DISTRIBUTION DEDUCTION POLICY/LIMIT WAIVER
POLICY REFERENCE: RESOLUTION 2018-274
TULALIP TRIBAL MEMBERSHIP LOAN PROGRAM
COMPLETE FORM AND PRESENT TO THE CASHIER’S WINDOW AT THE ADMIN. BUILDING
RETAIN A COPY FOR YOUR RECORDS
TRIBAL MEMBER NAME:
TRIBAL ENROLLMENT NUMBER: T-
TRIBAL MEMBER POLICY WAIVER: I request that the Tulalip Tribes Finance Department waive
my rights to that portion of the Tribal Member Distribution Deductions Policy that limits the amount
of my available Tribal Member Distribution that I can pledge to qualify and repay Tribal Membership
Loans (“50% Rule”). I understand that this a voluntary waiver of Tribal Member Distribution
Deductions limits provided to me by the above referenced policy and that this waiver applies
to all membership and HERAP loans that I have with the Tribes.
Time stamped – This form must be time stamped by the Finance Cashier Window located on the
first floor in the Tribal Government Administration Building.
I acknowledge I am the person authorized to sign this form and that I authorize the waiver of the
“50% Rule” identified in the above referenced policy.
DATE
TRIBAL MEMBER SIGNATURE
DATE
TRIBAL MEMBER PRINT NAME
POWER OF ATTORNEY USE IS NOT AUTHORIZED AND WILL NOT BE ACCEPTED
TO SECURE MEMBERSHIP LOANS OR AUTHORIZE POLICY WAIVERS.
MEMBER LOAN #:
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