FormFlow 1.00AD-581 (2/83)FedSoft Corporationv.1.06.I˷i:G9:G9All Rights Reserved FedSoft Corporation (703) 978-0600 SSN1K. HG9HG9^G9^G9--Name2K. Agency3K. Lump5K. Comp5K. Tax6K. Minus7K. PayCola8K. PayAUO9K.  First10K.  Sec10K.  Third10K.  Var10K.  MoDay11aK. MoDay11bK. MoDay11cK. TotLin26K. Remark27K. Fir1n31K.  Fir2n31K. !Fir3n31K. "Sec1n31K. #Sec2n31K. $AcctDa25K.  AuSig33K. 1Date33K. 2MoDay29K. Employ28K. Agency30K. State30K. Town30K. Unit30K. Time30K. MoDay4K. BroF1n32D. &Earn1n32D. (Used1n32D. *Bal2n32. DG9μH,DG9μHBROF1N32 + EARN1N32 - USED1N32DHDH!HHBROF1N32+ EARN1N32-SUSED1N32rZHZH@@ @0BroF2n32D. 'Earn2n32D. )Used2n32D. +Bal3n32. !G9H-G9H[BROF2N32]+[EARN2N32]-[USED2N32]HH!HHBROF2N32+ EARN2N32-SUSED2N32rHH@@ @0Bal1n32D. %CDE32K. /Rate32D. 0Hours12K. Year32bK. .Hours25K.  Frac25K.  Acct24K. Init33K. 3Date2n33K. 4TotHrs13K. Mon29p3ˀ. G9 H`G9 HMODAY29̽H̽H H HMODAY29&HH@0Se2n31p3ˀ. G9hHjG9hHSEC2N31*H*H~H~HSEC2N31&@H@H@0{Sign33p3ˀ. G9ƾHwG9ƾHAUSIG33HHܾHܾHAUSIG33&HH@0 :Acct25p3ˀ. G9$HZ G9$HACCTDA25HH :H:HACCTDA25&HH@0Acct26p3ˀ. G9H]G9HTOTLIN26FHFH HHTOTLIN26&\H\H@0Empl28p3ˀ. G9H_G9HEMPLOY28HH HHEMPLOY28&HH@0swRem27p3ˀ. G9DH^G9DHREMARK27HH ZHZHREMARK27&HH@0U7Agen30p3ˀ. G9HaG9HAGENCY30fHfH HHAGENCY30&|H|H@0Stat30p3ˀ. G9HbG9HSTATE30HHHHSTATE30&HH@09Town30p3ˀ. G9bHcG9bHTOWN30$H$HxHxHTOWN30&:H:H@0;yUnit30p3ˀ. G9HdG9HUNIT30HHHHUNIT30&HH@0:Time30p3ˀ. G9HeG9HTIME30HH4H4HTIME30&HH@0YAgen3pg3ˀ. "G9|H7"G9|HAGENCY3>H>HHHAGENCY3&THTH@0uSSN1pg3ˀ. ,G9H5,G9HSSN1HHHHSSN1&HH@0Name2pg3ˀ. 2G96H62G96HNAME2HHLHLHNAME2&HH@0CLump5p3ˀ. 8G9H98G9HLUMP5THTHHHLUMP5&jHjH@0Comp5p3ˀ. >G9H:>G9HCOMP5HHHHCOMP5&HH@0Tax6p3ˀ. DG9JH;DG9JHTAX6 H H`H`HTAX6&"H"H@0wMinus7p3ˀ. G9H<G9HMINUS7hHhHHHMINUS7&~H~H@0RPayCo8p3ˀ. G9H=G9HPAYCOLA8HH HHPAYCOLA8&HH@0cPayAu9p3ˀ. G9dH>G9dHPAYAUO9&H&HzHzHPAYAUO9&HflG9>HFIR1N31HHTHTHFIR1N31&HH@0Fr2n31p3ˀ. mG9HgmG9HFIR2N31^H^HHHFIR2N31&tHtH@0=Sec10p3ˀ. oG9H@oG9HSEC10HHHHSEC10&HH@0IThd10p3ˀ. pG9VHApG9VHTHIRD10HHlHlHTHIRD10&.H.H@0Var10p3ˀ. ~G9HB~G9HVAR10vHvHHHVAR10&HH@0#Mon11Bp3ˀ. G9HDG9HMODAY11BHH &H&HMODAY11B&HH@0բMon11Cp3ˀ. *G9pHE*G9pHMODAY11C2H2H HHMODAY11C&HHHH@0kFr3n31p3ˀ. G9HhG9HFIR3N31HHHHFIR3N31&HH@0Q5Se1n31p3ˀ. G9.HiG9.HSEC1N31HHDHDHSEC1N31&HH@0MoDay4p3ˀ. G9H8G9HMODAY4NHNHHHMODAY4&dHdH@0KEr1n32p3Â. G9HmG9HEARN1N32HH HHEARN1N32&HH@0ՓUs1n32p3Â. 8JHn8JHUSED1N32 H H `H`HUSED1N32&"H"H@0^Bl2n32p3Â. 8Ho8HBAL2N32lHlHHHBAL2N32&HH@0*Br2n32p3Â. 8Hp8HBROF2N32HH HHBROF2N32&HH@0Er2n32p3Â. 8hHq8hHEARN2N32*H*H ~H~HEARN2N32&@H@H@0Us2n32p3Â. 8Hr8HUSED2N32HH HHUSED2N32&HH@0Bl3n32p3Â. 8(Hs8(HBAL3N32HH>H>HBAL3N32&HH@0ZBl1n32p3Â. 8Hk8HBAL1N32HHHHHHBAL1N32&^H^H@0(CDE32p3˂. 8Hu8HCDE32HHHHCDE32&HH@0Rate32p3Â.  8@Hv 8@HRATE32HHVHVHRATE32&HH@0kHrs12p3ˀ.  8HF 8HHOURS12`H`HHHHOURS12&vHvH@0Yr32bP3ˀ.  8Ht 8HYEAR32BHHHHYEAR32B&HH@0E`Hrs25p3ˀ.  8ZH[ 8ZHHOURS25HHpHpHHOURS25&2H2H@0?/Frac25p3ˀ.  8H\ 8HFRAC25zHzHHHFRAC25&HH@0Acct24p3ˀ. 8HY8HACCT24HH,H,HACCT24&HH@0MInitp3ˀ. 8tHy8tHINIT336H6HHHINIT33&LHLH@0aDate2p3ˀ. 8Hz8HDATE2N33HH HHDATE2N33&HH@0nTtl13p3ˀ. 82HG82HTOTHRS13HH HHHHTOTHRS13& H H@0?GrossPayC. JSchedNum . INetPayC. XStateTaxC. OCityCode . QCityTaxC. RCountCd . TCountyC. UNumber . VRecAmtC. WFedTaxC. KFICAC. LPayCode . HStCd20 . NStCd21 . PStCd22 . SHospitalC. MdBASESwiss"DutchCG Times (WN)Univers (WN)"Univers"Ya]Ecc]a$<;BZ18cԔp )D["ƛs13"ƛnDm   MoDay11c  8 8:!8H:!8HL!8HL!8H`!8@H`!8@HMO@DAY YEAR'oX!8H!8HC A/L ABOVE CEILING/9r&k8^h1X@"8lH@"8lHPAY AUO "9/&k8h1X"80H"80HPAY COLA @Ș9!&k8h1X#8H#8HMINUS S/L =Inte 9ǘ&k8h1Xx#8Hx#8H20% TAX  OF 9 &k8h1X#8|H#8|HTYPE PYMT. %$rF9&kD8h1XH$8@HH$8@HDATE OF SEPARATION9qF&k8Dh1X$8H$8HAGENCY CODE/9r&k8^hX%8ԐH%8ԐH9 01a"9/&k8hX%8H%8H8 @ @Ș9!&k8h1X&8\H&8\H7 =InteL =Inte 9ǘ&k8hXx&8 Hx&8 H6  OF  OF9 &k8hX&8H&8H5%$YMT. %$$rF9&kD8h1X'8.H'8.H4 OF SEPARAT9qF&k8DhXb(8xHb(8xH3Y CODEt X(8”H(8”HB A/L WITHIN CEILING02)1X lDY0zXFe03lDYz/   MoDay29 )8)80*80*8B*8B*8T*8T*8Monthv;Day[Vb-bYearRR#S2X0 03X^eX*  Sec2n31 +8+8+8+8+8+8+8+8+8+8+8+8TUESA,WED|aHWTHURS@FRISAT 2 0X  AuSig33 \,83\,8 AUTHORIZED OFFICIAL'S SIGNATURE AND TITLE2dC[YP13 X 2dC[2  AcctDa25  >-8>-8.8H.8H..8..8@.8@.8R.8R.8d.8d.8v.8v.8.8.8.8.8.8.8.8.8(1)R,<(2)@(3) u(4)R 3Z3(5)3(6)2!(7)33}/=(8)uV6᩿(9)t(10)rظD!TS1dHY1X &/8H&/8H25 ACCOUNTING DATA&2SS)H1X TotLin26&/8,DH/8DH26 TOTAL LINES OF ACCOUNTING DATA0&EY2lzFXe0X  Employ28c@% B; 娛~8;?<~B; 娛20cI)61X  Remark27M)*v? 08@H08@H27 REMARKS dI2lDY6XF0X Z18Z1828 EMPLOYING OFFICE CODEldI0CYX6F0X 18#1829 REHIRE DATE AFTER SEPARAT'N- z0ߊev0X 282830 T&A CONTACT POINT9v0X  Agency30yZK 3838AGENCY|<v*0X  State3033 APPROVA ,48,48STATEcho off i~<*v0X  Town30rM|< 4848TOWNv0X  Unit30X P58P58UNIT90v0X  Time30 5858TIMEKPR.(kqFhD1X  Agency3: 981X  SSN1   68 H68 H1 SOCIAL SECURITY NUMBER0981X  Name2   789pH78pH2 NAME  (Last, First, Middle Initial)(kMh1X Lump55$!#~F%P88 HP88 HLUMP SUM7(k h1X  Comp59#### 88ЙH88ЙHCOMP} (kǘh1X  Tax6 Ș(k!h1X  Minus7 "(k/h1X  PayCola89# /(krh^1X  PayAUO9RRtt r90^81;8+H;8HUNITED STATES DEPARTMENT OF AGRICULTUREuE=^śS1X <8&H<8H10 WAGE EMPLOYEE SHIFT RATE HOURSƛ+if13ƛ@K  First10 T=8T=8=8H=8H1ST2>^ƛwS13ƛw.qE  MoDay11a @>8@>8>8ԛH>8ԛH>8H>8H>8jH>8jHMO))DAYYEAR>^śSs1X ?8.H?8H11 DATES LUMP SUM PAYMENT CARRIES THROUGHh400X?8?813 TOTAL HOURS TO BE PAID/s0X@8-@812 HOURS AP- PLICABLE TO LAST DAY OF LSPs2%10X @8@8A T Y P E L E A V E2k%1g0X  A8A8Compk0X pA8pA832 AUDIT FOR LEAVE2k10X  A8A8Restored AnnuallqD:0X LB8LB8BROUGHT FORWARDlqD:0X lqD:g03XlbqD`  BroF1n32  D8D8rD:0X D8D8EARNEDRIB;8 娛8;?<B;8 娛2 0X E8E8BALANCE OR TOTAL 2 0X  Date33RRL9 E8E8DATE9-%%%%&0X F8F833 APPROVAL&00X ~F8~F8B LEAVE YEARYXk03X6Xk4=  Fir1n31 >G8>G8G8G8G8G8G8G8SUN666MON"TUES@0{0X H8/H831 TOUR OF DUTY (Hours Per Day)lXqD:03XoXqD$=  Fir2n31 H8H8I8I8,I8,I8WEDTHURSA T Y P 2k1g03X2kAb   I8I8.J8.J8@J8@J8RJ8RJ8Annual3SickAWOP\Ud^qjS[gX J8>HJ8>H(If Applicable)eNX#mUjX&K8H&K8H0=Interim 1=Final@%XSCo/hQceXK8\HK8\H0=N/A 1=20% Tax@ݥSXG*mUjXL8&HL8&H0=N/A 1=Forgiven@7SX-*mUjXM8HM8H0=No 1=Yes@}>]Xo4m,U[jXM8HM8H0=No 1=Yes@a\|#kY X  M80M8LUMP SUM LEAVE OR COMPENSATORY TIME PAYMENTS,iƛf13,iƛ[/Ku  Sec100 N8N8N8zHN8zH2NDktPƛ 13ƛ:K  Third10 O8O8O8ġHO8ġH3RD------------ ƛ=^S135ƛ=^q  Var1010 P8P8P8HP8HVARwƛ"135ƛ13   MoDay11b Q8Q8Q8XHQ8XHQ8HQ8HQ8HQ8HMODAY YEAR N/E %X  dR8 Hours25 i8i8tj8¨Htj8¨HHOURS3&=t2dY1 3 X 2d> Frac25 2k82k8l8 Hl8 HFRAC/4/yssy  y 5 ygxCxCAA66--KK˞˞(~(~rrCC11--ffSSB; 娛 8;?< B; 娛|??SS5=H1X Acct24 oc2dnYbXD0X Init33 00X Date2n33 މll_,,n(k ykhu1X ,n yku1 DY'gFS0X (gzSe0 00 TotHrs13V 3) ʁ8Enter daily hours for employee's established tour of duty.h,r$X  `8`8Enter amount of leave brought forward, earned, used, and balance or total on hand for each type leave (restored annual, annual, sick, AWOP, and comp). Enter the rate used to compute comp time. nVO}yX ~8|~8 Enter signature and title of agency official authorized to approve payment, and the date the form is prepared.n,*$2X  R8pR8Enter leave year being audited. Enter employee's leave category. Enter employee's service computation date. n),AY0$X  8I8Enter date employee entered on duty only if date is in year of audit.n_O<8VX 88Block 1B;8 娛8;?<B;8 娛_Of<hX $8$8Block 2S_O2<X  88Block 3 _O<X 88Block 4_O<-X  88Block 55_OlE<XvX  v8v8Block 6'h_Ox<X  ވ8ވ8Block 7Ř_O<6X  F8F8Block 8|_O[<_}X  88Block 90YR<X  88Block 10 YR0<=X  ~8~8Block 11RQYR1a<}X  抯8抯8Block 126=8VX N8N8Block 136f=hX  88Block 24"6=X  88Block 256)="@X  88Block 2636pC=TrX  88Block 27GX6&h=X  V8V8Block 28q6=X  p8p8Block 29˕6=0X  ؎8؎8Block 306y=B`X  @8@8Block 31h6G=rX  88Block 32VO65_=yX  88Block 33TUG[IIXTU:G[:aaXTUG[XTUG[XTULG[LXTUuG[uyyXTUKVG[KVXTU%G[%((XTU)G[)XTUuG[uhhXTUG[!!XB; 娛 8;?< (B; 娛TU mG[ mX2r2HHX22%2HHX23a%3aX29%9__X2"%"33X2%X2~%~ssX2_%_}}X2%SSX2%##X2 w% wX2MU%MUXhGrX   8 8a.32.9X  t8t8b. c. d.3)90OX  ܕ8ܕ8e.32 g|x X D8D8INSTRUCTIONS>%-IFX88Form AD-581 (Reverse)9qF&k8Dh1X88AGENCY CODErF9&kD8h1X88DATE OF SEPARATION 9ǘ&k8h1X8820% TAX  OF 9 &k8hX\8\85%$YMT. %$$Ș9!&k8hXĘ8Ę8MINUS S/L =Inte"9/&k8hX,8,8PAY COLA @/9r&k8^hX889 "ƛs13"ƛnDBa   Mon11Cp3 R8R8888888MO@DAY YEARt X&8&8B A/L WITHIN CEILINGwƛ"135ƛa   Mon11Bp3 886868H8H8\8\8MODAY YEAR /9r&k8^h1XƜ8Ɯ8PAY AUO "9/&k8h1X.8.88 @ @01aȘ9!&k8h1X887 =InteL =Inte 9ǘ&k8hX 8 86  OF  OF9 &k8h1X:8:8TYPE PYMT. %$rF9&kD8h1X884 OF SEPARAT9qF&k8DhX 8 83Y CODE]1(1X SchedNum 8815]1(X88SCHEDULE NUMBER'oXz8z8C A/L ABOVE CEILINGlDY0zXFe03DY0zU  Mon29p3 F8F8888888Monthv;Day[Vb-bYearRR#S2X0 03X*X>h}  Se2n31p3 l8l8ܣ8ܣ8888888$8$8TUESA,WED|aHWTHURS@FRISAT 2 0X  Sign33p3 838 AUTHORIZED OFFICIAL'S SIGNATURE AND TITLE2dC[YP13 X C[2$c  Acct25p3  88v8v888888888Ц8Ц8⦯8⦯8888888(1)R,<(2)@(3) u(4)R 3Z3(5)3(6)2!(7)33}/=(8)uV6᩿(9)t(10)rظD!TS1dHY1X 8825 ACCOUNTING DATAB;8 娛8;?<B;8 娛&2SS)H1X Acct26p3&8,826 TOTAL LINES OF ACCOUNTING DATA0&DYlzFXe0X  Empl28p3c@% 20cI)61X  Rem27p3M)*v? H8H827 REMARKS dI2lDY6XF0X f8f828 EMPLOYING OFFICE CODEldI0CYX6F0X ܪ8#ܪ829 REHIRE DATE AFTER SEPARAT'N- z0ߊev0X X8X830 T&A CONTACT POINT9v0X  Agen30p3yZK 88AGENCY|<v*0X  Stat30p333 APPROVA 88STATEcho off i~<*v0X  Town30p3rM|< 88TOWNv0X  Unit30p3 88UNIT90v0X  Time30p3 <8<8TIMEKPR.(kqFhD1X  Agen3pg3: 981X  SSN1pg3  N8N81 SOCIAL SECURITY NUMBER0981X  Name2pg3   8982 NAME  (Last, First, Middle Initial)(k7h1X Lump5p35$!#~F%88LUMP SUM7(k h1X  Comp5p3#### <8<8COMP} (kǘh1X  Tax6p3 Ș(k!h1X  Minus7p3 "(k/h1X  PayCo8p39# /(krh^1X  PayAu9p3RRtt r90^81V8+V8UNITED STATES DEPARTMENT OF AGRICULTUREuE=^śS1X ڴ8&ڴ810 WAGE EMPLOYEE SHIFT RATE HOURSƛ+if13ƛ|A2a  Frt10p3 88ܵ8ܵ81ST2>^ƛwS13ƛw.qE  Mon11Ap3 88޶8޶88888MO))DAYYEAR>^śSs1X n8.n811 DATES LUMP SUM PAYMENT CARRIES THROUGHh400X8813 TOTAL HOURS TO BE PAID3s0Xj8-j812 HOURS AP- PLICABLE TO LAST DAY OF LSPs2%10X 88A T Y P E L E A V E2k%1g0X  b8b8Compk0X ʹ8ʹ832 AUDIT FOR LEAVE2k10X  :8:8Restored AnnuallqD:0X X8X8BROUGHT FORWARDlqD:0X B; 娛T8;?}  Fr1n31p3 88ܿ8ܿ88888SUN666MON"TUES@0{0X h8/h831 TOUR OF DUTY (Hours Per Day)lXqD:03XlXo>}  Fr2n31p3 F8F8t8t888WEDTHURSA T Y P 2k1g03X2bkbU   D¯8D¯8¯8¯8¯8¯8¯8¯8Annual3SickAWOP\Ud^qjS[gX ï8ï8(If Applicable)zSX*mUjXï8ï80=Interim 1=Final@%XSCo/hQceXį8į80=N/A 1=20% Tax@ݥSXG*mUjX ů8 ů80=N/A 1=Forgiven@7SX-*mUjXxů8xů80=No 1=Yes@}>]Xo4m,U[jXů8ů80=No 1=Yes@a\|#kY X  HƯ80HƯ8LUMP SUM LEAVE OR COMPENSATORY TIME PAYMENTS,iƛf13[ƛga  Sec10p3 &ǯ8&ǯ8Tǯ8Tǯ82NDktPƛ 13ƛga  Thd10p3 ȯ8ȯ8@ȯ8@ȯ83RD------------ ƛ=^S13 ƛ5Va  Var10p3 ȯ8ȯ8,ɯ8,ɯ8VAR2&SS)H1X ɯ8"ɯ824 ACCOUNTING DATA USAGE CODE}C|?STA5IXʯ8'ʯ80=Complete Block 25 1=Use Data Base@|W0X ʯ8ʯ81ST WEEKOUR |0W0X ʯ8ʯ82ND WEEKOUR rDX:03XrDX~}t>}  Fr3n31p3 ˯8˯8˯8˯8˯8˯8FRISATX2 03XXQ>}  Se1n31p3 ̯8̯8̯8̯8̯8̯8SUNMON&00X  ί8 ί8FOR NFC USE ONLYrD:0X 2 0X 2 0X $ϯ8$ϯ8USEDATrF(kDh13,(k  MoDay4p3 ϯ8ϯ8&Я8&Я88Я88Я8JЯ8JЯ8Monthv;Day[Vb-bYearRR#SrD:g03XrDAb&`  Er1n32p3  ѯ8ѯ82 g03XA2b&`  Us1n32p3  ѯ8ѯ8B; 娛B8;?