T sign below within 90 days of my termination date from my previous employer. my new employer cannot begin withholding deductions until after the last pay period deductions were made with my previous employer. By my signature below, I agree to the payment terms and conditions specified in both the original agreement and this addendum. Member s Signature Date.
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How to fill out the MI R0625C online
Filling out the MI R0625C form online is a critical step for public school employees transferring their tax-deferred payment agreements. This guide provides clear and concise instructions to help users complete the form efficiently.
Follow the steps to complete the MI R0625C online.
- Press the ‘Get Form’ button to access the MI R0625C form and open it for editing.
- Enter the member's name in the designated field, including the last name, first name, and middle initial.
- Fill in the member ID or Social Security Number in the corresponding field.
- Provide the mailing address, including the street address, city, state, and zip code.
- Enter your daytime phone number in the specified area, ensuring it includes the area code.
- Document your TDP Agreement Number in the appropriate field.
- Specify the payroll deduction amount that will be deducted from your salary.
- Include your email address to receive notifications related to your agreement.
- Complete the sections for previous employer information, including the reporting unit name and number, termination date, and the payroll officer's name.
- Provide information for the new employer, filling out their reporting unit name and number.
- Specify the final deduction pay period end date from the previous employer.
- State the first deduction pay period end date for the new employer.
- Review the terms of the agreement thoroughly to understand your obligations and rights.
- Both the member and the payroll officer must sign and date the form within 90 days of termination from the previous employer.
- After filling out the form, save your changes and download or print a copy for your records.
- Share the completed form with your new payroll office and ensure it is submitted to the appropriate Michigan Office of Retirement Services.
Complete your MI R0625C form online today to ensure a smooth transition to your new school employer.
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