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  • Section B: Provider details

    Provide details of the provider of the unclaimed superannuation money or former temporary resident accounts.

    Question 7
    Tax file number (TFN)  

    Provide the provider’s TFN.

    Question 8

    Provide the provider’s ABN.

    Question 9

    Provide the provider’s current full name.

    Question 10
    Previous name  

    Provide the previous full name of the provider.

    Only provide this if the name of the provider has changed since their last super lodgment was submitted – for example:

    • a member contributions statement
    • a member exit statement
    • an assessment variation advice
    • a payment variation advice.

    Question 11
    Branch number  

    Provide the branch number if the provider making the report has more than one location.

    Question 12
    Street address  

    Provide the provider’s street address, not a post office box.

    Question 13
    Postal address  

    Provide the provider’s postal address.

    If this is the same as the street address, write ‘as above’.

    Question 14
    Address for service of notices  

    Place an ‘X’ in the applicable box, depending on whether you want notices sent to the provider or supplier.

    If a preference is not indicated, we will send correspondence to the supplier.

    Question 15
    Contact details  

    Provide the name, phone number and email for the nominated contact person who may be contacted if we have any questions about the information provided in this USM statement.

    Question 16
    Type of superannuation provider  

    Place an ‘X’ in the applicable box. Only one option can be selected.

    Question 17
    Your reference  

    Provide a reference that will help you identify this USM statement if we need to contact you about information supplied in it.

    Last modified: 05 Sep 2019QC 21679