Document ID: chunk:federal_register_of_legislation:F2025L00178:schedule:1:p4
Version: federal_register_of_legislation:F2025L00178
Segment Type: schedule
Provision Reference: sch 1 (pt 4/4)
Character Range: 339728–340195

who is a member of the plan.
 *(c) intending to enter into a superannuation agreement under [Part VIIIB/Part VIIIC] of the Family Law Act 1975 with [name], who is a member of the plan.
2.  I require the information to:
 *(a) assist me to properly negotiate a superannuation agreement.
 *(b) assist me in connection with the operation of [Part VIIIB/Part VIIIC] of the Family Law Act 1975.

DATED:

[signature of person making declaration]

*   Omit if not applicable