07/0399 - Form 1 [As Published] · 172007.399

 

INTEGRATED PLANNING ACT 1997

. Part E, Version 2.0, 4 October 2004
() Is a PLSL levy applicable in this instance? Cino

 

[I YES - compete afi
(i) Has the approved form (issued by QLeave and which signifies that the PLSL levy has been paid) been sighted by the assessment
manager / private certifier at the time of lodgement of this application?

CINo [YES - provide receipt details below

LL _]