Locked Bag 7834 Canberra Bc, ACT 2610
CLK1LETTERA212380889
Reference: 502 342 631H
Miss Michelle T Marsh
47 Yandra St
TAPEROO SA 5017
4 February 2024
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 25 May 1982
Customer Partnered N
Maximum Rate Carer Payment Y
Maximum Rate Family Tax Benefit (A) Y
Number of Children Assessed 2
Child 1 Percentage Care 100%
Child 2 Percentage Care 100%
Continued on the back
If you have any questions about this letter please ring: Your local Centrelink Office:
72 Lipson St
132 717 OR SA
13 1202 for Multilingual Services Port Adelaide 5015
Monday — Friday 8.00 am — 5.00 pm Office Hours:
(Please quote reference number 502 342 631H ) Monday to Friday 8:30am — 4:30pm
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Previous regular entitlements and payments
Payment Type Amount Date Paid Date of Grant
Carer Allowance $153.50 24 Jan 2024 28 Aug 2012
Carer Payment $1,002.50 31 Jan 2024 28 Aug 2012
Pension Supplement $37.00 31 Jan 2024 28 Aug 2012
Family Tax Benefit Part A $490.84 24 Jan 2024 1 Jul 2000
( $490.84)*
Family Tax Benefit Part B $126.56 24 Jan 2024 1 Jul 2000
( $126.56)*
Energy Supplement Part A $7.98 24 Jan 2024 1 Jul 2000
( $7.98)*
Energy Supplement Part B $1.96 24 Jan 2024 1 Jul 2000
( $1.96)*
* Note: These payments, in brackets, are your current legislated maximum entitlements. In some
cases the payments reported will be different to the amounts you actually receive.
Previous irregular payments
There are no previous irregular payments to report.
Deductions from your payment
Payment Type Deduction Amount Date Paid
Carer Payment Centrepay Deductions $200.00 31 Jan 2024
Carer Payment Lump Sum Advance $120.00 31 Jan 2024
Repayment
Carer Payment Rent deduction Scheme $320.15 31 Jan 2024
Deduction
Family Tax Benefit Centrepay Deductions $52.48 24 Jan 2024
Family Tax Benefit Lump Sum Advance $99.82 24 Jan 2024
Repayment
Family Tax Benefit Rent deduction Scheme $320.15 24 Jan 2024
Deduction
Future regular entitlements and payments
Payment Type Amount Date to be paid Date of Grant
Carer Allowance $153.50 7 Feb 2024 28 Aug 2012
Carer Payment $1,002.50 14 Feb 2024 28 Aug 2012
Pension Supplement $37.00 14 Feb 2024 28 Aug 2012
Family Tax Benefit Part A $490.84 7 Feb 2024 1 Jul 2000
( $490.84)*
Family Tax Benefit Part B $126.56 7 Feb 2024 1 Jul 2000
( $126.56)*
Energy Supplement Part A $7.98 7 Feb 2024 1 Jul 2000
( $7.98)*
Energy Supplement Part B $1.96 7 Feb 2024 1 Jul 2000
( $1.96)*
* Note: These payments, in brackets, are your current legislated maximum entitlements. In some
cases the payments reported will be different to the amounts you actually receive.
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
Maintenance Income $1,722.24 Annually 19 Sep 2023
240204 BCH - 0 1 BL- 2
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Details of your Assets
Asset Type Value Date of Effect
Household and Personal Effects $500.00 10 Mar 2009
If any of the above details are incorrect, please contact us as soon as possible.
Your reference number is 502 342 631H.
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