Employee Loan Agreement
Company Name And Address:
1. The Employee hereby acknowledges a debt to the Employer/Company in the amount of
_________________________($_______) for the following reason(s):
2. The Employee hereby authorizes the Employer/Company to deduct the amount of
________________________($_______) per paycheck from the Employee's payroll starting
from _________________20____ until the amount is paid in full.
4. The Employee further agrees that the entire outstanding amount will be deducted from the
Employee's paycheck upon resignation or termination of employment with the
Signed at ____________________ on this ________day of 20_____.
Employee's Signature: ________________________
Witness1 Signature: __________________________
Witness2 Signature: __________________________
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