REQUEST FOR STATEMENT OF QUALIFICATIONS (RFSOQ), REQUEST ...
Mail To: Smartleasing GPO Box 4244 Request to …...Request to Pay Novated Lease Registration...
Transcript of Mail To: Smartleasing GPO Box 4244 Request to …...Request to Pay Novated Lease Registration...
Mail To: Smartleasing GPO Box 4244 Sydney NSW 2001
Email: [email protected]
Page 1 of 2
Version Date: 18-Dec-2016
Request to Pay Novated Lease Registration
Given Name(s)
Contact Number
Employer
Log in to your online Smartleasing account at www.smartleasing.com.au to find your account number
Smartleasing Account Number
Smartleasing Ref:
Surname
Vehicle Registration Number
Registration Renewal Date
If it was required, a Safety Check has been completed and a copy of the report is attached
A copy of the registration renewal is attached. Please submit a copy of your renewal, as original renewal documents will not be returned.
Where my vehicle required a safety check I have provided an original copy of my safety report to the Motor Registy and this has been recorded against my vehicle (NT and ACT)
My registration payment is not due within the next 10 days (If your payment is due in less than ten days time you should make this payment and seek reimbursement)
Not Applicable
Section D - Employee Declaration* The information provided is true and correct to my knowledge; * I have read and understand the information about the Smartsalary Registration Program on the Smartleasing website; * All of the required documentation to allow my vehicle to be registered is attached to this request; * I accept that if my vehicle is registered in a state where an owner may make a choice in their CTP provider, Smartleasing will make that selection; * I have read and accept the Fully Maintained Lease Services Terms & Conditions available the Smartleasing website and, * I authorise Smartleasing to alter my deductions in accordance with the requirements of my vehicle package. * I agree to contact Smartleasing to confirm my registration status on or just before the due date if I have not received confirmation of payment
DateSignature:
IMPORTANT: This section must be signed otherwise the vehicle will not be registered under the program
Section A - My Personal Details
Section B - My Vehicle Details
Section C - Checklist Yes
State
Amount owing (excl. GST)
GST on amount due
Important: We will only be able to renew your registration if we receive all documentation by no later than 5.00pm (AEST) 10 days before the registration expiry date. By signing the below declaration, you acknowledge and accept that you are responsible for ensuring that the vehicle is registered and insured at all times. Any liability incurred as a result of a failure to register or insure your vehicle is your sole responsibility.
Mail To: Smartleasing GPO Box 4244 Sydney NSW 2001
Email: [email protected]
Page 2 of 2
Version Date: 18-Dec-2016
Request to Pay Novated Lease Registration
Authority to act
Please accept this letter as authorisation for Smartsalary Pty. Ltd. to act on my behalf on matters relating to vehicle registration certificates and re-registration of the below mentioned vehicle.
Plate Number
Description
VIN Number
This authority is valid until revoked by myself or the vehicle ownership is transferred.
Should you require further information please do not hesitate to contact me.
Name
Address
Daytime contact number
DateSignature:
IMPORTANT: This section must be signed otherwise the vehicle will not be registered under the program
Driver License Number
Important: We will only be able to renew your registration if we receive all documentation by no later than 5.00pm (AEST) 10 days before the registration expiry date. By signing the below declaration, you acknowledge and accept that you are responsible for ensuring that the vehicle is registered and insured at all times. Any liability incurred as a result of a failure to register or insure your vehicle is your sole responsibility.