Pay Periods Per Year  

Federal W4 Withholding Status   Single Married

Federal W4 Allowances  

State Withholding Status   SingleMarriedMarried Filing Separate

State Allowances  

Residence for Local Withholding Purposes:   None Wilmington

Gross Salary Per Pay Period  

401(k), 403(b), etc Amount  

Before Tax Cafeteria Plan Amount