Income Tax Operations

NON-NEGOTIABLE

Deposited to the account of account number transit ABA amount

**** * **, ***

Earnings Statement

036

Period Beginning: 01/17/2022

CO. FILE DEPT. CLOCK VCHR. NO.

Period Ending: 01/30/2022

000***-****** NV 000******* 1

Pay Date: 02/03/2022

5TP

JAQUALINE WALKER

$66 31

FACE AMUSEMENT GROUP, INC.

142 KENMORE AVE

5034 BOBBY HICKS HWY

WINCHESTER TN 37398-2052

JOHNSON CITY, TN 37615

667 88

Other Benefits and

this period total to date

Filing Status: Single/Married filing separately

Exemptions/Allowances:

-4 45 41 41

Totl Hrs Worked 4 08

Federal: Standard Withholding Table

COMPANY PH#:+1-423-***-****

rate hours this period year to date

BASIS OF PAY: HOURLY

000********

Regular 15-000*-*-**-**-** 580 95

Taxable Marital Status:

02/03/2022

Tips 10 60 86 93

TN:

No State Income Tax

Gross Pay $71 80

Single

Exemptions/Allowances:

xxxx

Statutory

-1 04 9 68

TN:

xxxx

Social Security Tax

2 25

Advice number:

Medicare Tax

$66 31

Pay date:

Federal Income Tax

-66 31

xxxxxxxxx0477

Net Pay

$0 00

Checking 1

Net Check

Your federal taxable wages this period are $71 80

FACE AMUSEMENT GROUP INC

5034 BOBBY HICKS HWY

JOHNSON CITY TN 37615

JAQUALINE WALKER

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