Employer Name403(b) Salary Reduction Agreement • August 18th, 2020
Contract403(b) Salary Reduction Agreement • August 22nd, 2012
Contract403(b) Salary Reduction Agreement • July 10th, 2014
PR Code:403(b) Salary Reduction Agreement • November 9th, 2020
Use this form to set up or change contributions to your 403(b) Account. Please type or print your information and return via fax 568-7916 or MSC 7009.
Contract403(b) Salary Reduction Agreement • November 16th, 2021
Contract403(b) Salary Reduction Agreement • July 12th, 2010
Contract403(b) Salary Reduction Agreement • August 10th, 2018
Contract403(b) Salary Reduction Agreement • January 11th, 2012
BIC U.S. 403(b)(9) PLAN EMPLOYEE SALARY REDUCTION AGREEMENT403(b) Salary Reduction Agreement • November 28th, 2018
Employee Information Employee: Account Number: Address: SSN: Phone Number : Email : Birthdate: Date Age 59 ½ : Date Age 70 ½ : Employer Name: Trustee/Issuer : General Conference Board of Brethren in Christ U.S. Part A: Deferral Election Please make one selection from the choices below. Multiple elections in this Part A require separate forms. 1 I, the above-named Employee of the Employer, do not want to participate in Employee Elective Deferrals at this time. I understand that I may change this election by completing a new Salary Reduction Agreement prior to the next Change Date allowed by my Employer. (Proceed to Signature section.) 2 I, the above-named Employee of the Employer, hereby apply to participate in Employee Elective Deferrals, and enter into the following Salary Reduction Agreement. (Please complete the balance of this form.) Part B: Elective Deferrals The undersigned Participant hereby directs the Employer to make the following payroll deductions if permitted in the under
403b Salary Reduction Agreement403b Salary Reduction Agreement • December 20th, 2019
Read this before completing this form: This salary reduction agreement does not establish a tax deferred annuity with a specific vendor but only authorizes the withholding of funds from your paycheck. For new enrollments, separate 403(b) enrollment applications must be requested from the vendor(s) you have chosen from the list of District-approved vendors (this list is available at the District office). Please return these separate enrollment application(s) to the District office along with this salary reduction agreement form.
Contract403(b) Salary Reduction Agreement • July 9th, 2021
PRE-TAX Salary Reduction Agreement403(b) Salary Reduction Agreement • July 26th, 2022
PINE CREST SCHOOL403(b) Salary Reduction Agreement • February 1st, 2018
AGREEMENT403(b) Salary Reduction Agreement • October 21st, 2019
Contract403(b) Salary Reduction Agreement • September 12th, 2012
ALA American Library Association403(b) Salary Reduction Agreement • October 2nd, 2019
This Agreement shall be legally binding and irrevocable for both the Association and the Employee while employment continues. However, either party may terminate or modify this Agreement as of the end of any pay period, by giving at least 14 days’ written notice so that this Agreement will not apply to salary subsequently paid. Salary reduction to the accounts as marked below
PR Code:403(b) Salary Reduction Agreement • November 2nd, 2018
Use this form to set up or change contributions to your 403(b) Account. Please type or print your information and return via fax 568-7916 or MSC 7009.
NORTHERN MICHIGAN UNIVERSITY403(b) Salary Reduction Agreement • December 7th, 2020
This Agreement shall supersede any prior 403(b) Salary Reduction Agreement. This Agreement shall be automatically renewed unless the Employee and the University enter into a new Agreement to replace this Agreement. In the event the Employee’s reduction reaches the IRS limitation in any given year, the Employee’s payroll deduction will automatically be terminated prospectively by the Employer for the remainder of such year. However, the same payroll deduction will continue in the same amount in the subsequent year unless a change is elected. This Agreement is legally binding and irrevocable with respect to compensation which becomes available to the Employee while it is in effect. However, it may be terminated at any time by either the Employee or the University with respect to compensation which has not yet become available to the Employee. The University does not take any responsibility for any particular tax consequences of the Agreement, which responsibility is solely that of the Em
UF 403(b) Salary Reduction Agreement (SRA)403(b) Salary Reduction Agreement • December 13th, 2017
STEP 1: TELL US ABOUT YOURSELF403(b) Salary Reduction Agreement • October 15th, 2009
• The employer will reduce your pay by the amount indicated (in Step 2 above) per pay period and send this amount to the provider as contributions.
CHRISTUS ST. VINCENT CSV403(b) Salary Reduction Agreement • October 23rd, 2017
Contract403(b) Salary Reduction Agreement • November 10th, 2009
Baldwin-Woodville Area School District 403(b) Plan Salary Reduction Agreement403(b) Salary Reduction Agreement • January 14th, 2021
PR Code:403(b) Salary Reduction Agreement • November 9th, 2020
Use this form to set up or change contributions to your 403(b) Account. Please type or print your information and return via fax 568-7916 or MSC 7009.
INSTRUCTIONS403(b) Salary Reduction Agreement • December 17th, 2019
SERVANT SOLUTIONS403(b) Salary Reduction Agreement • May 29th, 2019
This Agreement is entered into this day of , 20 , in order to enable the undersigned to contribute to the Servant Solutions Retirement Plan by way of pre‐tax, salary reduction contributions.
Contract403(b) Salary Reduction Agreement • January 2nd, 2019
Research Foundation for Mental Hygiene, Inc. (RFMH)403(b) Salary Reduction Agreement • June 17th, 2015
Annuity 403(b) Salary Reduction Agreement403(b) Salary Reduction Agreement • October 17th, 2005
The employee and employer listed above, have entered into this salary reduction agreement to obtain for the employee the benefits of section 403(b) of the Internal Revenue Code of 1986. In consideration of the mutual promises and conditions appearing below, it is agreed that:
AGREEMENT FOR 403(b) SALARY REDUCTION403(b) Salary Reduction Agreement • April 17th, 2018
Effective, as soon as administratively feasible, for amounts earned on or after the date this agreement is signed or the payroll period commencing , 20 _, the Employee’s salary will be reduced by the amount shown below. At the same time, the Institution will contribute a corresponding amount to the Employee’s annuity contract(s) (or custodial accounts), which the Employee will allocate among the funding vehicles approved by the Institution.
Contract403(b) Salary Reduction Agreement • July 31st, 2017
Retirement Plan Administration 403(b) Salary Reduction Agreement (SRA) FAX COMPLETED FORMS TO: 714.258.4262 1. Participant Information First Name Last Name Social Security Number (REQUIRED) Date of Birth Date of Hire Street Address City State Zip CodeSB Phone NumberCertificated Classified School District County Employee ID (Required for LA Districts Only) Participant Email Address 2. Action This agreement supersedes all prior 403(b) Salary Reduction Agreements (SRA) on file, only the instructions identified below will be completed. SRAs must be submitted at least 30 days, but not more than 90 days, prior to the effective date. For your convenience, you may also make your deferral change online at pa.schoolsfirstfcu.org. Effective date: ■ Next Available Pay Date Future Pay Date Type of Deferral Requested Action Investment Provider Name Pre-Tax Roth403(b) 403(b) Amount ■ Begin Resume Change Cancel ■ $ Begin Resume Change Cancel $
Regis Catholic Schools403(b) Salary Reduction Agreement • June 19th, 2018
The Plan has been explained to me, and I have been given a Summary Plan Description. I understand that I may voluntarily choose to have my pay reduced for contributions to the Plan.
Contract403(b) Salary Reduction Agreement • November 12th, 2019
Contract403(b) Salary Reduction Agreement • August 10th, 2020
Form - 403-200SF (07/2021)403(b) Salary Reduction Agreement • October 11th, 2017
