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Employer Contributions and Remittance Advice
Employer Contributions and Remittance Advice
Email
Payment method
EFT Account name: First State Super – Application account Date deposited (DD-MM-YYYY)
You have a choice BSB No: 062000 Account number: 1022 6245
of four payment Payment reference: your employer code
options. Place ✗ Date deposited (DD-MM-YYYY)
next to the option Direct
you wish to use and deposit Deposit no.
fill in the payment
details. Account name: First State Super – Application account
BSB No: 062000 Account number: 1022 6245
Payment reference: your employer code
BPAY® Your Biller Code and Reference Number are available Date transferred (DD-MM-YYYY)
by sending an email to employers@firststatesuper.com.au
or calling us on 1300 650 873.
Payment reference: your employer code
Cheque dated (DD-MM-YYYY)
Cheque Cheque no.
Write your employer code on the back of your cheque.
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FSS Trustee Corporation (Trustee) ABN 11 118 202 672 AFSL 293340 First State Superannuation Scheme (Fund) ABN 53 226 460 365 E FSS023 05/16
3. Member contribution details
Employer Optional employee Optional employer
Super guarantee additional contribution (OEE) contribution (OER)
Member number Member full name Date of birth TFN* (SG) contributions contributions (after tax) (before tax)
$ $ $ $
$ $ $ $
$ $ $ $
$ $ $ $
$ $ $ $
$ $ $ $
$ $ $ $
$ $ $ $
$ $ $ $
$ $ $ $
$ $ $ $
$ $ $ $
$ $ $ $
$ $ $ $
$ $ $ $
$ $ $ $
Total contributions payable (must equal ‘Total amount of contributions' shown in section 2. Payment details) $ $ $ $
* Tax file number is only required the first time you complete this form. When a new employee provides their tax file number (TFN) on the Tax file number declaration (NAT 3092) form it is also deemed to have been provided
for superannuation purposes. If you don’t pass on your employee’s TFN, they may pay extra tax on contributions and may not be able to make some types of contributions.
page 2 of 2
Return the completed form to First State Super, PO Box 1229 WOLLONGONG NSW 2500. E FSS023 05/16
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