, DEBTOR EMPLOYER ACKNOWLEDGMENT …

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. [ ] The DEBTOR is no longer employed by this company.

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

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