How to complete the statement
Section A: Supplier information
Complete this section if you are the supplier of the AVA statement information. For example, if you are any of the following:
- a tax agent
- an accountant
- a super administrator
- the provider.
Tax file number (TFN)
Provide your TFN.
Australian business number (ABN)
Provide your ABN.
Tax agent number (TAN)
Provide your TAN if you are a tax agent reporting the contributions information on behalf of the provider.
Provide the full name of your organisation.
Provide your street address, not a post office box.
Provide your postal address for service of notices.
Provide details of a person who may be contacted if we have any questions about the information in the statement.
Provide a reference that you will find useful in identifying the statement if we need to contact you about the information given in the statement.
The statement must be signed and dated by the person supplying the statement to us.
Last modified: 05 Jul 2014QC 37248
The statement will be returned if it is not signed.
End of attention