Gross Pay
Gross Salary YTD
Pay Frequency
Federal Filing Status
# of Federal Allowances
Additional Fed. Withholding
I am exempt from:
Tax Rate
Exemptions
Low Income
Additional State W/H
Employee 401(k) Contribution
Employer 401(k) Contribution
Employer 401(k) Contribution Limit
Are you 50 or older?
401(k) YTD Amount
Dentex Plan - Single
Flex Benefit-Health
HMO Single
HMO- Family
Metro Transit Pass
PPO (Pre-Tax) Family
United Way
Group Term Life
Taxable Fringe Benefits
Auto Allowance