, DEBTOR EMPLOYER ACKNOWLEDGMENT …

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Oklahoma Guaranteed Student Loan Program A76 Operating division of the Oklahoma State Regents for Higher Education IN RE: ______________________________, DEBTOR EMPLOYER ACKNOWLEDGMENT OF WAGE WITHHOLDING I, __________________________________, on behalf of ________________________________________ ______ (Print Your Name) (Print company name) acknowledge receipt of the Order of Withholding from Earnings for: __________________ ____________________________ ( DEBTOR Name) ( DEBTOR Social Security Number) DEBTOR current address: ________________________________________ _____ ________________________________________ _____ Phone (________)_________________________ [ ] The above name DEBTOR is an employee of this company and payments of approximately $______________(15%) of disposable pay will be forwarded to the Oklahoma Guaranteed Student Loan Program on a (weekly/bi weekly/monthly but no less frequently than monthly):__________________________basis .

AWG WORKSHEETINSTRUCTIONS Use the AWG WORKSHEETto calculate the amountof withholding foreach pay period. At the top ofeach sheet, identify thetype of pay period(e.g., weekly, bi­weekly, monthly, etc.) and theend

  Employers, Acknowledgment, Debtors, Debtor employer acknowledgment