Work Phone #. Email: As an employee, you may contribute a portion of your compensation to the Section 403(b), XXXX 403(b) and/or 457(b) Plan sponsored by the West Virginia Higher Education Policy Commission (“Commission”). The amount that you choose to defer pursuant to Part I below shall not exceed the applicable limitations of Internal Revenue Code Sections 415, 402(g) and 414(v), whichever is less, as applicable. Amounts contributed to the Section 403(b), XXXX 403(B) and/or 457(b) plan will be invested among the approved investment options and selected by you in a separate investment election form. Subject to any advance notice period to process this Salary Reduction Agreement “Agreement” for payroll purposes, this Agreement shall become effective on the later of the following: (i) the second payroll cycle following the payroll cycle this form is received by the HEPC Human Resource Office; or (ii) as soon as the form can reasonably be entered following the return of this Agreement to the HEPC Human Resource Office. This Agreement replaces any previously submitted Agreement for this plan, and shall remain in effect unless revoked or modified in writing as permitted by the terms of the Section 403(b), XXXX 403(b) and/or 457(b) Plans and in accordance with such form(s) as the Commission may from time to time provide. Please be advised that any election you make below applies only to salary deferrals to the 403(b), XXXX 403(b) and/or 457(b) Plan sponsored by the Commission via HEPC payroll contributions. If you participate in another 403(b), XXXX 403(b), 457(b), or 401(k) retirement plan, you should consult your tax advisor regarding the overall limits that apply in your individual circumstances.
Work Phone #. As an employee of Shepherd University, you may contribute a portion of your compensation to the Section 403(b) and/or 457(b) Plan sponsored by the West Virginia Higher Education Policy Commission (“Commission”). The amount that you choose to defer pursuant to Part I below shall not exceed the applicable limitations of Internal Revenue Code Sections 415, 402(g) and 414(v), whichever is less, as applicable. Amounts contributed to the Section 403(b) and/or 457(b) plan will be invested among the approved investment options and selected by you in a separate investment election form. Subject to any advance notice period to process this Salary Reduction Agreement “Agreement” for payroll purposes, this Agreement shall become effective as soon as the form can reasonably be entered following the return of this Agreement to the Shepherd University Human Resources Office. This Agreement replaces any previously submitted Agreement for this plan, and shall remain in effect unless revoked or modified in writing as permitted by the terms of the Section 403(b) and/or 457(b) Plans and in accordance with such form(s) as the Commission and/or Shepherd University may from time to time provide. Please be advised that any election you make below applies only to salary deferrals to the 403(b) and/or 457(b) Plan sponsored by the Commission via Shepherd University payroll contributions. If you participate in another 403(b), 457(b), or 401(k) retirement plan, you should consult your tax advisor regarding the overall limits that apply in your individual circumstances.
Work Phone #. As an employee of West Virginia University (WVU), you may contribute a portion of your compensation to the Section 403(b) and/or 457(b) Plan sponsored by the West Virginia Higher Education Policy Commission (“Commission”). The amount that you choose to defer pursuant to Part I below shall not exceed the applicable limitations of Internal Revenue Code Sections 415, 402(g) and 414(v), whichever is less, as applicable. Amounts contributed to the Section 403(b) and/or 457(b) plan will be invested among the approved investment options with TIAA. Please be advised that any election you make below applies only to salary deferrals to the 403(b) and/or 457(b) Plan sponsored by the Commission via WVU payroll contributions. If you participate in another 403(b) and/or 457(b) plan or another qualified retirement plan (e.g., WVU Medicine, etc.), you should consult your tax advisor regarding the overall limits that apply in your individual circumstances.
Work Phone #. E-MAIL/EPOS: .............................................................................................................................................. POSTAL ADDRESS/ POS ADRES: ……….......................................................................................................................................................................................... ............................................................................................................................. ..................................................................... RESIDENTIAL ADDRESS/ STRAAT ADRES: …............................................................................................................................................................................................... .................................................................................................................................................................................................. .................................................................................................................................................................................................. NAME, ADDRESS & TEL. NO. OF EMPLOYER/NAAM, ADRES, TEL NO WERKGEWER: .................................................................................................................................................................................................. .................................................................................................................................................................................................. DETAILS OF PETS/BESONDERHEDE XXX XXXX NAME/ NAAM BREED/ RAS SEX/ GESLAG COLOUR/ KLEUR STERILIZED/ GESTERILISEER DOB/AGE/ OUDERDOM LAST VACCINE/ LAASTE ENT MICROCHIP WOULD YOU LIKE YOUR ANIMAL TO BE ADDED TO THE BLOOD DONOR DATA BASE? YES/ NO SIGNED/GETEKEN: .............................................................................................................................................. DATE/DATUM: .............................................................................................................................................. +00 (0)00 000 0000 WITNESS: .............................................................................................................................................. STAFF MEMBER: …………………………………………… ACCOUNT NUMBER: ……………………………………………
Work Phone #. Mobile Phone: , e-mail: (hereinafter “Guarantor”) hereby agree to be jointly and severally responsible along with all tenants named in the Lease Agreement by and between EJF Real Estate Services, Inc. acting as agent for the owner (“Agent”), and (“Tenant”) for the premises located at Washington, DC (“Property”), for the prompt and faithful performance and observance of all the terms, provisions, obligations and agreements contained in the Lease Agreement. I agree that if the Tenant fails to pay any portion of the annual rent, and/or if the security deposit is less than the combined balance of all financial obligations remaining at the termination of the Lease Agreement, including the cost of repairing damages to the unit which are beyond normal wear and tear, that I will be jointly and severally responsible for such financial obligations along with the Tenant, and will pay such monies owing and/or costs without requiring any notice of non-payment or non-performance or proof or demand of any kind or nature. I agree that the my obligations as Guarantor are primary to that of the Tenant and Agent may enforce the obligations of Guarantor without taking any action against Tenant. I agree that the legality or enforceability of this Agreement shall not be ended, changed, modified, amended or otherwise affected by reason of any claim of Agent against Tenant, by any claim of Tenant against Agent, by any claim of illegality of the Lease or any of the terms, provisions or agreements set for the in the Lease, or by reason of exercise of any of the rights or remedies given to Agent as set for the in the Lease or elsewhere or for any other reason whatsoever. I further agree that as this Agreement shall remain binding and continue in full force and effect for the entire term of the Lease and any extension or renewal thereof. I authorize Agent and Tenant, without prior notice to or consent of Guarantor, to renegotiate, extend, terminate, modify or otherwise change the terms of the Lease. I agree that my obligations under this Agreement may not be waived or changed by Agent except in writing where Agent specifically states that Agent is waiving it’s rights under this Agreement. .As a guarantor, I understand that I do not have right of occupancy as a tenant of the Property. I hereby consent to the jurisdiction of the courts of the District of Columbia in any action arising under the Lease or this Agreement and agree to service of premises in the manner prescribed in the so-...
Work Phone #. Street Address: .....................................................................*City: ..................................... *State:.............. *Zip: .................. *Employer’s Name: ...................................................................
Work Phone #. 4) If account has premium products attached these should be removed.
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Work Phone #. Occupational Group: Parent | Guardian (please circle) Married Status: Married De Facto Single Title:……… Surname: ...................................................... Former | Maiden Name:.................................................. Given name: .................................................................... Preferred name: ............................................................. Relationship to student: ................................................. Country of birth: .............................................................. Nationality: ..................................................................... Date of birth:.................................................................... Home Email:..................................................................... Home Phone: ................................................................... Mobile:............................................................................. Occupation:...................................................................... Employer: ........................................................................
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