Savings Bond Authorization for EnrollmentPayroll Deduction

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This is an example of savings bond authorization for enrollmentpayroll deduction. This document is useful for conducting savings bond authorization for enrollmentpayroll deduction.

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Series EE U.S. Savings Bonds Purchasing U.S. Savings Bonds through the university is easy and convenient. You can purchase Series EE Savings Bonds through payroll deduction in one installment or several. Series EE Savings Bonds are sold at half of their face value and earn rates based on the market returns of 5-year treasury securities. They are backed by the full faith and credit of the United States and the income they earn is exempt from state and local income taxes. In addition, you may be eligible for special tax benefits available for investors who use Savings Bonds to save for their children's education. Visit the Payroll Web site for more information or to download the purchasing form (http://hr.osu.edu/payroll/home.htm). The following are your purchasing options. You can pay in one installment or spread the payments over up to five paychecks. When all payments are made to complete the purchase, the bond will be mailed to you by the Federal Reserve Bank. Bond Face Value $100 Purchase Price $50 Deduction Amount $10.00 $12.50 $25.00 $50.00 $20.00 $25.00 $50.00 $100.00 $50.00 $62.50 $125.00 $250.00 # of Pay Periods 5 4 2 1 5 4 2 1 5 4 2 1 $200 $100 $500 $250 To participate in the program, complete the form below and return to Payroll Services (also available online at http://hr.osu.edu). Complete a separate form for each bond purchased. If you are paid monthly, return the form by the fourth working day of the current month. If you are paid biweekly, return the form by noon on the Thursday preceding pay day to be effective the following pay day. Series EE U.S. Savings Bonds Authorization for Purchase/Payroll Deduction Employee Name (last, first, middle) This request is a: q New bond purchase q Change to an existing purchase q Employee ID # Cancellation of bond purchase The university is hereby authorized to deduct the following amount from my earnings each pay period: PER PAY deduction: q Biweekly q Monthly Bond face value Please issue the Series EE U.S. Savings Bond as shown below: Owner Name (last, first, middle) Address q Co-owner Name q Beneficiary City Social Security Number: State Zip Code Social Date of Security#: Birth: This authorization will remain in effect on a continuing basis until I notify the university in writing of a change or cancellation. Signature SSN Date Phone 10/2002 Return to the Office of Human Resources, Payroll Services, 1590 North High Street, Suite 300.

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