Soc Sec #
Beg Date
End Date
Gross
Net
FICA
FIT
SIT
Local
YTD Gross
YTD FICA
YTD FIT
YTD SIT
Paid To:
Amount:
Check No:
Current
Year-to-Date
GROSS:
PreTaxedDed:
AGI:
FICA:
FIT:
State Tax:
Local Tax:
Additions:
Deductions: