2
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 Date Signature: 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.
![Step 1 Log in using your credentials · 2020-06-02 · El 2M request Cl 7th request CJ request 8m request C] request 9m request Input total of ... Yes No Applicant submitted an electronic](https://static.documents.pub/doc/80x56/5f17ffc8ecc19b342616bc84/step-1-log-in-using-your-credentials-2020-06-02-el-2m-request-cl-7th-request-cj.jpg)
