Common use of Salary Deferral Clause in Contracts

Salary Deferral. Select one: Pay Cycle: New Enrollment Bi-weekly Change Enrollment Monthly Cancel Enrollment Semi-monthly Employee Reduction/Deduction Amount*: (Specify $ amount or % to be payroll deducted from each pay check.) Fidelity pre-tax: $ Fidelity Xxxx post-tax: $ TIAA-CREF pre-tax: $ TIAA-CREF Xxxx post-tax: $ *Amount/Percent listed above will be deducted each payroll and may be changed anytime. Catch-up Contributions: I am age 50 or older and therefore eligible to contribute up to an additional $6,000 to my 457(b) account in 2018. Check if applicable (Elect only one catch-up provision. See Terms and Conditions of Participation for details): I elect the age 50 or over additional catch-up option, not to exceed the IRC Section 457(b) limit. Date of Birth: MM / DD / YY I elect the $ for individuals who are in the last three years prior to normal retirement age.

Salary Deferral. Select one: Pay Cycle: New Enrollment Bi-weekly Change Enrollment Monthly Cancel Enrollment Semi-monthly Employee Reduction/Deduction Amount*: (Specify $ amount or % to be payroll deducted from each pay check.) Fidelity pre-tax: $ Fidelity Xxxx post-tax: $ TIAA-CREF pre-tax: $ TIAA-CREF Xxxx post-tax: $ *Amount/Percent listed above will be deducted each payroll and may be changed anytime. Catch-up Contributions: I am age 50 or older and therefore eligible to contribute up to an additional $6,000 6,500 to my 457(b) account in 2018. 2021 Check if applicable (Elect only one catch-up provision. See Terms and Conditions of Participation for details): I elect the age 50 or over additional catch-up option, not to exceed the IRC Section 457(b) limit. Date of Birth: MM / DD / YY I elect the $ for individuals who are in the last three years prior to normal retirement age.

Salary Deferral. Select one: Pay Cycle: New Enrollment Bi-weekly Change Enrollment Monthly Cancel Enrollment Semi-monthly Employee Reduction/Deduction Amount*: (Specify $ amount or % to be payroll deducted from each pay check.) Fidelity pre-tax: $ Fidelity Xxxx post-tax: $ TIAA-CREF pre-tax: $ TIAA-CREF Xxxx post-tax: $ *Amount/Percent listed above will be deducted each payroll and may be changed anytime. Catch-up Contributions: I am age 50 or older and therefore eligible to contribute up to an additional $6,000 6,500 to my 457(b) account in 20182019. Check if applicable (Elect only one catch-up provision. See Terms and Conditions of Participation for details): I elect the age 50 or over additional catch-up option, not to exceed the IRC Section 457(b) limit. Date of Birth: MM / DD / YY I elect the $ for individuals who are in the last three years prior to normal retirement age.

Salary Deferral. Select one: Pay Cycle: New Enrollment Bi-weekly Change Enrollment Monthly Cancel Enrollment Semi-monthly Employee Reduction/Deduction Amount*: (Specify $ amount or % to be payroll deducted from each pay check.) Fidelity pre-tax: $ Fidelity Xxxx post-tax: $ TIAA-CREF pre-tax: $ TIAA-CREF Xxxx post-tax: $ *Amount/Percent listed above will be deducted each payroll and may be changed anytime. Catch-up Contributions: I am age 50 or older and therefore eligible to contribute up to an additional $6,000 to my 457(b) account in 20182019. Check if applicable (Elect only one catch-up provision. See Terms and Conditions of Participation for details): I elect the age 50 or over additional catch-up option, not to exceed the IRC Section 457(b) limit. Date of Birth: MM / DD / YY I elect the $ for individuals who are in the last three years prior to normal retirement age.

Salary Deferral. Select one: New Enrollment Change Enrollment Cancel Enrollment Pay Cycle: New Enrollment Bi-weekly Change Enrollment Monthly Cancel Enrollment Semi-monthly Employee Reduction/Deduction Amount*: (Specify $ amount or % to be payroll deducted from each pay check.) Fidelity pre-tax: $ Fidelity Xxxx post-tax: $ TIAA-CREF pre-tax: $ TIAA-CREF Xxxx post-tax: $ *Amount/Percent listed above will be deducted each payroll and may be changed anytime. 45F 4FP 45T 4TP Catch-up Contributions: I am age 50 or older and therefore eligible to contribute up to an additional $6,000 6,500 to my 457(b) account in 2018. 2021 Check if applicable (Elect only one catch-up provision. See Terms and Conditions of Participation for details): I elect the age 50 or over additional catch-up option, not to exceed the IRC Section 457(b) limit. Date of Birth: MM / DD / YY I elect the $ for individuals who are in the last three years prior to normal retirement age.

Salary Deferral. Select one: Pay Cycle: New Enrollment Bi-weekly Change Enrollment Monthly Cancel Enrollment Semi-monthly Employee Reduction/Deduction Amount*: (Specify $ amount or % to be payroll deducted from each pay check.) Fidelity pre-tax: $ Fidelity Xxxx post-tax: $ TIAA-CREF pre-tax: $ TIAA-CREF Xxxx post-tax: $ *Amount/Percent listed above will be deducted each payroll (except for the third paycheck in a month) and may be changed anytime. Catch-up Contributions: I am age 50 or older and therefore eligible to contribute up to an additional $6,000 to my 457(b) account in 20182015, in addition to the general limit listed above. Check if applicable (Elect only one catch-up provision. See Terms and Conditions of Participation for details): I elect the age 50 or over additional catch-up option, not to exceed the IRC Section 457(b414(v) limit. Date of Birth: MM / DD / YY Month Day Year I elect the $ for individuals who are in the last three years prior to normal retirement age.

Salary Deferral. Select one: New Enrollment Change Enrollment Cancel Enrollment Pay Cycle: New Enrollment Bi-weekly Change Enrollment Monthly Cancel Enrollment Semi-monthly Employee Reduction/Deduction Amount*: (Specify $ amount or % to be payroll deducted from each pay check.) Fidelity pre-tax: $ Fidelity Xxxx post-tax: $ TIAA-CREF pre-tax: $ TIAA-CREF Xxxx post-tax: $ *Amount/Percent Amount listed above will be deducted each payroll and may be changed anytime. Catch-up Contributions: I am age 50 or older and therefore eligible to contribute up to an additional $6,000 6,500 to my 457(b) account in 20182019. Check if applicable (Elect only one catch-up provision. See Terms and Conditions of Participation for details): I elect the age 50 or over additional catch-up option, not to exceed the IRC Section 457(b) limit. Date of Birth: MM / DD / YY I elect the $ for individuals who are in the last three years prior to normal retirement age.

Salary Deferral. Select one: Pay Cycle: New Enrollment Bi-weekly Change Enrollment Monthly Cancel Enrollment Semi-monthly Employee Reduction/Deduction Amount*: (Specify $ amount or % to be payroll deducted from each pay check.) Fidelity pre-tax: $ Fidelity Xxxx post-tax: $ TIAA-CREF pre-tax: $ TIAA-CREF Xxxx post-tax: $ *Amount/Percent listed above will be deducted each payroll and may be changed anytime. Catch-up Contributions: I am age 50 or older and therefore eligible to contribute up to an additional $6,000 6,500 to my 457(b) account in 2018. 2022 Check if applicable (Elect only one catch-up provision. See Terms and Conditions of Participation for details): I elect the age 50 or over additional catch-up option, not to exceed the IRC Section 457(b) limit. Date of Birth: MM / DD / YY I elect the $ for individuals who are in the last three years prior to normal retirement age.