OFFICERS' CONSENT FOR REPAYMENT
(COMPENSATION DECLARED UNREASONABLE)
The undersigned, an officer of _______________________, Inc. , agree that if any part of the compensation of the undersigned officer be disallowed as unreasonable compensation and/or an unreasonable deduction in the calculation of the federal income tax liability of said _______________________, Inc. by the Internal Revenue Service of the Department of the Treasury of the United States, that the undersigned officer shall repay the full amount of all such compensation deemed unreasonable to the _______________________, Inc. within _____ days after a final disallowance of such deduction by the Internal Revenue Service and the conclusion of any appeals made from such a determination.
_____________________ ___________________
Name and Title Date
_____________________
Signature
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