Payroll Donation

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Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Payroll Deduction: I want to help the students and staff of Pasco County Schools. Please deduct the amount I have checked each pay period until changed by me.

Payroll Deduction: I want to help the students and staff of Pasco County Schools. Please deduct the amount I have checked each pay period until changed by me. $1 $2 $5 $10 $25 Other Other
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Date Date / MM / DD YYYY