Common use of Contribution Information Clause in Contracts

Contribution Information. (Select all that apply & complete amounts in part 3) **All deductions are taken on a post-tax basis** New salary reduction and/or district match amount Effective Date:* Change salary reduction amount and/or district match amount Discontinue TSA salary reduction with the following Service Provider(s): Employee’s deductions (this tax year) to all 403b plans or all 457 plans are expected to exceed $19,000/year. Employee is over age 50 and planning to deduct an additional $6,000 in the current calendar year ▪ Requests are accepted any time from September 1st – May 31st. Requests received over the summer will be held until September 1st. ▪ Completed Salary Reduction Agreement forms must be received prior to the current payroll or they will be held until the following payroll. ▪ All deductions are taken post tax

Contribution Information. (Select all that apply & complete amounts in part 3) **All deductions are taken on a post-tax basis** New salary reduction and/or district match amount Effective Date:* Change salary reduction amount and/or district match amount Discontinue TSA salary reduction with the following Service Provider(s): Employee’s deductions (this tax year) to all 403b plans or all 457 plans are expected to exceed $19,00020,500/year. Employee is over age 50 and planning to deduct an additional $6,000 6,500 in the current calendar year ▪ Requests are accepted any time from September 1st – May 31st. Requests received over the summer will be held until September 1st. ▪ Completed Salary Reduction Agreement forms must be received prior to the current payroll or they will be held until the following payroll. ▪ All deductions are taken post tax

Contribution Information. (Select all that apply & complete amounts in part 3) **All deductions are taken on a post-tax basis** New salary reduction and/or district match amount Effective Date:* Change salary reduction amount and/or district match amount Discontinue TSA salary reduction with the following Service Provider(s): Employee’s deductions (this tax year) to all 403b plans or all 457 plans are expected to exceed $19,00022,500/year. Employee is over age 50 and planning to deduct an additional $6,000 7,500 in the current calendar year ▪ Requests are accepted any time from September 1st – May 31st. Requests received over the summer will be held until September 1st. ▪ Completed Salary Reduction Agreement forms must be received prior to the current payroll or they will be held until the following payroll. ▪ All deductions are taken post tax

Contribution Information. (Select all that apply & complete amounts in part 3) **All deductions are taken on a post-tax basis** New salary reduction and/or district match amount Effective Date:* Change salary reduction amount and/or district match amount Discontinue TSA salary reduction with the following Service Provider(s): Employee’s deductions (this tax year) to all 403b plans or all 457 plans are expected to exceed $19,00019,500/year. Employee is over age 50 and planning to deduct an additional $6,000 6,500 in the current calendar year ▪ Requests are accepted any time from September 1st – May 31st. Requests received over the summer will be held until September 1st. ▪ Completed Salary Reduction Agreement forms must be received prior to the current payroll or they will be held until the following payroll. ▪ All deductions are taken post tax