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, 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.

OklahomaGuaranteed StudentLoan Program A76 Operating divisionof the Oklahoma State Regents for Higher Education INRE: § § § _____, DEBTOR

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  Employers, Acknowledgment, Debtors, Studentloan, Debtor employer acknowledgment

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