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					                                                                                   State Penalties Enforcement Registry (SPER)
                                                                                   GPO Box 1387 Brisbane 4001
                                                                                   Web site www.sper.qld.gov.au




                                                                   I give notice that the:
Notice of Cessation of Employment
               State Penalties Enforcement Act 1999
                           Section 84(4)
                                                                       Debtor has never been
                                                                                an employee
                                                                             Debtor has ceased
                                                                                   employment              Date employment ceased
                                                                                                                    /        /
Note: If the debtor is not employed or ceases employment
whilst a Fine Collection Notice is in force, this notice must be   Signed:
completed and given to the Registrar of SPER within 7 days
after the end of the month in which the employment ended.


                                                                   Position:

Debtor Details
Debtor’s full name
                                                                   Dated:
                                                                               /         /

FCN Id



Debtor’s address
                                                                   This notice should be returned to:


                                                                   Postal address:           The Registrar
                                 Postcode:                                                   State Penalties Enforcement Registry
                                                                                             GPO Box 1387, Brisbane QLD 4001
Debtor’s contact phone number
                                                                   Fax:                      <<CM_FAX>>
 (       )
                                                                   E-mail:                   <<FCN_EMAIL>>


A Fine Collection Notice for redirection of earnings has been
served on:
Employer name



Employer address




                                 Postcode:


Employer contact phone number
 (       )




                                                                                                                 SPER3005 – August 2007

				
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