Payment of unclaimed money - third party
Payment of unclaimed money - third party
How to complete your Application for payment of unclaimed superannuation money - third party.
This publication can be downloaded in Portable Document Format (PDF).
Download Application for payment of unclaimed superannuation money - Third party (NAT 71696, PDF, 201KB) which contains the instructions and form for authorised representatives.
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For information about unclaimed superannuation money, visit www.ato.gov.au and search for 'superannuation and unclaimed money'.
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You should complete this application if you want to apply for a payment of unclaimed superannuation money which is held by us in someone else's name. Their unclaimed superannuation money may have been paid to the Tax Office for one of the following reasons:
- they were aged 65 years or older
- they are deceased
- they previously held a temporary visa that has ceased to be in effect (has expired or been cancelled) for at least six months and it has been at least six months since they have left Australia
- they were entitled to a superannuation amount as a non-member spouse, however the superannuation fund was unable to ensure that they or their legal personal representative received the amount. A superannuation account would have been created in their name due to a financial agreement or court order under the Family Law Act 1975, where the superannuation fund was required to split a superannuation amount originally held in their former spouse's or de facto partner's name.
You can only apply for payment of unclaimed superannuation money if you are:
- authorised (including an authorised agent) to act on behalf of the person in whose name the unclaimed superannuation money is held
- the legal personal representative or beneficiary of the person in whose name the unclaimed superannuation money is held and they are deceased.
When completing this application you must provide certified documents to prove your claim.
Question 1
Why are you applying for payment of the unclaimed superannuation money?
Select the reason why you are lodging the application for the unclaimed superannuation money on behalf of the account holder.
Description of reasons for lodging this application:
- You are currently authorised to act on behalf of the account holder because you:
- have been appointed to act on behalf of the account holder for this matter
- have Power of Attorney
- are a Public Trustee acting for the person.
- The legal personal representative of a person who has died is an executor or administrator of the person's estate. An executor is appointed by the deceased person's will to administer their estate in accordance with their will. The Supreme Court can also appoint an administrator to deal with the deceased estate - for example, where there is no valid will or the person nominated to be executor cannot discharge their duties. If you are unsure whether you are administering the deceased estate, refer to section H in these instructions for more information.
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For more information, visit www.ato.gov.au and search for 'Managing the tax affairs for someone who has died'.
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- A beneficiary of a deceased estate is a person who will benefit from the deceased person's estate or superannuation.
A beneficiary can be, but is not limited to:
- the account holder's spouse or de facto spouse
- the account holder's former spouse or de facto spouse
- the account holder's child (or spouse's child) of any age, including an adopted child, foster child, ward or child within the meaning of the family law legislation
- any person who was in an interdependency relationship with the account holder at the date of their death and any other persons (irrespective of age) who were financially dependent on the account holder at the date of their death
- the brothers and sisters of the account holder
- the parents of the account holder
- the brothers and sisters of a parent of the account holder
- the grandparents of the account holder.
- A non-member spouse is the account holder's former spouse by marriage or de facto relationship. You may be entitled to a portion of an unclaimed superannuation money amount that has been sent to us for your former spouse or de facto partner. This entitlement would be due to a court order under the Family Law Act 1975 or a financial agreement, where a superannuation fund was required to split a superannuation amount originally held in your former spouse's name, but the amount was not split before it was sent to us by the superannuation fund.
You will be required to provide your details and supporting documentation at sections G and H to support your claim.
The account holder is the person in whose name the unclaimed superannuation money is held.
Question 2
Tax file number
Provide the account holder's tax file number (TFN).
We are authorised under the Taxation Administration Act 1953 to collect this TFN. You are not required by law to provide this TFN. However, quoting this TFN reduces the risk of administrative errors that could delay the processing of your application. For information about withholding tax, refer to section I: Payment options.
Question 3
Name
Provide the account holder's full name.
Question 4
Previous names
Provide the account holder's previous names, if applicable.
If the account holder has changed their name, you need to provide certified evidence of their name change - for example, a marriage certificate, deed poll or change of name certificate from the Births, Deaths and Marriages Registration Office in your country. These documents must be certified copies. Refer to section F: Account holder's supporting documents for more information about certifying copies of documents.
If there is insufficient space, write the details on a separate page and include it with this form.
Question 5
Sex
Indicate the sex of the account holder by selecting the applicable box.
Question 6
Date of birth
Provide the account holder's date of birth.
Question 7
Residential address
Provide the account holder's current or most recent residential address.
Question 8
Postal address
Provide the account holder's current or most recent postal address.
If this is the same as their residential address, write 'AS ABOVE'.
Question 9
Previous Australian residential addresses
Provide details of all the account holder's previous residential addresses in Australia relevant to this claim.
If there is insufficient space, write the details on a separate page and include it with this form.
Question 10
Has the account holder previously held a temporary visa?
Indicate whether the account holder has previously held a temporary visa.
If you select 'Yes', go to section C: Account holder's visa details.
If you select 'No', go to:
- section D: Account holder's employer details - where the account holder is aged 65 years or older, or deceased
- section E: Account holder's superannuation fund details - where the account holder or you are entitled to a superannuation amount as a non-member spouse due to a court order under the Family Law Act 1975 or a financial agreement.
Complete this section if the account holder has previously held a temporary visa.
Question 11
Passport details that the account holder previously used to enter Australia as a temporary visa holder
Provide the passport number, the name of the issuing country on the passport and the visa class that the account holder previously used to enter Australia as a temporary visa holder.
Question 12
Current residency and immigration status
Provide details of the account holder's current residency and immigration status. If the account holder is deceased, select their status as at the day they died.
Where 'Current temporary visa holder' is selected, you must provide the account holder's visa class.
Where 'Other - the account holder's current citizenship' is selected, you need to provide further information to clarify the status of the account holder - for example, if they are an American citizen write 'American'.
We will use this information to determine if you have chosen a correct payment option. Refer to section I of the instructions for information about payment options that may be available for you.
If the account holder is an Australian citizen or a permanent Australian resident, you must answer question 13. Otherwise, go to section D: Account holder's employer details, unless you are lodging this application because the account holder or you are a non-member spouse. In that case, go to section E: Account holder's superannuation fund details.
Question 13
Did the account holder last leave Australia or hold a temporary visa after 30 June 2007?
Select the relevant box.
This information will be used to assist us in calculating the entitlement.
When you have completed this question, go to section
D: Account holder's employer details, unless you are lodging this application because the account holder or you are a non-member spouse. In that case, go to section E: Account holder's superannuation fund details.
Question 14
Previous employer details
Provide details of all the account holder's previous employers who may have made superannuation contributions (relevant to this claim) for the account holder.
If there is insufficient space, write the details on a separate page and include it with this form.
When you have completed this question, go to section E.
Question 15
Superannuation fund details
Provide details of all superannuation funds that may have held the account holder's superannuation money or made payment of their superannuation accounts to the Tax Office.
If there is insufficient space, write the details on a separate page and include it with this form.
Section F: Acount holder's supporting documents
You must attach certified copies of the relevant documents listed in this section, in the name of the account holder, to support this application.
Certification of documents
You must have all copies of the original documents certified by an authorised person. If the original document or certification is not written in English, there are extra requirements detailed below.
The authorised person certifying your documents must sight the originals and certify on each page of the copies that it is a true copy by writing or stamping 'certified true copy', followed by:
- their signature
- their printed name
- their qualification (for example,' Justice of the Peace')
- the date.
In Australia, you can have copies of documents certified by a:
- barrister
- Commissioner for Declarations (Queensland only)
- doctor
- judge
- Justice of the Peace
- minister of religion who is authorised to celebrate marriages
- police officer with a rank of sergeant or above, or highest ranking officer in the station
- bank, building society or credit union officer with at least five years service
- sheriff's officer
- solicitor.
In Australia, if the original document is not written in English, you must have an approved translation service (for example, the Department of Immigration and Citizenship, an appropriate embassy or professional translation service) provide you with an official true and correct written translation of the document. You must then provide us with certified copies of both the original document and the written translation.
If you are outside Australia, you can have copies of documents certified by consular staff at an Australian:
- Embassy
- High Commission
- Consulate.
If you are unable to reach an Australian Embassy, High Commission or Consulate, you can have your documents certified by a:
- notary public
- Justice of the Peace
- judge of the court
- registrar or deputy registrar of a court.
In the case where you are outside Australia and one of the above is unavailable to certify a document, you can send us copies of the documents bearing an apostille if the issuing country is a signatory to the Hague Apostille Convention.
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For more information on:
- copies bearing an apostille, visit www.ato.gov.au and search for 'Apostille'
- certification of documents while you are outside Australia, visit www.ato.gov.au and search for 'certified documents'.
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If you are outside Australia and your original document or certification is not written in English, you must have an approved translation service provide you with an official true and correct written translation of it. You must then provide us with certified copies of both the original document and the written translation.
You can obtain the name of an approved translation service from your nearest Australian:
- Embassy
- High Commission
- Consulate.
Question 16
Proof of passport details that the account holder used to enter and leave Australia as a temporary visa holder
Only answer this question if you completed section C on behalf of the account holder. Otherwise, go to question 17.
Include with this form, certified copies of the account holder's passport details that they used to enter and leave Australia as a temporary visa holder.
Question 17
Proof of identity
Include certified copies of the account holder's proof of identity documentation with this form.
Question 18
Proof of ownership
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A proof of ownership document is not required where your application is for:
- an amount up to $500 and you have quoted the account holder's TFN on this form, or
- amounts paid to us where the account holder was a former temporary resident who left Australia.
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If you have not quoted the account holder's TFN or your application is for an amount over $500, you must provide a certified copy of one of the following documents:
- correspondence from the account holder's superannuation fund, on their letterhead, linking the account holder to the account as the rightful owner
- correspondence from the account holder's superannuation fund, on their letterhead, certifying that the account holder is the rightful owner
- correspondence from the employer who contributed superannuation on the account holder's behalf, confirming the account holder's employment and linking them with the superannuation fund
- correspondence from the employer, on their letterhead, certifying that the account holder is the rightful owner of the superannuation
- a document (for example, a bank statement or utilities bill) linking the account holder to the last known address held by the superannuation fund.
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Where this application is for unclaimed superannuation money paid to the Tax Office by more than one superannuation fund, you must supply documentation to prove the account holder is the rightful owner of each account over $500.
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Question 19
Does the account holder or you (as a non-member spouse) have a terminal medical condition?
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Do not answer this question if you completed section C.
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Select the relevant box.
If you select 'Yes', you must provide us with certified copies of medical certificates from two registered medical practitioners.
You can provide one certificate signed by both medical practitioners, or you can provide two separate certificates. One of the practitioners must be a specialist in the area related to the illness or injury.
They must certify that the account holder or you (as a non-member spouse) suffer from an illness, or have an injury, that is likely to result in death within 12 months.
For information on having a terminal medical condition and how it may affect withholding tax on the payment, refer to section I: Payment options in the instructions.
Question 20
Is there a current court order or financial agreement under the Family Law Act 1975 in place that may affect any entitlement to claim this superannuation?
Select the relevant box.
If you select 'Yes', you must provide us with a certified copy of the court order or financial agreement.
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You must supply certified copies of documentation that supports your claim to make this application on behalf of the account holder. Refer to section H on page 8 of the application for information about supporting documentation.
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Question 21
Authorisation
Provide details of your authority to make this application - for example, if you have a Power of Attorney or are an executor of a deceased estate.
Question 22
Name
Provide your full name and, if relevant, the name of your organisation (for example, Public Trustee).
Question 23
Postal address
Provide your postal address.
Question 24
Daytime phone number
Provide your daytime phone number, including area code.
Question 25
Email address
Provide your email address.
This is important if you are overseas. It will help us contact you quickly and easily.
Question 26
Tax fi le number
Provide your TFN where you are claiming as either a beneficiary or a non-member spouse.
We are authorised under the Taxation Administration Act 1953 to collect this TFN. You are not required by law to provide this TFN. However, quoting this TFN reduces the risk of administrative errors that could delay the processing of your application. For information about withholding tax, refer to section I: Payment options.
You must provide certified copies of the documents you have selected from the lists on page 8 of the application. Refer to section F of these instructions for information about certifying copies of documents.
If the account holder is deceased and you are the legal personal representative, you must provide proof of your authority.
If you have probate or letters of administration or have been appointed as the public trustee, you must provide certified copies of these documents.
Otherwise, you must provide documents that prove you are performing the duties of the administrator of the estate.
Some examples of the tasks usually performed by an administrator include:
- arranging the funeral
- dealing with investment bodies
- dealing with Centrelink
- lodging tax returns
- paying debts, income tax and funeral expenses
- transferring assets and paying stamp duty
- making distributions to beneficiaries.
If you are unable to provide documents proving that you are administering the estate, you should phone us for assistance.
Refer to More information for our telephone details.
Provide details of the person or persons entitled to receive the payment. If the payment is to be made to more than one person, attach a separate page with the additional information and include with this form.
Depending upon the circumstances, the unclaimed superannuation money may be:
- paid by cheque
- paid into a complying superannuation plan.
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A complying superannuation plan may be a:
- complying superannuation fund
- public sector superannuation scheme
- complying approved deposit fund
- retirement savings account.
To check whether a superannuation fund is a complying superannuation fund, visit www.abn.business.gov.au and use the Super Fund Lookup.
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If you are claiming more than one unclaimed superannuation money amount and the account holder is not a former temporary resident, you may nominate a different option for each unclaimed superannuation amount. If you choose to do this, you must write the payment option details for each amount on a separate page, including the name of original superannuation fund that paid the unclaimed superannuation amount to us, and attach it to this form.
Where the account holder has been identified as a former temporary resident, the unclaimed superannuation money is generally payable as a departing Australia superannuation payment; otherwise, the unclaimed superannuation money is payable as a superannuation lump sum payment.
If the account holder is the holder of a temporary visa that has ceased to be in effect (has expired or been cancelled), you can nominate to have the unclaimed superannuation money paid to a complying superannuation plan only if they now:
- hold a permanent Australian visa
- are an Australian or New Zealand citizen, or
- hold a prescribed Australian visa.
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For more information, visit www.ato.gov.au and search for 'former temporary resident unclaimed super'.
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Option 1 - Payments by cheque
Payments made by cheque will be sent to the postal address you provided in section G: Your details.
Option 2 - Payments to a complying superannuation plan
If you choose to have the unclaimed superannuation money paid on behalf of the account holder into a complying superannuation plan, you will need to complete the relevant details. You should check whether the fund is able to receive unclaimed superannuation payments.
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Death benefits cannot be paid into a complying superannuation plan. If you are making an application for a deceased estate or as a beneficiary, you are unable to use this option.
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You need to consider all relevant information before you make a decision to have any unclaimed superannuation money paid into a complying superannuation plan. This may include:
- fees - the fund may charge entry or deposit fees on payment
- death and disability benefits - the fund may not offer insurance, or may require the account holder to pass a medical examination before they provide cover. You should consider the costs and amount of any cover offered.
(Disclaimer: This information does not constitute financial advice. Should you need financial assistance, seek professional advice.)
If you ask for such information, the superannuation fund must provide it to you.
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Payments of unclaimed superannuation money from us are subject to the same withholding tax obligations as benefits paid by a superannuation fund. If you choose to receive a payment directly, we may be required to withhold tax at the relevant rate. For further information on:
- departing Australia superannuation payments, visit www.ato.gov.au and search for 'former temporary resident'
- superannuation lump sum payments, refer to the Tax table for superannuation lump sums (NAT 70981). To obtain a copy of this publication, see More information
- payments where the account holder or non-member spouse has a terminal medical condition, visit www.ato.gov.au and search for 'terminal medical condition'.
If you do not provide tax file numbers, we may withhold an amount up to the highest marginal tax rate (plus Medicare levy) from the superannuation lump sum payments.
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You need to complete one of the following:
- declaration for an authorised person
- declaration for a deceased estate
- declaration for a non-member spouse of the account holder.
Read the declaration. If it is correct, print your full name then sign and date the declaration.
Keep a copy of this application for your records and send the original, together with certified copies of your supporting documents to us at:
More information
For more information about unclaimed superannuation money, refer to:
To obtain a copy of our publications or for more information:
- visit www.ato.gov.au
- phone our automated publications distribution service on 1300 720 092
- phone us on - 13 10 20, if you are in Australia, between 8.00am and 6.00pm Monday to Friday - +61 2 6216 1111, if you are outside Australia, between 8.00am and 5.00pm Monday to Friday (Australian Eastern Standard Time or Eastern Daylight-saving Time) and ask to speak to superannuation enquiries
- write to us at
Translating and teletype services
If you do not speak English well and want to talk to a tax officer, phone the Translating and Interpreting Service on 13 14 50 for help with your call. If you are calling from overseas, phone +61 3 9203 4027.
If you have a hearing or speech impairment and use a TTY or modem, you can contact us through the National Relay Service (NRS). If you are:
- a TTY user, phone 13 36 77 and quote the Tax Office number you need. If you are calling from overseas, phone +61 7 3815 7799
- a Speak and Listen (speech-to-speech relay) user, phone 1300 555 727 and quote the Tax Office number you need. If you are calling from overseas, phone +61 7 3815 8000
- an internet relay user, connect to the NRS on www.relayservice.com.au and quote the Tax Office number you need.
If you would like further information about the NRS, phone 1800 555 660 or email helpdesk@relayservice.com.au
Last Modified: Tuesday, 6 March 2012
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