Create a professional earnings statement, the formal pay statement format used by large employers, with itemized earnings, withholdings, and net pay.
Meridian Health Partners
1800 Corporate Center Drive, Charlotte, NC 28217
EIN: 56-3341987
Phone: (704) 555-0219
David A. Whitfield
4415 Park South Drive, Charlotte, NC 28210
SSN: ***-**-9926
Employee ID: EMP-3308
11/14/2026
11/27/2026
12/02/2026
Bi-Weekly
| Description | Hours | Rate | Amount |
|---|---|---|---|
| Regular Earnings | 80.00 | $26.50 | $2120.00 |
| Total Earnings | $2120.00 | ||
| Description | Amount |
|---|---|
| Federal Income Tax | $146.79 |
| State Income Tax | $57.12 |
| Social Security (6.2%) | $125.74 |
| Medicare (1.45%) | $29.41 |
| Total Tax Withholdings | $359.06 |
| Description | Amount |
|---|---|
| Health Insurance | $92.00 |
| 401(k) Contribution | $106.00 |
| Total Pre-Tax Deductions | $198.00 |
$29680.00
$5027.00
$2772.00
$21881.00
Statement of earnings and deductions. Retain for your records.
Every line is editable, from the employer header to the YTD column.
The classic earnings statement format used by large employers and payroll providers.
Every earning, tax, and deduction on its own labeled line.
See the completed statement update as you enter amounts.
Download as PNG, PDF, or JPEG.
Gross pay, total withholdings, and net pay computed automatically.
Year-to-date earnings and deductions included, as on payroll-provider statements.
This is what the finished earnings statement looks like before you change anything. Swap in your own pay data to make it yours.
Meridian Health Partners
1800 Corporate Center Drive, Charlotte, NC 28217
EIN: 56-3341987
Phone: (704) 555-0219
David A. Whitfield
4415 Park South Drive, Charlotte, NC 28210
SSN: ***-**-9926
Employee ID: EMP-3308
11/14/2026
11/27/2026
12/02/2026
Bi-Weekly
| Description | Hours | Rate | Amount |
|---|---|---|---|
| Regular Earnings | 80.00 | $26.50 | $2120.00 |
| Total Earnings | $2120.00 | ||
| Description | Amount |
|---|---|
| Federal Income Tax | $146.79 |
| State Income Tax | $57.12 |
| Social Security (6.2%) | $125.74 |
| Medicare (1.45%) | $29.41 |
| Total Tax Withholdings | $359.06 |
| Description | Amount |
|---|---|
| Health Insurance | $92.00 |
| 401(k) Contribution | $106.00 |
| Total Pre-Tax Deductions | $198.00 |
$29680.00
$5027.00
$2772.00
$21881.00
Statement of earnings and deductions. Retain for your records.
No account needed to start.
Open the Earnings Statement template with sample data and the standard sections already in place.
Add employer and employee details, hours and rates, and deductions. Use "Fill in 2026 tax withholding" to estimate the tax lines.
Check the live preview, then export a PDF, PNG, or JPEG.
The fields that matter, and what to check on each one.
Related: Pay stub abbreviations · How to read a pay stub · How to read an ADP pay stub
Real situations where this layout fits.
Issue formal earnings statements without a payroll service.
Provide the standard pay statement landlords ask for.
Lender-ready wage statements with YTD figures.
Give nannies and caregivers professional pay documentation.
Maintain organized statements for tax season.
A clear paper trail of every payment made or received.
Yes. Earnings statement, pay statement, wage statement, and pay stub all refer to the same document: an itemized record of earnings, withholdings, and net pay for a pay period. Larger employers and payroll providers tend to use the formal term "earnings statement."
The example on this page shows all the standard fields: employer and employee information, the statement period and pay date, itemized earnings with hours and rate, federal and state taxes, FICA withholdings, benefit deductions, current-period net pay, and year-to-date totals.
Small businesses that run payroll manually, household employers, self-employed workers documenting their own income, and anyone whose employer pays them without providing a formal statement. It produces the same document a payroll provider would generate.
Yes. After customizing the template you can export the finished statement as a print-ready PDF, a PNG image, or a JPEG, all free.
An earnings statement (also called a pay statement or wage statement) is the formal document that accompanies each paycheck, itemizing gross earnings, tax withholdings, benefit deductions, and net pay for the period. It is the same document commonly called a pay stub; large employers and payroll providers like ADP simply use the more formal name.
Earnings statements are the standard proof-of-income document requested by landlords, lenders, and government agencies. Workers whose employers do not issue formal statements (small business employees, household workers, some contractors) can use this template to maintain the same professional records.
Employer name, address, and EIN • Employee name and ID • Statement period and pay date • Itemized earnings with hours and rates • Itemized taxes and deductions • Current-period and year-to-date net pay
Earnings statement, pay statement, wage statement, and pay stub are the same document; use whichever term your recipient expects. • Match the statement period to your actual pay cycle so YTD math stays consistent. • Include the employer EIN; verifiers use it to confirm the business is real. • Keep every statement for at least 3 years for tax and audit purposes.
Yes! Our pay stub generator is completely free to use. You can create, customize, and export pay stubs without any cost. There is no signup and no watermark.
Our tool generates professional-looking pay stubs that can be used for personal record-keeping, proof of income for rental applications, loan applications, and similar purposes. However, pay stubs should accurately reflect actual wages paid. Falsifying pay stub information is illegal.
Other layouts that might fit your pay setup.
Start with our free template and have your professional pay stub ready in minutes.