MARINE CORPS TOTAL FORCE LEAVE AND …

1 MARINE CORPS TOTAL FORCE LEAVE AND earnings STATEMENT A ID INFO 1 NAME (LAST, FIRST, MI) SCHMOE, JOE A 2 SSN **1234 3 RANK 4 SERV USMC 5 PLT CODE 6 DATE PREP 20080521 7 PRD COVERED 1-31 MAY 8 PEBD 19920720 9 YRS 15 10 EAS 00000000 11 ECC 00000000 12 MCC DIST RUC x B FORECAST AMOUNTS 13 DATE 20080613 AMOUNT $ 14 DATE 20080701 AMOUNT $ C SPLIT PAY 15 START DATE 20080501 16 AMOUNT $ 17 BALANCE $ 18 POE D. DIRECT DEPOSIT/EFT/ADDRESS E LEAVE INFORMATION F AVIATION PAY INFORMATION 19 LV BF 20 EARNED 21 USED .0 22 EXCESS .0 23 BAL 24 MAX ACCRUAL.

2 0 25 LOST .0 26 SOLD AS OF 19980811 27 CBT LV BAL 28 ASED 00000000 29 DIFOP TOTAL YRS MO 30 PRIOR DIFOP START 31 PRIOR DIFOP STOP 32 OPFLY GATE INFORMATION 0000 G TAX INFORMATION H. RIGHTS OF marines INDEBTED TO THE GOVERNMENT YOU HAVE THE RIGHT TO: -INSPECT AND COPY RECORDS PERTAINING TO DEBT -QUESTION VALIDITY OF A DEBT AND SUBMIT REFUTING EVIDENCE -NEGOTIATE A REPAYMENT SCHEDULE -REQUEST A WAIVER OF DEBT MORE INFORMATION ABOUT YOUR RIGHTS CAN BE OBTAINED FROM YOUR COMMANDING OFFICER VIA YOUR CHAIN OF COMMAND. 33 STATE TAX STATE CODE x EXEMPTIONS x WAGES THIS PRD x WAGES YTD x STATE TAX YTD x 34 FEDERAL TAX EXEMPTIONS x WAGES THIS PRD x WAGES YTD x FED TAX YTD x 35 FICA (SOCIAL SECURITY TAX) SSEC WAGES THIS PRD x SSEC WAGES YTD x SSEC TAX YTD x MEDICARE WAGES THIS PRD x MEDICARE WAGES YTD x MEDICARE TAX YTD x I ADDITIONAL BAH INFORMATION J CAREER SEA PAY K EDUCATION DEDUCTION L ADMIN INFO 36 37 BAH ZIP 92278 38 39 40 41 42 43 DATE TOTAL CAREER SEA SVC 20030712 01 YRS 02 MO 18 DA 44 TYPE MGIB 45 MONTHLY AMT $.

3 00 46 TOTAL x 47 PAY STATUS 00000 M RESERVE DRILL INFORMATION N RESERVE RETIREMENT INFORMATION 48 PAY GROUP 00010 49 CRA DATE 00000000 52 REG 53 REG FYTD 54 REG ANNYTD 55 ADD 56 ADD FYTD 57 ADD ANNYTD 58 BF ANNYTD 59 ACDU THIS PRD 60 DRILL THIS PRD 61 OTHER THIS PRD 62 MBR THIS PRD 63 END BAL ANNYTD 64 TOTAL SAT YRS 65 TOTAL RET PTS 50 RESERVE ECC 51 DSSN 6187 66 AFADBD 19960302 67 DEAF 19910724 68 TSP TAX DEFERRED $.00 69 TSP TAX EXEMPT $.00 70 O Remarks BROUGHT FWD .00 ENTITLEMENTS (Cash in) BASIC PAY 2, NON-TAXABLE FOR FITW & SITW IMMINENT DGR PAY NON-TAXABLE FOR FITW & SITW BAS BAH WITH DEPNS 1, Forecasted paycheck amount for 6/13/08 (see left side for date, amount shown highlighted)

4 If your spouse signed up to have an allotted amount of money set aside while overseas, taken out every month. Known as split pay When looking at the LES, this is the period the paycheck is covering. This is their regular pay for the month. Should state non taxable while they are deployed (look to the right of dollar amount). Amount varies depending on rank and time in service. Forecasted paycheck amount for 7/1/08 (see left side for date, amount shown highlighted) Everyone earns $225 imminent danger pay in Iraq or Afghanistan. Again non taxable (look right to dollar amount) Basic Allowance for Subsistence (BAS) is a non-taxable allowance intended to offset the cost of the servicemember s meals.

5 The BAS rate is adjusted annually based on the cost of food. All officers receive the same allowance. Officers received $ a month. Most enlisted personnel receive the regular BAS of $ a month. Basic Allowance for Housing (BAH) is a non-taxable allowance to offset housing costs. The amount of BAH is determined by rank, duty assignment, and whether or not there are family members. Servicemembers who live in government-owned housing either in barracks, dorms, or family housing forfeit their housing allowance and can see it deducted DEPLOYED PER DIEM TYPE C AMT HARDSHIP DUTY-LOC NON-TAXABLE FOR FITW & SITW FSA-T.

6 TYPE II TSGLI REFUND COMBAT SGLI TOTAL 8, DEDUCTIONS (Cash out) SOCIAL SECURITY MEDICARE SGLI $400.

7 000 TSGLI SPOUSE SGLI DENTAL INS ALLOTMENT 800 UCCI DENTAL START 20080501 AMOUNT PRIVATIZE HSG W/DEPN 1, RSPA CHARITY ALLOTMENT 0100 COMBINED FEDERAL CAMPAIGN NAVY MUT AID ALLOT 027 NMA SAVINGS ALLOTMENT NAVY FEDERAL CREDIT UNION USAA FEDERAL SAVINGS BANK TOTAL PAYMENTS DATE

8 DSSN VOU RUC/PRNO REGULAR PAYMENT 1, 20080515 6102 0000030015 00001015 REGULAR PAYMENT 1, 20080530 6102 0000030016 00001016 TOTAL 2, Deployed Per Diem: $ for everyone (this month). This is money for incidental expenses, is paid to servicemembers at $ per day. Hardship Duty Pay $ for everyone every month: compensates servicemembers assigned to certain duty stations, which are deemed to be arduous. The amount is based on the location. Should state non-taxable Family Separation Allowance (FSA) is paid for servicemembers who are MARRIED during extended periods of family separation.

9 The current amount of FSA is $250 per month for everyone. Kicks in 30 days after spouse leaves. Servicemembers Group Life Insurance (SGLI) (optional) is available in increments of 10K up to $400,000 paid with fatality. TSGLI Traumatic Insurance is a one time payment intended to help military personnel who obtain significant injuries in combat. SPOUSE Servicemembers Group Life Insurance (SGLI) (optional) is $ a month (under 35 years). This covers $100,000 life insurance for the spouse (this must be requested if you want it). When the Spouse SGLI is in effect, it also covers $10,000 per child.

10 Dental Insurance (optional). $ covers a spouse and all dependant children. The amount is less if it is just a spouse. Date in effect is below $. Base Housing Deduction. Your BAH is automatically deducted if you live in base housing. Split Pay Deduction (optional). This is something your spouse may have signed up for this money sits in an account he can access overseas to use whenever they need cash. Spouse can decide how much they want, this is a monthly deduction. If money is not used, spouse can take home all monies at end of deployment. Charity Allotments. (optional).