Common use of Employee Signature Clause in Contracts

Employee Signature. I certify that I have read this complete Agreement and that my salary reductions do not exceed contribution limits as determined by Applicable Law. I also certify that I am eligible for the catch up election(s), if selected, under Part 2 above. I understand my responsibilities as an Employee under the 403(b)/403(b) Xxxx/457 programs, and I request that my Employer takes the action specified in this Agreement. I understand that all rights under annuity(ies) or custodial account(s) established by me under the 403(b)/403(b) Xxxx/457 program are enforceable only by me, my beneficiary or my authorized representative. Employee Signature Date Part 6. Acknowledgement and Representative of Sales Agent/Representative I hereby acknowledge my responsibility to comply with the Employer’s written directives regarding solicitation of Employees. I also acknowledge my responsibility to assist the Employee in determining the maximum contribution limits. Sales Agent/Representative (please print clearly) Phone Address Signature Date Part 7. Employer Signature Employer hereby agrees to this Salary Reduction Agreement. Signature of Employer Representative Date Date Received in HR

Employee Signature. I certify that I have read this complete Agreement and that my salary reductions do not exceed contribution limits as determined by Applicable Law. I also certify that I am eligible for the catch up election(s), if selected, under Part 2 above. I understand my responsibilities as an Employee under the 403(b)/403(b) Xxxx/457 programs, and I request that my Employer takes the action specified in this Agreement. I understand that all rights under annuity(ies) or custodial account(s) established by me under the 403(b)/403(b) Xxxx/457 program are enforceable only by me, my beneficiary or my authorized representative. Employee Signature Date Part 6. Acknowledgement and Representative of Sales Agent/Representative I hereby acknowledge my responsibility to comply with the Employer’s written directives regarding solicitation of Employees. I also acknowledge my responsibility to assist the Employee in determining the maximum contribution limits. Sales Agent/Representative (please print clearly) Phone Address Signature Date Part 7. Employer Signature Employer hereby agrees to this Salary Reduction Agreement. Signature of Employer Representative Date Date Received in HRDate

Employee Signature. I certify that I have read this complete Agreement and that my salary reductions do not exceed contribution limits as determined by Applicable Law. I also certify that I am eligible for the catch up election(s), if selected, under Part 2 above. I understand my responsibilities as an Employee under the 403(b)/403(b) Xxxx/457 programs, and I request that my Employer takes ISD 709 take the action specified in this Agreement. I understand that all rights under annuity(iesannuity (ies) or custodial account(s) established by me under the this 403(b)/403(b) Xxxx/457 program are enforceable only by be me, my beneficiary or my authorized representative. Employee Signature Date Part PART 6. Acknowledgement and Representative of Sales AgentACKNOWLEDGEMENT & REPRESENTATIVE OF SALES AGENT/Representative REPRESENTATIVE: I hereby acknowledge my responsibility to comply with the Employer’s Employers written directives directive regarding solicitation of Employees. I also acknowledge my responsibility to assist the Employee in determining the maximum contribution limits. Sales Agent/Representative Signature Sales Agent/Representative (please print clearly) Address Phone Address Signature Date Part 7. Employer Signature Employer hereby agrees to this Salary Reduction Agreement. Signature of Employer Representative Date Date Received in HRDate

Employee Signature. I certify that I have read this complete Agreement and that my salary reductions do not exceed contribution limits as determined by Applicable Law. I also certify that I am eligible for the catch up election(s), if selected, under Part 2 above. I understand my responsibilities as an Employee under the 403(b)/403(b) Xxxx/457 programs, and I request that my Employer takes the action specified in this Agreement. I understand that all rights under annuity(ies) or custodial account(s) established by me under the 403(b)/403(b) Xxxx/457 program are enforceable only by me, my beneficiary or my authorized representativeauthorizedrepresentative. Employee Signature Date Part 6. Acknowledgement and Representative of Sales Agent/Representative I hereby acknowledge my responsibility to comply with the Employer’s written directives regarding solicitation of Employees. I also acknowledge my responsibility to assist the Employee in determining the maximum contribution limits. Sales Agent/Representative (please print clearly) Phone Address Signature Date Part 7. Employer Signature Employer hereby agrees to this Salary Reduction Agreement. Signature of Employer Representative Date Date Received in HR

Employee Signature. I certify that I have read this complete Agreement and that my salary reductions do not exceed contribution limits as determined by Applicable Law. I also certify that I am eligible for the catch up election(s), if selected, under Part 2 above. I understand my responsibilities as an Employee under the 403(b)/403(b457/403(b)/403(b) Xxxx/457 Xxxx programs, and I request that my Employer takes to take the action specified in this Agreement. I understand that all rights under annuity(iesannuity (ies) or custodial account(s) established by me under the 403(b)/403(b457/403(b)/403(b) Xxxx/457 Xxxx program are enforceable only by me, my beneficiary or my authorized representative. Employee Signature Date Part 6. Acknowledgement and Representative of Sales Agent/Representative *Note: If no financial advisor/investment rep is working on behalf of the employee, the employee should include the account # and sign this section The account must be set up with the investment company before payroll deductions can be processed. Please confirm that the employee’s account is set up and active by providing the contract account number: I hereby acknowledge my responsibility to comply with the Employer’s written directives regarding solicitation of Employees. I also acknowledge my responsibility to assist the Employee in determining the maximum contribution limits. Sales Agent/Representative (please print clearly) Phone Address Signature Date Part 7. Employer Signature Employer hereby agrees to this Salary Reduction Agreement. Signature of Employer Representative Date Date Received in HRDate

Employee Signature. I certify that I have read this complete Agreement and that my salary reductions do not exceed contribution limits as determined by Applicable Law. I also certify that I am eligible for the catch up election(s), if selected, under Part 2 above. I understand my responsibilities as an Employee under the 403(b)/403(b403(b) Xxxx/457 programsprogram, and I request that my Employer takes to take the action specified in this Agreement. I understand that all rights under the annuity(ies) or custodial account(s) established by me under the 403(b)/403(b403(b) Xxxx/457 program are enforceable only solely by me, my beneficiary or my authorized representative. Employee Signature Date Part 6. Acknowledgement 6 - For New Accounts Only Please complete Section A or B A. Acknowledgment and Representative Representation of Sales Agent/Representative I hereby acknowledge my responsibility to comply with the Employer’s 's written directives regarding solicitation of Employees. I also acknowledge my responsibility to assist the Employee in determining the maximum contribution limits. Sales Agent/Representative Name (please print clearlyPlease Print) Firm Name ( ) Phone Address City, State Zip Email: Agent/Representative Signature Date Part 7. Employer Signature Employer hereby agrees to this Salary Reduction Agreement. Signature of Employer Representative Date Date Received in HROR

Employee Signature. I certify that I have read this complete Agreement and that my salary reductions do not exceed contribution limits as determined by Applicable Law. I also certify that I am eligible for the catch up election(s), if selected, under Part 2 above. I understand my responsibilities as an Employee under the 403(b)/403(b) Xxxx/457 programs, and I request that my Employer takes to take the action specified in this Agreement. I understand that all rights under annuity(ies) or custodial account(s) established by me under the 403(b)/403(b) Xxxx/457 program are enforceable only by me, my beneficiary or my authorized representative. Employee Signature Date Part 6. Acknowledgement and Representative of Sales Agent/Representative I hereby acknowledge my responsibility to comply with the Employer’s written directives regarding solicitation of Employees. I also acknowledge my responsibility to assist the Employee in determining the maximum contribution limits. Sales Agent/Representative (please print clearly) Phone Address Signature Date Part 7. Employer Signature Employer hereby agrees to this Salary Reduction Agreement. Signature of Employer Representative Date Date Received in HRDate

Employee Signature. I certify that I have read this complete Agreement and that my salary reductions do not exceed contribution limits as determined by Applicable Law. I also certify that I am eligible for the catch up election(s), if selected, under Part 2 above. I understand my responsibilities as an Employee under the 403(b)/403(b) Xxxx/457 Xxxx programs, and I request that my Employer takes to take the action specified in this Agreement. I understand that all rights under annuity(iesannuity (ies) or custodial account(s) established by me under the 403(b)/403(b) Xxxx/457 Xxxx program are enforceable only by me, my beneficiary or my authorized representative. Employee Signature Date Part 6. Acknowledgement and Representative of Sales Agent/Representative (for new accounts) I hereby acknowledge my responsibility to comply with the Employer’s written directives regarding solicitation of Employees. I also acknowledge my responsibility to assist the Employee in determining the maximum contribution limits. Sales Agent/Representative (please print clearly) Phone Address Signature Date Part 7. Employer Signature Employer hereby agrees to this Salary Reduction Agreement. Signature of Employer Representative Date Date Received in HRDate

Employee Signature. I certify that I have read this complete Agreement and that my salary reductions do not exceed contribution limits as determined by Applicable Law. I also certify that I am eligible for the catch up election(s), if selected, under Part 2 above. I understand my responsibilities as an Employee under the 403(b)/403(b) Xxxx/457 programs, and I request that my Employer takes to take the action specified in this Agreement. I understand that all rights under annuity(iesannuity (ies) or custodial account(s) established by me under the 403(b)/403(b) Xxxx/457 program are enforceable only by me, my beneficiary or my authorized representative. Employee Signature Date D ate Part 6. Acknowledgement and Representative of Sales Agent/Representative I hereby acknowledge my responsibility to comply with the Employer’s written directives regarding solicitation of Employees. I also acknowledge my responsibility to assist the Employee in determining the maximum contribution limits. Sales Agent/Representative (please print clearly) 000-000-0000 Phone POBox 28 Slayton,MN 56172 Address Signature Date Part 7. Employer Signature Employer hereby agrees to this Salary Reduction Agreement. Signature of Employer Representative Date Date Received in HRDate

Employee Signature. I certify that I have read this complete Agreement and that my salary reductions do not exceed contribution limits as determined by Applicable Law. I also certify that I am eligible for the catch up election(s), if selected, under Part 2 above. I understand my responsibilities as an Employee under the 403(b)/403(b) Xxxx/457 programs, and I request that my Employer takes the action specified in this Agreement. I understand that all rights under annuity(ies) or custodial account(s) established by me under the 403(b)/403(b) Xxxx/457 program are enforceable only by me, my beneficiary or my authorized representative. Employee Signature Date Part 6. Acknowledgement and Representative of Sales Agent/Representative I hereby acknowledge my responsibility to comply with the Employer’s written directives regarding solicitation of Employees. I also acknowledge my responsibility to assist the Employee in determining the maximum contribution limits. Sales Agent/Representative (please print clearly) Phone Address Signature Date Part 7. Employer Signature Employer hereby agrees to this Salary Reduction Agreement. Signature of Employer Representative Date Date Received in HR.