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13 Benefit payment Division C Complete this form using BLACK INK and print well within the boxes in CAPITAL LETTERS. Mark appropriate answer boxes with a cross like the following X. Start at the left of each answer space and leave a gap between words. Please phone us on with any questions about this form. IMPORTANT: If you are under age 60, tax may be payable on your super when it is paid to you in cash as a lump sum or a pension. The amount of tax payable is mainly determined by your age and the components of your benefit. The taxation of superannuation benefits can be a complex area. We recommend you seek professional taxation advice and/or financial planning advice before making a decision about your super benefits. Guide to completing this form Refer to the benefit notification letter you received from Commonwealth Bank Group Super and the Division C Member Booklet for more information about your benefit entitlements and options. If you are under age 55: Complete Sections 1, 2A, 3 and 5 If you are over age 55 and intending to choose Option 1 (ie. retirement lump sum): Complete Sections 1, 2B, 3 and 5 If you are over age 55 and intending to choose Option 2* (ie. indexed pension): Complete Sections 1, 2B, 4 and 5 If you are over age 55 and intending to choose Option 3* (ie. part lump sum/part pension): Complete Sections 1, 2B, 3, 4 and 5 If requested in your benefit notification letter, you must also provide a certified copy of your signature * If you are over age 55 and intending to choose a pension option (ie. Option 2 or 3), please do not complete this form unless it has been given to you with the Product Disclosure Statement (PDS) for Division C Retirement Pension and you have read that PDS. Note: Please ensure you complete all sections as indicated above. If required information is not provided within 3 months, or if incomplete or invalid information is still outstanding after 3 months, your benefit (or the applicable portion of your benefit) will be transferred to the fund s selected Eligible Rollover Fund (ERF). Refer to your benefit notification letter for more information. 1. MEMBER DETAILS Member or staff number Title Mr Mrs Miss Ms Other Full given name(s) Surname Postal address Unit number Street number PO Box Street name Suburb State Post code Daytime phone number Date of birth D D / M M / Y Y Y Y 2. BENEFIT PAYMENT 2A: Applies only if you are UNDER AGE 55 My signature in Section 5: Declaration confirms my understanding that: My Division C benefit is only payable as a lump sum; there is no option to take it as an indexed pension. I must transfer my lump sum out of Division C. If I do not provide any payment instructions in Section 3 within 3 months, my lump sum will be transferred to the fund s selected ERF. After the transfer of my lump sum, I will have no further claim or interest in Division C. Please also complete SECTION 3: LUMP SUM PAYMENT INSTRUCTIONS.

14 2 2. BENEFIT PAYMENT (continued ) 2B: Applies only if you are AGED 55 OR OVER I would like to receive my Division C benefits as: (choose ONE of the following options): OPTION 1: Retirement Lump Sum OPTION 2: Indexed Pension OPTION 3: Part Lump Sum / Part Indexed Pension as shown below % Lump Sum AND % Indexed Pension (Note: Pension must be at least 50% of your benefit) My signature in Section 5: Declaration confirms my understanding that: If I elect Option 1 and give lump sum payment instructions in Section 3, I will no longer be entitled to an indexed pension (as available in Option 2 or 3) or have any further claim or interest in Division C. If I elect Option 2, I will no longer be entitled to the lump sum (as available in Option 1) unless and to the extent that I have cooling off rights. If I elect Option 1 or 3, I must transfer my lump sum amount out of Division C and if I do not provide any lump sum payment instructions in Section 3 within 3 months, this lump sum will be transferred to the fund s selected ERF. If I elect Option 2 or 3 but do not provide pension payment instructions in Section 4 within 3 months, this portion of my benefit will be paid as a lump sum and will be transferred to the fund s selected ERF. I will not receive any payments until I make an election above. If I do not make an election within 3 months, Option 1 will automatically apply and the lump sum will be transferred to the fund s selected ERF if I do not provide alternative payment instructions. Please also complete SECTION 3: LUMP SUM PAYMENT INSTRUCTIONS if you have elected Option 1 or 3. Please also complete SECTION 4: PENSION PAYMENT INSTRUCTIONS if you have elected Option 2 or LUMP SUM PAYMENT INSTRUCTIONS Please complete this section ONLY if you are under age 55 or you have elected a lump sum option (ie. Option 1 or 3) in Section 2B. If you are under age 55 OR if you are aged 55 or over and elected a lump sum or part lump sum option in Section 2B, you must withdraw this lump sum from Division C. Please complete the payment instructions in this section as follows: Complete Section 3A if you would like to transfer all or part of the lump sum to Accumulate Plus (ie. the fund s accumulation division) AND/OR Complete Section 3B if you would like to transfer all or part of the lump sum to another superannuation fund AND/OR Complete Section 3C if you would like to withdraw the lump sum in cash (conditions apply). Note: Before making a decision to transfer a lump sum, it is important that you consider the PDS for the superannuation fund or product that you are considering transferring to. A PDS includes information on your rights and entitlements, investment options, fees and other charges, and risks associated with the product. A PDS for Accumulate Plus is available from our website oursuperfund.com.au or by calling us on A: Transfer a lump sum to an Accumulate Plus account in the fund Choose ONE of the following options: I would like to transfer ALL of my lump sum amount to an Accumulate Plus account in the fund I would like to transfer PART of my lump sum amount to an Accumulate Plus account in the fund as shown below: Please indicate transfer AMOUNT $ or PERCENTAGE % If you have an existing Accumulate Plus account, please provide your account number: Please indicate which of the following applies to you: I have left employment with Commonwealth Bank Group OR I am still employed with Commonwealth Bank Group Investment selection in Accumulate Plus Indicate your investment selection for this transfer below. You can choose any one or more investment options percentages must total 100%. You should refer to the PDS for Accumulate Plus for more information about investments (including fees) before making any decisions. Mix 30 Mix 50 Mix 70 Mix 90 Cash Fixed Interest Australian Shares International Shares TOTAL % % % % % % % % = 100 % Note: If you do not make an investment selection above, the default investment option of Mix 70 will apply. However, we make no representations about whether this is the most appropriate investment option for you.

15 3 3. LUMP SUM PAYMENT INSTRUCTIONS (continued ) 3B: Transfer a lump sum to another superannuation fund Choose ONE of the following options: I would like to transfer ALL of my lump sum amount to the superannuation fund as shown below I would like to transfer PART of my lump sum amount to the superannuation fund as shown below: Please indicate transfer AMOUNT $ or PERCENTAGE % Superannuation institution or fund name Fund ABN or SPIN Account or member number Postal address of fund State Post code Fund contact number Note: If you would like to transfer to more than one superannuation fund, please provide the details above and the transfer amount or percentage on a separate sheet and attach it to this form. 3C: Payment of lump sum in cash By law, you can only take any preserved portion of your benefits in cash if you meet one of the conditions of release below. Please indicate which of the following applies to you. If none of the following conditions applies to you, your lump sum must be transferred to an Accumulate Plus account in the fund, or another superannuation fund, in which case you should complete Section 3A and/or 3B. I am aged 55 or over and have retired, and do not intend to seek gainful employment for more than 10 hours per week. I am aged at least 60 and have ceased a gainful employment arrangement since turning 60. I am 65 years old. I am under age 55 and have left employment with Commonwealth Bank Group (only non-preserved benefits, if any, can be paid in cash under this condition). I am permanently incapacitated (There are additional requirements to process your withdrawal on these grounds please contact us on for more information.) Cash payment instructions Please indicate the amount of your cash payment: Maximum allowed (please tick) OR Amount Choose ONE of the following options: $ Mail a cheque for the amount indicated above to my address as shown in Section 1. (Note: This is not a bank cheque.) Credit the amount indicated above to my Australian financial institution account as follows: Name of Australian financial institution Branch name Branch number (BSB) Account number Name of account holder

16 4 4: PENSION PAYMENT INSTRUCTIONS Please complete the following details ONLY if you are over 55 and have elected an indexed pension option (ie. Option 2 or 3) in Section 2B. 4A: Payment authority Please indicate the account to which pension payments should be made Name of Australian financial institution Branch name BSB number Account number Account name 4B: Deduction authority If you currently have any of the following deductions in place, you can continue to have deductions made from your pension payments. You cannot begin deductions from your pension if you did not have them in place previously. CBHS Friendly Society Staff housing loan Credit Union Credit Union account number $ $ $ Other $ 4C: Details of dependants Please specify (including insurance policy numbers if applicable) In the event of your death, a reversionary pension is payable to your spouse for life. In addition, a child allowance may be paid in respect of any dependent children. Please provide these details below you can update these details at any time by contacting us on (Note: Please refer to the PDS for Division C Retirement Pension for the definitions of Spouse and Dependent Child under these rules.) Full name of SPOUSE (if applicable) Spouse s date of birth D D / M M / Y Y Y Y Date marriage or de facto relationship began D D / M M / Y Y Y Y DEPENDENT CHILDREN (if applicable) aged under 16, OR aged 16 to 24 and in full-time education at school, college or university Full name of dependant Relationship to you Date of birth D D / M M / Y Y Y Y 5: DECLARATION D D / M M / Y Y Y Y D D / M M / Y Y Y Y I declare that: I have read and understood the notes about the option I have selected at the bottom of either Section 2A or 2B. If I have chosen a cash payment option, I have met one of the conditions under Section 3C. If I have chosen to transfer my benefit to an Accumulate Plus account in the fund and made an investment selection in Section 3A, I have read the PDS for Accumulate Plus. If I have chosen Option 2 or 3 in Section 2B, I have read the PDS for Division C Retirement Pension. A certified copy of my signature is attached if I have been requested to provide one. I am one of the following: (i) an Australian or New Zealand citizen, (ii) a permanent resident of Australia, (iii) the holder of a 405 or 410 Retirement Visa, or (iv) a temporary resident or former temporary resident, and met one of the conditions of release in Section 3C before 1 April (If none of these applies to you, we may require additional information to process your benefit instructions please contact us on before returning this form.) The information I have provided on this form is complete and correct. If this application is signed under Power of Attorney, the Attorney declares that they have not received notice of revocation of that power. (A certified copy of the Power of Attorney should be submitted with this application unless we have already sighted it.) Member s signature Date D D / M M / Y Y Y Y Print name Please send the completed form to: Commonwealth Bank Group Super, GPO Box 4758, Sydney NSW 2001 GroupSuper/0608/0512