Eclectic-Systems LLC

123 , Houston, TX 77050

EIN: 12-123467

EARNINGS STATEMENT

Employee: Test 123 SSN: XXX-XX-XXXX Pay Date: 01/11/2026
Address: 123, Houston, TX
EARNINGS
Description Hours Rate Amount
Salary - - $5,000.00
GROSS PAY $5,000.00
TAXES (Calculated on Taxable Wages: $5,000.00)
Federal Income Tax$0.00
Social Security (6.2%)$310.00
Medicare (1.45%)$72.50
Total Taxes $382.50
NET PAY (Take Home) $4,617.50
YEAR-TO-DATE TOTALS
YTD Gross YTD Fed Tax YTD State Tax YTD SS YTD Medicare YTD Net
$5,000.00 $0.00 $0.00 $310.00 $72.50 $4,617.50

This is not a check. Please retain for your records.

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