Payroll Deduction Agreement Form
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Pre-tax 403(b) elective deferral or per pay period Roth 403(b) after-tax deferrals or per pay period After-tax deferrals or per pay period AGLF Demand Certificate in the amount of or per pay period (Existing AGLF Demand Certificates only for new investment information, call 1.866.453.7143.) B.. The Employee and the Employer hereby agree to this Payroll Deduction Agreement Form: X Signature of Employee Date X Signature of Employer Date 3900 S Overland Avenue • Springfield, MO 65807 • Fax: 417.831.7429 • Toll-Free 1.800.622.7526 Email: retirement agfinancial.org • Web: www.agfinancial.org/retirement 403(b) Plan Contribution Types All contributions to your 403(b), whether deferred from taxes or after-tax deposits, must be from ministry earned income and are subject to legal limits..
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