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The document ceased to be valid since  October 28, 2022 according to Item 3.2 of the Instruction of the Central bank of the Russian Federation of June 28, 2022 No. 6171-U

It is registered

Ministry of Justice

Russian Federation

On April 4, 2018 No. 50622

INSTRUCTION OF CENTRAL BANK OF THE RUSSIAN FEDERATION

of November 23, 2017 No. 4617-U

About the list of the documents confirming fulfillment of requirements to the authorized capital of the insurer, and the list of the documents confirming sources of origin of the money deposited by founders of the license applicant on implementation of insurance and (or) on reinsurance implementation - physical persons in the authorized capital

This Instruction based on Item 3.1 of Article 25 and the subitem 10 of Item 3 of article 32 of the Law of the Russian Federation of November 27, 1992 No. 4015-I "About the organization of insurance case in the Russian Federation" (Sheets of the Congress of People's Deputies of the Russian Federation and the Supreme Council of the Russian Federation, 1993, No. 2, Art. 56; Russian Federation Code, 1998, No. 1, Art. 4; 1999, No. 47, Art. 5622; 2002, No. 12, Art. 1093; No. 18, Art. 1721; 2003, No. 50, Art. 4855, Art. 4858; 2004, No. 30, Art. 3085; 2005, No. 10, Art. 760; No. 30, Art. 3101, Art. 3115; 2007, No. 22, Art. 2563; No. 46, Art. 5552; No. 49, Art. 6048; 2009, No. 44, Art. 5172; 2010, No. 17, Art. 1988; No. 31, Art. 4195; No. 49, Art. 6409; 2011, No. 30, Art. 4584; No. 49, Art. 7040; 2012, No. 53, Art. 7592; 2013, No. 26, Art. 3207; No. 30, Art. 4067; No. 52, Art. 6975; 2014, No. 23, Art. 2934; No. 30, Art. 4224; No. 45, Art. 6154; 2015, No. 10, Art. 1409; No. 27, Art. 3946, Art. 4001; No. 29, Art. 4357, Art. 4385; No. 48, Art. 6715; 2016, №1, of Art. 52; No. 22, Art. 3094; No. 26, Art. 3863, Art. 3891; No. 27, Art. 4225; No. 27, Art. 4294, Art. 4296; 2017, No. 31, the Art. 4754) establishes the list of the documents confirming fulfillment of requirements to the authorized capital of the insurer, and the list of documents, confirming sources of origin of the money deposited by founders of the license applicant on implementation of insurance and (or) on reinsurance implementation - physical persons (further - physical persons) in the authorized capital.

Chapter 1. The list of the documents confirming fulfillment of requirements to the authorized capital of the insurer

1.1. For the purpose of confirmation of fulfillment of requirements to the authorized capital of the insurer, including in case of submission of documents for receipt of the license for implementation of insurance and (or) on reinsurance implementation, insurers (license applicants) to the Bank of Russia submit the following documents.

1.1.1. The complete list of founders (shareholders, participants) constituted for date of complete payment of the authorized capital (the recommended sample is given in appendix to this Instruction).

1.1.2. Data on observance by the insurer of procedure and conditions of investment of own means (capital) established by the Instruction of the Bank of Russia of February 22, 2017 No. 4298-U "About procedure for investment of own means (capital) for the insurer and the list of the assets permitted for investment", the registered Ministry of Justice of the Russian Federation on May 10, 2017 No. 46648, on July 11, 2017 No. 47363, constituted for the date which is directly preceding date of submission of documents in form of the Section 3 "Structural Ratios of Asset Cost, Means of Insurance Reserves and Own Means (Capital)" of form 0420154 "Report on structure and the structure of assets" established by the Instruction of the Bank of Russia of April 21, 2017 No. 4356-U "About forms, terms and procedure for creation and submission of the reporting by insurance companies and societies of mutual insurance to the Central bank of the Russian Federation" the registered Ministry of Justice of the Russian Federation on July 5, 2017 No. 47293.

1.2. For the purpose of confirmation of the fact of payment by founders (shareholders, participants) of the authorized capital of the insurer money in the Bank of Russia, including in case of submission of documents for receipt of the license for implementation of insurance and (or) on reinsurance implementation, insurers (license applicants) submits the following documents.

1.2.1. Copies of payment orders with mark about execution and (or) other settlement documents confirming money transfer of the founder (the shareholder, the participant) of the insurer on the settlement account of the insurer in payment of the authorized capital of the insurer.

1.2.2. Copies of the statements issued by credit institution and signed by the head of credit institution (the head of the structural unit of credit institution) or persons authorized by him (with appendix of the documents confirming powers) and certified by seal (in the presence) of credit institution (structural division of credit institution), on transactions on settlement accounts, confirming money transfer from settlement accounts of founders (shareholders, participants) in payment for the authorized capital of the insurer and transfer of money on the settlement account of the insurer in payment for its authorized capital.

1.3. In case of payment by founders (shareholders, participants) of the insurer of the authorized capital of the insurer over its minimum size non-cash means depending on type of the non-cash funds deposited in payment of the authorized capital of the insurer in the Bank of Russia, including in case of submission of documents for receipt of the license for implementation of insurance and (or) on reinsurance implementation, insurers (license applicants) submit the following documents.

1.3.1. Copies of the documents confirming the property right of the founder (the shareholder, the participant) of the insurer to the property brought as contribution to the authorized capital of the insurer to the date which is directly preceding date of introduction of the specified property as contribution to the authorized capital of the insurer.

1.3.2. Copies of the statements issued by registrar (depositary) from registers of owners of securities or on custody accounts in depositaries, the copy of the certificates confirming the property right of the founder (the shareholder, the participant) of the insurer to issued securities which pay the authorized capital of the insurer, for the date which is directly preceding date of introduction of the specified issued securities as contribution to the authorized capital of the insurer, the containing data on availability or on lack of encumbrance by their pledge.

1.3.3. Copies of the payment orders, reports of the broker and (or) other settlement documents confirming money transfer of the founder (the shareholder, the participant) of the insurer in payment of the transferred securities and also copies of statements from accounts from which payment of securities is performed, for the period, constituting at least than three months directly prior to payment date of the authorized capital. This requirement does not extend to cases if founder (the shareholder, the participant) the insurer is the credit institution.

1.3.4. Copies of the statements issued by registrar (depositary) from registers of owners of securities or on custody accounts in depositaries, the copy of the certificates confirming transition of the property right from founders (shareholders, participants) of the insurer to the insurer on issued securities which pay the authorized capital of the insurer.

1.3.5. Copies of deeds of conveyance the founder (the shareholder, the participant) of the property insurer in payment of the authorized capital of the insurer.

1.3.6. Copies of reports of the independent appraisers confirming assessment of the property brought in payment for the authorized capital of the insurer with appendix of the positive expert opinion prepared by the expert or experts of self-regulatory organization of appraisers whose members are appraisers.

1.3.7. The reference confirming fidelity of copies of the documents listed in subitems 1.3.1 - 1.3.6 these Items, signed by person performing functions of sole executive body of the founder (the shareholder, the participant) of the insurer, and certified by seal (in the presence) of the founder (the shareholder, the participant) of the insurer or signed by the physical person which is the founder (the shareholder, the participant) of the insurer.

1.4. For the purpose of confirmation of the fact of lack of use by founders (shareholders, participants) of the insurer of borrowed funds for payment of its authorized capital in the Bank of Russia, including in case of submission of documents for receipt of the license for implementation of insurance and (or) on reinsurance implementation, insurers (license applicants) submit the following documents.

1.4.1. Annual accounting (financial) accounts of the founder (the shareholder, the participant) of the insurer for the last complete accounting period preceding date of submission of documents with application of a copy of audit opinion or the certificate of lack of obligation of carrying out statutory audit.

Concerning the foreign founder (the shareholder, the participant) of the insurer its accounting records (the financial status statement of the foreign legal entity) for the last complete accounting period preceding date of submission of documents constituted according to the requirements established by the personal law of the legal entity are submitted.

1.4.2. Intermediate accounting (financial) records of the founder (the shareholder, the participant) of the insurer for the last complete accounting period preceding date of transfer of money on the settlement account of the insurer, date of introduction of record by the registrar or depositary confirming transition of the property right from founders (shareholders, participants) of the insurer to the insurer on issued securities, date of state registration of transition of the rights to real estate to the insurer (further - payment date of the authorized capital of the insurer), and also date of submission of documents.

At the same time if the founder (the shareholder, the participant) of the insurer payment of the authorized capital of the insurer was performed by several stages, then the intermediate accounting (financial) records of the founder (the shareholder, the participant) of the insurer are submitted for the last complete accounting period preceding date of making of the last payment (the last date of state registration by the insurer of the rights to all real estate units, the last date of introduction of records by the registrar or depositary).

1.4.3. The copy of the Book of accounting of the income and expenses of the organizations and individual entrepreneurs applying simplified taxation system, the Russian Federation approved by the order of the Ministry of Finance of October 22, 2012 No. 135n "About approval of forms of the Book of accounting of the income and expenses of the organizations and individual entrepreneurs applying simplified taxation system, Books of accounting of the income of the individual entrepreneurs applying patent system of the taxation and Procedures for their filling", the registered Ministry of Justice of the Russian Federation on December 21, 2012 No. 26233.

1.4.4. The calculations of net assets value of the founder (the shareholder, the participant) of the insurer constituted according to the Procedure for cost determination of net assets approved by the order of the Ministry of Finance of the Russian Federation of August 28, 2014 No. 84n "About approval of the Procedure for cost determination of net assets", registered by the Ministry of Justice of the Russian Federation on October 14, 2014 No. 34299 (further - the Procedure), for the date which is directly preceding payment date of the authorized capital of the insurer and on payment date of the authorized capital of the insurer.

Concerning the foreign founder (the shareholder, the participant) of the insurer calculations the net assets values calculated according to the legislation of foreign state, and in case of absence in the legislation of foreign state of such requirement - according to Procedure are represented.

If founder (the shareholder, the participant) of the insurer is the credit institution, the calculation of size of its own means (capital) determined according to the procedure, No. 395-P established by the Provision of the Bank of Russia of December 28, 2012 "About technique of determination of size of own means (capital) of credit institutions ("Basel is represented to III")", the registered Ministry of Justice of the Russian Federation on February 22, 2013 No. 27259, on November 29, 2013 No. 30499, on October 2, 2014 No. 34227, on December 11, 2014 No. 35134, on December 17, 2014 No. 35225, on March 24, 2015 36548, on June 5, 2015 No. 37549, on October 5, 2015 No. 39152, on December 8, 2015 No. 40018, on December 17, 2015 No. 40151, on August 26, 2016 No. 43442.

Copies of balance sheets (financial status statements of the foreign legal entity) based on which calculations are made are attached to the represented calculations.

1.4.5. Calculation of cost of the corrected net assets (own means (capital) of the founder (the shareholder, the participant) of the insurer, constituted by reduction of cost of its net assets on:

the amount delayed more than for 90 calendar days of receivables constituting more than five percent of assets of the founder (the shareholder, the participant) of the insurer (less the doubtful debt allowances created on it);

the amount of receivables of economic societies (less the doubtful debt allowances created on it) and the financial investments in economic societies (less the reserves created on them under impairment of the financial investments) which are liquidated, are in process of liquidation or are recognized as insolvent (bankrupts);

the amount of the financial investments of shares (shares) which are in crossholding (mutual participation in the authorized capital) with other founder (the shareholder, the participant) of the insurer (the legal entity acquiring shares (shares) of the insurer) and also the amount of the financial investments of shares (shares) which are in crossholding at the founder (the shareholder, the participant) of the insurer (the legal entity acquiring shares (shares) of the insurer) and the insurer;

amount of the financial investments of shares (shares) of credit institutions, non-state pension funds, insurers;

the amount of the paid increase in the authorized capital on which the changes made to the charter of the founder (the shareholder, the participant) of the insurer, connected with increase in its authorized capital are not registered according to the procedure, established by the legislation of the Russian Federation on state registration of legal entities and individual entrepreneurs.

The calculations specified in paragraph one of this subitem are constituted for the date which is directly preceding payment date of the authorized capital of the insurer and on payment date of the authorized capital of the insurer.

The corrected net assets (own funds (capital) of the founder (the shareholder, the participant) of the insurer for the date which is directly preceding payment date of the authorized capital of the insurer are considered as source of own means of specified persons for share acquisition (shares) of the insurer.

The size of the corrected net assets (own means (capital) of the founder (the shareholder, the participant) of the insurer it is sufficient if it at least cost of the acquired shares of the insurer acting in the form of joint-stock company (one share calculated proceeding from the price of placement and the number of shares), or the contribution cost (additional contribution), or the cost of the acquired shares of the insurer acting in the form of limited liability company.

1.4.6. Calculation of cost of own means of the founder (the shareholder, the participant) of the insurer - physical person, constituted by reduction of size of the income which sources are determined according to paragraph one of Item 2.2 of this Instruction, on:

expense amount on repayment of the obligations (including the main amount of debt and percent) according to credit agreements (loan agreements) performed in the period for which data on the income are represented to the Bank of Russia;

expense amount of physical person on share acquisition (shares) of credit institutions, non-state pension funds, the insurers performed in the period for which data on the income are represented;

the amount of the taxes (irrespective of their type) paid by physical person in accordance with the legislation of the Russian Federation (the legislation of foreign state) since the beginning of the period for which data on the income are represented to the Bank of Russia before date, directly prior payment date of the authorized capital of the insurer, and also on the amount of taxes which obligation on payment in accordance with the legislation of the Russian Federation (the legislation of foreign state) about taxes and fees is assigned to physical person, but is not stopped because fixed term of payment of these taxes on the date which is directly preceding payment date of the authorized capital did not come.

The calculations specified in paragraph one of this subitem are constituted for the date which is directly preceding payment date of the authorized capital of the insurer.

Own means of the founder (the shareholder, the participant) the insurer - physical person, expected according to this subitem the date which is directly preceding payment date of the authorized capital of the insurer are source of own means for share acquisition (shares) of the insurer.

The size of the calculated own means of the founder (the shareholder, the participant) of the insurer - physical person is sufficient if it at least cost of the acquired shares of the insurer acting in the form of joint-stock company (one share calculated proceeding from the price of placement and the number of shares), or the contribution cost (additional contribution), or the cost of the acquired shares of the insurer acting in the form of limited liability company.

1.4.7. Disaggregations:

receivables and payables by each type of the debt constituting more than five percent of assets of the founder (the shareholder, the participant) of the insurer on the last reporting date preceding payment date of the authorized capital of the insurer and also for the date which is directly preceding payment date of the authorized capital of the insurer and on payment date of the authorized capital of the insurer with indication of full trade name of the legal entities who are debtors (creditors), their identification taxpayer number, the basis of formation of debt (the agreement with indication of its number and date, the bill of exchange, other), date of creation and the term (date) of debt repayment, outstanding amount and the amount of the doubtful debt allowances created on this debt, the default reasons in time for overdue debt and also with indication of debt of economic societies which are liquidated are in process of liquidation, data on absence specified in this subitem debit and (or) accounts payable are acknowledged as insolvent (bankrupts), or;

the financial investments as of the last reporting date preceding payment date of the authorized capital of the insurer and also for the date which is directly preceding payment date of the authorized capital of the insurer and on payment date of the authorized capital of the insurer, with indication of type of the financial investments (type of securities, shares, loans), including in affiliated and dependent societies (with indication of full trade name of legal entities, their identification taxpayer number), in economic societies which are liquidated are in process of liquidation or are recognized as insolvent (bankrupts), the amounts of the financial investments and reserves created on them under impairment of the financial investments.

1.4.8. The reference of the founder (the shareholder, the participant) of the insurer containing data on the amount of the financial investments of shares (shares) which are in crossholding with other founder (the shareholder, the participant) of the insurer (the legal entity acquiring shares (shares) of the insurer) and also the amount of the financial investments of shares (shares) which are in crossholding of the founder (the shareholder, the participant) of the insurer (the legal entity acquiring shares (shares) of the insurer) and the insurer as of the date which is directly preceding payment date of the authorized capital of the insurer and also for date of submission of documents or data on lack of crossholding.

1.4.9. The certificate of the founder (the shareholder, the participant) of the insurer of the borrowed funds attracted with it in the last two years to payment date of the authorized capital containing data:

about full trade name - for legal entities according to constituent documents, or about surname, name, middle name (in the presence) - for physical persons, including for the individual entrepreneurs who provided borrowed funds and also about the primary state registration number of the legal entity or individual entrepreneur;

about the amount of borrowed funds;

about dates of the conclusion of agreements for attraction of borrowed funds and terms of attraction of borrowed funds;

about the purposes of attraction and the directions of the actual use;

about dates and the amounts of return of borrowed funds.

Concerning the founder (the shareholder, the participant) of the insurer, being credit institution, the reference specified in paragraph one of this subitem is not provided.

1.4.10. The certificate of the founder (the shareholder, the participant) of the insurer of absence of insolvency proceedings concerning it (bankruptcy) or carrying out liquidation procedure for the date which is directly preceding payment date of the authorized capital and date of submission of documents.

1.4.11. The certificate of the founder (the shareholder, the participant) of the insurer of condition of calculations for taxes, charges, insurance premiums, penalty fee, penalties, percent of the organizations and individual entrepreneurs and the certificate of execution by the taxpayer (the payer of charges, the tax agent) of obligation on tax payment, charges, penalty fee, penalties issued by tax authority not earlier than before one month to payment date of the authorized capital or similar data on absence of debt on tax payments at foreign legal entities.

The foreign founder (the shareholder, the participant) of the insurer has the right to constitute independently specified data which shall be confirmed by the founder's auditor (the shareholder, the participant) the insurer.

1.4.12. The reference confirming reliability of the data containing in the documents listed in subitems 1.4.1 - 1.4.11 presents of Item, signed by person performing functions of sole executive body of the founder (the shareholder, the participant) of the insurer, and certified by seal (in the presence) of the founder (the shareholder, the participant) of the insurer or signed by the physical person which is the founder (the shareholder, the participant) of the insurer.

1.5. The insurer in case of increase in the size of the authorized capital submits the following documents to the Bank of Russia.

1.5.1. The list of founders (shareholders, participants) specified in subitem 1.1.1 of Item 1.1 of this Instruction.

1.5.2. The insurer in case of increase in the authorized capital at the expense of own means submits the following documents:

the copy of the decision of authorized body of the insurer on increase in the authorized capital at the expense of property of society certified by the signature of person performing functions of sole executive body of the insurer and seal (in the presence) of the insurer;

the accounting (financial) records of the insurer constituted on the reporting date preceding date of increase in the authorized capital of the insurer at the expense of own means (property) of the insurer;

the accounting (financial) records of the insurer constituted on the reporting date following after date of increase in the authorized capital of the insurer at the expense of own means (property) of the insurer and prior to date of submission of documents (in case of submission of documents before date of completion of the accounting period following after date of increase in the authorized capital of the insurer - the accounting (financial) records of the insurer constituted on registration date by the federal executive body performing state registration of legal entities, the charter of the insurer in connection with increase in the authorized capital of the insurer);

in case of increase at the expense of the added capital created as a result of property increase in value by results of its revaluation - the description of this property and, in the presence, the copy of reports of the independent appraisers confirming assessment (revaluation) of such property with appendix of the positive expert opinion prepared by the expert or experts of self-regulatory organization of appraisers which member is the appraiser.

1.5.3. The insurer in case of increase in the authorized capital at the expense of means of shareholders (participants) submits the following documents:

the copy of the decision of authorized body of the insurer on increase in the authorized capital with indication of sources of its increase certified by the signature of person performing functions of sole executive body of the insurer and seal (in the presence) of the insurer;

the copy of the decision made by authorized body of the insurer created in the form of limited liability company, on approval of results of introduction of additional deposits by members of society and about entering into the charter of society of the changes connected with increase in the size of the authorized capital of society, certified by the signature of person performing functions of sole executive body of the insurer and seal (in the presence) of the insurer;

the documents specified in Items 1.2 - 1.4, Chapter 2 presents of the Instruction.

1.5.4. The insurer in case of increase in the authorized capital as a result of reorganization in the form of accession at the expense of the authorized capital of the joining societies submits the following documents:

copy of the decision of authorized body on reorganization;

copy of the Treaty of Accession;

the copy of the transfer act (in case of its creation);

the final accounting (financial) records of the joining organization constituted for the date preceding date of entering into the Unified State Register of Legal Entities of record about the termination of its activities;

the introductory accounting (financial) records of the insurer constituted for date of entering into the Unified State Register of Legal Entities of record about the termination of activities of the last from the attached organizations.

1.6. The insurer by reorganization in the form of transformation for the purpose of confirmation of fulfillment of requirements to the authorized capital submits the following documents:

copy of the decision of authorized body on reorganization;

the copy of the transfer act (in case of its creation);

the final accounting (financial) records of the transformed legal entity constituted for the date preceding date of entering into the Unified State Register of Legal Entities of record about the termination of its activities;

the introductory accounting (financial) records of again arisen legal entity constituted for date of entering into the Unified State Register of Legal Entities of record about creation of the legal entity;

if the authorized capital of the insurer created as a result of transformation was created not only at the expense of the authorized capital of the reorganized society, but also at the expense of other own means (at the expense of the added capital, retained earnings and other sources), the documents specified in Item 1.5 of this Instruction are submitted.

1.7. To the documents listed in Items 1.1 - 1.6 presents of the Instruction, the cover letter of the insurer (license applicant) signed by person performing functions of sole executive body of the insurer (license applicant), or person authorized by it (with appendix of the documents confirming powers) and under seal (in the presence) the insurer (license applicant) is attached.

Repeated submission to the Bank of Russia of the data and documents specified in subitem 1.3.6 of Item 1.3 and Item 1.4 of this Instruction is not required if they were represented to the Bank of Russia earlier and changes were not made to them.

In case of increase in the authorized capital of the insurer at the expense of own means repeated submission to the Bank of Russia of the accounting (financial) records specified in paragraphs three and the fourth subitem 1.5.2 of Item 1.5 of this Instruction is not required if it was represented to the Bank of Russia earlier and changes were not made to it.

In the cases specified in paragraphs second and third this Item, details of the outgoing letter by which documents were submitted to the Bank of Russia earlier are reflected in the cover letter of the insurer.

The documents submitted to the Bank of Russia by the foreign founder (the shareholder, the participant) shall be represented together with the copy of these documents containing line-by-line transfer into Russian.

Chapter 2. The list of the documents confirming sources of origin of the money deposited by physical persons in the authorized capital

2.1. The insurer (license applicant) for the purpose of confirmation of sources of origin of the money deposited by physical persons in the authorized capital submits the following documents to the Bank of Russia.

2.1.1. The certificate of the income of physical person issued by the tax agent in the form approved by appendix 1 to the order of the Federal Tax Service of October 30, 2015 No. MMB-7-11/485 @ "About approval of form of data on the income of physical person, procedure for filling and format of its electronic submission", to No. 39848 registered by the Ministry of Justice of the Russian Federation on November 25, 2015.

2.1.2. The copy of the tax declaration on income tax with attached to it supporting documents (further - the tax declaration) provided to tax authority in the cases determined by the legislation of the Russian Federation on taxes and fees, and containing mark of tax authority about its registration with indication of date of representation. The tax declaration can be provided without mark of tax authority about its registration in the following cases:

in case of the direction of the tax declaration by mail;

by transfer of the tax declaration in electronic form on telecommunication channels.

In case of submission of the tax declaration without mark of tax authority about its registration the copy of the receipt on sending the registered mail with the inventory of investment or the copy of the receipt on acceptance of the tax declaration, the copy of the protocol of incoming inspection of the tax declaration and the acknowledgment copy of sending (confirmation of the telecom operator) is submitted.

2.1.3. Copies of gift agreements or purchase and sale of the real estate, on performance of works or rendering services, other agreements (if source of origin of the money deposited by physical persons in the authorized capital is income (property) gained (received) under these agreements), documents about performed to physical person in accordance with the legislation of the Russian Federation (the personal law of the foreign physical person) payments.

2.1.4. The certificate of condition of calculations for taxes, charges, insurance premiums, penalty fee, penalties, percent of the physical persons who are not individual entrepreneurs, and the certificate of execution by the taxpayer (the payer of charges, the tax agent) of obligation on tax payment, charges, penalty fee, penalties issued by tax authority not earlier than before one month to payment date of the authorized capital.

2.1.5. Copies of the documents confirming expenses of physical person on share acquisition (shares) of credit institutions, non-state pension funds, insurers, and also other actually incurred period expenses, determined in the second paragraph of Item 2.2 of this Instruction which reduce its income.

If the physical person had no expenses on share acquisition (shares) of credit institutions, non-state pension funds, other insurers, about it the reference constituted by physical person independently is submitted.

2.1.6. The certificate signed by physical person, of the credits (loans) received by it in the last two years to payment date of the authorized capital, containing data on creditors (lessors), the amounts of the credits (loans), the dates of receipt and loan terms (loans), the purposes of obtaining and the directions of the actual use, and also data on repayment (return) of the credits (loans) with indication of date and the amounts constituted by physical person.

2.1.7. Copies of other documents confirming sources of origin of money of physical person.

2.2. The cover letter of the insurer (license applicant) signed by person performing functions of sole executive body of the insurer (license applicant), or person authorized by it (with appendix of the documents confirming powers) and under seal (in the presence) the insurer (license applicant) is attached to the documents listed in Item 2.1 of this Instruction.

The documents specified in subitems 2.1.1 - 2.1.3 and 2.1.7 Items 2.1 of this Instruction, are represented depending on the income types declared by physical person.

The period of time for which the documents specified in subitems 2.1.1 - 2.1.3 and 2.1.7 Items 2.1 of this Instruction are submitted is determined by physical person independently and is reflected in the cover letter of the insurer (license applicant).

Repeated submission to the Bank of Russia of the data and documents specified in Item 2.1 of this Instruction is not required if they were represented to the Bank of Russia earlier and changes were not made to them.

In case, the specified in paragraph four of this Item, details of the outgoing letter by which documents were submitted to the Bank of Russia earlier are reflected in the cover letter of the insurer (license applicant).

The documents submitted to the Bank of Russia by the foreign founder (the shareholder, the participant) shall be represented together with the copy of these documents containing line-by-line transfer into Russian.

Chapter 3. Final provisions

3.1. This Instruction becomes effective after 10 days after day of its official publication.

3.2. From the date of entry into force of this Instruction to declare invalid the Instruction of the Bank of Russia of September 10, 2015 No. 3790-U "About the list of the documents confirming fulfillment of requirements to the authorized capital of the insurer, and the list of the documents confirming sources of origin of the money deposited by founders of the license applicant on implementation of insurance and (or) on reinsurance implementation - physical persons in the authorized capital", registered by the Ministry of Justice of the Russian Federation on December 4, 2015 No. 39961.

Chairman of the Central bank of the Russian Federation

E. S. Nabiullina

Appendix

to the Instruction of the Bank of Russia of November 23, 2017 No. 4617-U "About the list of the documents confirming fulfillment of requirements to the authorized capital of the insurer, and the list of the documents confirming sources of origin of the money deposited by founders of the license applicant on implementation of insurance and (or) on reinsurance implementation - physical persons in the authorized capital"

(Recommended sample)

 

List of founders (shareholders, participants) _______________________________

                                                                        (full trade name

                                                                                 insurer, the main

                                                                        the state registration

                                                                              number of the insurer, its date

                                                                            state registration,

                                                                          registration number of record

                                                                              in single state

                                                                            register of subjects of insurance

                                                                                      cases (in the presence)

 

№ of payment order

Full name of the founder (the shareholder, the participant) of the insurer - the legal entity or surname, name, middle name (the last in the presence) the founder (the shareholder, the participant) of the insurer - physical person

Founder's INN (shareholder, participant) / state registration number of the foreign founder (shareholder, participant)

Surname, name, middle name (the last in the presence) the founder's head (the shareholder, the participant) of the insurer - the legal entity or passport data of the founder (the shareholder, the participant) of the insurer - physical person

It is paid for condition

The shares which passed to the insurer in thousand rubles (in the presence)

on "__" _________ 20 __ years

It is brought transferred) to the authorized capital of the insurer in thousand rubles, including in payment of the shares granting voting power (for the insurer in the form of joint-stock company)

share in the authorized capital (as a percentage); number of votes, belonging to the founder (the shareholder, the participant); category (type) of the shares belonging to the founder (shareholder) (for the insurer in the form of joint-stock company)

Date of introduction (transfer, increase in nominal value) share (contribution) to the authorized capital of the insurer

The list of the documents (with indication of their numbers) confirming introduction (transfer, increase in nominal value) of share (contribution)

1

2

3

4

5

6

7

8

9










 

Total _____________________________________________________________________

                                (total amount of the authorized capital of the insurer)

 

________________________________ ____________________ ___________________

     (Head of the insurer)          (personal signature)    (initials, surname)

 

    M.P.

(in the presence)

 

Note.

    In case of inclusion in  the participant list of the insurer of information about

the nominee holder of its shares in the list data shall be also specified

about    shareholders  for the benefit of whom  nominal is performed

continence.     These     data     are provided     before     line

"Total ______________________________________________".

             (total amount of the authorized capital of the insurer)

 

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