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Twelve Month Pay Authorization and Agreement                                Nine Month Employees 









I hereby authorize the University of Arkansas Pine Bluff to deduct twenty-five percent of my nine-month (appointed) net salary from my wages during the period of August through May. I understand that the University will return these monies to me in one lump sum payment in the month of June and that no interest will be paid on these monies. The payments will be mailed to the address specified above on the 15th of June. I understand that no direct deposit of these monies will be available. I further understand that I must renew this authorization every year and once I have signed up for the (9/12 Faculty Conversion Program), I may not withdraw my authorization, nor have early access to the monies deducted.