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Long with deposit advice pay stub template
For direct deposit payroll. The top third is a non-negotiable advice slip with the company, pay date, net amount in words and figures, and the employee's name and address. Below the tear line is the horizontal earnings statement.
Atlanta, GA 30309
Atlanta, GA 30316
Atlanta, GA 30309
| Employee | SSN | ID | Check no. | Pay period | Pay date |
|---|---|---|---|---|---|
| Marisol Okafor | 4821 | 08/31/2026 to 09/13/2026 | 09/18/2026 |
| Earnings | Rate | Hours | Current | YTD |
|---|---|---|---|---|
| Regular pay | 31.25 | 80.00 | 2,500.00 | 47,500.00 |
| Deductions | Current | YTD |
|---|---|---|
| Federal income tax | 355.92 | 6,762.48 |
| Social Security | 155.00 | 2,945.00 |
| Medicare | 36.25 | 688.75 |
| Georgia income tax | 95.96 | 1,823.24 |
| YTD gross | YTD deductions | YTD net pay | Current total | Current deductions | Net pay |
|---|---|---|---|---|---|
| 47,500.00 | 12,219.47 | 35,280.53 | 2,500.00 | 643.13 | 1,856.87 |
Record of an actual payment. Tax amounts are estimates from published 2026 withholding tables.
Sample data. Names and companies are invented; the tax figures are real 2026 calculations.
What is on the long with deposit advice layout
- Deposit advice: company, date, amount in words and figures, deposited to, non-negotiable notice
- Tear line
- Employee band and earnings statement
- Totals band with YTD and current figures
Best for
- Direct deposit employees who want a check-style record
- Employers replacing pre-printed advice forms
- Filing with a paper payroll record
How to use it
Click Use this template. The generator opens with this layout and color selected. Enter the company, the employee, the pay and the state, confirm the figures reflect a real payment, and download. You can switch layout or color at any time from the Change template button above the preview. Prefer a file to fill in yourself? The Word, Excel and PDF downloads use the classic layout.