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  • Instructions

    This form should be completed by a superannuation fund or retirement savings account provider when claiming:

    • super co-contribution entitlements for an individual using the contributions reference number
    • individual account balances held in the superannuation holding accounts (SHA) special account
    • superannuation guarantee (SG) for an individual using the reference number
    • low income superannuation contribution (LISC)
    Attention

    This form may be used to claim the account balances of more than one member or account holder.

    End of attention

    More information

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    APRA-regulated super funds - home.

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    Last modified: 28 Nov 2014QC 25582