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*[Firm Name]*

PAYROLL FORM

EMPLOYEE NUMBER:

EMPLOYEE NAME:

START DATE:

EFFECTIVE DATE:

PAY PERIOD DATES:

	ANNUAL SALARY:

	PAY ADJUSTMENT TO ANNUAL SALARY

	NEW ANNUAL COMPENSATION BASE

	HOURLY RATE

	ANNUAL HOURS		x 2080


	GROSS WAGES PAYROLL PERIOD
	(BASE PAY DIV 24)

	NEW BILLING RATE


APPROVAL:____________________________________		DATE:_________________


COMMENTS:

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