Graduate School Tuition Waiver Payroll Deduction Form

  

 
 

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Calendar Year 2008
(Jan-Dec '08 only. Form must be re-submitted each calendar year)

Complete the information below
(Required fields *)

Name:
 *
Department:
*
Email address:
 *
Phone:
 *

Enter the actual dollar value of tuition waivers you expect to receive each semester:

Spring:
*
Summer:
*
Fall:
*

The total tuition waiver income and subsequent income tax payments will be included on your paychecks and  spread over the remaining months of the year.

Any additional Remarks:
 

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Graduate School Tuition Waiver benefits  in excess of $5,250.00 are taxable income to the recipient.

The University is required to report the income on your W-2 and withhold all applicable income tax.

To ease the income tax burden, complete this form and have the taxes withheld over the remaining months of the year.

Your taxable waiver will be equal to the total of the three semesters minus $5,250.00.

Your tax liability will be approximately 30-35% of your taxable waiver.

This form is effective for the current calendar year only.  You must re-submit the form for subsequent calendar years.

 

My Paycheck
Calculate the tax implication of your waiver.