ࡱ> ,.+_  bjbjzz *B\B\>wyyyyyy$6ww`fbjc0~'~~D"~> V:  PAYROLL DEDUCTION AUTHORIZATION Client Company Name: ________________________________________________ I _______________________________________ authorize Merit Resources to deduct (print name of employee) payments of $____________ per pay period up to a maximum of $______________. I acknowledge that this deduction is for ____________________________. Should I leave the employement of the Client Company before the debt is paid in full I authorize Merit Resources, Inc. to deduct the remaining balance from my final pay check. If there is still an outstanding balance I authorize that I will make full payment to the Client Company within 21 days of the final day of employment. ________________________________________ ______________________ (signature of employee) (date) ________________________________________ ______________________ (signature of authorized supervisor) (date) ________________________________________ (print supervisor name) Merit Resources, Inc. Rev: 2015 $&[km # B C o    5 : @ C зݷuuuhƷuu[h+1]h8OCJOJQJh+1]hFCJOJQJhFhFCJOJQJaJhFh+1]CJOJQJaJh0CJOJQJaJhRG;CJOJQJaJhFCJOJQJaJhFh8OCJOJQJaJhFCJOJQJh+1]h+1]CJOJQJh+1]h8OCJOJQJh+1]h8O5CJOJQJ h8O5CJ#$%&lmnE F  A B C gdF$a$   gdF    h%ZCJOJQJh+1]h8OCJOJQJh+1]h8OCJOJQJ(/ =!"#$% s2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH 8`8 Normal_HmH sH tH DA D Default Paragraph FontViV  Table Normal :V 44 la (k (No List PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭VvnB`2ǃ,!"E3p#9GQd; H xuv 0F[,F᚜K sO'3w #vfSVbsؠyX p5veuw 1z@ l,i!b I jZ2|9L$Z15xl.(zm${d:\@'23œln$^-@^i?D&|#td!6lġB"&63yy@t!HjpU*yeXry3~{s:FXI O5Y[Y!}S˪.7bd|n]671. tn/w/+[t6}PsںsL. J;̊iN $AI)t2 Lmx:(}\-i*xQCJuWl'QyI@ھ m2DBAR4 w¢naQ`ԲɁ W=0#xBdT/.3-F>bYL%׭˓KK 6HhfPQ=h)GBms]_Ԡ'CZѨys v@c])h7Jهic?FS.NP$ e&\Ӏ+I "'%QÕ@c![paAV.9Hd<ӮHVX*%A{Yr Aբ pxSL9":3U5U NC(p%u@;[d`4)]t#9M4W=P5*f̰lk<_X-C wT%Ժ}B% Y,] A̠&oʰŨ; \lc`|,bUvPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!R%theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK]       8@0(  B S  ?7=(;?33333333$$%l"BC5@C  8ORG;VL%Z+1] j&rF0* @@UnknownG*Ax Times New Roman5Symbol3. *Cx ArialE. Century GothicA$BCambria Math"CVhEB'EB'kY}}!V243QVHP?VL2!xx PAYROLL DEDUCTION AUTHORIZATION John R. HoveyAmy LinnOh+'0   @ L X dpx PAYROLL DEDUCTION AUTHORIZATIONJohn R. HoveyNormal Amy Linn2Microsoft Office Word@@Hy<@b@b}՜.+,0 hp  Merit Resources  PAYROLL DEDUCTION AUTHORIZATION Title  !"$%&'()*-Root Entry Fgb/1Table ~WordDocument*SummaryInformation(DocumentSummaryInformation8#CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q