Change of Company Details Order Formabn: 47 002 604 088

Change of Company Details Order FormABN: 47 002 604 088

Officeholder – Appointment/Retirement

E-mail to: one: 1300 139 001Fax to: 1300 139 013

Please complete all mandatory fields (*). Reckon Docs can not be held responsible for illegible forms. By completing this form, you agree to Reckon Docs Trading Terms & Conditions on , and the customer confirms that all officeholders and shareholders have consented to their appointments under section 117(5) of the Corporations Act 2001 and confirms Reckon Docs Pty Ltd to act as the lodging agent on their behalf.

EO-1.07Reckon Docs Locked Bag 7522 McMahons Point NSW 2060March 2013

Contact Details*Date of Order:
Practice Name:
Contact Name:E-mail:
Shipping Address:Level/St.:
Shipping AddressSuburb: State:ACTNSWNTQLDSATASVICWA Postcode:
Telephone: Fax:
Special Instructions:
Payment Details*(if no method selected, the order will be placed on a 30-day account)
Reckon Docs holds a Direct Debit AuthorityDirect Deposit (fax or e-mail receipt)On Account
Credit Card Details: (discount for payment with order)Visa MasterCard AMEX Diners
Name on Card: CCV/AMEX ID:
Card Number: Expiry Date: (mm/yyyy)
Print Options*(If no option is selected, a Print & Delivery will be provided)
Print & DeliveryDIY Print (e-mail)
Company Details*
Company Name:
Company ACN:
Registered Office Address: Level/St.:
Registered Office Address: Suburb: State: ACTNSWNTQLDSATASVICWA Postcode:
Officer Details*This person is aDirectorSecretary
Date of Change:(dd/mm/yyyy)Type of ChangeAppointment Retirement Deceased
Surname/ACN:Given Names/Company:
Address: Level/St.:
Address: Suburb: State:ACTNSWNTQLDSATASVICWA Postcode:
Date of Birth:Place of Birth: State:ACTNSWNTQLDSATASVICWA Country:
Officer Details*This person is aDirector Secretary
Date of Change:(dd/mm/yyyy)Type of ChangeAppointment Retirement Deceased
Surname/ACN: Given Names/Company:
Address: Level/St.:
Address: Suburb: State:ACTNSWNTQLDSATASVICWA Postcode:
Date of Birth:Place of Birth: State:ACTNSWNTQLDSATASVICWA Country:
Officer Details*This person is aDirector Secretary
Date of Change:(dd/mm/yyyy)Type of ChangeAppointment Retirement Deceased
Surname/ACN: Given Names/Company:
Address: Level/St.:
Address: Suburb: State:ACTNSWNTQLDSATASVICWA Postcode:
Date of Birth:Place of Birth: State:ACTNSWNTQLDSATASVICWA Country:
Officer Details*This person is aDirector Secretary
Date of Change:(dd/mm/yyyy)Type of ChangeAppointment Retirement Deceased
Surname/ACN:Given Names/Company:
Address: Level/St.:
Address: Suburb: State:ACTNSWNTQLDSATASVICWA Postcode:
Date of Birth:Place of Birth: State:ACTNSWNTQLDSATASVICWA Country:
Officer Details*This person is aDirector Secretary
Date of Change:(dd/mm/yyyy)Type of ChangeAppointment Retirement Deceased
Surname/ACN: Given Names/Company:
Address: Level/St.:
Address: Suburb: State:ACTNSWNTQLDSATASVICWA Postcode:
Date of Birth:Place of Birth: State:ACTNSWNTQLDSATASVICWA Country:
Officer Details*This person is aDirector Secretary
Date of Change:(dd/mm/yyyy)Type of ChangeAppointment Retirement Deceased
Surname/ACN: Given Names/Company:
Address: Level/St.:
Address: Suburb: State:ACTNSWNTQLDSATASVICWA Postcode:
Date of Birth:Place of Birth: State:ACTNSWNTQLDSATASVICWA Country:
Officer Details*This person is aDirector Secretary
Date of Change:(dd/mm/yyyy)Type of ChangeAppointment Retirement Deceased
Surname/ACN: Given Names/Company:
Address: Level/St.:
Address: Suburb: State:ACTNSWNTQLDSATASVICWA Postcode:
Date of Birth:Place of Birth: State:ACTNSWNTQLDSATASVICWA Country:
Officer Details*This person is aDirector Secretary
Date of Change:(dd/mm/yyyy)Type of ChangeAppointment Retirement Deceased
Surname/ACN: Given Names/Company:
Address: Level/St.:
Address: Suburb: State:ACTNSWNTQLDSATASVICWA Postcode:
Date of Birth:Place of Birth: State:ACTNSWNTQLDSATASVICWA Country:
Officer Details*This person is aDirector Secretary
Date of Change:(dd/mm/yyyy)Type of ChangeAppointment Retirement Deceased
Surname/ACN: Given Names/Company:
Address: Level/St.:
Address: Suburb: State:ACTNSWNTQLDSATASVICWA Postcode:
Date of Birth:Place of Birth: State:ACTNSWNTQLDSATASVICWA Country:
What to do next: Submit form with the following items:

1. copy of a current company extract; OR
2. copy of the company’s annual review statement

/ Please forward copies to:
e: ; OR
f: 1300 139 013.

EO-1.07Reckon Docs Locked Bag 7522 McMahons Point NSW 2060March 2013