Employee Loan Request

Employee Loan Request Date: 03/12/19 Company Name and Address: LSJE, LLC 6100 Red Hook Quarter B3 St Thomas, VI 00802 Employee: Dale Mark Employed 05/14/18 I. The Employee hereby acknowledges a debt to the Company in the amount of One Thousand Two Hundred Dollars ($1,200.00) for the following reason(s): Need to replace transmission in personal vehicle. 2. The Employee hereby authorizes the Company to deduct the amount of One Hundred Dollars ($100.00) per pay check, until the balance is paid in full. If Employee has available funds he would request he could pay more per pay check. 3. The Employee further agrees that the entire outstanding amount will be deducted from the Employee's paycheck upon resignation or termination of employment with the Company. Signed in the month of March on the 12'h day of 2019. Employee's Signature: Company Signature: Printed Name: Dale Mark Printed Name: Stephanie Remington Copyright © 2015 FreeDownloads.net. All Rights Reserved. EFTA01223121