EMPLOYER’S GUIDE - Social Security Administration
MONTHLY GROSS INCOME – EMPLOYMENT Pay Received: [] Weekly [] Monthly [] Every 2 weeks [] Semi-monthly (24 times per year) Next pay day is Average No. Hours Per Week $ (Day & Date) Overtime Wage Per Hour $ Gross Salary Per Week $ Gross Salary Per Month $ GROSS MONTHLY INCOME – OTHER Money received from: Hobby, rent, disability, Social ... ................
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