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###-###-#### ###-###-####  
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  Must be at least 18 years old
Employed at: help Monthly Income:
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Please select and complete one option that describes your pay schedule:
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    I get paid on:
    My last paydate was:
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    08/25/2008
    09/01/2008
    08/26/2008
    09/02/2008
    08/27/2008
    09/03/2008
    08/28/2008
    09/04/2008
    08/29/2008
    09/05/2008
    Example: I get paid every other Wednesday.
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    Example: I get paid on the 15th and last day of every month
  • or...
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    I get paid on the
    Example: I get paid on the first and third Friday of every month
I get paid on:
My last paydate was:
(see your last paycheck for this date)
08/25/2008
09/01/2008
08/26/2008
09/02/2008
08/27/2008
09/03/2008
08/28/2008
09/04/2008
08/29/2008
09/05/2008
Please select and complete one option that describes your pay schedule:
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    I get paid on the of every month
    Example: "I get paid on the 1st of every month"
  • or...
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    I get paid on the of every month
    Example: "I get paid on the second Tuesday of every month"
  • or...
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    Example: "I get paid on the first Monday after the 15th of every month"
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