Signed in as:
filler@godaddy.com
Signed in as:
filler@godaddy.com
Employee Tax Deferment
I, ________________________________ (full name, printed), hereby understand that I am opting-in to having my OASDI deferred. I understand that I, as an individual, will be responsible for paying the amounts to my employer that were deferred at my request in the form of a 12.4% OASDI tax payment until the deferred amount is paid. My employer, nor ProPay Professional Payroll Systems, will be responsible for any amounts due to the IRS as a result of my request.
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Signature or Employee Date
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Company Signature of Employer
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