Payroll Deduction

Please complete the information below to enroll in payroll deduction.

Important Information

Fall term deductions must end by November 30th

Spring term deductions must end by April 30th

Summer term deductions must end by July 30th


The Treasurer's Office will review information entered and you will be contacted if adjustments are needed. By entering your information you are agreeing to the declaration below and verifying all information is correct.


Declaration
A. I authorize Arkansas State University to deduct the cost of the charges below from each paycheck at a rate to be distributed over the contract.

B. I agree to clear all charges either through payroll checks or personal resources. Any unpaid charges shall remain my liability and may be remitted to a collection agency and reported to a credit bureau. I agree to bear all collection costs and attorney's fees associated with the collection of this account.

C. I understand Arkansas State University has the right to attach any Arkansas State Tax Refund I might have to any delinquent balance according to ACT 372 of 1983 as amended.

D. I hereby acknowledge responsibility for the amount listed by signing below. The basis for these charges have been fully explained to me and I understand I will be held liable for this debt according to the terms of this agreement. I agree to pay these charges in full by the terms specified in this agreement.


Note: The price will show zero upon completion of your order as it is only used to collect necessary information.

Price:

$0.00