United States Savings Bond Payroll Deduction



United States Savings Bond Payroll Deduction

If you wish to have savings bond deductions, please complete this form. Bond deductions will be made each payday. Deductions will continue to be made until the Belleville Area Special Services Cooperative is notified in writing that the employee desires a change or discontinuation of such deductions.

The savings bond purchase order is placed by BASSC at the end of the month using the deductions retained from your paychecks during that month. If you purchase a bond that matures at $100, the cost of that bond is $50 if it is an E bond. Therefore, $25 will be taken out of each of your paychecks. If you purchase an I bond for $100, the cost of the bond is the face value which is $100. Therefore, $50 will be taken out of each of your paychecks.

Please check one of the following:

← Please discontinue purchasing savings bonds from my paycheck effective ____________.

← Please change the amount deducted from my pay to purchase the type of bond indicated below.

← I hereby request and authorize that the following deduction be made from my paycheck each payday beginning with the first paycheck in the month of _____________, 20__.

Check one (E Bond)

Semi-Monthly Deduction Bond Cost Bond Maturity Code

← $25.00 $ 50.00 $ 100.00 4

← $50.00 $100.00 $ 200.00 5

← $125 $250.00 $ 500.00 6

← $250 $500.00 $1,000.00 7

or:

Check one (I Bond)

Semi-Monthly Deduction Bond Cost Code

← $50.00 $ 50.00 8

← $75.00 $ 75.00 9

← $100 $100.00 10

← $200 $200.00 11

← $500.00 $500.00 12

Name:______________________________________________ SS: _________________________

Address: __________________________________________ Beneficiary: ___________________

-----------------------

2411 Pathways Crossing

Belleville, IL 62221

Phone (618) 355-4700

Fax (618) 355-4415

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download