Download acknowledgment of independent contractor

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© Copyright Envision Corporation. 2002. All rights reserved. Protected by the copyright laws of the United States & Canada and by International treaties. IT IS
ILLEGAL AND STRICTLY PROHIBITED TO DISTRIBUTE, PUBLISH, OFFER FOR SALE, LICENSE OR SUBLICENSE, GIVE OR DISCLOSE TO ANY OTHER
PARTY, THIS PRODUCT IN HARD COPY OR DIGITAL FORM. ALL OFFENDERS WILL BE SUED IN A COURT OF LAW.
ACKNOWLEDGMENT OF INDEPENDENT CONTRACTOR
This Acknowledgment of Independent Contractor (the "Agreement") is made and effective this [DATE],
BETWEEN:
[COMPANY NAME] (the "Company"), a corporation organized and existing
under the laws of the [STATE/PROVINCE], with its head office located at:
AND:
[CONTRACTOR NAME] (the "Contractor"), a corporation organized and existing
under the laws of the [STATE/PROVINCE], with its head office located at:
NOW, THEREFORE, in consideration of the mutual agreements and covenants herein contained the
Contractor, hereby acknowledges that it has been retained by the Company, for purposes of:
[DESCRIBE]
In consideration of the foregoing, the Company agrees to pay the undersigned payment as follows:
[DESCRIBE AMOUNT AND METHOD OF PAYMENT]
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.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the date first above
written.
COMPANY
CONTRACTOR
Authorized Signature
Authorized Signature
Print Name and Title
Print Name and Title
Acknowledgment of Independent Contractor
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