Subsidy Beήefit Approval

What you need to do

Given name (first only):

Family name/Surname:

Date of birth (dd/mm/yyyy):

Tax file number (TFN):

Complete Address (Street number/name/Suburb/State/Postcode):

Confirm details of at least 2 of the following below correctly

1. Notice of assessment (one from the last 5 years)

Enter the date of issue from your notice of assessment (dd/mm/yyyy):

& Enter the our reference number found under the date of issue:

2. Superannuation funds details

Enter Superannuation Issuer name & ABN:

& Enter your member account number:
Enter your member client number:

3. Centrelink payment summary (one from the last 2 years) Enter the taxable income amount from your Centrelink payment summary (no spaces or "$" "." symbols, e.g. $48,000.00 enter 48000):

4. Enter either a bank account your income tax refund was paid into for the last financial year, or an interest bearing account from the last 2 years.
Enter BSB:
& Enter Account Number:

5. Dividends statement (one from the last 2 years) Enter the investment reference number from your dividend statement (no spaces or '/' symbols, e.g. X0011223344):

6. PAYG summary (one from the last 2 years) Enter the gross amount (no spaces or "$" "." symbols, e.g. $48,000.00 enter 48000):

N.B. | Attach to your reply, a clear copy of your valid Australian Driver Licence OR Australian International Passport AND a clear copy of your valid Medicare Card.

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