ࡱ> ["bjbj 4$ΐΐ@@TMt/JEE EIIIIIIIILNBI9EEEEEIM+I|F|F|FEX8I|FEI|F|FHHjBAHF4HII0/JH-O|F-OHH\-OIEE|FEEEEEII|FEEE/JEEEE-OEEEEEEEEE@ [:Anexa nr. 5 STEMA UNITII ADMINISTRATIV-TERITORIALEROMNIA Judeul ........................................................ (UNITATEA/SUBDIVIZIUNEA ADMINISTRATIV-TERITORIAL( ........................................................................................................... Codul de nregistrare fiscal: & & & & ..& ... Adres/Cont IBAN/tel/fax/e-mailModel 2016ITL  005 Nrnreg& .........../data & & & ..Numrul de rol nominal unicNr. i data nregistrrii n Registrul de eviden a mijloacelor de transport supuse nmatriculrii/nregistrrii, DECLARAIE FISCAL: PENTRU STABILIREA IMPOZITULUI/TAXEI PE MIJLOACELE DE TRANSPORT AFLATE N PROPRIETATEA persoanelor fizice (PF) persoanelor juridice (PJ) Subsemnatul Contribuabilul PF/ mputernicit (PJ) & & & & & & & & & & & & & & & & & & & .., legitimat prin B.I./C.I./A.I. serie& nr. & & & & & .., CNP & & & & & & & & & , judec .................. loc. ........................... cod po_tal ....................... sector ...., str. ....................................................... nr. ....., bloc .... scara ... etaj ... ap .... tel. ............................ fax ............................., adres de e-mail & & & & & & & & & & .& , Contribuabilul (PJ) & & & & & & & & & & & & & & ., 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 & & & & & & & & & & & & & & & n temeiul prevederilor Legii nr. 227/2015 privind Codul fiscal, cu modificrile _i completrile ulterioare declar c am dobndit prin vnzare-cumprare/achizicionare prin contract de leasing urmtoarele mijloace de transport: % mijloace de transport cu tracciune mecanic supuse nmatriculrii Nr. crt.Marca _i tipulData dobndiriiSerie _asiuSerie motorCapacitate cilindricAnul fabricaiei1234567Motociclete, tricicluri, cvadricicluri _i autoturisme cu capacitatea cilindric de pn la 1600 cm3, inclusiv1.2.3.Motociclete, tricicluri i cvadricicluri cu capacitatea cilindric peste 1600 cm31.2.3.Autoturisme cu capacitatea cilindric ntre 1601 cm3 _i 2000 cm3, inclusiv1.2.3.Autoturisme cu capacitatea cilindric ntre 2001 cm3 _i 2600 cm3, inclusiv1.2.3.Autoturisme cu capacitatea cilindric ntre 2601 cm3 _i 3000 cm3, inclusiv1.2.3.Autoturisme cu capacitatea cilindric de peste 3.001 cm31.2.p~   f h j ݵxhUH;,hkh1CJOJQJaJhkh1CJOJQJhkh1CJ OJQJ$ jhkh15CJ OJQJ\hkh15CJ OJQJ\$ jhkh15CJ OJQJ\hkh1CJOJQJ\hkh1CJOJQJht=h1CJOJQJ^J ht=h1CJOJQJ^JaJ,jhkh)FOJQJUmHnHtHuhkh1CJOJQJht=hl+F5OJQJh[ki5OJQJp j B  @ d$ &P#$/Ifgd1 & F$ &P#$/Ifgd1$d$ &P#$/Ifa$gd1 $da$gd1    ( > @ B z | ` d f h  ǷscSc=+ht=h15CJOJPJQJaJnHtHhkh15CJOJQJaJhkh15CJOJQJaJ#ht=h15CJOJQJ^JaJ#hNWmh15CJOJQJ^JaJh15CJOJQJ^JaJ ht=h1CJOJQJ^JaJhkh15CJOJQJaJ hkh1hkh1CJOJQJaJhkh<OJQJhkh1OJQJhkh15OJQJ@ B z B" $d$ &P#$/If]^a$gd1kd$$IflF=J(2 r  t 6P 06    44 lapyt1z | b d $$ &P#$/If]^a$gd1 & F$ &P#$/Ifgd1d f *kd $$IflA\= xJ(2   t 6P 0644 lap(yt1f h < NA $da$gd1kd:$$IflJ(  t 6P  0644 lap yt1$d$ &P#$/Ifa$gd$d$ &P#$/Ifa$gd1 : < @ P V lp־֮rcrWrH8hNWmh?j$CJOJQJ]aJhNWmh?j$CJOJQJaJhl+FCJOJQJaJht=hl+F@CJOJQJht=hl+FCJOJQJaJ/jh)Fh)F5OJQJUmHnHtHuh1hl+F5CJ OJQJ hkh1hkh15CJOJQJaJ/jhkh)F5OJQJUmHnHtHu+ht=h15CJOJPJQJaJnHtH%h5CJOJPJQJaJnHtH Vl$D\t$d$Ifa$gd1$d$Ifa$gd1 $da$gd1$d`a$gd1 HJ`bz| 68PRŷөөxөө!hkht=5CJH*OJQJ\hkht=5CJOJQJ\hkht=5CJH*OJQJhkht=5CJOJQJhkhv$5CJ OJQJhkht=5CJ OJQJ hkht=hkht=CJOJQJhNWmhl+FOJQJhv$CJOJQJ]aJ/%$d$Ifa$gd1kd$$Ifl4֞ Fh#J(# 0644 laf4yt $d$Ifa$gd1%d$Ifgd1kd0$$Ifl4֞ Fh#J(# 0644 laf4yt veeeeeee$d$Ifa$gd1{kdw$$Ifl40#J(h 0644 laf4yt d$Ifgd1 %$d$Ifa$gd1kdP$$Ifl4֞ Fh#J(# 0644 laf4yt $d$Ifa$gd1%$d$Ifa$gd1kd$$Ifl4֞ Fh#J(# 0644 laf4yt $d$Ifa$gd1%d$Ifgd1kd$$Ifl4֞ Fh#J(# 0644 laf4yt veeeeeee$d$Ifa$gd1{kd $$Ifl40#J(h 0644 laf4yt d$Ifgd1 %$d$Ifa$gd1kd $$Ifl4֞ Fh#J(# 0644 laf4yt $d$Ifa$gd1%$d$Ifa$gd1kd $$Ifl4֞ Fh#J(# 0644 laf4yt $d$Ifa$gd1x%d$Ifgd1kd* $$Ifl4֞ Fh#J(# 0644 laf4yt xz|veeeeeee$d$Ifa$gd1{kdc$$Ifl40#J(h 0644 laf4yt d$Ifgd1 %$d$Ifa$gd1kd<$$Ifl4֞ Fh#J(# 0644 laf4yt $d$Ifa$gd1%$d$Ifa$gd1kdu$$Ifl4֞ Fh#J(# 0644 laf4yt $d$Ifa$gd1N%d$Ifgd1kd$$Ifl4֞ Fh#J(# 0644 laf4yt NPRXZ\^`bdveeeeeee$d$Ifa$gd1{kd$$Ifl40#J(h 0644 laf4yt d$Ifgd1 Rdfxz &(:<NPbd||||T|V|h|j|||~|||2}4}F}H}Z}\}n}p}}}}}}}}}0~2~D~F~X~Z~l~n~haCJOJQJaJhkht=5CJOJQJ\Uhkht=5CJH*OJQJhkht=5CJOJQJ hkht=hkht=CJOJQJ>dfl%$d$Ifa$gd1kd$$Ifl4֞ Fh#J(# 0644 laf4yt lnprtvx$d$Ifa$gd1xz%$d$Ifa$gd1kd$$Ifl4֞ Fh#J(# 0644 laf4yt $d$Ifa$gd1$%d$Ifgd1kd$$Ifl4֞ Fh#J(# 0644 laf4yt $&(.02468:veeeeeee$d$Ifa$gd1{kdO$$Ifl40#J(h 0644 laf4yt d$Ifgd1 :<B%$d$Ifa$gd1kd($$Ifl4֞ Fh#J(# 0644 laf4yt BDFHJLN$d$Ifa$gd1NPV%$d$Ifa$gd1kda$$Ifl4֞ Fh#J(# 0644 laf4yt VXZ\^`b$d$Ifa$gd1bd%d$Ifgd1kd$$Ifl4֞ Fh#J(# 0644 laf4yt veeeeeee$d$Ifa$gd1{kd$$Ifl40#J(h 0644 laf4yt d$Ifgd1 %$d$Ifa$gd1kd$$Ifl4֞ Fh#J(# 0644 laf4yt $d$Ifa$gd13.Autobuze, autocare, microbuze1.2.3.Alte autovehicule cu masa total maxim autorizat de pn la 12 tone inclusiv1.2.3.Tractoare nmatriculate1.2.3.Motociclete, motorete, scutere _i ata_e1.2.3.n cazul n care contribuabilul a dobndit un ata care circul la una din motocicletele declarate se precizeaz data dobndirii ataului i motocicleta de care este ataat n cele ce urmeaz: n cazul n care vreunul din mijloacele de transport de mai sus este hibrid se face precizarea n cele ce urmeaz: n cazul n care vreunul din mijloacele de transport de mai sus este exclusiv electric se face precizarea n cele ce urmeaz: % remorci, semiremorci sau rulotesupuse nmatriculrii Nr. crt.Marca _i tipulData dobndiriiSerie _asiuMasa totalAnul fabricaiei1234561.2.3.4.5.%Vehicule supuse nregistrrii Nr. crt.Marca _i tipulData dobndiriiSerie _asiuSerie motorCapacitate cilindricAnul fabricaiei123456Vehicule nregistrate cu capacitate cilindric mai mic de 4800 cm31.2.3.Vehicule nregistrate cu capacitate cilindric peste 4800 cm31.2.3.Vehicule fr capacitate cilindric evidenciat1.X2.X3.X Beneficiez de scutire/reducere de la plata impozitului pe mijloacele de transport, 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& & & & & & & & & & & & & & & & & & & & & & .. 4& & & & & & & & & & & & & & & & & & & & & & .. 5& & & & & & & & & & & & & & & & & & & & & & ..6& & & & & & & & & & & & & & & & & & & & & & .. 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 ............................................ 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