EMPLOYEE DEDUCTION FORM

EMPLOYEE DEDUCTION FORM
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I hereby authorize my employer, Gary Community School Corporation, to withhold from my wages the amount designated above for my contribution to the Gary Educational Development Foundation, Inc. The amount will be deducted in twenty (20) equal installments in each calendar year. this assignment shall continue unless written notice of its revocation or revision is given by me to the School Corporation by mail thirty (30) days prior to the revocation or revision.
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The Gary Educational Development Founcation, Inc. is a Non-Profit 501(c3) organization. Deductions are income tax free.
Gary Educational Development Foundation, Incorporated

PO Box 641257 · Gary, IN 46401-1257 · (219) 881-5482

www.gedf.net
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