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Dulla Care Home Healthcare

EARNINGS STATEMENT

Dulla Care Home Healthcare, LLC

20 E. Broad St, Columbus, OH 43115 · (614) 450-2966

Employee Name

Employee ID

Address

Position / Title

Pay Frequency

Weekly

Pay Period

09/26/2026 – 10/02/2026

Pay Date

10/02/2026

Earnings

DescriptionRateHoursCurrentYTD
Regular Pay$21.0025.00$525.00$22,575.00
Gross Pay$525.00$22,575.00

Deductions

DescriptionCurrentYTD
Social Security$32.55$1,399.65
Medicare$7.61$327.34
Federal Income Tax$35.00$1,505.00
Ohio State Income Tax$15.00$645.00
Columbus City Tax$13.13$564.38
Total Deductions$103.29$4,441.36

Net Pay This Period

$421.71

Year-to-Date Net Pay

$18,133.64

Year-to-Date Summary: This statement reflects 43 weekly pay periods (~10 months) at $21.00/hr × 25 hrs/week. YTD gross $22,575.00, total deductions $4,441.36, net pay $18,133.64.

Dulla Care Home Healthcare, LLC · (614) 450-2966 · 20 E. Broad St, Columbus, OH 43115 · www.dullacarehomehealthcare.com · "Because I Care"

This earnings statement is a summary of wages and deductions. Keep for your records.

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