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...
February 23, 2001: Blitz Document v.1.0

Download Acknowledgment of Independent Contractor automated document template / form
| ACKNOWLEDGMENT OF INDEPENDENT CONTRACTOR |
| BETWEEN: | [COMPANY NAME] (the 'Company'), a corporation organized and existing under the laws of the state of [STATE] with its head office located at: [STREET], [CITY], [STATE] [ZIP CODE] |
| AND: | [COMPANY NAME] (the 'Contractor'), a corporation organized and existing under the laws of the state of [STATE] with its head office located at: [STREET], [CITY], [STATE] [ZIP CODE] |
| 1. | TERMS |
| a. | The undersigned shall be deemed an independent contractor and is not an employee, partner, agent, or engaged in a joint venture with Company. |
| b. | Consistent with the foregoing, the Company shall not deduct withholding taxes, FICA or any other taxes required to be deducted by an employer as I acknowledge my responsibility to pay same as an independent contractor. |
| c. | I further acknowledge that I shall not be entitled to any fringe benefits, pension, retirement, profit sharing or any other benefits accruing to employees. |
| COMPANY | CONTRACTOR | |
| [NAME] [JOB TITLE] | [NAME] [JOB TITLE] |
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