SAMPLE
Acme Corp, Inc.
1200 Innovation Drive, Suite 400 · Austin, TX 78701
EIN: 12-3456789
Pay Period
May 1 – May 15, 2026
Pay Date
May 20, 2026
Employee Jessica M. Williams Senior Product Manager · ID #00142
Pay Type Salary — Bi-Weekly $95,000.00 / year
Filing Status Single — Fed & TX Allowances: 1
Earnings
DescriptionRateHoursCurrent
Regular Pay$45.6780$3,653.85
Overtime$68.514$274.04
Bonus$500.00
Gross Pay$4,427.89
Taxes & Deductions
DescriptionCurrentYTD
Federal Income Tax$442.79$5,313.48
Social Security (6.2%)$274.53$3,294.36
Medicare (1.45%)$64.20$770.40
TX State Income Tax$0.00$0.00
Health Insurance$185.00$2,220.00
401(k) Contribution$177.12$2,125.44
Total Deductions$1,143.64$13,723.68
Year-to-Date Summary
Gross EarningsFederal TaxFICAState TaxOther DeductionsNet Pay YTD
$53,134.68$5,313.48$4,064.76$0.00$4,345.44$39,411.00
Net Pay
$3,284.25
Direct Deposit · Chase ····4821