Get AR Affidavit of Financial Means 2007-2023
A year biweekly 26 times a year semimonthly 24 times a year monthly 12 times a year YOUR NET PAY Page 4 of 7 other Explain (Gross pay minus payroll deductions) 23. Income: Amount 23.a. Gross Wages $ xxxxxxxxxxx Deductions per check: xxxxxxx Amount 23.b. Federal Income Taxes Withheld: xxxxxxx $ 23.c. State Income Taxes Withheld: xxxxxxx $ 23.d. F.I.C.A., and medicare 1 : xxxxxxx $ 23.e. Health Insurance (children only)2: xxxxxxx $ 23.f. Court ordered child su.
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