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Payment Form

The following shall be considered a legally binding amendment to the agreement made between _______________ and _____________, dated ________________:

In consideration for services rendered as a teacher, the teacher shall be paid the sum of ___________ dollars monthly. This payment will be made on a date designated by the school board, but will fall at the end of each 30 days during the term of employment, regardless of the number of actual school days within the 30 day period.

___________________________ _______________________

Signature Date

___________________________ _______________________

Signature Date

___________________________ _______________________

Witness Date