Name:
(For Paycheck Frequency enter the number of paychecks per year you receive)
Paycheck Frequency:

Current CheckNew Paycheck
Calendar Year (yyyy):      
Gross Pay for this period: $ $
PRE-TAX: Voluntary retirement contributions in dollars: $ $
or PRE-TAX: Voluntary retirement contributions as a percentage:   %   %
(Note: You may enter either a percent or a dollar amount for the next three fields. Please select each field's symbols before entering an amount.)
PRE-TAX: Mandatory retirement contributions: $
PRE-TAX: Other benefits (Section 125 plans): $
AFTER-TAX: Total misc. reductions from pay: $
Income Tax withholding: Enter amounts manually
Let system estimate your withholding
(Note: if the system automatically calculates withholding, you can no longer adjust it manually. However, you can revise the inputs used in the automatic calculation.)
Federal Income Tax withholding: $ $
State/Local Income Tax withholding: $ $
Marginal tax rate for state/Local income taxes:   %
Select a Social Security/Medicare option:   
Social Security and Medicare or Social Security taxes: $ $
Average take home pay: $ $

Calculation Options: Calculate new take-home pay
Calculate new retirement contribution from target take-home amount

Calculate will fill in or update the values on this form, Continue will take you to the next step in creating a report.
  
 
 

Still River Retirement Planning Software, Inc.
· 69 Lancaster County Rd., Harvard, MA 01451 · (978) 456-7971 · Fax: (978) 456-7972
· E-mail: info@stillriverretire.com