Form 6—Declaration to accompany applicatForm 6—Declaration to accompany application to trustee for information about a superannuation interest

## Form 6—Declaration to accompany application to trustee for information about a superannuation interest (regulation 62) Family Law Act 1975 subsection 90XZB(2) or 90YZR(2) DECLARATION BY APPLICANT FOR INFORMATION ABOUT A SUPERANNUATION INTEREST I, \[name\], of \[postal address\], born on \[date of birth\], make the following declaration in support of my application to the trustee of \[name of eligible superannuation plan from which information is sought\] (the plan) for information about: \*(a) my superannuation interest. \*(b) a superannuation interest of \[full name of member\], born on \[date of birth of member\], who is a member of the plan. 1. I am: \*(a) a member of the plan. \*(b) the spouse of \[name\], who is a member of the plan. \*(c) intending to enter into a superannuation agreement under \[Part VIIIB/Part VIIIC\] of the Family Law Act 1975 with \[name\], who is a member of the plan. 2. I require the information to: \*(a) assist me to properly negotiate a superannuation agreement. \*(b) assist me in connection with the operation of \[Part VIIIB/Part VIIIC\] of the Family Law Act 1975. DATED: \[signature of person making declaration\] \* Omit if not applicable