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Employee’s Additional Withholding of Income Tax Agreement

INSTRUCTIONS:
1.   Employee should already be claiming zero (0) exemptions.
2.   Changes to this agreement – either decreasing or increasing, must be submitted on this form.
3.   This agreement will become effective on the first full pay period after receipt of the form in the Employee and Retiree Service Center (ERSC).

This amount is displayed separately on your check stub and is included in your calendar year-to-date accumulations.

  • This form is for: MCPS Employees
  • Form number: 280-3
  • Last revised: November 2011
Name
PDF Size
Form Number
Employee’s Additional Withholding of Income Tax Agreement 95 K 280-3

Forms require Adobe Acrobat Reader 8 or higher. Get Acrobat

 

For questions regarding forms, call Harriet Potosky at (301) 279-3538.

Updated November 23, 2011 | Maintained by Missy Gumula
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