Withholding SUI/SDI (Additions) Net Pay

Employee Totals: 4,400.00 845.00 3,555.00 335.00 158.55 54.74 150.00 0.00 3.00 0.00 2,853.71

Dept. (003) Totals: 27,033.87 2,894.23 24,139.64 2,710.82 1,078.43 372.32 1,341.72 0.24 12.68 0.00 18,623.43

Department : Engineering
1003 Eric M Davis

09/05/2012 2,050.00 285.00 1,765.00 318.03 78.33 27.04 NY : 98.87 60.62 0.00 205.00 927.11
09/07/2012 2,050.00 285.00 1,765.00 318.03 78.33 27.04 NY : 98.87 60.62 0.00 205.00 927.11
09/14/2012 2,000.00 285.00 1,715.00 305.53 76.23 26.32 NY : 95.54 58.62 0.00 205.00 947.76
09/26/2012 2,050.00 285.00 1,765.00 318.03 78.33 27.04 NY : 98.87 60.62 0.00 205.00 927.11
09/28/2012 2,050.00 285.00 1,765.00 318.03 78.33 27.05 NY : 98.87 60.62 0.00 205.00 927.10
Employee Totals: 10,200.00 1,425.00 8,775.00 1,577.65 389.55 134.49 491.02 301.10 0.00 1,025.00 4,656.19

1001 David M Jones

09/05/2012 7,999.99 844.00 7,155.99 710.00 334.15 115.36 CA : 232.00 0.00 79.56 0.00 5,684.92
DD 09/28/2012 1,846.19 228.62 1,617.57 0.00 75.70 26.13 CA : 0.00 0.00 18.02 0.00 1,497.72
09/30/2012 7,999.99 844.00 7,155.99 710.00 334.15 115.37 CA : 232.00 0.00 79.56 0.00 5,684.91
Employee Totals: 17,846.17 1,916.62 15,929.55 1,420.00 744.00 256.86 464.00 0.00 177.14 0.00 12,867.55

Dept. (005) Totals: 28,046.17 3,341.62 24,704.55 2,997.65 1,133.55 391.35 955.02 301.10 177.14 1,025.00 17,523.74

Department : Sales
1002 Stephanie Powell

09/05/2012 15,000.00 1,385.00 13,615.00 2,951.00 268.59 214.82 CA : 920.00 0.00 0.00 0.00 9,260.59
09/28/2012 3,461.60 461.93 2,999.67 244.00 0.00 47.51 CA : 36.00 0.00 0.00 0.00 2,672.16
09/30/2012 15,000.00 1,385.00 13,615.00 2,951.00 0.00 214.82 CA : 920.00 0.00 0.00 0.00 9,529.18
Employee Totals: 33,461.60 3,231.93 30,229.67 6,146.00 268.59 477.15 1,876.00 0.00 0.00 0.00 21,461.93

1005 Michael C Smith

09/05/2012 1,200.00 0.00 1,200.00 213.00 50.40 17.40 NY : 63.00 0.00 0.60 10.00 845.60
09/07/2012 1,200.00 0.00 1,200.00 213.00 50.40 17.40 NY : 63.00 0.00 0.60 10.00 845.60
09/14/2012 1,200.00 0.00 1,200.00 213.00 50.40 17.40 NY : 63.00 0.00 0.60 10.00 845.60
09/26/2012 1,200.00 0.00 1,200.00 213.00 50.40 17.40 NY : 63.00 0.00 0.60 10.00 845.60
09/28/2012 1,200.00 0.00 1,200.00 213.00 50.40 17.40 NY : 63.00 0.00 0.60 10.00 845.60

Employer Code: SAMPLE Page 2 Run on 9/26/2012 at 3:22 PM EDT

 Widget Manufacturing Corp.
Employee Payroll Report
From 9/1/2012 to 9/30/2012
Employee Info Federal Other
Pre-Tax Taxable Federal Soc Sec Medicare State Other Deductions
Check # Pay Date Gross Pay Deduction Wages Withholding Withholding Withholding Withholding Withholding SUI/SDI (Additions) Net Pay
09/28/2012 1,200.00 0.00 1,200.00 213.00 50.40 17.40 NY : 63.00 0.00 0.60 10.00 845.60
Employee Totals: 7,200.00 0.00 7,200.00 1,278.00 302.40 104.40 378.00 0.00 3.60 60.00 5,073.60

Dept. (004) Totals: 40,661.60 3,231.93 37,429.67 7,424.00 570.99 581.55 2,254.00 0.00 3.60 60.00 26,535.53

Department : Shipping
1007 Thomas A Montoya

09/05/2012 720.00 197.00 523.00 38.00 24.99 8.63 NY : 18.00 12.00 0.60 10.00 410.78
DD 09/07/2012 720.00 197.00 523.00 38.00 24.99 8.63 NY : 18.00 12.00 0.60 10.00 410.78
DD 09/14/2012 720.00 197.00 523.00 38.00 24.99 8.63 NY : 18.00 12.00 0.60 10.00 410.78
09/26/2012 720.00 197.00 523.00 38.00 24.99 8.62 NY : 18.00 12.00 0.60 10.00 410.79
09/28/2012 720.00 197.00 523.00 38.00 24.99 8.63 NY : 18.00 12.00 0.60 10.00 410.78
DD 09/28/2012 720.00 197.00 523.00 38.00 24.99 8.63 NY : 18.00 12.00 0.60 10.00 410.78
Employee Totals: 4,320.00 1,182.00 3,138.00 228.00 149.94 51.77 108.00 72.00 3.60 60.00 2,464.69

Dept. (002) Totals: 4,320.00 1,182.00 3,138.00 228.00 149.94 51.77 108.00 72.00 3.60 60.00 2,464.69

Company Totals: 100,061.64 10,649.78 89,411.86 13,360.47 2,932.91 1,396.99 4,658.74 373.34 197.02 1,145.00 65,147.39

CA 2,473.70
NJ 146.85
NY 2,038.19

4,658.74

Employer Code: SAMPLE Page 3 Run on 9/26/2012 at 3:22 PM EDT

 Widget Manufacturing Corp.
Employee Hours Paid Report
From 07/01/12 to 09/30/12
# Employee Name Regular Overtime Night 1 Night 2 Foreman Vacation Sick Personal Holiday Total
Salary
Department : Accounting
1004 Kayla Collins 520.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 520.00
1008 Charles H Garrison 559.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 559.99
1009 Nicholas Jefferson 504.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.00 520.00
1006 Natalie M Mendez 496.00 0.00 0.00 0.00 0.00 0.00 0.00 8.00 16.00 520.00
Department (003) Totals: 2079.99 0.00 0.00 0.00 0.00 0.00 0.00 8.00 32.00 2119.99

Department : Engineering
1003 Eric M Davis 504.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.00 520.00
1001 David M Jones 559.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 559.99
Department (005) Totals: 1063.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.00 1079.99

Department : Sales
1002 Stephanie Powell 559.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 559.99
1005 Michael C Smith 544.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.00 560.00
Department (004) Totals: 1103.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.00 1119.99

Department : Shipping
1007 Thomas A Montoya 544.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.00 560.00
Department (002) Totals: 544.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.00 560.00

Grand Totals : 4791.97 0.00 0.00 0.00 0.00 0.00 0.00 8.00 80.00 4879.97

Employer Code: SAMPLE Page 1 Run on 9/26/2012 at 3:31 PM EDT

 Widget Manufacturing Corp.
Accruable Benefits Report
As Of 09/30/2012

Hrs. Accrued Accrual Total Total

Emp # Name Category Per Period Period Accrued Total Used Available
1004 Kayla Collins Vacation 0.0000 Month 0.00 0.00 0.00
Sick 0.0000 Month 0.00 0.00 0.00
Personal 0.0000 Month 0.00 0.00 0.00
1003 Eric M Davis Vacation 1.5386 Pay Period 55.39 0.00 55.39
Sick 0.7692 Pay Period 27.69 0.00 27.69
Personal 0.0000 Pay Period 0.00 8.00 -8.00
1008 Charles H Garrison Vacation 10.0000 Month 90.00 0.00 90.00
Sick 4.0000 Month 36.00 0.00 36.00
Personal 0.0000 Month 0.00 0.00 0.00
1001 David M Jones Vacation 160.0000 Year 160.00 0.00 160.00
Sick 6.6667 Month 60.00 0.00 60.00
Personal 0.0000 Month 0.00 0.00 0.00
1006 Natalie M Mendez Vacation 0.7692 Pay Period 26.92 48.00 -21.08
Sick 0.7692 Pay Period 26.92 0.00 26.92
Personal 0.0000 Month 0.00 12.00 -12.00
1007 Thomas A Montoya Vacation 0.7692 Pay Period 26.92 40.00 -13.08
Sick 0.7692 Pay Period 26.92 16.00 10.92
Personal 0.0000 Month 0.00 0.00 0.00
1002 Stephanie Powell Vacation 10.0000 Month 90.00 0.00 90.00
Sick 6.6667 Month 60.00 0.00 60.00
Personal 0.0000 Month 0.00 0.00 0.00
1005 Michael C Smith Vacation 1.5385 Pay Period 53.85 0.00 53.85
Sick 0.7692 Pay Period 26.92 0.00 26.92
Personal 0.0000 Month 0.00 0.00 0.00
Company Totals: 503.08 88.00 415.08
264.46 16.00 248.46
0.00 20.00 -20.00

Employer Code: SAMPLE Page 1 Run on 9/26/2012 at 3:32 PM EDT

 Widget Manufacturing Corp.
Employee Details Report
1004 Collins, Kayla 456-78-9012 Gender : F
17 Elwood Road, West New York, NJ 07093-1234 Birth Date :
[email protected] Phone :
Employment Information Payroll Information
Hire Date : 01/31/2011 Salary : $0.00
Classification : Salesperson Rate : 18.0000
Location : San Francisco OT Rate : 27.0000
Department : Accounting Night 1 Rate : 1.0000
Group : Manufacturing Night 2 Rate : 2.0000
Pay Type : Hourly, Part Time Pay Schedule : Administrative (1st) (monthly)
W-4 On File : 02/01/2003 Fed Status : Single,0
I-9 On File : 02/01/2003 Fed Addl. W/H : $25.00
Status : Active CA Status : Single,2,AddlEx:1
Direct Deposit : 123123123:*8987 CA Addl. W/H : $22.00
321321329:*6344 NY Status : Single,0
PTO Accrual : Y Deductions: 401(k) (10% of Comp.)
Child Support ($0.00)
PreTax Medical (S) ($125.00)
1003 Davis, Eric M 345-67-8901 Gender : M
33-09 38th Street, Long Island City, NY 11011 Birth Date :
[email protected] Phone :
Employment Information Payroll Information
Job Title : President Salary : $104,000.00
Hire Date : 03/31/2003 Rate : 50.0000
Classification : Clerical OT Rate : 75.0000
Location : Manhattan Night 1 Rate : 12.5000
Department : Engineering Night 2 Rate : 100.0000
Group : Manufacturing Pay Schedule : Union (weekly)
Pay Type : Hourly, Full Time Fed Status : Head of Household,2
W-4 On File : 01/10/2003 NY Status : Married,0
I-9 On File : 01/10/2003 Other Taxes: NYC Resident Tax
Status : Active Deductions: 401(k) (5% of Comp.)
Direct Deposit : N Child Support ($205.00)
PTO Accrual : V: 1.54 hrs/pay period Pretax Medical (M) ($185.00)
S: .77 hrs/pay period
1008 Garrison, Charles H 125-64-5347 Gender : M
19 Boston Post Road, Yonkers, NY 10701 Birth Date :
Phone :
Employment Information Payroll Information
Job Title : CEO Salary : $60,000.00
Hire Date : 01/01/2003 Rate : 28.8467
Classification : Clerical OT Rate : 43.2701
Location : San Francisco Night 1 Rate : 2.5000
Department : Accounting Pay Schedule : Administrative (1st) (monthly)
Group : Administration Fed Status : Married,2
Pay Type : Salaried, Full Time NY Status : Married,0
W-4 On File : 01/01/2003 Other Taxes: NY SDI
I-9 On File : 01/01/2003 Deductions: 401(k) (6% of Comp.)
Status : Active Pretax Medical (M) ($119.00)
Direct Deposit : N
PTO Accrual : V: 10.00 hrs/month
S: 4.00 hrs/month

Employer Code: SAMPLE Page 1 Run on 9/26/2012 at 3:34 PM EDT

 Widget Manufacturing Corp.
Employee Details Report
1009 Jefferson, Nicholas 156-41-2359 Gender : M
Fort Lee, NJ 07146 Birth Date :
Phone :
Employment Information Payroll Information
Hire Date : 12/28/2011 Salary : $52,000.00
Classification : Shipping & Receiving Rate : 25.0000
Location : Manhattan OT Rate : 37.5000
Department : Accounting Pay Schedule : Union (weekly)
Group : Manufacturing Fed Status : Single,0
Pay Type : Salaried, Full Time NJ Status : Single - A,0
W-4 On File : 12/28/2011 NY Status : Single,0
I-9 On File : 12/28/2011 Other Taxes: NJ SDI
Status : Active NJ SUI
Direct Deposit : N NJ Family Leave Ins.
PTO Accrual : N
1001 Jones, David M 145-15-3156 Gender : M
142 Fifth Avenue, New York City, NY 10014 Birth Date : 12/12/1945
Phone :
Employment Information Payroll Information
Hire Date : 01/01/2003 Salary : $96,000.00
Classification : Salesperson Rate : 46.1547
Location : San Francisco OT Rate : 69.2321
Department : Engineering Night 1 Rate : 10.0000
Group : Manufacturing Night 2 Rate : 15.0000
Pay Type : Salaried, Full Time Pay Schedule : Administrative (1st) (monthly)
W-4 On File : 01/10/2003 Fed Status : Married,4
I-9 On File : 01/10/2003 CA Status : Married,2,AddlEx:1
Status : Active Other Taxes: CA SDI
Direct Deposit : 021000322:*1234 Deductions: 401(k) (10% of Comp.)
123456789:*4321 Pretax Medical (M) ($44.00)
PTO Accrual : V: 160.00 hrs/year
S: 6.67 hrs/month
1006 Mendez, Natalie M 333-55-9999 Gender : F
142 Searington Road, Great Neck, NY 11020 Birth Date :
Phone :
Employment Information Payroll Information
Hire Date : 03/01/2003 Salary : $45,760.00
Classification : Clerical Rate : 22.0000
Location : Hauppauge OT Rate : 33.0000
Department : Accounting Pay Schedule : Union (weekly)
Group : Administration Fed Status : Married,0
Pay Type : Salaried, Full Time NY Status : Married,0
W-4 On File : 04/01/2003 Other Taxes: NY SDI
I-9 On File : N Deductions: 401(k) (5% of Comp.)
Status : Active PreTax Medical (S) ($125.00)
Direct Deposit : 021000322:*3210
PTO Accrual : V: .77 hrs/pay period
S: .77 hrs/pay period

Employer Code: SAMPLE Page 2 Run on 9/26/2012 at 3:34 PM EDT

 Widget Manufacturing Corp.
Employee Details Report
1007 Montoya, Thomas A 564-53-2124 Gender : M
144-67 Main Street, Flushing, NY 11355 Birth Date :
Phone :
Employment Information Payroll Information
Hire Date : 07/01/2010 Salary : $37,440.00
Classification : Clerical Rate : 18.0000
Location : Hauppauge OT Rate : 27.0000
Department : Shipping Night 1 Rate : 2.0000
Group : Manufacturing Pay Schedule : Union (weekly)
Pay Type : Hourly, Full Time Fed Status : Married,0
W-4 On File : 01/01/2004 NY Status : Married,0
I-9 On File : 01/01/2004 Other Taxes: NY SDI
Status : Active NYC Resident Tax
Direct Deposit : 220001234:*1234 Deductions: 401(k) (10% of Comp.)
115469876:*2841 PreTax Medical (S) ($125.00)
PTO Accrual : V: .77 hrs/pay period Union Dues ($10.00)
S: .77 hrs/pay period
1002 Powell, Stephanie 485-45-6456 Gender : F
125 Cassa Drive, Fort Lee, NJ 07024 Birth Date :
Phone :
Employment Information Payroll Information
Hire Date : 01/01/2005 Salary : $180,000.00
Classification : Salesperson Rate : 86.5401
Location : San Francisco OT Rate : 129.8102
Department : Sales Pay Schedule : Administrative (1st) (monthly)
Group : Administration Fed Status : Head of Household,3
Pay Type : Salaried, Full Time CA Status : Married,1
W-4 On File : 01/01/2004 Other Taxes: CA SDI
I-9 On File : 01/01/2004 Deductions: 401(k) (8% of Comp.)
Status : Active Pretax Medical (M) ($185.00)
Direct Deposit : N
PTO Accrual : V: 10.00 hrs/month
S: 6.67 hrs/month
1005 Smith, Michael C 564-51-5231 Gender : M
129 Stewart Avenue, Garden City, NY 11530 Birth Date :
Phone :
Employment Information Payroll Information
Hire Date : 03/01/2003 Salary : $62,400.00
Classification : Salesperson Rate : 30.0000
Location : Hauppauge OT Rate : 45.0000
Department : Sales Night 1 Rate : 2.5000
Group : Manufacturing Night 2 Rate : 5.0000
Pay Type : Hourly, Full Time Pay Schedule : Union (weekly)
W-4 On File : 04/01/2003 Fed Status : Single,0
I-9 On File : 04/01/2003 NY Status : Single,0
Status : Active Other Taxes: NY SDI
Direct Deposit : N Deductions: Union Dues ($10.00)
PTO Accrual : V: 1.54 hrs/pay period
S: .77 hrs/pay period
Total Employees : 9

Employer Code: SAMPLE Page 3 Run on 9/26/2012 at 3:34 PM EDT

 Widget Manufacturing Corp.
Employee List Report
# Employee Name SSN Address Location Dept. $ / Hr Salary

Department : Accounting
1004 Collins, Kayla 456-78-9012 17 Elwood Road, West New York, NJ, 07093-1234 CA1 003 18.00/hr 0.00
1008 Garrison, Charles H. 125-64-5347 19 Boston Post Road, Yonkers, NY, 10701 CA1 003 Salaried 60,000.00
1009 Jefferson, Nicholas 156-41-2359 Fort Lee, NJ, 07146 NY1 003 Salaried 52,000.00
1006 Mendez, Natalie M. 333-55-9999 142 Searington Road, Great Neck, NY, 11020 NY2 003 Salaried 45,760.00
Accounting Employees: 4 157,760.00

Department : Engineering
1003 Davis, Eric M. 345-67-8901 33-09 38th Street, Apt. 727, Long Island City, NY, 11011 NY1 005 50.00/hr 104,000.00
1001 Jones, David M. 145-15-3156 142 Fifth Avenue, Apartment 1530, New York City, NY, 10014 CA1 005 Salaried 96,000.00
Engineering Employees: 2 200,000.00

Department : Sales
1002 Powell, Stephanie 485-45-6456 125 Cassa Drive, Fort Lee, NJ, 07024 CA1 004 Salaried 180,000.00
1005 Smith, Michael C. 564-51-5231 129 Stewart Avenue, Garden City, NY, 11530 NY2 004 30.00/hr 62,400.00
Sales Employees: 2 242,400.00

Department : Shipping
1007 Montoya, Thomas A. 564-53-2124 144-67 Main Street, Flushing, NY, 11355 NY2 002 18.00/hr 37,440.00
Shipping Employees: 1 37,440.00

Total Employees: 9 637,600.00

Employer Code: SAMPLE Page 1 Run on 9/26/2012 at 3:36 PM EDT

 Widget Manufacturing Corp.
Employee Earnings and Taxes Report
From 07/01/12 to 09/30/12

Employee Pay Type Period Amount

Kayla Collins Gross Wages 9,360.00

Employee # : 1004 Federal Wages 7,924.00
Dept : 003 Social Security Wages 8,860.00
Location : CA1 Medicare Wages 8,860.00
Federal Tax 1,055.14
Social Security Tax 372.12
Medicare Tax 128.47
CA State Tax 189.55
NY State Tax 285.63
401(k) 936.00
PreTax Medical (S) 500.00
Net Pay 5,893.09

Charles H Garrison Gross Wages 16,153.87

Employee # : 1008 Federal Wages 14,708.64
Dept : 003 Social Security Wages 15,677.87
Location : CA1 Medicare Wages 15,677.87
Federal Tax 1,254.00
Social Security Tax 658.47
Medicare Tax 227.33
NY State Tax 701.00
NY SDI 10.40
401(k) 969.23
Pretax Medical (M) 476.00
Net Pay 11,857.44

Nicholas Jefferson Gross Wages 13,000.00

Employee # : 1009 Federal Wages 13,000.00
Dept : 003 Social Security Wages 13,000.00
Location : NY1 Medicare Wages 13,000.00
Federal Tax 2,123.16
Social Security Tax 546.00
Medicare Tax 188.50
NJ State Tax 381.81
NY State Tax 646.75
NJ Family Leave Ins. 6.64
NJ SDI 16.60
NJ SUI 35.28
Net Pay 9,055.26

Employer Code: SAMPLE Page 1 Run on 9/26/2012 at 3:42 PM EDT

 Widget Manufacturing Corp.
Employee Earnings and Taxes Report
From 07/01/12 to 09/30/12

Employee Pay Type Period Amount

Natalie M Mendez Gross Wages 11,440.00

Employee # : 1006 Federal Wages 9,243.00
Dept : 003 Social Security Wages 9,815.00
Location : NY2 Medicare Wages 9,815.00
Federal Tax 871.00
Social Security Tax 412.23
Medicare Tax 142.32
NY State Tax 390.00
NY SDI 7.80
401(k) 572.00
PreTax Medical (S) 1,625.00
Net Pay 7,419.65

Eric M Davis Gross Wages 26,600.00

Employee # : 1003 Federal Wages 22,895.00
Dept : 005 Social Security Wages 24,195.00
Location : NY1 Medicare Wages 24,195.00
Federal Tax 4,121.89
Social Security Tax 1,016.19
Medicare Tax 350.83
NY State Tax 1,281.98
NYC Resident Tax 786.06
401(k) 1,300.00
Child Support 2,665.00
Pretax Medical (M) 2,405.00
Net Pay 12,073.05

David M Jones Gross Wages 25,846.16

Employee # : 1001 Federal Wages 23,085.54
Dept : 005 Social Security Wages 25,670.16
Location : CA1 Medicare Wages 25,670.16
Federal Tax 2,130.00
Social Security Tax 1,078.15
Medicare Tax 372.22
CA State Tax 696.00
CA SDI 256.70
401(k) 2,584.62
Pretax Medical (M) 176.00
Net Pay 18,552.47

Employer Code: SAMPLE Page 2 Run on 9/26/2012 at 3:42 PM EDT

 Widget Manufacturing Corp.
Employee Earnings and Taxes Report
From 07/01/12 to 09/30/12

Employee Pay Type Period Amount

Stephanie Powell Gross Wages 48,461.60

Employee # : 1002 Federal Wages 43,844.67
Dept : 004 Social Security Wages 21,210.00
Location : CA1 Medicare Wages 47,721.60
Federal Tax 9,097.00
Social Security Tax 890.82
Medicare Tax 691.96
CA State Tax 2,796.00
CA SDI 66.95
401(k) 3,876.93
Pretax Medical (M) 740.00
Net Pay 30,301.94

Michael C Smith Gross Wages 16,800.00

Employee # : 1005 Federal Wages 16,800.00
Dept : 004 Social Security Wages 16,800.00
Location : NY2 Medicare Wages 16,800.00
Federal Tax 2,982.00
Social Security Tax 705.60
Medicare Tax 243.60
NY State Tax 882.00
NY SDI 8.40
Union Dues 140.00
Net Pay 11,838.40

Thomas A Montoya Gross Wages 10,080.00

Employee # : 1007 Federal Wages 7,322.00
Dept : 002 Social Security Wages 8,330.00
Location : NY2 Medicare Wages 8,330.00
Federal Tax 532.00
Social Security Tax 349.86
Medicare Tax 120.79
NY State Tax 252.00
NY SDI 8.40
NYC Resident Tax 168.00
401(k) 1,008.00
PreTax Medical (S) 1,750.00
Union Dues 140.00
Net Pay 5,750.95

Employer Code: SAMPLE Page 3 Run on 9/26/2012 at 3:42 PM EDT

 Widget Manufacturing Corp.
Employee Earnings and Taxes Report
From 07/01/12 to 09/30/12

Employee Pay Type Period Amount

Company Totals Gross Wages 177,741.63

Federal Wages 158,822.85
Social Security Wages 143,558.03
Medicare Wages 170,069.63
Federal Tax 24,166.19
Social Security Tax 6,029.44
Medicare Tax 2,466.02
CA State Tax 3,681.55
NJ State Tax 381.81
NY State Tax 4,439.36
CA SDI 323.65
NJ Family Leave Ins. 6.64
NJ SDI 16.60
NJ SUI 35.28
NY SDI 35.00
NYC Resident Tax 954.06
401(k) 11,246.78
Child Support 2,665.00
Pretax Medical (M) 3,797.00
PreTax Medical (S) 3,875.00
Union Dues 280.00
Net Pay 112,742.25

Employer Code: SAMPLE Page 4 Run on 9/26/2012 at 3:42 PM EDT

 Widget Manufacturing Corp.
Taxable Wages Report
From 07/01/12 to 09/30/12

Empl. ID
Employee Name Gross Federal Soc. Sec. Medicare FUTA ST State Locality Local SUTA
1004
Kayla Collins 9,360.00 7,924.00 8,860.00 8,860.00 0.00 CA 7,924.00 0.00
NY 0.00 0.00

1003
Eric M Davis 26,600.00 22,895.00 24,195.00 24,195.00 0.00 NY 22,895.00 NYC Resident Tax 22,895.00 0.00

1008
Charles H Garrison 16,153.87 14,708.64 15,677.87 15,677.87 0.00 NY 14,708.64 0.00

1009
Nicholas Jefferson 13,000.00 13,000.00 13,000.00 13,000.00 0.00 NJ 0.00 NJ Family Leave Ins. 0.00 8,300.00
NY 13,000.00 0.00

1001
David M Jones 25,846.16 23,085.54 25,670.16 25,670.16 0.00 CA 23,085.54 0.00

1006
Natalie M Mendez 11,440.00 9,243.00 9,815.00 9,815.00 0.00 NY 9,243.00 0.00

1007
Thomas A Montoya 10,080.00 7,322.00 8,330.00 8,330.00 0.00 NY 7,322.00 NYC Resident Tax 7,322.00 0.00

1002
Stephanie Powell 48,461.60 43,844.67 21,210.00 47,721.60 0.00 CA 43,844.67 0.00

1005
Michael C Smith 16,800.00 16,800.00 16,800.00 16,800.00 0.00 NY 16,800.00 0.00
Employer Code: SAMPLE Page 1 Run on 9/26/2012 at 3:44 PM EDT
 Widget Manufacturing Corp.
Taxable Wages Report
From 07/01/12 to 09/30/12

Empl. ID
Employee Name Gross Federal Soc. Sec. Medicare FUTA ST State Locality Local SUTA

Totals: 177,741.63 158,822.85 143,558.03 170,069.63 0.00 158,822.85 8,300.00

CA 74,854.21 NYC Resident Tax 30,217.00 0.00

NY 83,968.64 NJ Family Leave Ins. 0.00 0.00
NJ 0.00 8,300.00

Employer Code: SAMPLE Page 2 Run on 9/26/2012 at 3:44 PM EDT

 Widget Manufacturing Corp.
Employee Earnings by Type Report
From 7/1/2012 to 9/30/2012
Foreman Auto
Number Employee Name Gross Pay Regular Overtime Night 1 Night 2 Salary Vacation Sick Personal Holiday Bonus Meals Allowance

Department : Accounting
1004 Kayla Collins 9,360.00 9,360.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
1008 Charles H Garrison 16,153.87 16,153.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
1009 Nicholas Jefferson 13,000.00 12,600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 400.00 0.00 0.00 0.00
1006 Natalie M Mendez 11,440.00 10,912.00 0.00 0.00 0.00 0.00 0.00 0.00 176.00 352.00 0.00 0.00 0.00
Dept. (003) Totals: 49,953.87 49,025.87 0.00 0.00 0.00 0.00 0.00 0.00 176.00 752.00 0.00 0.00 0.00

Department : Engineering
1003 Eric M Davis 26,600.00 25,200.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 800.00 0.00 600.00 0.00
1001 David M Jones 25,846.16 25,846.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Dept. (005) Totals: 52,446.16 51,046.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 800.00 0.00 600.00 0.00

Department : Sales
1002 Stephanie Powell 48,461.60 48,461.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
1005 Michael C Smith 16,800.00 16,320.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 480.00 0.00 0.00 0.00
Dept. (004) Totals: 65,261.60 64,781.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 480.00 0.00 0.00 0.00

Department : Shipping
1007 Thomas A Montoya 10,080.00 9,792.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 288.00 0.00 0.00 0.00
Dept. (002) Totals: 10,080.00 9,792.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 288.00 0.00 0.00 0.00

Company Totals: 177,741.63 174,645.63 0.00 0.00 0.00 0.00 0.00 0.00 176.00 2,320.00 0.00 600.00 0.00

Employer Code: SAMPLE Page 1 Run on 9/26/2012 at 3:46 PM EDT

 Widget Manufacturing Corp.
Pending Tax Payments Report
As of 9/26/2012 at 3:47 PM EDT
Type Debit Date * Due Date Method Amount
Federal Tax Withholding 09/27/2012 10/03/2012 EFT 4,383.68
CA Tax Withholding 09/27/2012 10/03/2012 EFT 76.02
NY Tax Withholding 09/27/2012 10/03/2012 EFT 1,422.60
CA Tax Withholding 10/01/2012 10/05/2012 EFT 1,287.41
Federal Tax Withholding 10/01/2012 10/05/2012 EFT 6,914.30
Federal Tax Withholding 10/09/2012 10/15/2012 EFT 12,118.91
NJ Tax Withholding 10/24/2012 10/30/2012 EFT 146.85
NJ Local Tax 10/24/2012 10/30/2012 EFT 6.64
NJ Disability Tax 10/24/2012 10/30/2012 EFT 367.28
Total Pending Tax Payments $26,723.69

* Debit date may be earlier if "Pay Early" selected or pending tax payment due with form and form is filed earlier.

Employer Code: SAMPLE Page 1 Run on 9/26/2012 at 3:47 PM EDT

 Widget Manufacturing Corp.
Deductions Summary Report
From 07/01/12 to 09/30/12

Deduction Emp # Employee Name Amount

401(k)
1004 Kayla Collins 936.00
1003 Eric M Davis 1,300.00
1008 Charles H Garrison 969.23
1001 David M Jones 2,584.62
1006 Natalie M Mendez 572.00
1007 Thomas A Montoya 1,008.00
1002 Stephanie Powell 3,876.93
Total 401(k) 11,246.78

Child Support
1003 Eric M Davis 2,665.00
Total Child Support 2,665.00

Pretax Medical (M)

1003 Eric M Davis 2,405.00
1008 Charles H Garrison 476.00
1001 David M Jones 176.00
1002 Stephanie Powell 740.00
Total Pretax Medical (M) 3,797.00

PreTax Medical (S)

1004 Kayla Collins 500.00
1006 Natalie M Mendez 1,625.00
1007 Thomas A Montoya 1,750.00
Total PreTax Medical (S) 3,875.00

Union Dues
1007 Thomas A Montoya 140.00
1005 Michael C Smith 140.00
Total Union Dues 280.00

Grand Total 21,863.78

Employer Code: SAMPLE Page 1 Run on 9/26/2012 at 3:48 PM EDT

 Widget Manufacturing Corp.
Retirement Transmittal Report
From 07/01/12 to 09/30/12
Compen- Employee Loan Employer
Emp # Employee Name Account sation Contribution Repay Match
401(k)
1004 Kayla Collins 9,360.00 936.00 0.00 234.00
1003 Eric M Davis 26,000.00 1,300.00 0.00 325.00
1008 Charles H Garrison 16,153.87 969.23 0.00 242.31
1001 David M Jones 098-7654-321 25,846.16 2,584.62 0.00 646.15
1006 Natalie M Mendez 123-4567-890 11,440.00 572.00 0.00 143.00
1007 Thomas A Montoya 10,080.00 1,008.00 0.00 252.00
1002 Stephanie Powell 1-22-333-4444 48,461.60 3,876.93 0.00 969.23
Totals for 401(k) amounts: 147,341.63 11,246.78 0.00 2,811.69

Employer Code: SAMPLE Page 1 Run on 9/26/2012 at 3:50 PM EDT