SMSF Application Form 1WELCOME2FUND INFO3TRUSTEE4COMPANY5ASIC AGENT & ADDRESS6MEMBER 17M1 ROLES8MEMBER 29M2 Roles10MEMBER 311M3 ROLES12MEMBER 413M4 ROLES14MEMBER 515M5 ROLES16MEMBER 617M6 ROLES18GST & BANK19CONFIRM WelcomeWelcome to Your SMSF Application We’re excited to help you take the first step in setting up your Self-Managed Super Fund (SMSF) with HelloLedger.To get started, this application form will guide you through: Choosing your fund and trustee structure Setting up a corporate trustee (if applicable) Other setup details Member and trustee information Fund InformationPlease provide the basic details for the SMSF.Fund Name(Required)How many members will the SMSF have?(Required)123456 Trustee StructureChoose the trustee structure for the SMSF.Individual trustees require at least 2 members. Please go back and change the member count or select a company as trustee. What trustee type will the SMSF have?(Required) A company as trustee Individual trustees (minimum 2) Would you like HelloLedger to establish a special purpose trustee company or will you use an existing company?(Required) New company Existing company Company DetailsPlease enter the details for the corporate trustee company.Company Name(Required)Company Suffix(Required)Pty LtdPTY LTDPty LimitedPTY LIMITEDPreferred state of registration(Required)NSWVICQLDWASATASACTNTExisting Company DetailsPlease provide the details of the existing trustee company.Company name(Required)ACN(Required)Registered Office Address line 1(Required)Registered Office Address line 2Suburb(Required)State(Required)NSWVICQLDWASATASACTNTPostcode(Required)Would you like HelloLedger to act as ASIC agent for your company?(Required) Yes No If HelloLedger acts as ASIC agent for the company, we can assist with ongoing ASIC compliance and related company administration. ASIC Agent & AddressPlease provide ASIC agent preference and company address details.Would you like to appoint HelloLedger as ASIC agent for your company?(Required) Yes No Address Line 1(Required)Address Line 2Suburb(Required)State(Required)NSWVICQLDWASATASACTNTPost Code(Required) Member 1 DetailsPlease enter the details for the first member of the fund.Title(Required)First Name(Required)Middle NameNo Middle Name No Middle Name Surname(Required)Gender(Required)MaleFemaleOtherDate of Birth (DOB)(Required)DayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Tax File Number(Required)Mobile Number(Required)Email address(Required) Member 1 Roles & Address DetailsSelect the roles for Member 1 and complete their address details.Roles (tick all that apply)(Required) Member Director Shareholder Secretary Roles (tick all that apply)(Required) Member Trustee Director ID(Required)Place of birth (country)(Required)Place of birth (suburb)(Required)Place of birth (state)(Required)NSWVICQLDWASATASACTNTNumber of shares(Required)Member 1 Address DetailsResidential addressAddress Line 1(Required)Address Line 2Suburb(Required)State(Required)NSWVICQLDWASATASACTNTPost Code(Required)Postal addressSame as residential address?(Required) Yes No Address Line 1(Required)Address Line 2Suburb(Required)State(Required)NSWVICQLDWASATASACTNTPost Code(Required) Member 2 DetailsPlease enter the details for the second member of the fund.Title(Required)First Name(Required)Middle NameNo Middle Name No Middle Name Surname(Required)Gender(Required)MaleFemaleOtherDate of Birth (DOB)(Required)DayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Tax File Number(Required)Mobile Number(Required)Email address(Required) Member 2 Roles & Address DetailsSelect the roles for Member 2 and complete their address details.Roles (tick all that apply)(Required) Member Director Shareholder Secretary Roles (tick all that apply)(Required) Member Trustee Director ID(Required)Place of birth (country)(Required)Place of birth (suburb)(Required)Place of birth (state)(Required)NSWVICQLDWASATASACTNTNumber of sharesMember 2 Address DetailsResidential addressAddress Line 1(Required)Address Line 2Suburb(Required)State(Required)NSWVICQLDWASATASACTNTPost Code(Required)Postal addressSame as residential address?(Required) Yes No Address Line 1(Required)Address Line 2Suburb(Required)State(Required)NSWVICQLDWASATASACTNTPost Code(Required) Member 3 DetailsPlease enter the details for the third member of the fund.Title(Required)First Name(Required)Middle NameNo Middle Name No Middle Name Surname(Required)Gender(Required)MaleFemaleOtherDate of Birth (DOB)(Required)DayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Tax File Number(Required)Mobile Number(Required)Email address(Required) Member 3 Roles & Address DetailsSelect the roles for Member 3 and complete their address details.Roles (tick all that apply)(Required) Member Director Shareholder Secretary Roles (tick all that apply)(Required) Member Trustee Director ID(Required)Place of birth (country)(Required)Place of birth (suburb)(Required)Place of birth (state)(Required)NSWVICQLDWASATASACTNTNumber of sharesMember 3 Address DetailsResidential addressAddress Line 1(Required)Address Line 2Suburb(Required)State(Required)NSWVICQLDWASATASACTNTPost Code(Required)Same as residential address?(Required) Yes No Postal addressAddress Line 1(Required)Address Line 2Suburb(Required)State(Required)NSWVICQLDWASATASACTNTPost Code(Required) Member 4 DetailsPlease enter the details for the fourth member of the fund.Title(Required)First Name(Required)Middle NameNo Middle Name No Middle Name Surname(Required)Gender(Required)MaleFemaleOtherDate of Birth (DOB)(Required)DayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Tax File Number(Required)Mobile Number(Required)Email address(Required) Member 4 Roles & Address DetailsSelect the roles for Member 4 and complete their address details.Roles (tick all that apply)(Required) Member Director Shareholder Secretary Roles (tick all that apply)(Required) Member Trustee Director ID(Required)Place of birth (country)(Required)Place of birth (suburb)(Required)Place of birth (state)(Required)NSWVICQLDWASATASACTNTNumber of sharesMember 4 Address DetailsResidential addressAddress Line 1(Required)Address Line 2Suburb(Required)State(Required)NSWVICQLDWASATASACTNTPost Code(Required)Postal addressSame as residential address?(Required) Yes No Address Line 1(Required)Address Line 2Suburb(Required)State(Required)NSWVICQLDWASATASACTNTPost Code(Required) Member 5 DetailsPlease enter the details for the fifth member of the fund.Title(Required)First Name(Required)Middle NameNo Middle Name No Middle Name Surname(Required)Gender(Required)MaleFemaleOtherDate of Birth (DOB)(Required)DayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Tax File Number(Required)Mobile Number(Required)Email address(Required) Member 5 Roles & Address DetailsRoles (tick all that apply)(Required) Member Director Shareholder Secretary Roles (tick all that apply)(Required) Member Trustee Director ID(Required)Place of birth (country)(Required)Place of birth (suburb)(Required)Place of birth (state)(Required)NSWVICQLDWASATASACTNTNumber of sharesMember 5 Address DetailsResidential addressAddress Line 1(Required)Address Line 2Suburb(Required)State(Required)NSWVICQLDWASATASACTNTPost Code(Required)Postal addressSame as residential address?(Required) Yes No Address Line 1(Required)Address Line 2Suburb(Required)State(Required)NSWVICQLDWASATASACTNTPost Code(Required) Member 6 DetailsPlease enter the details for the sixth member of the fund.Title(Required)First Name(Required)Middle NameNo Middle Name No Middle Name Surname(Required)Gender(Required)MaleFemaleOtherDate of Birth (DOB)(Required)DayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Tax File Number(Required)Mobile Number(Required)Email address(Required) Member 6 Roles & Address DetailsSelect the roles for Member 6 and complete their address details.Roles (tick all that apply)(Required) Member Director Shareholder Secretary Roles (tick all that apply)(Required) Member Trustee Director ID(Required)Place of birth (country)(Required)Place of birth (suburb)(Required)Place of birth (state)(Required)NSWVICQLDWASATASACTNTNumber of sharesMember 6 Address DetailsResidential addressAddress Line 1(Required)Address Line 2Suburb(Required)State(Required)NSWVICQLDWASATASACTNTPost Code(Required)Postal addressSame as residential address?(Required) Yes No Address Line 1(Required)Address Line 2Suburb(Required)State(Required)NSWVICQLDWASATASACTNTPost Code(Required) GST Registration & Bank DetailsPlease confirm GST setup preference and provide bank details.Would you like us to register the SMSF for GST as part of setup?(Required) Yes No Bank(Required)Bank Address(Required)Bank Suburb(Required)Bank State(Required)NSWVICQLDWASATASACTNTBank Post Code(Required) Confirm & AuthorisePlease review and confirm your authority to proceed.Authorisation to Proceed(Required) I confirm that I would like HelloLedger to proceed with the setup of a new Self-Managed Super Fund based on the information I’ve provided. Signed(Required)Full name(Required) Review Your ApplicationPlease review the details you have entered before proceeding to the final confirmation.