Fill - Free fillable Application to transfer to a self-managed super fund (Australian National University) PDF form

Aware Super Pty Ltd (Trustee) ABN 11 118 202 672 AFSL 293340 Aware Super (Fund) ABN 53 226 460 365

Application to transfer to a

self-managed super fund

Use this form if you would like to transfer all or part of your super balance to a self-managed super fund (SMSF).

The Notes at the back will help you complete this form. If you have any questions, please call us on 1300 650 873.

page 1 of 7

FSS012A 10/21

NOTE

It isn’t compulsory to

provide your TFN but

if you don’t, (1) you

may pay additional

tax on your benet

payment and (2) you

may need to supply

proof of identity if

you wish to transfer

your

benet.

See Notes at the

back of the form.

Please use a dark pen and

CAPITAL letters, or type

directly into this form

online, print and sign it

and send it to us. Use (✗)

to mark boxes. Forms are

located on our website at

aware.com.au/forms.

1. Your personal details

Member number Account number Date of birth (DD-MM-YYYY)

S S U

Title Last name

Given name(s)

Residential address

Suburb State Postcode

Postal address (if dierent from residential)

Suburb State Postcode

Daytime contact number Mobile number

Tax le number (if not previously provided)

Email (for security reasons, please ensure that your nominated email address is your personal email address and not a

role-based email address such as employee_title@company.com.au)

2. Conrm amount (to transfer) and fund details

Roll over to a SMSF

Please complete this section and sections 3 and 6.

My whole benet (this will close my account)

My benet less $1,500 to keep my account open

The following amount $

, ,

(whole numbers only)

Name of the SMSF you are rolling your funds into

Address of the SMSF (as per superfundlookup.gov.au)

Suburb State Postcode

If you wish to apply

for release of funds

under the First

Home Super Saver

Scheme, do not use

this form. You must

apply directly to the

Australian Tax Oce.

For more

information go to

aware.com.au/fhss

IMPORTANT

If you request a

partial withdrawal,

you may lose your

insurance cover if

you don’t retain

enough money in

your account to

cover your insurance

premiums. Also, if

the amount you wish

to withdraw does

not allow $1,500

to remain in your

account, then the

amount released

will be your account

balance less $1,500.

Aware Super Pty Ltd (Trustee) ABN 11 118 202 672 AFSL 293340 Aware Super (Fund) ABN 53 226 460 365

2. Conrm amount (to transfer) and fund details (continued)

Electronic Service Address (ESA) if SMSF

Fund ABN

You MUST provide a copy of your fund’s bank statement showing the fund name (which will match the

account name), BSB and account number you provide below.

Payment can only be made to an Australian bank, building society or credit union.

SMSF bank account details

Account holder name

BSB number Account number

Name of nancial institution

Please ensure all bank details are provided above.

3. Employment and nal contribution details (to be completed

by all members)

Your last employer to pay into Aware Super

Are you still working for this employer? Yes

If no, what date did you nish?

and are you waiting for your nal employer contribution? Yes

If you are waiting for your nal employer contribution, we will defer the payment of your benet for up to

30 calendar days.

If an employer contribution is received after your account is closed, the payment will be refunded to your

employer, unless you or your employer open a new account.

page 2 of 7

FSS012A 10/21

IMPORTANT

information

impacting your

payment:

The SMSF ABN and

bank account details

you provide MUST

match the SMSF

details registered

with the ATO. If

it does not match

this will delay your

payment and may

require additional

documentation.You

can verify that your

information is correct

via the government’s

Super Fund Lookup

website at

www.superfundlookup.

gov.au

Please provide the

fund’s bank account

details and a copy of

the fund’s statement.

If we don’t receive

all the required

information, we

may not be able to

process your request.

Aware Super Pty Ltd (Trustee) ABN 11 118 202 672 AFSL 293340 Aware Super (Fund) ABN 53 226 460 365

4. Proof of identity

You must have your identity veried with your application before we can pay your benet in cash or transfer

your benet to a SMSF.

Please complete (✗) one of the options below.

I have previously provided certied proof of identity documents or provided the electronic verication

information below to Aware Super and I am not changing my name, providing bank details for the rst

time or changing a previously nominated bank account.

I will provide electronic proof of identication for verication.

I authorise the use of my personal details, below, for the purpose of electronic data verication. I understand

that my information will be used to verify my identity electronically using independent data sources.

Please provide any TWO of the following:

1. Full name exactly as it appears on my Medicare card

My Medicare number is Valid to

My reference number

2 Y

0 Y

on this card is

Select your Medicare card colour Green

Blue Yellow

2. Full name exactly as appears on my driver’s licence

Licence number State of issue Expiry date

D M

YD M

0 Y

3. My Australian passport number is Place of birth (as shown on your passport)

Country of birth (not shown on your passport)

Family name at birth (not shown on your passport)

I will provide original, certied proof of identity (POI) documents. For a list of POI documents and

certication guidelines, refer to the Notes section. If my POI documents have not been certied

correctly, I understand Aware Super may use the information on the documents to verify my identity

electronically using independent data sources.

5. Privacy

The personal information provided on this form is collected by and held for Aware Super by the fund

administrator, Mercer Administration, in accordance with the Australian Privacy Principles of the Privacy

Act 1988 (Cth), for the purpose of administering accounts and providing services associated with fund

membership. For further information about how personal information is handled, please call us on

1300 650 873 or visit aware.com.au/privacy to view the privacy policy (a hard copy of the policy may

also be provided on request). The policy contains information about access to and correction of personal

information, how a complaint can be made about a privacy breach and other important information about

how personal information is collected, used and disclosed.

page 3 of 7

FSS012A 10/21

Aware Super Pty Ltd (Trustee) ABN 11 118 202 672 AFSL 293340 Aware Super (Fund) ABN 53 226 460 365

6. Declaration

page 4 of 7

FSS012A 10/21

•

I declare that the information I have provided in

this form is true and correct.

•

I understand that my insurance cover will cease if

I don’t have enough funds remaining in my super

account to pay premiums.

•

I declare that I have sucient information to make

an informed decision about the payment/ transfer

of my benet from Aware Super.

•

I authorise my employer to provide the date of my

nal contribution if the payment of my benet is

being deferred until this is received.

•

I understand that if I withdraw my account balance

in full, any contributions received by Aware Super

from my participating employer after the payment/

transfer will be refunded, unless I or my employer

open a new account.

•

I declare that I am an Australian or New Zealand

citizen or a permanent resident of Australia and

not a current or former temporary resident of

Australia.

•

I declare that I am the member of Aware

Super who is signing this declaration, or I have

been given Power of Attorney by the member

and this Power of Attorney remains valid. A

certied copy of the Power of Attorney has

been provided.

•

I understand that if I don’t provide my tax le

number, I may have additional tax deducted

from my benet, and the taxed component of

any cash payment will be taxed at the highest

marginal rate plus the applicable levies if I am

under age 60.

•

I authorise the exchange of my personal

information securely with the Australian

Taxation Oce for the purposes of verifying

my identity, if necessary.

•

I have read, understood and accept the

Signature Date signed (DD-MM-YYYY)

Name (print in CAPITAL letters)

7. Where to send your completed form

We require original copies of this form. Please post the completed form to Aware Super PO Box 1229

WOLLONGONG NSW 2500.

Send the form to

this address.

Please sign and

date form here and

print your name.

Checklist

TFN provided?

Fund bank statement enclosed?

Enclose a copy of your funds bank statement showing the fund’s full name, BSB and account number.

Certied proof of identity (POI) documents enclosed?

Required if you:

•

have a dierent name and/or address from our records

•

cashing in full or part of your benet and have not provided POI documents previously

•

have not provided your TFN

•

if expired (Passports are accepted if expiry is less than 2 years old)

Declaration – signed and dated?

Notice of intent to claim or vary a deduction for personal super contributions (tax form S290C)

If you have made any personal contributions to the fund that you want to claim as a tax deduction, you must send us the

S290C tax form and have received conrmation from us before you withdraw contributions.

Aware Super Pty Ltd (Trustee) ABN 11 118 202 672 AFSL 293340 Aware Super (Fund) ABN 53 226 460 365

page 5 of 7

FSS012A 10/21

Notes

For information about access to your superannuation, you should read the current Member Booklet (Product Disclosure Statement).

The Member Booklet and fact sheets are available on our website and free of charge from customer service on 1300 650 873.

Your personal details

Email address

The email address you provide will replace any email address we currently hold for you. For security reasons, please ensure that your

nominated email address is your personal email address and not a role-based email address such as employee_title@company.com.au.

Tax le number

When applying for your benet we encourage you to provide your tax le number (TFN) if you have not already done so. You don’t have

to provide your TFN but if you choose not to, and you are applying for your total benet, the payment will be reduced by the amount

of any additional no-TFN tax payable on your concessional contributions, and the benet, if taken in cash, will be taxed at the highest

marginal rate plus the Medicare levy and any other levies if you are under 60 years of age.

Under the Superannuation Industry (Supervision) Act 1993, the trustee is authorised to collect, use and disclose your TFN. The trustee

may disclose your TFN to another superannuation provider when your benets are being transferred, unless you write to your super

fund and ask the trustee not to disclose your TFN to any other trustee. It is not compulsory to provide your TFN but if you don’t, you may

pay additional tax on your contributions and benet payments, and some contributions may not be accepted.

Transferring your benet to a SMSF

You can roll over or transfer all or part of your benet to a SMSF at any time by completing the information requested in Sections 2 and

3. You must provide certied documents to prove your identity and a copy of the fund’s bank statement so that we can electronically

transfer your rollover to the fund’s bank account. If you do not provide a copy of the bank statement, or the account details do not match

the details you have nominated on the form, or the account is not held in the name of the SMSF, your rollover request may not be able to

be processed.

Proof of identity

We require proof of your identity before we can pay your benet. If you have already provided proof of identity you do not have to

provide it again, as long as you don’t change your name or the bank account you’ve nominated to receive payments and withdrawals. If

either of these have changed you must provide proof of identity in order for us to verify the change(s):

Change of name

If you have changed your name, you must provide a certied copy of one of the following name change documents:

•

marriage certicate or certicate of registration (if you are on the relationship register) issued by the Births, Deaths and Marriages

Registration Oce (ceremonial certicates cannot be accepted)

•

deed poll or change of name certicate from the Births, Deaths and Marriages Registration Oce. If you have reverted to your maiden

name, we will require your marriage certicate (from the Births, Deaths and Marriages Registration Oce) showing your original

maiden name and your married name.

Change of bank account details

You need to provide proof of identity documents when setting up or updating the bank account you’re nominating to receive payments

into. You can provide your identication for electronic verication in the proof of identity step of this form. Alternatively, you can provide

certied proof of identity, refer to the acceptable documents list below.

Power of attorney

If you are requesting benets on behalf of the member as the holder of their Power of Attorney, you must provide certied copies of POI

documents for yourself and the member.

We may request updated and/or additional certied POI documents at any time if we consider this is necessary for the security of our

members’ benets.

Aware Super Pty Ltd (Trustee) ABN 11 118 202 672 AFSL 293340 Aware Super (Fund) ABN 53 226 460 365

page 6 of 7

FSS012A 10/21

Acceptable documents and certication

Providing electronic proof of your identity

To verify your identity electronically, you can provide two government-issued identication documents – such as your Australian

Passport, Driver’s Licence and Medicare Card within the proof of identify step of this form. Alternatively, you must provide certied proof

of identity document(s). Refer to the acceptable documents list below.

Providing certied proof of your identity is a three-step process

Collect your originals

Collect your proof of identity

document(s). We have listed the

documents you can use below.

Photocopy your originals

Have your copies certied

Take your copies and your original

documents to a person who can certify

documents. A list of authorised certiers

and certication guidelines is included

under Certication of personal documents.

* If the document and/or the certication is not written in English, it must be accompanied by an English translation prepared by a translator accredited by the National

Accreditation Authority for Translators and Interpreters Ltd (NAATI). If you are unable to provide these documents, please call us to discuss alternatives.

You can provide:

A certied copy of one of the

following documents:

•

A current drivers licence with a

photograph, issued in Australia

or under the authority of a

foreign country.*

•

An Australian passport (if expiry

is less than 2 years old)

•

A current Australian state/

territory proof of age card

containing your photograph

•

A current passport, similar

travel document or national

identity card issued by a foreign

government department, the

UN or an agency of the UN,

containing your photograph

and either your signature or a

unique identier*

One certied document

from this list:

•

A birth certicate issued

by a state or territory of

Australia, by a foreign

government, or by the

United Nations or an

agency of the United

Nations*

•

A citizenship certicate

issued by the

Commonwealth or a

foreign government*

•

A current Centrelink

pension card that entitles

you to receive nancial

benets

One certied document from this list:

•

A notice issued by the ATO within the last 12 months

that shows your name and current residential

address and records an amount payable to or by

you e.g. your last tax assessment

•

A notice issued by a local council or utilities provider

in the last three months showing the provision of

services to you and your current residential address

e.g. rates notice, electricity or water bill

•

A notice issued by the Commonwealth or a

state or territory government within the last

12 months showing your name and current

residential address and the provision of nancial

benets to you e.g. Centrelink letter

•

If you’re under 18, you can provide a student card,

or a letter from a school principal. The letter must

include the date it was issued (within three months

of providing your proof of ID), your name, residential

address and the dates you attended the school.

Either: Or:

AND

Aware Super Pty Ltd (Trustee) ABN 11 118 202 672 AFSL 293340 Aware Super (Fund) ABN 53 226 460 365

Certication of personal documents

All copied pages of original personal identity documents (including any change of name documents) must be certied as true copies

by an authorised person with the appropriate qualications or registration (see below) who cannot be the owner or addressee of the

document. The authorised person must sight the original and the copy to ensure the documents are identical, then certify each page by

writing “I certify that this document is a true copy of the original”, followed by their signature, printed name, address, qualication (e.g.

justice of the peace, Australia Post employee), registration number (if applicable) and date.

If you are in Australia

The following lists a subset of people who are

authorised to witness your signature on a statutory

declaration as well as certify copies of original

documents. For a complete list of authorised

witnesses/certiers, go to the Attorney-General’s

Department website at www.ag.gov.au.

•

Australia Post employee in charge of an oce

providing postal services (charges may apply)

•

chiropractor

•

dentist

•

Financial adviser or nancial planner

•

full-time or part-time teacher employed at a

school or tertiary institution

•

justice of the peace

•

legal practitioner

•

magistrate

•

medical practitioner

•

nurse

•

optometrist

•

pharmacist

•

physiotherapist

•

police ocer

•

psychologist

•

veterinary surgeon

If you are outside Australia

The following people can certify copies of the originals:

•

consular sta at an Australia Embassy, High Commission or Consulate

•

a public notary or other person authorised to administer an oath or armation or to authenticate documents in the country you are

visiting or living in.

The professions listed under If you are in Australia can only certify documents outside Australia if they work or are registered in

Australia. Where your documents are certied outside Australia, the certier must quote their registration number or the relevant law

that qualies them to authenticate your documents.

page 7 of 7

FSS012A 10/21

I certify that this document is a

true copy of the original.

Name: Kate Anderson

Address: 6 Some St Suburb NSW 2000

Qualiﬁcation: JP

Registration no: 123456

Date: 11 October 2021

Driver Licence

Samantha SAMPLE

123 ANY ST

SUBURB NSW 2000

Licence No.

12345678

Donor

Licence Class

Conditions

Date of Birth

01 JAN 1980

Expiry

01 JAN 2022

Card Number

2 123 456 789

SAMPLE

Details for the authorised person

to include are full name, address,

qualiﬁcation, registration number

(if applicable), date and signature.

The authorised person has

sighted the original identiﬁcation

and conﬁrmed that the copy is a

true copy.

Samantha Sample has provided

a copy of her identiﬁcation.

It includes her signature, full

name, date of birth and current

residential address.

This page has been left blank deliberately.

Download
Save PDF to desktop

Email
Email completed PDF

Send for Signing
Email for others to sign

Print
Print document

NAME

Application to transfer to a self-managed super fund (Australian National University)

View Audit Log
Print With Audit Log
Duplicate Document

Fill Online, Printable, Fillable, Blank Application to transfer to a self-managed super fund (Australian National University) Form

Related forms

Fillable Application to transfer to a self-managed super fund (Australian National University)

Fill Online, Printable, Fillable, Blank Application to transfer to a self-managed super fund (Australian National University) Form

Related forms

First 20 documents completely FREE!