Medicare Tax Eligibility Form - River Parishes Community College

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RIVER PARISHES COMMUNITY COLLEGE
MEDICARE TAX ELIGIBILITY FORM
Effective April 1, 1986, all new State employees will be subject to pay 1.45% of their
gross salary for the Medicare tax. This will be in addition to their other deductions such
as retirement and Federal and State tax.
I have read the information above and understand that since:
I have been continually employed in State Government since prior to April 1,
1986, I am not required to pay this tax.
I have not been continually employed in State Government since April 1, 1986.
Therefore, I am required to pay this tax.
SIGNED:
Employee
/
/
Date

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