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Income Statement

This document is an income statement from Centrelink that provides details about benefit payments, deductions, future payments, income and assets for a customer. It shows regular and irregular past payments, future regular payments, details of income not including Centrelink payments, and asset values and dates.

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jessedawson182
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© © All Rights Reserved
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Download as PDF, TXT or read online on Scribd
154 views

Income Statement

This document is an income statement from Centrelink that provides details about benefit payments, deductions, future payments, income and assets for a customer. It shows regular and irregular past payments, future regular payments, details of income not including Centrelink payments, and asset values and dates.

Uploaded by

jessedawson182
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Locked Bag 7834 Canberra Bc, ACT 2610

CLK1LETTERG332820332

Reference: 202 495 238V

Ms Tania Bradbury
23 Nelson St
COWRA NSW 2794

17 April 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 27 Jan 1973


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 $748.06 12 Apr 2024 9 Jul 2023
Energy Supplement $8.80 12 Apr 2024 9 Jul 2023
GST Component $14.64 12 Apr 2024 9 Jul 2023
Rent Assistance $188.20 12 Apr 2024 9 Jul 2023

Previous irregular payments


There are no previous irregular payments to report.

Deductions from your payment

Payment Type Deduction Amount Date Paid


JobSeeker Payment Child Support Deduction $59.67 12 Apr 2024

Continued on the back

If you have any questions about this letter please ring: Your local Centrelink Office:
93-95 Brisbane St
132 850 OR Cowra NSW 2794
13 1202 for Multilingual Services
Monday — Friday 8.00 am — 5.00 pm Office Hours:
(Please quote reference number 202 495 238V ) Monday to Friday 8.30 am to 4.30 pm

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

Future regular entitlements and payments

Payment Type Amount Date to be paid Date of Grant


JobSeeker Payment $748.06 26 Apr 2024 9 Jul 2023
Energy Supplement $8.80 26 Apr 2024 9 Jul 2023
GST Component $14.64 26 Apr 2024 9 Jul 2023
Rent Assistance $188.20 26 Apr 2024 9 Jul 2023

Future irregular payments


There are no future irregular payments to report.

Details of your Income (Not including Centrelink payments)


There are no income details to report.

Details of your Assets

Asset Type Value Date of Effect


Cash/Investments/Savings $1.00 21 Nov 2023
Household and Personal Effects $100.00 29 May 2013

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

Your reference number is 202 495 238V.

240417 BCH - 0 1 BL- 2

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