This document appears to be a salary form for an employee named FHC A'COSTA RICA'C. It shows their gross salary as $1,701.96. After deducting a 10% bonus of $170.20 and social taxes of 40% of the gross salary or $680.78, the net salary paid to the employee is $850.98, which will be paid by bank transfer.

1. 156 $10,91 $1 701,96
Bonus
SALARY $1 701,96 1 701,96 €
Basis Rate Amount
$1 701,96 10,00% $170,20
1 701,96 € 40,00% 680,78 €
$850,98
Net Salary 850,98 €
Paid by bank transfer 850,98 €
Paid Net Salary 850,98 €
BOSS TAXES
SALARY FORM
FIRM STAFF
Name : FHC A'COSTA RICA'C Name & Firstname :
Address : Address :
PC & Town :
Position : Receptionist 1
Level :
STAFF TAXES
Basis Salary
Taxable Net Salary
TO BE HELD WITHOUT LIMIT DURATION
TOTAL