Client Client Employment Employed Self-employed Employed Self-employed Employment type Full time Part time Casual Full time Part time Casual Employer: occupation/title: Date commenced employment Number of hours worked per week: Current Income (Before Tax) Client Client Gross salary/wages $ $ How often do you get paid? Weekly Fortnightly Monthly Weekly Fortnightly Monthly Income from other employment/work $ $ Fringe benefits Benefit $ $ allowance/cash: $ $ Commissions/ bonus/profit share: $ $ Benefit:_____________________________ Benefit:_____________________________ Centrelink/Department of Veteran Affairs benefits Amount: $________________ per fortnight Amount: $________________ per fortnight Gifts in the last 5 years? Centrelink Reference Number (CRN) Private hospital cover Yes No Yes No Is this income expected to change Yes / / No Yes / / No over the next 12 months when? – Expected/increased income $ $ Sick Leave: Sick Leave: Annual Leave: Annual Leave details (hours/days) LSL: LSL: Other: Other: Do you have any capital gains from sale of investments this financial year? Any unused capital losses carried forward from sale of investments? Household Day to Day Expenses - Show as an annual amount
Client Client Employment Employed Self-employed Employed Self-employed Employment type Full time Part time Casual Full time Part time Casual Employer: occupation/title: Date commenced employment Number of hours worked per week: Current Income (Before Tax) Client Client Gross salary/wages $ $ How often do you get paid? Weekly Fortnightly Monthly Weekly Fortnightly Monthly Income from other employment/work $ $ Fringe benefits Benefit $ $ allowance/cash: $ $ Commissions/ bonus/profit share: $ $ Centrelink/Department of Veteran Affairs benefits Benefit:_____________________________ Benefit:_____________________________ Amount: $________________ per fortnight Amount: $________________ per fortnight Gifts in the last 5 years? Centrelink Reference Number (CRN) Private hospital cover Yes No Yes No Is this income expected to change over the next 12 months – when? Yes / / No Yes / / No Expected/increased income $ $ Leave details (hours/days) Sick Leave: Annual Leave: LSL: Other: Sick Leave: Annual LSL: Other: Do you have any capital gains from sale of investments this financial year? Any unused capital losses carried forward from sale of investments? Household Day to Day Expenses - Show as an annual amount
Client%20Fact%20Finder%20V36%202.07.18.docx