Common Contracts
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FBC Salary Reduction AgreementSeptember 17th, 2020
Instructions The FBC Salary Reduction Agreement is to be used to establish or change with your employer the dollar amount that you want to have deducted from your paycheck as contributions to your selected investment company(s). Upon completion, PLEASE SUBMIT THE ORIGINAL TO YOUR PAYROLL OFFICE. Please also fax a copy of this form to (800) 597-8206. Employee Information Participant Name Social Security Number School District (Employer) Home Phone Number Participant Mailing Address(Street) (City, ST ZIP) E-mail Address Date of Birth Number of Pay Periods Per Year9 10 12 Purpose I want to STOP CONTRIBUTIONS to my current provider I want to BEGIN CONTRIBUTIONS or RESUME CONTRIBUTIONS I want to CHANGE FUTURE CONTRIBUTION AMOUNTS and/or PROVIDER Effective Date: Effective Date: Effective Date: 457(b) I hereby agree to reduce my eligible salary or wages on each pay period by $ and direct my Employer to contribute this amount on my behalf to the investments options I have selected under
