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FAMILY LAW CURRENT VALUE OF SUPERANNUATION REPORT REQUEST

This dataform can be used to request an actuarial report quantifying the current value of defined benefit superannuation entitlements.

Contact Details

Where would you like the report returned to and who should be contacted if there are any queries.

Return report to:
Contact Name:
Company:
Address:
State:	Pcode:
Phone:	Fax:
Email:

Client Superannuation Split Details

Both the client and/or their spouse's superannuation entitlements can be included. Form 6 information is preferred, however for standard prescribed method benefits, it may be possible to work off a member statement.

	Client	Spouse
Name
Date of Birth
Date of Separation
Name of Super Interest 1:
Date of Form 6 Statement
Name of Super Interest 2:
Date of Form 6 Statement

Please ensure that copies of the abovementioned statements are included with your report request.

Comments

Actuarial Fees

Fixed fee of $385 (including GST) per report. Invoices will be forwarded with report.
If required - Affidavits - $99 (including GST). Court attendance @ hourly charges.

Please fax this form and the member statement/Superannuation Form 6 to
FreeFax 1800 103 123

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