SHORT-TERM DISABILITY / LONG-TERM DISABILITYTax Reporting Agreement • June 16th, 2005
Please complete the following agreement, authorizing Jefferson Pilot Financial (JPF) to act as your federal tax withholding and reporting partner solely as described below. Return this agreement to JPF along with your application for group insurance.
TAX REPORTING AGREEMENT FOR NEW YORK DBL AND PFLTax Reporting Agreement • October 17th, 2017
As a service to you, Mutual of Omaha Insurance Company (“Mutual”), provides you tax withholding and reporting services relating to those benefits. By completing this Tax Reporting Agreement (“Agreement”), you authorize Mutual to withhold, deposit and report to the Internal Revenue Service (“IRS”) the taxes described below for the benefits indicated below and you agree to the following terms of the Agreement.
TAX REPORTING AGREEMENTTax Reporting Agreement • November 13th, 1995 • Crown Crafts Inc • Broadwoven fabric mills, cotton • California
