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Quality Labor Solutions, LLC

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Payroll Deduction Form

I hereby authorize my employer to make the above deductions from my pay in accordance with the above terms. I understand and agree that I am responsible for satisfying the above amounts.  I understand and agree that any amount that is due and owing at the time of my termination, regardless of whether my termination was voluntary or not, will be deducted from my last pay check or any other amounts that may be owed to me.  This authorizes my employer, Quality Labor Solutions, LLC, to retain the entire amount in compliance with the law.  I further understand and agree that deductions will be made after any mandatory taxes as well as any other deductions.

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