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LIST OF FREE LEGAL FORMS
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No representation or warranty as to legality, accuracy, correctness or acceptance of these forms by any State or jurisdiction is indicated. Should you decide to use any of the forms in your legal affairs, consult with an attorney.

                         EMPLOYEE REIMBURSEMENT AGREEMENT



                The undersigned employee of _________________________, 
        
        (Company), agrees to repay to the Company all compensation 
        
        payments or reimbursements that are disallowed, in whole or in 
        
        part, as a deductible expense by the Internal Revenue Service.  
        
        The reimbursement shall be made to the full extent of the 
        
        disallowance.

                Signed and sealed this ________ day of _________, 20__.


         
                                        _______________________________



                                                        Form 412



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