<<Date>>
The Trust and Audit Team
Registration and Monitoring Branch
Consumer Protection
Department of Commerce
Locked Bag100
EAST PERTH WA 6892
To the Commissioner for Consumer Protection
Auditor’s Declarations
I <<AUDITOR’S NAME>> hereby notify the Commissioner for Consumer Protection of my consent to the appointment as auditor of all trust accounts held by the agent nominated below (“the Agent”). I confirm that I am a registered company auditor under Part 9.2 of the Corporations Act 2001. I confirm that I am not related by blood, marriage or de facto relationship and have not had any business dealings with the agent, or anyone working with the agent. I undertake to disclose to the Commissioner any business dealings I have with or through the Agent at any time during my appointment as auditor. I understand that my appointment as auditor for the Agent is continuous unless the Commissioner approves a subsequent change in the appointment.
Agent’s Details (the Agent)
Triennial Certificate or
Licence Number
Name
Trading Name
Licensee / Person in Bona Fide Control Name
Address
Email Address
Auditor’s Details
Registered Company Auditor Number
Name
Firm or Company Name
Email Address
Telephone Number
Yours Sincerely,
_______________________________
<<AUDITOR’S NAME>>