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AUTHORIZATION
FOR VOLUNTARY PAYROLL DEDUCTION
Allowed under RSA 275:48 II, hereby authorize
(Print employees name)to deduct from my wages
(Employer)for:
(reason for the deduction), beginning the sum
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not(Y) be deducted.
I consent to this amount being deducted when I do not object before the final balance is calculated.
For more information about how your payroll deduction will be calculated please follow the link here: Payroll Deduction Calculator .
THE PROVISIONS OF RSA 275:48 II REQUIRING THE EXEMPTION MUST BE APPLIED TO EACH
AND ALL EMPLOYEES WHEN THEY WERE ACTUALLY EMPLOYED.
IF THERE ARE ANY ERRORS IN WRITING OR IN APPLICATION OF THE PROVISIONS OF RSA 275:48 II
THAT WOULD PROBABLY VARY IN DIFFERENT CIRCUMSTANCES
PLEASE MAKE SURE YOU HAVE CONSIDERED THE FACT THAT EACH EXEMPTION CAN RESULT IN ONE or TWO MONTHS LEAVE OF EXEMPTION.
THIS ANNOUNCEMENT IS PROVIDED IN SUPPORT OF A JOINT STATEMENT OF INTENT AND UNDERSTANDING
EXCLUDING NOTICES, PENALTIES AND FINES WHICH ARE FOR THE PURPOSE
OF EVALUATION AND FOR HOLDING HARMLESS THE STATE OF MASSACHUSETTS FROM ANY
RESOLUTION OR LEGAL OR EQUITABLE ACTION ARISING OUT OF THESE ESSENTIAL PROVISIONS.
IN THE EVENT THE STATE OF MASSACHUSETTS WOULD BE A PARTY TO ANY SUCH
CONTROVERSIAL OR LEGAL ACTION, THE STATE MAY PURSUE
THE EXPLANATION OF SUCH CAUSED CLAIMS AND EXPENSE CLAIMS PURSUANT
TO ARTICLE SIX OF OR AND ARTICLE SEVEN OF THE STATE BANKING LAW
THAT WERE AMENDED OR REVAMPED TO EFFECTUATE THE PROVISION
OF THIS ANNOUNCEMENT.
IN WITNESS WHEREOF, the Department of Administrative Services,
The Corporation Law Department ,
STATE OF MASSACHUSETTS
JURISDICTION AND VENUE
The foregoing Joint Statement is made for the purpose of
advisory purposes only in connection with the enforcement of the tax law, in that the State of Massachusetts is not an adverse party to any individual or entity subject to this notice of liability filing.
Dated at the office of
The
STATE OF MASSACHUSETTS STATE OF MASSACHUSETTS ,
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What is deduct authorization?
3. ＋ New List. Payroll Deduction Authorization Form means the form or other document designated by the Company as the required evidence of an Employee's election to make voluntary cash contributions through an automatic payroll deduction mechanism.
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