Payroll Deduction Gift - New Mexico State University Page 2
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G I F T P A Y R O L L D E D U C T I O N A U T H O R I Z A T I O N F O R M
T AB L E 2
T AB L E 2
T AB L E 1
T AB L E 1
f or E mpl oyees wi t h 18 C h ec k s
f or E mpl oyees wi t h 18 C h ec k s
F or E mpl oyees wi th 2 4 C h ec k s
F or E mpl oyees wi th 2 4 C h ec k s
( Ac a demi c )
( Ac a demi c )
Amount per Pay
Amount per Pay
Total Contribution
Total Contribution
Amount per Pay
Amount per Pay
Total Contribution
Total Contribution
Period ($)
Period ($)
Per Year ($)
Per Year ($)
Period ($)
Period ($)
Per Year ($)
Per Year ($)
$5.00
$5.00
$90.00
$90.00
$120.00
$120.00
$5.00
$5.00
10.00
10.00
10.00
10.00
240.00
240.00
180.00
180.00
20.00
20.00
480.00
480.00
20.00
20.00
360.00
360.00
30.00
30.00
540.00
540.00
30.00
30.00
720.00
720.00
50.00
50.00
1,200.00
1,200.00
50.00
50.00
900.00
900.00
60.00
60.00
1,440.00
1,440.00
1,080.00
1,080.00
60.00
60.00
70.00
70.00
1,680.00
1,680.00
70.00
70.00
1,260.00
1,260.00
80.00
80.00
1,920.00
1,920.00
80.00
80.00
1,440.00
1,440.00
90.00
90.00
2,160.00
2,160.00
90.00
90.00
1,620.00
1,620.00
100.00
100.00
2,400.00
2,400.00
100.00
100.00
1,800.00
1,800.00
150.00
150.00
3,600.00
3,600.00
150.00
150.00
2,700.00
2,700.00
4,800.00
4,800.00
200.00
200.00
200.00
200.00
3,600.00
3,600.00
300.00
300.00
5,400.00
5,400.00
300.00
300.00
7,200.00
7,200.00
400.00
400.00
400.00
400.00
9,600.00
9,600.00
7,200.00
7,200.00
500.00
500.00
12,000.00
12,000.00
9,000.00
9,000.00
500.00
500.00
The minimum gift payroll deduction is $5.00/pay period. Academic year employees may elect 18 deductions per year.
This form must be received 15 days before the pay date for deduction(s) to change for that pay period. Please retain a
copy for your records and submit this form to the Advancement Services Office, MSC 3590. For questions please call
(575) 646-1613. Website:
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