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  • Section G: Declaration

    Read the declaration. If it is correct, print your full name then sign and date the declaration.


    Before you sign this LMS, check you have provided complete and accurate information. The statement will be returned to you if it is not signed.

    End of attention
    Further information

    Send your completed LMS to us at:

    Australian Taxation Office
    PO Box 3578
    ALBURY NSW 2640

    End of further information

    You must keep records of your reporting of lost members for five years after whichever of the following occurs last:

    • the date the reports were prepared
    • the date the completion of the transaction or acts to which those records relate.
    End of attention
    Last modified: 06 Feb 2015QC 21218