ContractPayroll Deduction Agreement • November 30th, 2016
Contract Type FiledNovember 30th, 2016Form 2159(Rev. January 2007) Department of the Treasury — Internal Revenue ServicePayroll Deduction Agreement(See Instructions on the back of this page.) TO: (Employer name and address) Regarding: (Taxpayer name and address) Contact Person’s Name Telephone (Include area code) Social security or employer identification number(Taxpayer) (Spouse) EMPLOYER—See the instructions on the back of Part 2. The taxpayer identified above on the right named you as an employer. Please read and sign the following statement to agree to withhold amount(s) from the taxpayer’s (employee’s) wages or salary to apply to taxes owed.I agree to participate in this payroll deduction agreement and will withhold the amount shown below from each wage or salary payment due this employee. I will send the money to the Internal Revenue Service every: (Check one box.) Your telephone number (Include area code)(Home) (Work or business) For assistance, call: 1-800-829-0115 (Business) or1-800-829-8374 (Individual – Self-E
ContractPayroll Deduction Agreement • November 20th, 2006
Contract Type FiledNovember 20th, 2006Form 2159(Rev. January 2007) Department of the Treasury — Internal Revenue ServicePayroll Deduction Agreement(See Instructions on the back of this page.) TO: (Employer name and address) Regarding: (Taxpayer name and address) Contact Person’s Name Telephone (Include area code) Social security or employer identification number(Taxpayer) (Spouse) EMPLOYER—See the instructions on the back of Part 2. The taxpayer identified above on the right named you as an employer. Please read and sign the following statement to agree to withhold amount(s) from the taxpayer’s (employee’s) wages or salary to apply to taxes owed.I agree to participate in this payroll deduction agreement and will withhold the amount shown below from each wage or salary payment due this employee. I will send the money to the Internal Revenue Service every: (Check one box.) Your telephone number (Include area code)(Home) (Work or business) For assistance, call: 1-800-829-0115 (Business) or1-800-829-8374 (Individual – Self-E
ContractPayroll Deduction Agreement • November 20th, 2006
Contract Type FiledNovember 20th, 2006Form 2159(Rev. January 2007) Department of the Treasury — Internal Revenue ServicePayroll Deduction Agreement(See Instructions on the back of this page.) TO: (Employer name and address) Regarding: (Taxpayer name and address) Contact Person’s Name Telephone (Include area code) Social security or employer identification number(Taxpayer) (Spouse) EMPLOYER—See the instructions on the back of Part 2. The taxpayer identified above on the right named you as an employer. Please read and sign the following statement to agree to withhold amount(s) from the taxpayer’s (employee’s) wages or salary to apply to taxes owed.I agree to participate in this payroll deduction agreement and will withhold the amount shown below from each wage or salary payment due this employee. I will send the money to the Internal Revenue Service every: (Check one box.) Your telephone number (Include area code)(Home) (Work or business) For assistance, call: 1-800-829-0115 (Business) or1-800-829-8374 (Individual – Self-E
ContractPayroll Deduction Agreement • November 20th, 2006
Contract Type FiledNovember 20th, 2006Form 2159(Rev. January 2007) Department of the Treasury — Internal Revenue ServicePayroll Deduction Agreement(See Instructions on the back of this page.) TO: (Employer name and address) Regarding: (Taxpayer name and address) Contact Person’s Name Telephone (Include area code) Social security or employer identification number(Taxpayer) (Spouse) EMPLOYER—See the instructions on the back of Part 2. The taxpayer identified above on the right named you as an employer. Please read and sign the following statement to agree to withhold amount(s) from the taxpayer’s (employee’s) wages or salary to apply to taxes owed.I agree to participate in this payroll deduction agreement and will withhold the amount shown below from each wage or salary payment due this employee. I will send the money to the Internal Revenue Service every: (Check one box.) Your telephone number (Include area code)(Home) (Work or business) For assistance, call: 1-800-829-0115 (Business) or1-800-829-8374 (Individual – Self-E