Super Manager

Section 4 – New Company Details

Preferred name trustee company

Alternative name trustee company

Company names must be unique and not similar to any other Company. Please check your preference on the ASIC website or click on this link - ASIC Company Register

Section 5 - Director Details

Director 1

Given Name

Last Name

Title

Other Title

Gender

Address

Suburb

State

Postcode

Date of Birth

Place of Birth

Tax File Number

Director ID Number

(only required if Fund has a Corporate Trustee)

Phone

Occupation

Former Name

Do you have any former name?

YesNo

Given Names (of most recent former name)

Last Name (of most recent former name)

Director Consent

I am aware of my responsibilities and consent to my appointment as a director of the LRBA Company.

Which of the following declarations are you as a director of the trustee able to make:

I am unaware, or have no reasonable grounds to suspect, that a person who is, or is acting as, a responsible officer of the trustee is a disqualified person as defined in section 120(1) of the Superannuation Industry (Supervision) Act 1993.I am aware, or have reasonable grounds to suspect, that a disqualified person is, or is acting as, a responsible officer of the Trustee. However, we believe that person is eligible (under subsection 126B(1) of the Superannuation Industry (Supervision) Act 1993) to apply to the regulator for a declaration waiving his or her status as a disqualified person and that the person will make an application under subsections 126B(3) within the allowed period.

Section 6 – Custody Trust Details

Name of Custody Trust

Which Jurisdiction’s laws will apply to the Declaration of the Custody Trust

Please enter the state in which the custody trust laws will apply

Lender Details

TBA (To Be Advised)

Lender’s Company Name

Lender’s Company ACN?

Address

Suburb

State

Postcode

Loan Details

TBA (To Be Advised)

Loan Amount ($)

Loan Term

Settlement Date

Asset Details

What type of asset is the trustee acquiring for the fund through the limited recourse borrowing arrangement?

Real estate.Shares in a company listed on the ASX.Shares in a company not listed on the ASX.Units in a trust, fund or managed investment, registered with ASIC, and listed on the ASX.Units in a trust, fund or managed investment, registered with ASIC, but not listed on the ASX.Other

Property Details

TBA (To Be Advised)

Address

Suburb

State

Postcode

Title Reference Number

Section 1 - Fund Details

Section 2 – LRBA Company Details

Section 3 – Existing Company Details
(Please provide a current annual company statement)

Section 4 – New Company Details

Section 5 - Director Details

Director 1

Former Name

Director Consent

Section 6 – Custody Trust Details

Lender Details

Loan Details

Asset Details

Property Details

Section 7 – Declaration

Section 1 - Fund Details

Section 2 – LRBA Company Details

Section 3 – Existing Company Details .css-16n8wg7{color:rgb(37, 134, 136);font-size:13px;line-height:150%;margin-top:0;margin-bottom:0;}.css-16n8wg7 a{color:rgb(37, 134, 136);}(Please provide a current annual company statement)

Section 4 – New Company Details

Section 5 - Director Details

Director 1

Former Name

Director Consent

Section 6 – Custody Trust Details

Lender Details

Loan Details

Asset Details

Property Details

Section 7 – Declaration

Section 3 – Existing Company Details
(Please provide a current annual company statement)