The Binding Death Nomination Form Template – Australia is offered in multiple formats, including PDF, Word, and Google Docs. These options are both customizable and ready for printing, ensuring they fit your requirements seamlessly.
Binding Death Nomination Form Template – Australia Editable | PrintableSample
1. Nominee Information 2. Policy Information 3. Nomination Details 4. Alternate Nominee (If Applicable) 5. Declaration 6. Witness Information 7. Date of Nomination 8. Signatures
PDF
WORD
Examples
[Name of Deceased]
[Date of Birth]
[Date of Death]
[Address]
[Nominee’s Name]
[Nominee’s Relationship to Deceased]
[Nominee’s Address]
[Nominee’s Phone]
[Nominee’s Email]
This Binding Death Nomination Form (“Form”) allows the deceased to specify the distribution of their superannuation benefits upon their passing, in accordance with the Superannuation Industry (Supervision) Act.
I, [Deceased’s Name], declare that this nomination is binding and I, at the time of completion, am of sound mind and not under duress.
I hereby nominate the following beneficiary/beneficiaries: [List any additional beneficiaries and percentages].
All prior nominations made by me, if any, are hereby revoked by this submission.
I understand that this nomination will be held by my superannuation fund and that it will be acted upon in accordance with the laws governing superannuation in Australia.
Signed by [Deceased’s Name] on [Date].
Signature: ________________________
[Full Name of Deceased]
[Date of Birth]
[Date of Death]
[Last Known Address]
[Nominee 1: Name and Contact Details]
[Nominee 2: Name and Contact Details]
[Nominee 3: Name and Contact Details]
This form is intended to clarify the wishes of the deceased regarding the distribution of superannuation funds to reduce the potential for disputes among beneficiaries after death.
I, [Deceased’s Name], intend my superannuation benefits to be paid as prescribed in this form, reflecting my wishes as the account holder.
I wish to nominate the following individuals to receive my superannuation benefits: [percentages of benefits allocated to each nominee].
I confirm that I have the authority to make this nomination and that all details are accurate and complete to the best of my knowledge.
This nomination is made in accordance with the relevant legislation and will remain binding until revoked by me in writing.
Signed on [Date] by [Deceased’s Name].
Signature: ________________________
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