ࡱ> ikh[?bjbj 7^ΐΐp++<dwwwwwLNNNNNN jN|N++wwddd4+lwwLdLdd,dwvBAd80dddxdNNZ  :  Subsemnatul ......................................................................, identificat prin actul de identitate ................., seria.........., nr. ................................. i codul numeric personal .............................................................,domiciliat n ROMANIA / ............................, judecul ............................, codul po_tal ....................., municipiul/ora_ul/comuna .............................. satul/sectorul .................................., str. ........................................., nr............, bl. ..........., sc........., et........, ap........., n calitate de reprezentant al & & & & & & & & & & & & & & & .., Codul de identificare fiscal.............................., judec .................. loc. ........................... cod po_tal ....................... sector ...., str. ....................................................... nr. ....., bloc .... scara ... etaj ... ap ...................... tel. ................................ fax ............................., adres de e-mail & & & & & & & & & & & & & & , nregistrat la registrul comercului ........................... la nr. ........................... , cont IBAN & & & & & & & & & & & & & & .., deschis la & & & & & & & & & & & & & & & , declar c: 1. ncepnd cu data de ..... / ........... 20..... prin actul nr.............. din ....... / .......... 20......., am dobndit/nchiriat/concesionat/preluat n administrare/preluat n folosinc un teren situat n comuna/ora_ul/municipiul .....................................................................satul / sectorul .................................., str. ........................................., nr............, nregistrat n REGISTRUL AGRICOL 20 .../ 20 ..., TIPUL ..........., VOL ........., POZITIA NR.................., cota de proprietate ., coproprietari: 2. ncepnd cu data de ..... / ........... 20..... prin actul nr.............. din ....... / .......... 20......., am dobndit/nchiriat/concesionat/preluat n administrare/preluat n folosinc un teren situat n comuna/ora_ul/municipiul .....................................................................satul / sectorul .................................., str. ........................................., nr............, nregistrat n REGISTRUL AGRICOL 20 .../ 20 ..., TIPUL ..........., VOL ........., POZITIA NR.................., cota de proprietate ., coproprietari: 3. ncepnd cu data de ..... / ........... 20..... prin actul nr.............. din ....... / .......... 20......., am dobndit/nchiriat/concesionat/preluat n administrare/preluat n folosinc un teren situat n comuna/ora_ul/municipiul .....................................................................satul / sectorul .................................., str. ........................................., nr............, nregistrat n REGISTRUL AGRICOL 20 .../ 20 ..., TIPUL ..........., VOL ........., POZITIA NR.................. cota de proprietate ., coproprietari: 4. ncepnd cu data de ..... / ........... 20..... prin actul nr.............. din ....... / .......... 20......., am dobndit/nchiriat/concesionat/preluat n administrare/preluat n folosinc un teren situat n comuna/ora_ul/municipiul .....................................................................satul / sectorul .................................., str. ........................................., nr............, nregistrat n REGISTRUL AGRICOL 20 .../ 20 ..., TIPUL ..........., VOL ........., POZITIA NR.................. cota de proprietate & & & & ., coproprietari: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & 5. ncepnd cu data de ..... / ........... 20 `  P v ϼϯsdUF7Fh hrX@CJmHsHh h|"CJaJmHsHh h^CJaJmHsHh hxCJaJmHsHh h|CJaJmHsHh hdm+CJaJmHsHh h9CJaJmHsHh hrXCJaJmHsHh h0CJ mHsH$jh hdm+UmHnHsHuh h0mHsH$jh h|UmHnHsHu$jh hiUmHnHsHu  kV!......,// $$Ifa$gd+$qq$If]q^qa$gd+$a$gd>@?$a$gd_ C$a$gd$a$gdrXgd  ^`z|ikӵyyj[[L[h hdm+CJaJmHsHh hCJaJmHsHh hC~CJaJmHsHh hrCJaJmHsHh h9CJaJmHsHh h`-CJaJmHsHh h!CJaJmHsHh hxCJaJmHsHh h>:CJaJmHsHh h|"CJaJmHsHh h|"CJaJmHsHh hrXCJaJmHsHkUV !"*-~........*/,/@?CJ aJ mHsHUh h>@?CJaJmHsHh heCJaJmHsHh hdm+CJaJmHsHh h_ CCJaJmHsH..... prin actul nr.............. din ....... / .......... 20......., am dobndit/nchiriat/concesionat/preluat n administrare/preluat n folosinc un teren situat n comuna/ora_ul/municipiul .....................................................................satul / sectorul .................................., str. ........................................., nr............, nregistrat n REGISTRUL AGRICOL 20 .../ 20 ..., TIPUL ..........., VOL ........., POZITIA NR.................. cota de proprietate & & & & ., coproprietari: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & Nr. Crt.Parcela / adresa unde este situat terenulIntravilan ( I ) extravilan ( E )Suprafaca terenului, pe categorii de folosinc, in m2Rang localitZ O N A Terenuri cu construccii ArabilP_uneFneacVieLivadPdureTerenuri cu apeDrumuri _i ci ferateTerenuri neproduct. Intrat pe rodNeintrat pe rodIntrat pe rodNeintrat pe rodPn n 20 de ani/cu rol de protecciePeste 20 de aniCu amenajare piscicolFr amenajare piscicolLiberOcup1234Beneficiez de scutire/reducere de la plata impozitului pe teren n cot de ........., n calitate de ................................ conform documentelor anexate ...............................................................  Sunt de acord ca actele administrative fiscale s-mi fie comunicate exclusiv la adresa de pot electronic. Anexez la prezenta declaraie copii ale documentelor, certificate de conformitate cu originalul, conform art. 64 alin. (5) din Legea nr. 207/2015 privind Codul de procedur fiscal, cu modificrile i completrile ulterioare, dup cum urmeaz: 1& & & & & & & & & & & & & & & & & & & & & & .. 2& & & & & & & & & & & & & & & & & & & & & & .. 3& & & & & & & & & & & & & & & & & & & & & & .. Prin semnarea prezentei am luat la cuno_tinc ca declararea necorespunztoare a adevrului se pedepse_te conform legii penale, cele declarate fiind corecte _i complete. Data ................... Director P.J., ^ef compartiment contabil, L. S. & & & & & & & & & & & & & & & & & & & & & & & (prenumele, numele _i semntura) (prenumele, numele _i semntura) Anexa nr. 4 Model 2016 ITL  004 nregistrat sub nr..... din... / .../ 20... La organul fiscal local din raza administrativ-teritorial unde se afla situate terenurile.Funccionarul Public............................. S.S.Rol Nominal Unic nr. ................... 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