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Employee Reimbursement Agreement
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
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