TAX LIABILITIES / DEPOSITS & DUE DATES 27

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Current Payroll Tax Liabilities *** To-Date Tax Liabilities (Please Read) *** Basic Company Information Payroll Dates The Sample Company 380 E. Lafayett Frontage Road, Ste. 110 (1) Period Start Date: 01/11/08 Saint Paul, MN 55107 (1) Period End Date: 02/10/08 Company No: 26 Federal Deposit Freq.: SEMI-WEEKLY Federal Deposit Method: CTS Payroll Statistics No. of PR Checks: 1 Total Check Net: $2,152.02 No. of Misc Checks: 1 Total Misc. Net: $10 No. of Tax Checks: 0 No. of Adj. Entries: 0 Total Adj. Net: $ No. of Void Entries: 0 Total Void Net: $ No. of DD Vouchers: 1 Total PR Net: $2,252.02 Total PR Gross: $3,00 Federal Tax Deposit Liability (941) Federal Withholding Tax Earned Income Credit Social Security (Employer Portion) Social Security (Employee Portion) (Employer Portion) (Employee Portion) Total PR Federal 941 Liability Federal Unemployment Liability (940) Federal Unemployment Tax (FUTA) Federal Tax Section Total Unpaid 941 Liability -- DUE $256.09 This amount will be withdrawn the day before your checkdate $ The total withdrawal will be listed at the end of the report $175.89 $175.89 $41.14 $41.14 $690.15 Quarter / Year : 1-2008 Tax Type: 941 $ $690.15 Total PR Federal 940 Liability $ Minnesota Tax Section Minnesota State Withholding Liability State Withholding Tax (W/H) Total Minnesota PR WH Liability Minnesota Unemployment Liability State Unemployment Tax (SUTA) Workforce Development Tax Total MN PR SUTA Liability Total Unpaid MN State Withholding Liability -- DUE $111.86 This amount will be withdrawn the day before your checkdate The total withdrawal will be listed at the end of the report $111.86 $ $ $ $111.86 Total Tax Deposit $888.51 ********* Total Bank Deposit: $3,140.53 Co. No: 26 The Sample Company TAX LIABILITIES / DEPOSITS & DUE DATES 27 Payroll Number: Page: A - 1

Employee Name (State for) Emp. No. SSN No. UCI Pay Freq. Tax Status Dept. No. Pays Taxes Deductions & Memos Current Year-to-Date Tax Current YTD Deduction Current YTD Description Rate Pay Description Amount Description Amount Amount Description Amount Amount Division : 0 Central Employee, Sample 1 0-Regular Pay 2,00 0-Regular Pay 2,00 Federal WH 171.28 171.28 2-CAF Medical 163.00 163.00 000038 16 456-45-6658 MN 113.89 113.89 NORMAL Semi-Monthly Fed: Married 1 26.64 26.64 MN Married 1 MN: State WH 74.92 74.92 Ck. No. Type Net Pay Employee Totals Totals: 2,00 Total YTD: 2,00 386.73 163.00 1,450.27 Sample, Quickbooks 1 0-Regular Pay 1,00 0-Regular Pay 1,00 Federal WH 84.81 84.81 4-401K Plan 10 10 2000022 15 123-45-6789 MN 62.00 62.00 DD Bi-Weekly Fed: Single 1 14.50 14.50 MN Single 1 MN: State WH 36.94 36.94 Employee Totals Totals: 1,00 Total YTD: 1,00 198.25 10 701.75 Pay Period: Monthly 01/11/08-02/10/08 Co. No: 26 The Sample Company PAYROLL REGISTER Page: B - 1

Pay and Deduction Descriptions Pays: Regular Pay Total Gross Pay Current Payroll Month to Date Overall Company Totals Quarter to Date 3,00 3,00 3,00 3,00 3,00 3,00 Year to Date 3,00 3,00 Federal Tax Deductions: Federal Withholding (W/H) 256.09 256.09 256.09 256.09 41.14 41.14 41.14 41.14 175.89 175.89 175.89 175.89 Total Federal Tax Deduction Minnesota Tax Deductions: 473.12 473.12 473.12 473.12 State Withholding (W/H) 111.86 Total Minnesota Tax Total State Tax: Other Deductions: 2-CAF Medical 163.00 163.00 163.00 163.00 4-401K Plan 10 10 10 10 Total Other Deduction 263.00 263.00 263.00 263.00 Net Pay 2,152.02 2,152.02 2,152.02 2,152.02 PAYROLL REGISTER TOTALS Co. No: 26 The Sample Company Page: C - 1

Accrual Descriptions Current Payroll Month to Date Quarter to Date Year to Date Federal Tax Accruals: Federal Unemployment Insurance Tax (FUTA) Total Federal Tax Minnesota Tax Accruals: State Unemployment Insurance Tax (SUTA) Workforce Development Tax Total Minnesota Tax Overall Company Totals PAYROLL UI TOTALS Co. No: 26 The Sample Company Page: CC - 1

The Sample Company 380 E. Lafayett Frontage Road, Ste. 110 Saint Paul, MN 55107 Direct Deposit Voucher Check Date Reference No. 02/08/2008 2000022 Amount $701.75 Payee Quickbooks Sample 1234 Sample Street Saint Paul, MN 55107 Div: 0 / Dept: 1 Non-Negotiable 02/14/20 2:43:52 P Company Name The Sample Company Employee Name Quickbooks Sample Company No. 26 Payroll No. 27 Employee No. 15 Division No. 0 SSN No. *******6789 Home Depart. No. 1 Check No. 2000022 Net Pay 701.75 Dept. No. Fold Here Bi-Weekly Start Date 01/11/2008 End Date 02/10/2008 Check Date 02/08/2008 Pay Frequency Processed By Integrated Compensation Syste State for UCI MN Tax Status Deps Xtr/Fxd Flat Xtr/Fxd % Federal Single 1 (W) MN Single 1 Pays Taxes Deductions & Memos Current Year-to-Date Tax Current YTD Deduction Current YTD Description Rate Pay Description Amount Description Amount Amount Description Amount Amount 1 0-Regular Pay 1,00 0-Regular Pay 1,00 Federal WH 84.81 84.81 4-401K Plan 10 10 62.00 62.00 14.50 14.50 MN: State WH 36.94 36.94 Employee Totals 1,00 Total YTD: 1,00 198.25 10 (R) Available Leave Totals: Company Memo: Company Wide Memo goes here. Sick Vacation Personal Private Memo: Account Type Checking Bank Routing No. *****3333 Bank Account No. ****3213 Amount Deposited 701.75