Document ID: chunk:federal_register_of_legislation:F2023C01022:schedule:1:p4
Version: federal_register_of_legislation:F2023C01022
Segment Type: schedule
Provision Reference: sch 1 (pt 4/4)
Character Range: 266981–267490

spouse of [name], 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