Street address Suburb/Town State Postcode

Transcription

1 JOIN BUSSQ PENSION Don t forget you can also join online via MemberAccess at bussq.com.au Please complete and sign this form and return to: BUSSQ GPO Box 2775, Brisbane Qld TYPE OF PENSION REQUIRED (please one option) TRANSITION TO RETIREMENT PENSION RETIREMENT PENSION 2 PERSONAL DETAILS BUSSQ member number (if known) OFFICE USE ONLY Mr/Mrs/Ms/Miss Given names Surname Daytime contact number Mobile 3 YOUR TAX FILE NUMBER (TFN) You don t have to provide your TFN and it s not an offence if you don t. If you do BUSSQ will only use it for purposes approved by law, including finding and identifying your super, calculating tax and providing information to the ATO. These purposes may change in the future. If you choose not to provide your TFN you may pay more tax on your benefits and contributions and you may not be able to make personal contributions to BUSSQ. These consequences may change in the future. Your TFN may be passed onto another superannuation fund if you transfer your benefits there and may be passed on to the ATO if required. Please advise us in writing if you do not want your TFN disclosed. I elect to provide my TFN and declare it is: Tax file number 4 EMPLOYMENT STATUS (please one option) Employed Over preservation age and permanently retired Over age 60 and have ceased employment Date ceased work / / Over age 65 (you may still be employed) Unrestricted non-preserved funds available WHAT S MY PRESERVATION AGE? BA/MEMAPP /11 ISS8 IF YOU WERE BORN YOU CAN ACCESS YOUR SUPER AT AGE Before 1 July July 1960 to 30 June July 1961 to 30 June July 1962 to 30 June July 1963 to 30 June July 1964 or after Page Page 1 of 16 of 6 BUSS(Queensland) BUSS(Queensland) Pty Ltd ABN 15 Pty 065 Ltd 081 ABN BUSSQ ABN AFS 332 Licence AFS Licence RSE L RSE Registration L Number Registration R Number R CALL CALL US US PENSION (1800 ( ) 746) WEB WEB super@bussq.com.au GPO GPO Box Box Brisbane QLD QLD

2 5 YOUR ROLLOVER DETAILS (please one option) You must start your BUSSQ Pension with at least $25,000 Whole amount Partial amount Amount to be transferred from your BUSSQ superannuation account. (A minimum of $2,500 must be retained if you elect a partial transfer.) $ or all bar $2,500 Amount from your BUSSQ superannuation account that you wish to receive as a lump sum (if any) before your Pension is set up. $ 6 TAX DEDUCTIONS STOP You will also need to lodge an Intent to claim a tax deduction form. If you have made personal contributions to superannuation you may be entitled to claim a tax deduction on these contributions up to the concessional contributions cap ($25,000 in the financial year). You must claim a tax deduction before you make any lump sum withdrawals from your super account or commence a Pension account. If you intend to claim a tax deduction for contributions made to your BUSSQ superannuation account, please show that amount here. $ 7 PAYMENT FREQUENCY I wish to receive my Pension payments (please which option you would prefer). Fortnighlty Monthly Quarterly Half yearly Yearly 8 PENSION START DATE Date first payment to be made* Next available^ OR Month of first payment * Under current legislation if you commence your account before 1 June your first Pension payment must be paid before 30 June of that financial year. If you commence on or after 1 June, you can defer the first payment up to June of the following financial year. To do this please select a month in the new financial year as your first payment date. ^ Fortnightly payments will automatically commence from the next payment date after your Pension commences. 9 AMOUNT YOU WISH TO BE PAID (please which option you prefer). Minimum Specific amount per payment $ Maximum (For Transition to Retirement Pensions only) 10 YOUR FINANCIAL INSTITUTION DETAILS STOP Please attach a copy of a current bank statement confirming your name, BSB and account number to confirm your details. Financial institution name Name in which the account is held BSB number Account number Page 2 of 6

3 11 YOUR INVESTMENT CHOICE If you require more information on the BUSSQ Pension Choice investment options, please refer to the supplementary Product Disclosure Statement, and pages 17 to 27 of the Pension Choice PDS or call BUSSQ on 1800 PENSION ( ). Blended Growth Strategy (default) 1 5 Our custom built Cash % investment strategy, designed for retirement Balanced Growth 8 5 % Pensions. Pension payments will be drawn from the Cash option first. Pre-mixed options Percentage use whole percentages only eg. 10%, 27% etc Defensive % Balanced Growth % High Growth % Single asset class options Cash % Diversified Fixed Interest % Australian Shares % Aust. (Larger Companies) Shares % Aust. (Small Companies) Shares % All Shares (50/50) % International Shares % International (Emerging Markets) Shares % TOTAL MUST EQUAL 100% I wish to have my Pension payments deducted from the investment option. 12 RETIREMENT REWARD You may be eligible for the BUSSQ Retirement Reward upon opening a Retirement Pension account. This does not apply for Transition to Retirement Pensions. For more information please refer to bussq.com.au or the Pension Choice Supplementary PDS. Your Retirement Reward will be added to your Pension account and then can be paid to you if you wish. The Retirement Reward will count towards your concessional contributions cap, so if you have already met your cap in this financial year you may wish to defer payment until next financial year. Please let us know your choices below: I wish to receive my Retirement Reward Immediately Next financial year Please pay my Retirement Reward Into my Pension account To my bank account BA/MEMAPP Page 09/153 ISS10 of 5

4 13 BENEFICIARY NOMINATION In the event of your death, you have three options as to how your Pension will be paid. Option 1 - A reversionary Pension paid to your spouse. STOP You must complete all fields for this to be processed. A reversionary beneficiary will continue to receive your Pension upon your death - see page 29 of the Pension Choice PDS for details on who can be your reversionary beneficiary. Person s full name Option 2 - Make a Binding Nomination - BUSSQ accepts binding nominations - please complete the Binding Death Benefit Nomination form to advise us of your wishes. Binding nominations can only be made to dependents or your estate. See page 28 of the Pension Choice PDS for more information. Option 3 - Nominate your preferred beneficiary/ies. In the event of your death, please nominate to whom you would prefer your benefits to be paid. A death benefit is payable to your dependants and/or your estate or, in limited circumstances, to another person. The final decision rests with the Trustee. More information is available at bussq.com.au. You can nominate one or more preferred beneficiaries. Attach a list if space is not sufficient. First person s full name How much? % Second person s full name How much? % Third person s full name How much? % 14 RESIDENCY DECLARATION Most temporary residents* are not eligible to start a BUSSQ Pension account. For more information call us on 1800 PENSION ( ). I declare that: (Please tick the box that applies to you) I am an Australian citizen, New Zealand citizen or permanent resident of Australia, or I hold a Subclass 405 (Investor Retirement) or Subclass 410 (Retirement) visa. * A temporary resident is someone who holds a temporary visa as described in the Superannuation Industry (Supervision) Regulations 1994 or in the Migration Act Page 4 of 6

5 15 DECLARATION AND SIGNATURE SIGN HERE In signing this application: I agree to provide the Trustee, within a reasonable period, with: - Any information they may request which relates to my membership of BUSSQ - Updated facts of any changes to the information provided in this application. I understand that once commenced, the level of Pension will remain unchanged unless I advise the Trustee in writing. I agree that the Trustee will adjust the Pension payments from time to time to ensure that the level of payments do not fall outside the prescribed income levels specified by the regulatory authorities. I have read and understood the Conditions of the Pension Choice Product Disclosure Statement, and this application is made subject to the terms and conditions of that document. If deemed necessary by me, I have obtained financial advice from a qualified Planner concerning my investment in the BUSSQ Transition to Retirement or Retirement Pension. I declare that all the details in this application are true and correct and that I have read the PDS to which this application applies and agree to the offer contained in it and to be bound by the provisions of the Trust Deed (as amended) governing the fund; and if I have received this PDS from the internet or any other electronic means, I declare that I have received it personally, or a printout of it, accompanied by or attached to the application form before making an application to BUSSQ. I understand and accept that the Trustee does not guarantee the performance of the investment strategy. I have reviewed the Retirement Reward terms and conditions found in the Pension Choice Supplementary PDS. I understand that any payments made via EFT will be subject to tax as a lump sum withdrawal. Signature of applicant Dated (ddmmyyyy) 16 PRIVACY AND OTHER IMPORTANT INFORMATION BUSSQ collects and uses your personal information in accordance with the BUSSQ Privacy Statement which is available from our website or by calling 1800 MY BUSSQ ( ). This section discusses some of the ways that BUSSQ uses your personal information. Please call us if you have any questions about your rights under the privacy legislation. Anti-Money Laundering and Counter Terrorism Financing (AML/CTF) Act requirements Compliance with this Act requires that we obtain identification when processing transactions in relation to your BUSSQ account. We do this to minimise the risk that the fund may be used for the laundering of money and the financing of terrorism, but it also reduces the chance that your account can be accessed by an unauthorised person. We may need to identify: You: We may need to ask you to verify your identity if you wish to make a claim on your superannuation benefit. We may also ask you to verify your identity if we are missing information about you and we may not be able to open an account for you or process any transactions unless this is received. Your estate and/or beneficiaries: If you die while you are a member of BUSSQ we may need to obtain identity information from your legal personal representative and/or your beneficiaries. Anyone acting on your behalf: Including a person exercising your power of attorney. In some circumstances we may need to re-verify this information. If we have concerns that a transaction may breach any obligation of, or cause us to commit or participate in, an offence under the AML/CTF Law, we may have to delay or refuse a request or transaction and we will incur no liability to you if we do so. We also have reporting requirements under the AML/CTF Law, and strictly prevented by the legislation from informing members that any such reporting has occurred. Where we are obliged to do so, we may disclose any information gathered to regulatory and/or law enforcement agencies, including the Australian Transaction Reports and Analysis Centre (AUSTRAC). BA/MEMAPP Page 09/155 ISS10 of 6

6 COMPLETING PROOF OF IDENTITY What identification can I use? Copies of the following documents may be used: EITHER One of the following documents only: A current driver s licence or permit issued under the law of a State or Territory, or A passport issued by the Commonwealth which can be up to two years out of date, that contains a photograph of the person in whose name the document is issued. Proof of Age Card - A card issued under a law of a State or Territory for the purpose of providing the person s age which contains a photograph of a person in whose name the documents is issued (includes Proof of Age Card or National Identity Card); or National Identity Card - A card issued for the purpose of identification that contains a photograph and the signature of the person in whose name the document is issued; and - Is issued by a foreign government, the United Nations or an agency of the United Nations; and - If it is in a language that is not understood by the person carrying out the verification it must be accompanied by an English translation prepared by an accredited translator. OR One of the following documents: Birth certificate or birth extract Citizenship certificate issued by the Commonwealth Pension card issued by Centrelink that entitles you to financial benefits. AND One of the following documents: Letter from Centrelink regarding a Government assistance payment Notice issued by Commonwealth, State or Territory Government within the past 12 months, containing your name and residential address. For example: - Tax Office Notice of Assessment - Rates notice from local council Certification of personal documents All copied pages of ORIGINAL proof of identification documents (including any linking documents) need to be certified as true copies by: A Justice of the Peace (JP) A police officer A permanent employee of Australia Post with five or more years of continuous service A Commissioner for Declarations (CDEC) A finance company officer with five or more years of continuous service (with one or more finance companies) An officer with, or authorised representative of, a holder of an Australian Financial Services Licence (AFSL), having five or more years continuous service with one or more licensees A notary public officer A registrar or deputy registrar of a court A person enrolled on the roll of a State or Territory Supreme Court or the High Court of Australia, as a legal practitioner An Australian consular officer or an Australian diplomatic officer A judge of a court A magistrate, or A Chief Executive Officer of a Commonwealth court. The person who is authorised to certify documents must sight the original and the copy and make sure both documents are identical, then make sure all pages have been certified as true copies by writing or stamping certified true copy followed by their: Signature Printed name Qualification (e.g. Justice of the Peace, Australia Post employee etc) Date Contact phone number, and Address. To certify your documents the authorised person needs to: 1. Compare photography to the ORIGINAL 2. Include the following details on the copy: Stamp or write This is a true and correct copy of the original Followed by: Their name Their qualification (such as Justice of the Peace) Their signature and the date it was signed I certify this is a true copy of the original document. Julie Preston Justice of the Peace 1 9/06/20 15 Page 6 of 6 BA/MEMAPP /17 ISS12