ssheader1.jpg (7208 bytes)

E m p l o y e r s   F o r    T h e   S  e l f   E m p l o y e d
Sample Payroll Analysis

Free Analysys. We want to help you keep more of the money you work so hard to earn. Since a sample payroll analysis is the best way we have to illustrate how our service works, we urge you to request one today. The analysis will show you where every dollar of your billing rate is spent and what your net paycheck will be.

Your free analysis will be held in the strictest of confidence and you are under no obligation whatsoever following your analysis.

So, complete the following information. And get on the payroll today. If you prefer to call for your free analysis, please call us at (724)-266-6170 or fax your request to (724)-266-6180 or e-mail us at sospecinc@cs.com

General Information
Name:
Address:
City: State: Zip Code:  
Telephone: Fax: Email:
Contract Information
Billing Rate:

Number Of Hours:

Tax Information
Filing Status:

Number Of Exemptions:

State Working In:

Per Diem for Lodging and Meals:
In order to be eligible for meal and lodging reimbursements you must be working away from your permanent home on a temporary basis (less than one year) with the intention of returning to your permanent home to work at the completion of your contract.

Benefit Selection
Health Insurance:

Type Of Coverage:
(single, family, employee and spouse, employee and child/children)

Diability Insurance:

Life Insurance:

Coverage For Children

Amount Of Coverage:

Dental Coverage

Coverage for Yourself

Coverage For Your Spouse

Coverage For Children

Participate in 401(k)Plan

Contribution Rate
(1-9% with 100% matching employer contribution for a total contribution of 2-18%):

Misellaneous (use this space to list any questions OR comments you may have)
----------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------
Please send my payroll analysis to my e-mail address Fax number Above Address