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Pay Stub Sample PDF Template

What is a Pay Stub Sample?

A pay stub sample is a document provided to employees by their employer each pay period, detailing important information regarding their earnings, deductions, taxes, and time-off balances. It serves as a comprehensive record of an employee's compensation and is essential for maintaining transparency and accountability in payroll processes.


How to Fill in Our Pay Stub Sample PDF Template

Follow these steps to fill in the Pay Stub Sample template:

Payee Information:

  • Enter the name of the employee receiving the pay stub and their tax status, indicating whether they are single, married filing jointly, married filing separately, or head of household.

Payment Details:

  • Specify the payment date, payment method (such as direct deposit or physical check), and any additional percentage or amount that may be included in the payment.

Pay Rate and Regular Pay:

  • Record the employee's pay rate, including any additional amounts for overtime, bonuses, or commissions. Calculate the regular pay based on the hours worked at the regular rate.

Federal Tax and Medicare Deductions:

  • Deduct federal income tax and Medicare tax from both the regular pay and any additional pay. Ensure accurate calculations based on the employee's tax status and withholding allowances.

Other Deductions:

  • Include any other deductions such as state income tax, local taxes, retirement contributions, health insurance premiums, or other benefits. Deduct these amounts from the total gross pay to determine the total net pay.

Time-Off Balances:

  • Detail the employee's time-off balances for vacation days, personal days, sick leave, and medical leave. Update these balances each pay period to reflect any accruals or usage.

Year-to-Date Totals:

  • Summarize the year-to-date totals for both payments and deductions, providing employees with a clear overview of their earnings and withholdings throughout the year.


  • Include any relevant messages or notices for employees, such as updates on company policies, benefits enrollment deadlines, or reminders about upcoming events.

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