PAYCHECK STUB CALCULATION WORKSHEET 2013

Unit #: ______Last Name: ______

1. AVERAGE ______+ ______+ ______+ ______

Gross Pay Gross Pay Gross Pay Gross Pay

Check stub #1 Check stub #2 Check stub #3 Check stubs #4

______+ ______= ______

Gross Pay Gross Pay Total of

Check stub #5 Check stub #6 Check stubs

______÷ ______x ______= ______

Total of Number of Pay Average (A)

Check stubs Check stubs Frequency

2. YEAR-TO-DATE ______÷ ______x ______= ______

Gross Pay Pay YTD (B)

YTD Periods Frequency

**Circle pay period ending dates **Hire Date (Required): ______

DECEMBER 2012
S / M / T / W / T / F / S
1
2 / 3 / 4 / 5 / 6 / 7 / 8
9 / 10 / 11 / 12 / 13 / 14 / 15
16 / 17 / 18 / 19 / 20 / 21 / 22
23 / 24 / 25 / 26 / 27 / 28 / 29
30 / 31
JANUARY 2013 / FEBRUARY 2013 / MARCH 2013 / APRIL 2013
S / M / T / W / T / F / S / S / M / T / W / T / F / S / S / M / T / W / T / F / S / S / M / T / W / T / F / S
1 / 2 / 3 / 4 / 5 / 1 / 2 / 1 / 2 / 1 / 2 / 3 / 4 / 5 / 6
6 / 7 / 8 / 9 / 10 / 11 / 12 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 7 / 8 / 9 / 10 / 11 / 12 / 13
13 / 14 / 15 / 16 / 17 / 18 / 19 / 10 / 11 / 12 / 13 / 14 / 15 / 16 / 10 / 11 / 12 / 13 / 14 / 15 / 16 / 14 / 15 / 16 / 17 / 18 / 19 / 20
20 / 21 / 22 / 23 / 24 / 25 / 26 / 17 / 18 / 19 / 20 / 21 / 22 / 23 / 17 / 18 / 19 / 20 / 21 / 22 / 23 / 21 / 22 / 23 / 24 / 25 / 26 / 27
27 / 28 / 29 / 30 / 31 / 24 / 25 / 26 / 27 / 28 / 24 / 25 / 26 / 27 / 28 / 29 / 30 / 28 / 29 / 30
31
MAY 2013 / JUNE 2013 / JULY 2013 / AUGUST 2013
S / M / T / W / T / F / S / S / M / T / W / T / F / S / S / M / T / W / T / F / S / S / M / T / W / T / F / S
1 / 2 / 3 / 4 / 1 / 1 / 2 / 3 / 4 / 5 / 6 / 1 / 2 / 3
5 / 6 / 7 / 8 / 9 / 10 / 11 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 7 / 8 / 9 / 10 / 11 / 12 / 13 / 4 / 5 / 6 / 7 / 8 / 9 / 10
12 / 13 / 14 / 15 / 16 / 17 / 18 / 9 / 10 / 11 / 12 / 13 / 14 / 15 / 14 / 15 / 16 / 17 / 18 / 19 / 20 / 11 / 12 / 13 / 14 / 15 / 16 / 17
19 / 20 / 21 / 22 / 23 / 24 / 25 / 16 / 17 / 18 / 19 / 20 / 21 / 22 / 21 / 22 / 23 / 24 / 25 / 26 / 27 / 18 / 19 / 20 / 21 / 22 / 23 / 24
26 / 27 / 28 / 29 / 30 / 31 / 23 / 24 / 25 / 26 / 27 / 28 / 29 / 28 / 29 / 30 / 31 / 25 / 26 / 27 / 28 / 29 / 30 / 31
30
SEPTEMBER 2013 / OCTOBER 2013 / NOVEMBER 2013 / DECEMBER 2013
S / M / T / W / T / F / S / S / M / T / W / T / F / S / S / M / T / W / T / F / S / S / M / T / W / T / F / S
1 / 2 / 3 / 4 / 5 / 6 / 7 / 1 / 2 / 3 / 4 / 5 / 1 / 2 / 1 / 2 / 3 / 4 / 5 / 6 / 7
8 / 9 / 10 / 11 / 12 / 13 / 14 / 6 / 7 / 8 / 9 / 10 / 11 / 12 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 8 / 9 / 10 / 11 / 12 / 13 / 14
15 / 16 / 17 / 18 / 19 / 20 / 21 / 13 / 14 / 15 / 16 / 17 / 18 / 19 / 10 / 11 / 12 / 13 / 14 / 15 / 16 / 15 / 16 / 17 / 18 / 19 / 20 / 21
22 / 23 / 24 / 25 / 26 / 27 / 28 / 20 / 21 / 22 / 23 / 24 / 25 / 26 / 17 / 18 / 19 / 20 / 21 / 22 / 23 / 22 / 23 / 24 / 25 / 26 / 27 / 28
29 / 30 / 27 / 28 / 29 / 30 / 31 / 24 / 25 / 26 / 27 / 28 / 29 / 30 / 29 / 30 / 31

3. COMPARE ______to ______& use the highest for employment income.

Average (A) YTD (B)

______

Signature of person who completed this form Date

Revised 12/21/2007