Transcription of ANZ Super Choice Super - Withdrawal Form
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Page 1 Retirement Portfolio Service (Fund) ABN 61 808 189 263 RSE R1000986 OnePath Custodians Pty Limited (OnePath Custodians) ABN 12 008 508 496 AFSL 238346 RSE L00006731 August 2021 Customer ServicesPhone 13 12 87 (International +61 2 9234 6112)Email Website form is to be used for rollovers and lump sum cash withdrawals by existing members in ANZ Smart Choice read the Important Information section before you complete this and sign the form and return to:ANZ Smart Choice SuperGPO Box 5107 Sydney NSW 2001 Please note that emailed forms cannot be MEMBER DETAILSM ember number Title Mr Mrs Ms Miss Dr Other SurnameGiven name(s) (including middle name)Date of birth DDMMYYYY Tax file number (TFN)* * Please refer to section 7 for further details on the collection of address (this cannot be a PO Box)Suburb/TownStatePostcodeCountryPosta l address (if different from above)Suburb/TownStatePostcodeCountryBus iness phoneMobile phoneEmailPrimary citizenshipSecondary citizenshipOccupationIf my Withdrawal request requires any further queries, please contact me by: Phone EmailIf you do not tick any box we will contact you by of identityNote: We will only accept original certified copies which must be attached to this fo
Super for ANZ Smart Choice Super for QBE Management Services Pty Ltd and their employees. Note: If you are rolling over to a Self Managed Super Fund (SMSF), the payment will be made via direct credit to an SMSF bank account. Please provide a copy of your SMSF bank statement or Welcome Letter. ANZ SMART COCE SUPER WITHDRAWAL FORM
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