S290-170 NOTICE

<<SMSFMember1>>
<<Fund_Address>>
<< DATE>>
Dear Trustee/s,
Re: Notice of Deductibility for personal superannuation Contributions 
under s 290-170 of ITAA 1997
I am a member of the <<FundName>>		. I intend to claim the personal contributions under Section 290-170 of the Income Tax Assessment Act 1997 and confirm that I satisfy all the required criteria to claim the above deduction and wish to clarify that I am lodging this notice on the day that I lodged my tax return for the year <<Year>>/(OR)the end of the income year after the year <<Year>>. 
Further, I intend to claim the below as the personal contributions under s 290-170 of ITAA 1997:
Amount of contributions made for the year ended 30 June <<Year>>             <<$    	>>
Amount of contributions to be claimed as an income tax deduction for <<Year>> <<$    	>>
At the time of completing this notice, this super fund has not begun to pay a superannuation income stream based in whole or part on these contributions. Moreover, I have not included these contributions in an earlier notice.
The information given on this notice is correct and complete.
Yours Faithfully

<<Signature of Member>>
<<Name Of Member>>

MINUTES OF MEETING
<<FundName>>

HELD AT  			<<Fund_Address1>>
				<<Fund_Address2>>
ON THE			 <<DD/MM/YYYY>>	
PRESENT:	<<SMSFMember1>> (Chairperson)
<<SMSFMember2>>
<<SMSFMember3>> 
<<SMSFMember4>>	

SELF EMPLOYMENT & OTHER CRITERIA
DECLARATION :  	
The following member is self employed and entitled to claim a personal deduction for member concessional contributions under Section 290-170 ITAA 1997:
 
MEMBER NAME

The member has confirmed that their employment income represents less than 10% of their total assessable income, reportable fringe benefits and reportable employer superannuation contributions for the << FINANCIAL YEAR>> financial year. 

The member also confirms that he has met the age based and all other criteria required in claiming the above deduction.

The member has contributed a total of <<$       >> to the fund in the financial year <<Year>>. Of this,  <<$        >> (INSERT AMOUNT TO BE TREATED AS PERSONAL CONTRIBUTIONS) will be treated as member concessional contributions and claimed as a personal tax deduction by the member under s290-170 ITAA 1997.

IT WAS RESOLVED THAT:	
The member provide the Trustees with a copy of the ATO Notice of intention to claim/vary a deduction for personal super contributions form for all member concessional contributions for which a tax deduction is being claimed. The trustees have acknowledged receipt of the same.

CLOSED: 
	
There being no further business the meeting was then closed. 

Confirmed as a true record of the meeting held this day. 
<<Signature of Chairperson>>
…………………………….............................. 					Date <<Date>>
<<Name of SMSFMember1>>
Chairperson

Trustee Acknowledgement of 
Section 290-170 Notice

<<MEMBER NAME>>
<<MEMBER ADDRESS>> 
 <<DATE>>
Dear <<MEMBER NAME>>
Re: <<FundName>>
personal superannuation Contributions

We acknowledge receipt of your notice pursuant to Section 290-170 of the Income Tax Assessment Act 1997 and confirm the following:
Amount of contributions made for the year ended 30 June <<Year>>    <<$           >>
Amount of contributions to be claimed as an income tax deduction for <<Year>>  <<$           >>
If you believe the amounts stated above are incorrect or are not in accordance with your original Notice, please contact us immediately.

Yours Faithfully

<<Signature of Trustee>>
On behalf of the trustees of
<<NAME OF SMSF>>