SUPERANNUATION CONTRIBUTIONS TAX (ASSESSMENT AND COLLECTION) REGULATIONS 1997 (REPEALED)
INFORMATION TO BE GIVEN BY A TRANSFEROR SUPERANNUATION PROVIDER TO A DESTINATION SUPERANNUATION PROVIDER
(regulation 3B )
| Transferor superannuation provider information | |
| 101 | Contact name |
| 102 | Contact telephone number |
| 103 | Contact facsimile number |
| 104 | Contact e-mail address |
| Member information | |
| 201 | Tax file number (if given to the provider in connection with the operation or possible future operation of the Act) |
| 202 | Name |
| 203 | Previous name (if any) |
| 204 | Sex |
| 205 | Date of birth |
| 206 | Residential address |
| Employer information | |
| Note This information is only required if the member's residential address is not shown. | |
| 301 | Name |
| 302 | Trading name |
| 303 | PAYE group number |
| 304 | Business address |
| Contributed amounts information | |
| 401 | Financial year to which the transferred contributed amount relates |
| 402 | Transferred amount and the total amounts mentioned in subsection 13 (7) of the Act* |
| 403 | Transferred employer contributed amount (accumulation)* |
| 404 | Transferred employer contributed amount (defined benefit)* |
| 405 | Transferred post 20 August 1996 component of employer eligible termination payment rolled over on or after 1 July 1997* |
| 406 | Transferred allocated surplus amount* |
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