SAMPLE SUPERANNUATION FUND MEMBER'S SUMMARY REPORT AT 30 JUNE 2009
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1 SAMPLE SUPERANNUATION FUND MEMBER'S SUMMARY REPORT AT 30 JUNE 2009 Member's Details O/B Increases Decreases C/B Contrib Tra In Profit Ins Pol Tax Exp Ins Pol Tra Out Ben Pd SMITH, JOHN 178,156 48,000 9,609 8, ,836 Member Mode: Accumulation 34 Hunter Street Sydney NSW 2000 SMITH, JANE 179,947 48,000 9,697 8, ,700 Member Mode: Accumulation 34 Hunter Street Sydney NSW ,103 96,000 19,307 17, ,536
2 Member's Statement SAMPLE SUPERANNUATION FUND MR JOHN SMITH 34 HUNTER STREET SYDNEY NSW 2000 The Trustee of the above named fund wish to advise you of the circumstances of your entitlement in the Fund at 30 June 2009 and for the reporting period 1 July 2008 to 30 June Your Details Your Balance Date of Birth 1 January 1955 Total Benefits $226, Tax File Number Provided Comprising: Date Joined Fund 1 July $226, Service Period Start Date - Restricted Date Left Fund - Unrestricted Member Mode Accumulation Including: Account Description - Tax Free Component $65, Current Salary - Taxable Component $161, Vested Amount $226, Insured Death Benefit Total Death Benefit $226, Disability Benefit Nominated Beneficiaries Your Investment Earnings Rate: 4.04% Your Detailed Account Restricted Unrestricted Total Opening Balance at 1 July , , Add: Increases to Member's Account Concessional Contributions 48, , Concessional Contributions Other Contributions Govt Co-Contributions Employer Contributions - No TFN Proceeds of Insurance Policies Share of Net Income/(Loss) for period 9, , Transfers in and transfers from reserves 57, , , , Less: Decreases to Member's Account Benefits/Pensions Paid Contributions Tax 7, , Income Tax 1, , No TFN Excess Contributions Tax Insurance Policy Premiums Paid Management Fees Share of fund expenses Superannuation Surcharge Tax Transfers out and transfers to reserves 8, , Member's Account Balance at 30/06/2009 Reference: SAMPLE01 / , ,835.81
3 Availability of Other Fund Information Other information about the Fund is available at your request from the Trustee. If you would like any further information, please contact the Trustee. Trustee's Disclaimer This statement has been prepared by the Trustee for the member whose name appears at the top of this statement. Every effort has been made by the Trustee to ensure the accuracy and completeness of this Statement. The Trustee does not accept any liability for any error, omission or misprint. All amounts shown in relation to benefits do not take into account any amounts which may be withheld to satisfy the requirements imposed by the Income Tax Assessment Act Signed by all the trustees of the fund Statement Date: / /
4 Member's Statement SAMPLE SUPERANNUATION FUND MRS JANE SMITH 34 HUNTER STREET SYDNEY NSW 2000 The Trustee of the above named fund wish to advise you of the circumstances of your entitlement in the Fund at 30 June 2009 and for the reporting period 1 July 2008 to 30 June Your Details Your Balance Date of Birth 15 December Total Benefits $228, Tax File Number Provided Comprising: Date Joined Fund 1 July $228, Service Period Start Date - Restricted Date Left Fund - Unrestricted Member Mode Accumulation Including: Account Description - Tax Free Component $150, Current Salary - Taxable Component $78, Vested Amount $228, Insured Death Benefit Total Death Benefit $228, Disability Benefit Nominated Beneficiaries Your Investment Earnings Rate: 4.04% Your Detailed Account Restricted Unrestricted Total Opening Balance at 1 July , , Add: Increases to Member's Account Concessional Contributions 48, , Concessional Contributions Other Contributions Govt Co-Contributions Employer Contributions - No TFN Proceeds of Insurance Policies Share of Net Income/(Loss) for period 9, , Transfers in and transfers from reserves 57, , , , Less: Decreases to Member's Account Benefits/Pensions Paid Contributions Tax 7, , Income Tax 1, , No TFN Excess Contributions Tax Insurance Policy Premiums Paid Management Fees Share of fund expenses Superannuation Surcharge Tax Transfers out and transfers to reserves 8, , Member's Account Balance at 30/06/2009 Reference: SAMPLE01 / , ,700.01
5 Availability of Other Fund Information Other information about the Fund is available at your request from the Trustee. If you would like any further information, please contact the Trustee. Trustee's Disclaimer This statement has been prepared by the Trustee for the member whose name appears at the top of this statement. Every effort has been made by the Trustee to ensure the accuracy and completeness of this Statement. The Trustee does not accept any liability for any error, omission or misprint. All amounts shown in relation to benefits do not take into account any amounts which may be withheld to satisfy the requirements imposed by the Income Tax Assessment Act Signed by all the trustees of the fund Statement Date: / /
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