Document ID: chunk:federal_register_of_legislation:F2025L00178:schedule:1:p2
Version: federal_register_of_legislation:F2025L00178
Segment Type: schedule
Provision Reference: sch 1 (pt 2/4)
Character Range: 334653–337394

in satisfaction of my entitlement in respect of the payment split.

    2. I received independent legal advice from a legal practitioner explaining that the payment to me is in substitution for any entitlement I have to receive an amount of money from a splittable payment that becomes payable in respect of the superannuation interest.

DATED:

[signature of non‑member spouse]

*   Omit if not applicable

Form 2—Request to trustee by non‑member spouse for payment, as lump sum, of all or part of remaining adjusted base amount
(section 82)

REQUEST TO TRUSTEE BY NON‑MEMBER SPOUSE FOR PAYMENT, AS LUMP SUM, OF ALL OR PART OF REMAINING ADJUSTED BASE AMOUNT

TO the trustee of [name of eligible superannuation plan]:

IN RELATION TO the payment split, of which you were notified on [date when superannuation agreement, flag lifting agreement or splitting order was served on the trustee], in respect of the superannuation interest of [name of member spouse], date of birth [date of birth of member spouse]

I, [name], the non‑member spouse in relation to the above superannuation interest, of [postal address], born on [date of birth], being entitled to be paid, as a lump sum, an amount under paragraph 81(2)(a) of the Family Law (Superannuation) Regulations 2025, request that I be paid, as a further lump sum, *the whole/*a specified proportion, being [specify the proportion that is to be paid as a lump sum], of the remaining amount of the adjusted base amount applicable to me.

DATED:

     [signature of non‑member spouse]

*   Omit if not applicable

Form 3—Request to trustee by non‑member spouse for payment, as lump sum, of all or part of adjusted base amount
(section 83 or 84)

REQUEST TO TRUSTEE BY NON‑MEMBER SPOUSE FOR PAYMENT, AS LUMP SUM, OF ALL OR PART OF ADJUSTED BASE AMOUNT

TO the trustee of [name of eligible superannuation plan]:

IN RELATION TO the payment split, of which you were notified on [date when superannuation agreement, flag lifting agreement or splitting order was served on the trustee], in respect of the superannuation interest of [name of member spouse], date of birth [date of birth of member spouse]

I, [name], the non‑member spouse in relation to the above superannuation interest, of [postal address], born on [date of birth], request that I be paid, as a lump sum, *the whole/*a specified proportion, being [specify the proportion that is to be paid as a lump sum], of the amount of the adjusted base amount applicable to me.

DATED:

[signature of non‑member spouse]

*   Omit if not applicable

Form 4—Request to trustee by non‑member spouse for payment, as lump sum, of all or part of remaining base amount
(section 92)

REQUEST TO TRUSTEE BY NON‑MEMBER SPOUSE FOR PAYMENT, AS