Personal Information
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Earnings
Pay Type
Gross Pay
Rate 1
Hours 1
Rate 2
Hours 2
Rate 3
Hours 3
Net Pay
Gross Pay YTD
Pay Frequency
Federal Taxes
Use 2020 W4
Federal Tax
Filing Status
Addl W/H
Exemptions
Social security
Medicare
State Taxes
Filing Status
Addl W/H
Exempt/Allow
Exemption Amount
Exemption Amount
Addl Exempt
Addl Exempt
Dependents
Dependents
County
City
City
School
School
Other Deductions
Deduction 1
Deduction Name
Deduction Type
Deduction Amount
Deduction 2
Deduction Name
Deduction Type
Deduction Amount
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