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FORMS.EXE
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412.LGF
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1993-02-22
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736b
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29 lines
EMPLOYEE REIMBURSEMENT AGREEMENT
The undersigned employee of _________________________,
(Company), agrees to repay to the Company all compensation
payments or reimbursements that are disallowed, in whole or in
part, as a deductible expense by the Internal Revenue Service.
The reimbursement shall be made to the full extent of the
disallowance.
Signed and sealed this ________ day of _________, 19__.
_______________________________
Form 412