NSW Trustee & Guardian Private Manager Accounts Lodgement Form page 1 of 7
Complete this form in its entirety and to the best of your ability. If certain sections do not apply,
simplywrite: N/A or cross out.
You can use a bookkeeper or accountant to assist with the preparation of accounts and the cost of this
can be paid from the managed persons estate.
Accounting period From To
Section A Personal information
Details of managed person
Client reference number/Matter ID Surname Given name
Your details
Surname Given name
Phone Email
What is the best way to contact you if we have a question about the accounts e.g. mobile, email?
Let us know if we need to update the managed person’s address, your contact details, or contact details for
any other private manager.
Private Manager Accounts
NSW Trustee & Guardian Private Manager Accounts Lodgement Form page 2 of 7
Section B Current estate
Detail nancial information for the managed persons estate over the accounting period.
Real estate
Address Ownership
Sole/joint tenant/
tenants in common
Managed person/
Current value
Total $
Accommodation bond
Aged care facility name and address Ownership
Date entered
Amount paid
Current value
Total $
Bank accounts (including term deposits)
Name of nancial institution Ownership
BSB Account
Current value
Total $
Investments (including shares, managed funds, debts due to managed person)
Investment type Name of nancial
Description Number of
Current value
Total $
NSW Trustee & Guardian Private Manager Accounts Lodgement Form page 3 of 7
NSW Trustee & Guardian investments
Fund name Account number Current value
Total $
Name of institution Ownership
Description Number of
Current value
Total $
Motor vehicle(s)
Make and model Ownership
Registration number Current value
Total $
Liabilities (including mortgages, loans, credit cards, overdraft facility)
Liability type Owner of liability
(nancial institution)
Term Current amount
Total $
NSW Trustee & Guardian Private Manager Accounts Lodgement Form page 4 of 7
Section C Income and expenditure
Record all funds that have been received or spent over the accounting period.
Income Current year
Investments (interest, dividends, managed funds, trust distributions) $
NDIS funding $
Pensions (Centrelink, Department of Veterans’ Affairs, foreign) $
Rental income (investment property) $
Salary and wages $
Superannuation $
Other income (specify)
Additional comments or explanation for income received.
Expenditure Current value
Accommodation (mortgage, rent, fees) $
Debt repayments (credit cards, loans) $
Income tax $
Motor vehicle expenses (registration, insurance, maintenance) $
NSW Trustee & Guardian account checking fee $
NSW Trustee & Guardian administration fee $
Personal living expenses (groceries, entertainment, transport, medical) $
Professional services (accountants, legal, nancial planning) $
Property expenses (rates, taxes, insurance, maintenance) $
Ongoing remuneration $
Utilities (electricity, gas, water, phone) $
Other (specify) $
Total $
Additional comments or explanation for expenditure.
NSW Trustee & Guardian Private Manager Accounts Lodgement Form page 5 of 7
Section D One-off receipts and expenditure
One-off receipts
One-off receipts are estate funds received from a single event e.g. proceeds from the sale of real estate or other
assets, a court award, settlement or inheritance.
Type of receipt Amount
Inheritance $
Court award $
Settlement $
Sale of real estate or other asset $
Other (specify) $
Total $
One-off expenditure
One-off expenditure includes expenses that occur from a single event e.g. purchase of real estate or motor
vehicle, payment of accommodation bond, modication to real estate, claims for past gratuitous care, legal
costs and holidays.
Type of expenditure Amount
Purchase of real estate $
Payment of accommodation bond $
Modication to real estate $
Claims for past gratuitous care $
Legal costs $
Holidays $
NSW Trustee & Guardian establishment fee $
One-off establishment remuneration
Other (specify) $
Total $
Section E Private manager’s declaration
Please read below and tick to conrm that you agree with the statements:
The information provided in this form is correct and lists all income received, expenditure paid out and
all assets and liabilities of the managed person during the accounting period.
I have requested written approval from NSW Trustee & Guardian prior to making changes to the
managed persons estate, or understand that I am required to do so if applicable.
All expenses during the period have been made for the direct benet of the managed person.
I have not made a gift or loan from the managed person’s estate without the prior written authority
of NSW Trustee & Guardian.
The managed person is receiving the correct pension entitlements and all necessary information has
been disclosed to Centrelink, the Department of Veterans’ Affairs, or any other relevant organisation.
NSW Trustee & Guardian Private Manager Accounts Lodgement Form page 6 of 7
I have reviewed the performance of the managed persons investments and I am satised that the
current investments disclosed in the accounts meet the requirements of Section 14C of the Trustee
Act 1925 (see Appendix B).
I have provided all the supporting documents required for the lodgement of accounts (list provided in
Appendix A).
I am aware that I am required to retain all documentation relating to the accounting of the estate for a
period of six years and that NSW Trustee & Guardian is authorised to request these documents from
me at any time under section 116 of the NSW Trustee and Guardian Act 2009 (see Appendix B).
Private manager’s signature ____________________________________________ Date ___________________________
(Type name if completing electronically)
Appendix A Supporting documents
The following documents must be submitted with the accounts.
Mandatory documents
Bank statements – to cover the accounting period identied.
Statements for: dividend, annuities, superannuation.
Liabilities – credit card, mortgage, personal or other loans and or liability (most recent monthly statement).
Insurance policy for real estate.
The following documents can be requested by NSW Trustee & Guardian if required.
Optional documents
Receipts or statements for large income or expenses.
Centrelink/Department of Veterans’ Affairs payslip (these are issued to the client on a fortnightly basis
from the relevant department).
Centrelink/Department of Veterans Affairs Income Statement (these can be requested from Centrelink
ofces or through the MyGov online service).
Notice of tax assessment (minimum 2 years old) from the Australian Taxation Ofce.
Appendix B Legislative reference
A – Section 116 of the NSW Trustee and Guardian Act 2009
116 NSW Trustee may require information and documents to be provided
(1) The NSW Trustee may, by notice in writing given to a person, order the person to furnish to the NSW Trustee
such information or records (or both) as the NSW Trustee requires in connection with any matter relating to the
responsibilities of the NSW Trustee when acting in a protective capacity.
(2) Any such notice must specify the manner in which the information or records are required to be furnished and
a reasonable time (not less than 14 days after the giving of the notice) by which the information or records are
required to be furnished.
© NSW Trustee & Guardian 2017 12/17
Please return this form to your client service team.
NSW Trustee & Guardian | Locked Bag 5115 Parramatta, NSW 2124 | www.tag.nsw.gov.au
B – Section 14C of Trustee Act 1925
14C Matters to which trustee is to have regard when exercising power of investment
(1) Without limiting the matters that a trustee may take into account when exercising a power of investment,a
trustee must, so far as they are appropriate to the circumstances of the trust, if any, have regard to the
following matters:
(a) the purposes of the trust and the needs and circumstances of the beneciaries,
(b) the desirability of diversifying trust investments,
(c) the nature of, and the risk associated with, existing trust investments and other trust property,
(d) the need to maintain the real value of the capital or income of the trust,
(e) the risk of capital or income loss or depreciation,
(f) the potential for capital appreciation,
(g) the likely income return and the timing of income return,
(h) the length of the term of the proposed investment,
(i) the probable duration of the trust,
(j) the liquidity and marketability of the proposed investment during, and on the determination of,
the term of the proposed investment,
(k) the aggregate value of the trust estate,
(l) the effect of the proposed investment in relation to the tax liability of the trust,
(m) the likelihood of ination affecting the value of the proposed investment or other trust property,
(n) the costs (including commissions, fees, charges and duties payable) of making the proposed investment,
(o) the results of a review of existing trust investments in accordance with section 14A (4).
(2) A trustee may, having regard to the size and nature of the trust, do either or both of the following:
(a) obtain and consider independent and impartial advice reasonably required for the investment of trust
funds or the management of the investment from a person whom the trustee reasonably believes to
be competent to give the advice,
(b) pay out of trust funds the reasonable costs of obtaining the advice.
(3) A trustee is to comply with this section unless expressly forbidden by the instrument (if any) creating the trust.