ࡱ> ?A>[1bjbj 38ΐΐ@))yyy84.pppQ piypN"ppp))9;pv)8ypaA&CAQ0 N  yppppppp4ppppppp ppppppppp : Anexa nr. 12  Nr. de nregistrare .............................../......................... CERERE PENTRU ELIBERAREA UNUI CERTIFICAT de atestare fiscal PENTRU PERSOANE JURIDICE PRIVIND IMPOZITE, TAXE LOCALE _i alTe venituri Datorate bugetulUI local D-le./D-n DIRECTOR, DATE DE IDENTIFICARE ALE PERSOANEI JURIDICE Subscrisa ...................................................................................., Cod unic de identificare ..................., judec .................. loc. ........................... cod po_tal ....................... sector ...., str. ....................................................... nr. ....., bloc .... scara ... etaj ... ap .... tel. ................................ fax ............................., adres de e-mail & & & & & & & & & & & & & & , nregistrat la registrul comercului ........................... la nr. ........................... . Pentru punctul de lucru: & & & & & & & & & & & & & & ., avnd Codul de identificare fiscal.........................................., judec ................ loc. ............................ cod po_tal ....................... sector ...., Strad ............................................... nr. ...., bloc ............................... scara .... etaj ... ap .... Telefon ................................ fax ............................. adres de e-mail & & & & & & & & & & & & & & , nregistrat la registrul comercului ........................... la nr. ................................ . 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Declar pe proprie rspundere, cunoscnd prevederile Codului penal c la data prezentei cereri societcii/instituciei nu are alte modificri ale materiei impozabile fac de ultima declaracie depus la organul fiscal. n cazul n care, organul fiscal solicit clarificarea situaciei fiscale din motive imputabile societcii/instituciei pe care o reprezint m oblig s furnizez precizrile _i documentele necesare clarificrii acesteia n regim de urgenc. n caz de nefurnizare a informaciilor _i documentelor solicitate sunt de acord cu amnarea termenului de eliberare a certificatului fiscal pn la clarificarea situaciei fiscale. Data: & & & & /& & & & 20... Prenume _i nume ..................................................................... Calitatea.................................................................................... Semntura _i _tampila ............................................... Not: Certificatul de atestare fiscal se elibereaz solicitantului la sediul organului fiscal.     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