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.

Deduction details

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

I would like this deducted as

A fixed dollar amount of my taxable income, not including the 12% superannuation guaranteeA percentage of my taxable income, not including the 12% superannuation guarantee

Amount per pay ($)e.g. 400.00When would you like the deduction to start?

Special instructions (if applicable)For example: $400 per week only if 40 hours worked.

Certification

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

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.
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.
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.
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.

I have read, understood and accept the certification above.

Your details

Full nameEmailDate

Signature

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

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