Benchmark

VALOR MISSION PLEDGE FORM

I am a Loan OfficerNon-Originating Employee and would like to support Valor Mission Project beginning on with a voluntary donation of $ for a veteran scholarship in the name of —Please choose an option—Chris KyleMichael GoodboeTyson NickTyrone WoodsMike SpannWilliam “Chief” CarlsonMatthew AxelsonMichael MonsoorGlenn DohertyRyan JobWilliam AmundsonShannon KentGarrett HullKeith “Doc” ButlerJon TumilsonChris McDonald.

Select donation calculation*
—Please choose an option—A flat rate per monthFor every funded loan (excluding brokered loans and 2nd liens) originated in my nameOne-time donation

I understand and agree that my employer, Ark-La-Tex Financial Services, LLC/Benchmark Payroll and Benefits, LLC may withhold from my wages the amount specified above on a biweekly or monthly after-tax basis to be charitably donated to Valor Mission Project. I understand that this deduction will be withheld from my wages until I contact hr@benchmark.us and request that the deductions be discontinued.

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Signature Date

Your email*

Giving is a personal decision and is voluntary. This may be considered a charitable contribution for your personal taxes. Please keep a copy of this form with your tax records and consult a tax advisor for more information.

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