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NSP_Blue-01-Jan-17-2022-04-56-29-76-AM

Independence Australia employee application form

Contact information

Next pay date
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Direct Phone number
Do you have Private Health Insurance?*
Do you have a HECS/HELP debt?*

Tax-free benefits you are Salary Packaging


Benefit 1.
$15,900 everyday living benefit 

  • Select the items/expenses you would like to salary sacrifice from the drop-down list below.
  •  If you would like to split the $15,900 benefit between your items/expenses, please let us know what you would like to spilt and how much  in the comments section 


Please Note: If you are applying for the benefits outside the start of the FBT year, 1st April, we will pro-rata your benefits for the remaining pay periods till the end of the FBT year (31st March) to maximise your benefits unless stated otherwise.

Annual employee fees (ex GST)

Fees are deducted from your pre-tax salary at the payroll level, thereby increasing the tax deductibility of your package.

  • Everyday living benefit (Max $15,900) and Meal, entertainment & holiday benefit ($2,650) management fee: $286 total ex GST
  • Please note: If you don't have any of the listed expenses, please apply for a Beyond Bank Everyday Living Visa card to utilise this benefit. An additional card fee of $2.00 per fortnight - $52.00 total ex GST will apply.
If you would like to split the $15,900 benefit between your items/expenses, please let us know what you would like to spilt and how much for each item.

Your Bank Account Details

Identifying Documents

PLEASE UPLOAD ALL SUPPORTING DOCUMENTS BELOW FOR VERIFICATION

  • Mortgage: Upload a current mortgage bank statement showing account name, BSB and loan account number.
  • Rental Upload your Rental / Lease agreement showing the name/s on the agreement and the BSB & account number of your Real Estate agent or Landlord.
  • Personal credit card: Upload a copy of your credit card statement showing your account name and BPAY details
  • Personal loan: Upload a copy of your credit card statement showing your account name and details

 

Upload here
Upload here
Please upload your bank statement of your mortgage account showing BSB & Account number. Please note: You must be listed as one of the borrowers or be a spouse or partner of the borrower. 
Please upload your Rental / Lease agreement showing your name on the agreement and the BSB & account number of your Real Estate agent or Landlord. 
Upload your personal credit card statement or any additional supporting documents here

AUTHORITY

Nominated Benefits & Personal Details, Terms, Agreements, Acknowledgements, and Consent Declaration

I declare that,

  • I am eligible to enter into a salary packaging arrangement within the policy guidelines specified by my employer
  • provided true and correct information in connection with this form;
  • I will provide all documentation to support expenses claimed in a timely manner, and respond promptly to any reminders sent by National Salary Packaging to provide that documentation;
  • I understand that if the supporting documentation is not provided, my salary package will be reduced and/or suspended until I provide that documentation;
  • I understand that my salary package will not be “back-dated” for any reduced amounts;
  • I accept all responsibility for any FBT liability or income tax payable as a result of not supplying supporting documentation as required; and
  • I accept that my employer and National Salary Packaging shall not be responsible for any tax liability due to me not supplying supporting documents or any other non-compliance by me with the taxation laws.
  • I acknowledge that I have read the internal policy guidelines (Employee benefits) outlined by my employer and agree to comply with the conditions as contained in the policy and the terms and conditions stated herein
  • I understand that I can adjust my salary and benefits at any time and that charges may apply
  • I acknowledge that on cessation of my employment or salary packaging arrangement, adjustments will be made to my entitlements, taking into account any liabilities that may arise
  • I acknowledge that where a change in taxation rules occurs, the effect of those changes may be applied to my package
  • In relation to any leased vehicle, either novated or associate, I remain responsible for any vehicle obtained under these lease agreements. This includes responsibility for finance arrangements, funding costs, and any outstanding liability at the completion of the termination of the lease.
  • All reimbursement claims must be substantiated with the relevant documentation and declarations as required.
  • Salary packaging could reduce your taxable income but may affect the way the ATO calculates your HECS/HELP repayments. To avoid any possible shortfall at tax time for unpaid HELP repayments, you need to let your payroll department know. You should seek financial advice if you're unsure.

This is general information and doesn’t take your personal circumstances into account. Please consider whether this information is right for you before making a decision and seek professional independent tax or financial advice. Conditions and fees apply, along with credit assessment criteria for lease and loan products. The availability of benefits is subject to your employer’s approval. NSP may receive commissions in connection with its services. Read the product disclosure statement available from us or the product issuer before deciding about the relevant insurance product.


Privacy statement: National Salary Packaging (NSP) is committed to protecting the privacy and rights of its customers. Our Privacy Policy contains important information about how we collect, hold, use and disclose personal information. It explains what happens if we cannot collect your personal information, as well as how you can access and correct the personal information, we hold about you or make a complaint.

If you do not wish to receive promotional material from us, or would like a copy of our Privacy Policy, please visit https://nationalsalarypackaging.com.au/privacy/ or contact us on 1300 882 578.

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