Gross-Up Calculator
Calculation based on: Tax Year  For 
Instructions: Click an item's name for help on contents.
General Information

Net Pay

Gross Salary YTD

   (optional)

Pay Frequency

Federal Filing Status

# of Federal Allowances

Additional Fed. Withholding

 $

I am exempt from:

 FICA Medicare
State and Local Information for Arizona

% of Federal

Additional State W/H

 $
Voluntary Deduction Section

401(k)
YTD Amount

%
$

Dentex Plan - Single

Yes No

Flex Benefit-Health

$

HMO Single

Yes No

HMO- Family

Yes No

Metro Transit Pass

Yes No

PPO (Pre-Tax) Family

Yes No

United Way

$
Imputed Income Section

Group Term Life

$

Taxable Fringe Benefits

$
Other Income Section

Auto Allowance

$


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