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Acknowledgement Of Independent Contractor

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Acknowledgement Of Independent Contractor

Acknowledgement Of Independent Contractor

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Sample Text: (Formatting does not match the actually Forms)

Acknowledgement of Independent Contractor
The undersigned acknowledges that they have been retained by (Company),
_____________________________________________
Name of Company


Address of Company

For purposes of:

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

In consideration of the foregoing, the Company agrees to pay the undersigned payment as follows:

______________________________________________________________________________________________________________________________________

It is further acknowledged that:
1. The undersigned shall be deemed an independent contractor and is not an employee, partner, agent, or engaged in a joint venture with Company.
2. Consistent with the foregoing, the Company shall not deduct withholding taxes or any other taxes required to be deducted by an employer as I acknowledge my responsibility to pay same as an independent contractor.
3. I further acknowledge that I shall not be entitled to any fringe benefits, superannuation, retirement, profit sharing or any other benefits accruing to employees.
Employee’s Name: _________________________________________________________


By _____________________________________________
Signature Date

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