MLC Wrap Withdrawals This form should be completed if you want to withdraw funds from your portfolio. Important: Before completing this form you should check for information about your benefits in the Service including information on exit, transfer, withdrawal and other fees, tax, any insurance cover you may have, and the availability of investment options. Withdrawals from capital protected products may also incur a fee and the amount withdrawn may not receive the benefit of capital protection. You should obtain this information to fully understand the effects of withdrawing benefits. For more details please contact us. Please complete these instructions in BLACK INK using BLOCK letters. Note: Please make sure you have completed all the relevant sections otherwise your request may not be processed. GPO Box 2567 Melbourne Victoria 3001 Phone 1300 428 482 Fax: (03) 9869 1595 * Mandatory fields (for Rollovers only) 1. Request type Please tick your request: Account closure Partial withdrawal 2. Investor details MLC account number (if known) Contact telephone (business hours) Title Mr Mrs Miss Ms Other First name* Middle name(s) Family name* Other/Previous names Date of birth* (DD/MM/YYYY) Email Gender* Male Female Tax File Number (TFN) Under the Superannuation Industry (Supervision) Act 1993, your super fund is authorised to collect your TFN, which will only be used for lawful purposes. Your TFN will be used for identification purposes and will be disclosed to your other super provider, unless you request in writing that it is not disclosed. If we re unable to identify you we may request additional information. Navigator Australia Limited ABN 45 006 302 987 AFSL 236466 NULIS Nominees (Australia) Limited ABN 80 008 515 633 AFSL 236465 MLC Superannuation Fund ABN 40 022 701 955 MLC Wrap Withdrawals Form Page 1 of 8
2. Investor details continued Current address* (we can t accept a PO box) Street address Suburb State Postcode Country 3. Withdrawal type (superannuation accounts only) Cash payment before tax after tax Tax treatment for pension accounts: lump sum payment income payment Rollover Re-contribution 4. Fast track We sell your investments and pay your benefit at the same time to provide you with an efficient service. Withdrawals are automatically Fast Tracked. Indicate below if you d like to remove this service. I don t want to use Fast Track. Note: You can only Fast Track 75% of your account balance and only one Fast Track transaction can be performed at a time. Fast Track withdrawals aren t available for illiquid funds, hedge funds, property-diversified, term deposits, debentures or capital protected products. Withdrawals containing these investment products will be processed as standard withdrawals and from time to time other investment products may also be limited to standard withdrawals. A Fast Track withdrawal may be subject to additional fees. 5. Investments to be sold Tax optimisation I would like to apply the following tax optimisation method to this transaction: First in first out (FIFO) High cost first out (HCFO) Note: To amend your account default tax optimisation method please complete an Account Amendment form. HCFO isn t available on Model Portfolios. If you don t elect a default tax optimisation method the default will be FIFO. MLC Wrap Withdrawals Form Page 2 of 8
5. Investments to be sold continued Investment allocation Proportionately (as per current investment weighting) Investment name(s) APIR/ASX Code Units Amount (Minimum $500 per share) Percentage Total Important: If there is an existing automatic re-weighting facility and the allocation above isn t in line with your target weight allocation, the automatic re-weighting facility will be cancelled. We recommend you review your additional investment allocation to ensure any future deposits into your account reflect the changes you ve requested above. To change your instructions for all future investment allocations you need to complete an Additional and regular investments form. For automatic re-weighting facilities (redeem from investments subject to automatic re-weighting only) Proportionately as per current investment weightings within my automatic re-weighting portfolio By target weight allocation Note: If the withdrawal can t be funded by the target weight allocation, we ll use the current investment weightings within the automatic re-weighting portfolio. 6. Adviser share transaction fee Amount $ (maximum of $110.00 per trade) % (maximum of 1.10% per trade value) The fees in this section are inclusive of GST. 7. Components (superannuation/pension accounts only) Preservation amounts Preserved $ Restricted non preserved $ Unrestricted non preserved $ MLC Wrap Withdrawals Form Page 3 of 8
8. Preferred payment method Please attach a separate sheet for multiple payees. Payment to rollover institution (superannuation accounts only) Please supply a letter of compliance from the rollover institution. If payment is to a Self Managed Super Fund we may require additional documents. Name of Institution* ABN SPIN New account number USI Address of Institution Suburb State Postcode Re-contribute payment to a MLC Wrap account (superannuation/pension accounts only) Details of account to contribute to: Investor account name Investor account number Contribution type: Personal contribution non-concessional Eligible spouse contribution I acknowledge the withdrawal proceeds will be drawn as a cheque payable to the Trustee, NULIS Nominees (Australia) Limited, at my direction and deposited to the applications accounts for the relevant Service. Payment by direct credit pay to my nominated bank account pay to account below BSB Account number Name of account holder Name of financial institution Branch address State Postcode MLC Wrap Withdrawals Form Page 4 of 8
8. Preferred payment method continued Payment via cheque Payee Address Unit number Street number Street name Suburb State Postcode Country 9. Withdrawal amount Total withdrawal amount* $ 10. Conditions of release (superannuation accounts only) You can use some or all of your superannuation to start an account based pension if you are over your preservation age, whether you have retired or are still working. If retired, your superannuation will have become unrestricted non-preserved, and you will be able to make commutations and receive lump sum benefits from your account based pension account balance as well as receive pension payments. If still working, your pension is a non-commutable account based pension and until you meet a further condition of release you will only be able to make commutations from an account based pension from any unrestricted non-preserved amount. For conditions of release at any age involving permanent incapacity or financial hardship, please contact us. I am an Australian citizen, New Zealand citizen or a permanent resident of Australia and have satisfied one of the following conditions of release (tick one): withdrawing unrestricted non-preserved monies, or I have reached my preservation age and wish to commence a non-commutable pension, or I am 55 or over, but not yet 65 years of age. I am not gainfully employed and I never intend to again become gainfully employed, either on a full-time or part-time basis, or I am 60 or over, but not yet 65 years of age, and an arrangement under which I was gainfully employed has come to an end after the age of 60, or I have attained age 65, or I have a terminal medical condition MLC Wrap Withdrawals Form Page 5 of 8
11. Investor declaration I/We: authorise my TFN to be used with this account acknowledge that I have access to NAB s privacy policy available on mlc.com.au and any NAB company may collect, use, disclose and handle my personal information in a manner set out in that policy understand that neither the Trustee nor the Operator has any liability for any costs that the withdrawal may incur have attached the appropriate customer identification documentation or previously provided this information or was an Investor prior to 12 December 2007 have attached the required documentation to rollover money to a Self Managed Super Fund, where applicable. Name of Investor / Authorised person 1 Name of Investor / Authorised person 2 Signature of Investor / Authorised person 1 Signature of Investor / Authorised person 2 12. Financial adviser s declaration I have attached the correct customer identification documents* Yes No, this information has been previously provided or the Investor was an existing Customer with the Operator prior to 12 December 2007 Financial Adviser s name Financial Adviser s signature * For details of the appropriate customer identification documentation please refer to our website mlc.com.au or call us on 1300 428 482. 13. Financial adviser s details Adviser name Adviser code Office Dealer group Contact name (if different) Contact telephone number (business hours) Adviser stamp 79599M1213 MLC Wrap Withdrawals Form Page 6 of 8
Notice of intent to claim or vary a deduction for personal super contributions If you want to change or make more than one claim, use a separate form each time. 1. Your personal details Account number Contact telephone (business hours) Title Mr Mrs Miss Ms Other Middle name First name Family name Date of birth (DD/MM/YYYY) Email Postal address Unit number Street number PO Box Street name Suburb State Postcode Country Super fund details Fund name: MLC Superannuation Fund Fund ABN: 40 022 701 905 2. Your contributions Financial year ended 30 June Personal contributions covered by this notice $ Is this notice varying an earlier notice? Yes No (The amount you intend to claim as a tax deduction cannot be greater than the amount you stated in the earlier notice but may be reduced, including to nil.) The amount of these personal contributions you intend to claim as a tax deduction $ Please note: You may submit multiple contribution notices. There may be limits to the amount you can claim as a result of withdrawals made during the financial year. To authorise this notice please complete Section 3. Navigator Australia Limited ABN 45 006 302 987 AFSL 236466 NULIS Nominees (Australia) Limited ABN 80 008 515 633 AFSL 236465 MLC Superannuation Fund ABN 40 022 701 955 MLC Wrap Withdrawals Form Page 7 of 8
3. Your authorisation Please wait until you receive our acknowledgement of receipt before you lodge your tax return. For more information about deductions for personal contributions, please speak with your tax adviser or visit ato.gov.au In signing one of the declarations on this form you should be aware that the law has changed to expand the administrative penalty provisions to include penalties for making false or misleading statements that do not result in a shortfall amount. This may include making false or misleading statements to an entity other than the ATO if the statement is required or allowed to be made under tax law, for example, a notice of intent to deduct super contributions given to a super fund. Please complete and sign the statement that applies to you. Intention to claim a tax deduction If you haven t previously lodged a notice with the fund for these contributions. q I am lodging this notice before both of the following dates: the day that I lodged my tax return for the year stated in Section 2 the end of the income year after the year stated in Section 2. At the time of completing this notice: I intend to claim the personal contributions stated in Section 2 as a tax deduction I am a member of the MLC Superannuation Fund and the fund still holds my contributions this super fund has not begun to pay a superannuation income stream based in whole or part on these contributions I have not included these contributions in an earlier notice. The information given on this notice is correct and complete. Signature Name (print in BLOCK LETTERS) Variation of a previous deduction notice If you ve already lodged a notice with the fund for these contributions and wish to reduce the amount. q I intend to claim the personal contributions stated in Section 2 as a tax deduction. I wish to vary my previous notice for these contributions by reducing the amount advised in my previous notice. I confirm that: I am a member of the MLC Superannuation Fund and the fund still holds my contributions this super fund has not begun to pay a superannuation income stream whole or part on these contributions I have lodged my income tax return for the year in which the contribution was made, prior to the end of the following income year, and this variation notice is being lodged before the end of the day on which the return was lodged, or I have not yet lodged my tax return for the year stated in Section 2 and this variation notice is being lodged on or before 30 June in the financial year following the year stated in Section 2, or the ATO has disallowed my claim for a deduction for the relevant year stated in Section 2 and this notice reduces the amount stated in my previous notice by the amount that has been disallowed. The information given on this notice is correct and complete. Signature Name (print in BLOCK LETTERS) 4. Send us your form Please scan and email your completed, signed and dated form to us at services@mlc.com.au, fax to 03 9869 1595 or you can mail it to: MLC GPO Box 2567 Melbourne VIC 3001 If you have any questions, please speak with your financial adviser, call us on 1300 428 482 Monday to Friday between 8.00 am and 6.00 pm (AEST/AEDT) or visit mlc.com.au 79599M1213 MLC Wrap Withdrawals Form Page 8 of 8