"Payroll Change Form" - Texas

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PAYROLL CHANGE FORM
Employee name:
SSN-Last 4 digits:
________________________________________________
Address Change:
City__________________________________, TX Zip___________
Deduction Changes:
(Note: Attach copies of any insurance forms or annuity agreements)
____________________________________ Amount: $___________Cafe? Y N
Add
Delete Change
DEDUCTION NAME
PER MONTH
____________________________________ Amount: $___________ Cafe? Y N
Add
Delete Change
DEDUCTION NAME
PER MONTH
____________________________________ Amount: $___________ Cafe? Y N
Add
Delete Change
DEDUCTION NAME
PER MONTH
____________________________________ Amount: $___________ Cafe? Y N
Add
Delete Change
DEDUCTION NAME
PER MONTH
____________________________________ Amount: $___________ Cafe? Y N
Add
Delete Change
DEDUCTION NAME
PER MONTH
Tax Status Change:
Submit updated and signed W-4 form.
Employee Signature and Date:
Approved by and Date:
PAYROLL CHANGE FORM
Employee name:
SSN-Last 4 digits:
________________________________________________
Address Change:
City__________________________________, TX Zip___________
Deduction Changes:
(Note: Attach copies of any insurance forms or annuity agreements)
____________________________________ Amount: $___________Cafe? Y N
Add
Delete Change
DEDUCTION NAME
PER MONTH
____________________________________ Amount: $___________ Cafe? Y N
Add
Delete Change
DEDUCTION NAME
PER MONTH
____________________________________ Amount: $___________ Cafe? Y N
Add
Delete Change
DEDUCTION NAME
PER MONTH
____________________________________ Amount: $___________ Cafe? Y N
Add
Delete Change
DEDUCTION NAME
PER MONTH
____________________________________ Amount: $___________ Cafe? Y N
Add
Delete Change
DEDUCTION NAME
PER MONTH
Tax Status Change:
Submit updated and signed W-4 form.
Employee Signature and Date:
Approved by and Date: