statement of earnings and leave · 2018. 7. 21. · 83 fehba - enroll code ne32 99.47 1085.61 83 10...

FORM AD-334 USDA (REV. 10/97) SOCIAL SECURITY NO. PAY PERIOD DATE MO DA YR MO DA YR P/P T&A CONTACT POINT ACCT. STAT. ORGANIZATIONAL STRUCTURE PERSNL OFFICE PAY PLAN GR. STEP SALARY RATE TYPE EMPL. SCD FOR LEAVE RET. DEDUCTIONS THIS APPOINTMENT STATEMENT OF EARNINGS AND LEAVE EARNINGS AND DEDUCTIONS ITEM HOURS AMOUNT CODE DESCRIPTION YR. TO DATE P/P YR TO DATE P/P BOND ACCOUNT YEAR TO DATE LEAVE STATUS PT. HRS MAX. C/O AUTH DENOM- DEDUC- BALANCE NO. ISSUE PROJECTED UNAPP TYPE ACCRUED USED BALANCE NO INATION TION AVAIL. ISSUED DATE USE OR LOSE ANN SICK LEAVE CATEG COMP REMARKS NAME AND ADDRESS EPP Print FEDERAL DEPOSIT INSURANCE CORPORATION 110 - 58 - 8312 05/05/2013 05/18/2013 09 0068 68-11-0010-81-12 68-72-01-0001 1636 CG 07 00 73,588.00 PA F/T 06/30/1985 8,120.76 20603 7256 PRISCILLA I LEE 3494 PROMENADE PL APT 308 WALDORF, MD 20603-7256 05/30/2013 8 72 36 102.50 48.00 -6 240.00 01 REGULAR TIME 56.50 629.00 1992.19 22034.04 44 CASH AWARD 590.00 61 ANNUAL LEAVE 18.00 147.00 634.68 5108.02 62 SICK LEAVE 5.50 48.00 193.93 1692.48 66 OTHER LEAVE 56.00 1923.86 ** ** **** PAY PERIOD HOURS & GROSS PAY **** 80.00 2820.80 31348.40 75 02 RETIREMENT 22.57 246.09 75 15 TSP-FERS 175.00 *AMT BASED ON FIXED AMT 75 17 401(K) 28.21 361.31 76 SOCIAL SECURITY (OASDI) 166.10 1852.69 77 FEDERAL TAX EXEMPTS S08 187.78 2233.09 78 ST TAX MD EXEMPTS S10 102.75 1250.05 81 FEGLI- COVERAGE $ $76,000 11.40 124.50 81 09 LIFE INS-COVERAGE$ $76,000 3.80 41.50 LIFE INS TAXABLE COST 6.73 130.11 81 10 LTD HIGH OPTION $51,000 2.39 26.07 82 OPT FEGLI-AGE BRACKET 5 34.02 308.58 82 09 OPT INS - AGE BRACKET 4 8.65 94.51 83 FEHBA - ENROLL CODE NE32 99.47 1085.61 83 10 DENTAL PLAN 12.04 132.44 83 10 DENTAL PLAN 18.98 189.88 83 11 VISION PLAN 6.22 68.42 83 11 VISION PLAN 9.33 93.46 85 CHARITABLE CONTRIBUTNS 8.00 82.00 88 CHKING/SAVING24001503 15.00 105.00 88 CHKING/SAVING3029306317 15.00 105.00 88 40 TSP LOAN REPAY (FED) 20.00 220.00 88 50 TSP LOAN REPAY NON FED 41.04 451.44 88 50 TSP LOAN REPAY NON FED 43.28 476.08 97 MEDICARE TAX WITHHELD 38.85 433.33 ** ** ********** TOTAL DEDUCTIONS ********** 894.88 10156.05 ** ** *************** NET PAY ************** 1925.92 21192.35 ** ** DD/EFT ROUTING NO. 061000227 PROTECTING PRIVACY - AS EASY AS PII DO NOT LEAVE MATERIAL CONTAINING PERSONALLY IDENTIFIABLE INFORMATION (PII) UNSECURED TO UNAUTHORIZED ACCESS. QUESTIONS? CONTACT [email protected] - Official Pay Date

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FORM AD-334 USDA

(REV. 10/97)SOCIAL SECURITY NO. PAY PERIOD DATE

MO DA YR MO DA YRP/P T&A CONTACT POINT ACCT.

STAT.ORGANIZATIONAL

STRUCTUREPERSNLOFFICE

PAYPLAN

GR. STEP

SALARY RATE TYPEEMPL.

SCD FORLEAVE

RET. DEDUCTIONSTHIS APPOINTMENT STATEMENT OF EARNINGS AND LEAVE

EARNINGS AND DEDUCTIONSITEM HOURS AMOUNT

CODE DESCRIPTION YR. TO DATE P/P YR TO DATEP/P

BOND ACCOUNT YEAR TO DATE LEAVE STATUSPT. HRS MAX. C/OAUTH DENOM- DEDUC- BALANCE NO. ISSUE PROJECTED UNAPPTYPE ACCRUED USED BALANCENO INATION TION AVAIL. ISSUED DATE USE OR LOSE

ANNSICK LEAVE CATEGCOMP

REMARKS

NAME AND ADDRESS

EPP Print

FEDERAL DEPOSIT INSURANCE CORPORATION

110 - 58 - 8312 05/05/2013 05/18/2013 09 006868-11-0010-81-12 68-72-01-0001 1636 CG 07 00

73,588.00 PA F/T 06/30/1985 8,120.76

20603 7256

PRISCILLA I LEE3494 PROMENADE PLAPT 308WALDORF, MD 20603-7256

05/30/2013

8

7236

102.5048.00 -6

240.00

01 REGULAR TIME 56.50 629.00 1992.19 22034.0444 CASH AWARD 590.0061 ANNUAL LEAVE 18.00 147.00 634.68 5108.0262 SICK LEAVE 5.50 48.00 193.93 1692.4866 OTHER LEAVE 56.00 1923.86

** ** **** PAY PERIOD HOURS & GROSS PAY **** 80.00 2820.80 31348.40

75 02 RETIREMENT 22.57 246.0975 15 TSP-FERS 175.00

*AMT BASED ON FIXED AMT75 17 401(K) 28.21 361.3176 SOCIAL SECURITY (OASDI) 166.10 1852.6977 FEDERAL TAX EXEMPTS S08 187.78 2233.0978 ST TAX MD EXEMPTS S10 102.75 1250.0581 FEGLI- COVERAGE $ $76,000 11.40 124.5081 09 LIFE INS-COVERAGE$ $76,000 3.80 41.50

LIFE INS TAXABLE COST 6.73 130.1181 10 LTD HIGH OPTION $51,000 2.39 26.0782 OPT FEGLI-AGE BRACKET 5 34.02 308.5882 09 OPT INS - AGE BRACKET 4 8.65 94.5183 FEHBA - ENROLL CODE NE32 99.47 1085.6183 10 DENTAL PLAN 12.04 132.4483 10 DENTAL PLAN 18.98 189.8883 11 VISION PLAN 6.22 68.4283 11 VISION PLAN 9.33 93.4685 CHARITABLE CONTRIBUTNS 8.00 82.0088 CHKING/SAVING24001503 15.00 105.0088 CHKING/SAVING3029306317 15.00 105.0088 40 TSP LOAN REPAY (FED) 20.00 220.0088 50 TSP LOAN REPAY NON FED 41.04 451.4488 50 TSP LOAN REPAY NON FED 43.28 476.0897 MEDICARE TAX WITHHELD 38.85 433.33

** ** ********** TOTAL DEDUCTIONS ********** 894.88 10156.05

** ** *************** NET PAY ************** 1925.92 21192.35

** ** DD/EFT ROUTING NO. 061000227

PROTECTING PRIVACY - AS EASY AS PII DO NOT LEAVE MATERIAL CONTAINING PERSONALLY IDENTIFIABLE INFORMATION (PII) UNSECURED TO UNAUTHORIZED ACCESS. QUESTIONS? CONTACT [email protected]

-

Official Pay Date

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