1. Copy details onto a Housing NZ Income Statement form

INCOME STATEMENT

for Wages, Salaries and Accident Compensation
 
1.  EMPLOYEE CONTACT DETAILS (employee to complete)
Employee last name Matthews
Employee first names John William
Home address Queenstown
NEW ZEALAND
 

EMPLOYER TO COMPLETE

 
1. EMPLOYMENT DETAILS (employer to complete)
Employer's organisation name Angling Adventures (Demo)
Employer's postal address P O Box 12345
Queenstown
NEW ZEALAND
 
2. INCOME DETAILS
In the last 52 weeks, the employee was employed
full time   part time   casually (PLEASE TICK ONE)
for the period 20-May-2011 to 18-May-2012
Pay Periods: weekly   fortnightly   4 weekly   monthly
 
3. During this period they earned
Gross ordinary pay $17,280.00
Overtime $0.00
Other payments and allowances $0.00
Sub-total $17,280.00
less PAYE $-2,850.04
Net pay $14,429.96
 
4. Last pay
The last pay made to this employee was for the period
  -   -     to 18-May-2012
PLEASE TURN OVER

5. Details of this last pay are:
Gross ordinary pay $640.00
Overtime $0.00
Other payments and allowances $0.00
Sub-total $640.00
less PAYE $-104.03
Net pay $535.97
If the last net pay is not the normally expected net pay for each pay period (as shown in section 2) please summarise why:
 
 
 
Normally expected net pay: $535.97
 
6. Does the employee receive any fringe benefit?
No Yes (please complete the details below)
TYPE OF FRINGE BENEFIT GROSS VALUE TO EMPLOYEE PER PAY PERIOD
   $
   $
 
7.  Your contact details are?
Employer Contact webmaster@iPayroll.co.nz Date 18-May-2012
Phone Number  
Employer's signature