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Form #1576MEMORANDUM OF EMPLOYEE AUTOMOBILE EXPENSE ALLOWANCE
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MEMORANDUM OF EMPLOYEE AUTOMOBILE EXPENSE ALLOWANCE
WHEREAS, The employee whose signature appears below agrees to furnish his own
automobile to perform his duties hereunder and shall keep it maintained and repaired in good
driving condition; and
WHEREAS, for the employee's benefit, the employee shall maintain insurance on the
automobile in at least the following amounts: Bodily injury liability, __________(1)________
Dollars ($_______________) for each person injured, ____________(2)______________
Dollars ($________________) for each occurrence; property damage liability _____(3)_____
Dollars ($________________) for each accident; _________(4)____________ Dollars
($___________) deductible comprehensive coverage, _____________________(5)
_______________ Dollars ($_________________); ________(6)__________ Dollars
($________________) deductible collision coverage at fair market value; and
WHEREAS, a certification of the employee's insurance showing those coverage�s will be
filed by the employee with the company; and
WHEREAS, all of the requirements of this section shall be complied with at the
employee's cost.
NOW THEREFORE, In consideration of the above, the company shall pay the employee
_____________(7)__________ Dollars ($_______________) per week for the use of his
automobile during the period from ___________(8)___________, _____(9)_____, to ________
(10)__________, ______(11)______. Those payments shall be charged to the employee's
account as an automobile allowance. The payments shall be made weekly, but neither the
payments nor this agreement shall make the company the owner, bail or lessee of
said automobile, nor shall the company be responsible for any damage to the automobile.
___________(12)________________
Employer
___________(13)________________
Employee
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or any other commercial use is prohibited. This includes reposting forms from this
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form, and you agree to abide by these terms. It is highly recommended that you have
a licensed attorney review any legal documents for which you are searching in order
to make sure that your needs are being properly and completely satisfied.
Your use of this site constitutes your acceptance of our terms of use and your agreement
to hold this site, its officers, employees and any contributors to this site harmless
for any damage you might incur from your use of any submissions contained on this
site. If you do not agree to the above terms, please do not proceed.
These forms are provided to assist business owners and others in understanding important
points to consider in different transactions. They are offered with the understanding
that no legal advice, accounting, or other professional service is being offered
by these documents or on this website. Laws vary in the different states. Agreements
acceptable in one state may not be enforced the same way under the laws of another
state. Also, agreements should relate specifically to the particular facts of each
situation. Therefore, it is important to consult legal counsel whenever utilizing
these forms. The Forms are not a substitute for legal advice YourFreeLegalForms.com
is not engaged in recommending or referring members on the site or making claims
about the competence, character or qualifications of its participating members.
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Keywords: EMPLOYEE AUTOMOBILE EXPENSE ALLOWANCE
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