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Full & Final Settlement Template

A settlement statement calculating all dues, deductions, and net amount payable on exit, including salary, leave encashment, gratuity, and asset recovery.

FULL & FINAL SETTLEMENT STATEMENT Employee: [Name] | ID: [Number] Last Working Day: [Date] Date of Settlement: [Date] DUES (Payable to Employee) Item | Amount Salary for days worked | [Amount] Notice period pay (if applicable) | [Amount] Leave encashment ([X] days) | [Amount] Bonus/Commission earned | [Amount] Gratuity (if eligible) | [Amount] Retirement fund/ PF settlement | [Amount] Other dues | [Amount] Total Dues | [Amount] DEDUCTIONS Item | Amount Notice period recovery (if applicable) | [Amount] Loan/advance outstanding | [Amount] Unreturned/damaged assets | [Amount] Tax deductions (TDS) | [Amount] Insurance premium recovery | [Amount] Other deductions | [Amount] Total Deductions | [Amount] NET PAYABLE Net Amount Payable: [Amount] PAYMENT DETAILS Payment Method: [Bank Transfer] Bank: [Bank] Account: [Account #] Expected Payment Date: [Date] CERTIFICATION I confirm the above settlement is accurate and in full satisfaction of all claims against the company. Employee Signature: ___________________ Date: _______ HR Signature: ___________________ Date: _______ Finance Signature: ___________________ Date: _______

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