SUPERANNUATION CONTRIBUTIONS TAX (MEMBERS OF CONSTITUTIONALLY PROTECTED SUPERANNUATION FUNDS) ASSESSMENT AND COLLECTION REGULATIONS 1997 (REPEALED)

SCHEDULE 3

CONTRIBUTED AMOUNTS PAID STATEMENT - ADDITIONAL INFORMATION

(regulations 4 and 5 )

(Table)

**(Table)**
	Supplier information
101	Information on the matters set out under this heading in Schedule 2
	Superannuation provider information
201	Information on the matters set out under this heading in Schedule 2
	Member information
301	Name*
302	Tax file number (if given to the provider in connection with the operation or possible future operation of the Act)*
303	Previous name (if any)
304	Sex
305	Date of birth*
306	Residential address*
307	Date of death
	Member exit information
401	Date when the employer financed component of benefit became payable, or commenced to be paid*
402	Either: (a) if there is not a payment split under the Family Law Act 1975 in respect of the benefit - the amount representing 15% of the employer financed component of the part of the benefit payable to the member that accrued after 20 August 1996; or (b) if there is a payment split under the Family Law Act 1975* in respect of the benefit - the amount representing 15% of the employer financed component of that part of the benefit that: (i) would have been payable to the member but for the payment split; and (ii) accrued after 20 August 1996*
403	Date of death of member
404	If a member exit record has previously been incorrectly reported, a reason code

View history note

History

Sch 3 amended by SR 218 of 2002, reg 3 and Sch 1 item 4, by subsituting item 402, effective 28 December 2002. Item 402 formerly read:

``402

The amount representing 15% of the employer financed component of the part of the benefit payable to member that accrued after 20 August 1996*''

Sch 3 substituted for former Sch 2 and 3 by SR No 150 of 2000, reg 3 and Sch 1 item 16, effective 1 July 2000. Former Sch 2 and 3 read:

SCHEDULE 2

Regulation 4

CONTRIBUTED AMOUNTS PAID/TRANSFERRED OUT STATEMENT - ADDITIONAL INFORMATION

Member Contributions Information

Information on the matters set out in the member contributions statement*

Contributed Amounts Paid/transferred Out Information

Destination type

Name of destination superannuation provider*

Destination superannuation provider street address*

Destination superannuation provider postal address

Destination superannuation provider superfund number (SFN)

Destination superannuation provider member account number

Destination superannuation provider client identifier

Payment date

Transfer date

Paid/transferred amount or total amounts mentioned in subsection 12(5) of the Act*

SCHEDULE 3

Regulation 5

LUMP SUM/PENSION PAYABLE STATEMENT

Supplier Information

Information on the matters set out under the heading ``Supplier Information'' in Schedule 1.

Superannuation Provider information

Information on the matters set out under the heading ``Superannuation Provider Information'' in Schedule 1.

Member Information

Information on the matters set out under the heading ``Member Information'' in Schedule 1.

Employer Information

(Only required where the member's residential address is not shown.)

Information on the matters set out under the heading ``Employer Information'' in Schedule 1.

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