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Superannuation salary sacrifice deduction agreement

Use this form to sacrifice part of your salary into super, on top of the standard 12% superannuation guarantee. If you have any questions while completing it, call PayMe on 1800 082 006.

1

Deduction details

This deduction is on top of the standard 12% superannuation guarantee.

I would like this deducted as
2

Certification

I declare that I am responsible for my super salary sacrifice. I understand and acknowledge that:

  1. I am wholly responsible for this superannuation salary sacrifice deduction and for notifying PayMe of any change to the amount being deducted. I am responsible for monitoring that I do not go over the superannuation threshold and do not hold PayMe liable.
  2. I am responsible for obtaining independent financial advice regarding this superannuation salary sacrifice. PayMe accepts no liability should I fail to seek financial advice or for any financial advice I have independently sought.
  3. PayMe accepts no liability should I incur additional income tax or other costs, now or in the future, as a result of this salary sacrifice deduction.
  4. I agree to reimburse PayMe the full cost of any Fringe Benefits Tax liability or penalty incurred as a result of this super salary sacrifice deduction.
3

Your details

Signature
4

Supporting documents

Attach anything PayMe should see with this agreement. Optional.

Questions? Call PayMe on 1800 082 006 or read the Salary Packaging Fact Sheet.

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