Income and Asset Statement (Financial Planner) - G324503937

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Locked Bag 7834 Canberra Bc, ACT 2610

CLK1LETTERG324503937

Reference: 420 542 800T

Mr Adam J Booker
U 2 35 Linville Rd
MOORE QLD 4314

20 February 2023

This Income Statement shows information we hold about you on your Centrelink record. If you
decide to show this information to anyone else for any reason, you can choose to show all the
information or to block some information out.

Income Statement

DOB 11 Jun 1976


Customer Partnered N
Maximum Rate JobSeeker Payment Y
Number of Children Assessed 0

Previous regular entitlements and payments

Payment Type Amount Date Paid Date of Grant


JobSeeker Payment $655.57 20 Feb 2023 20 Mar 2020
Energy Supplement $8.80 20 Feb 2023 20 Mar 2020
GST Component $12.83 20 Feb 2023 20 Mar 2020
Pharmaceutical Allowance $6.60 20 Feb 2023 20 Mar 2020

Previous irregular payments


There are no previous irregular payments to report.

Deductions from your payment

Payment Type Deduction Amount Date Paid


JobSeeker Payment Centrepay Deductions $50.00 20 Feb 2023
JobSeeker Payment Lump Sum Advance $38.50 20 Feb 2023
Repayment
JobSeeker Payment Rent deduction Scheme $11.00 20 Feb 2023
Deduction

Continued on the back

If you have any questions about this letter please ring: Your local Centrelink Office:
21 Markwell Street
132 850 OR Kingaroy QLD 4610
13 1202 for Multilingual Services
Monday — Friday 8.00 am — 5.00 pm Office Hours:
(Please quote reference number 420 542 800T ) Monday to Friday 8:30am — 4.30pm

1/1-1 servicesaustralia.gov.au
Continued from previous page

Deduction Details

Deduction Amount Date Paid Financial YTD


Court Fines OFFICE OF STATE $50.00 20 Feb 2023 $850.00
REVENUE - SPER

Target Amount Balance End Date


Outstanding
$8,002.95 $5,952.95

Deduction Amount Date Paid Financial YTD


Govt Housing Other DEPARTMENT OF $11.00 20 Feb 2023 $187.00
Pymt COMMUNITIES
HOUSING AND
DIGITAL ECONOMY
(HOUSING)
Target Amount Balance End Date
Outstanding

Future regular entitlements and payments

Payment Type Amount Date to be paid Date of Grant


JobSeeker Payment $655.57 3 Mar 2023 20 Mar 2020
Energy Supplement $8.80 3 Mar 2023 20 Mar 2020
GST Component $12.83 3 Mar 2023 20 Mar 2020
Pharmaceutical Allowance $6.60 3 Mar 2023 20 Mar 2020

Future irregular payments


There are no future irregular payments to report.

Details of your Income (Not including Centrelink payments)

Income Type Amount Frequency Date of Effect


Financial Investment Income $0.02 Annually 21 Feb 2022

Details of your Assets

Asset Type Value Date of Effect


Cash/Investments/Savings $11.00 17 Aug 2022
Household and Personal Effects $2,000.00 3 Sep 2010

Asset Type Amount Currency Type Date of Effect


Cash/Investments/Savings $1.00 AUD 25 Jun 2020
Institution name Product type No of units Unit value % owned
NAB Saving Account 100

Asset Type Amount Currency Type Date of Effect


Cash/Investments/Savings $10.00 AUD 17 Aug 2022
Institution name Product type No of units Unit value % owned
CASH ON HAND 100

If any of the above details are incorrect, please contact us as soon as possible.

Your reference number is 420 542 800T.

230220 BCH - 0 1 BL- 2

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