It is registered
Ministry of Justice
Russian Federation
On January 28, 2009 No. 13192
of December 8, 2008 No. 137n
About approval of form of the tax declaration on unified imputed income tax for separate types of activity and the Procedure for its filling
Based on Item 7 of article 80 of the Tax Code of the Russian Federation (Russian Federation Code, 1998, N 31, Art. 3824; 1999, N 28, Art. 3487; 2006, N 31, Art. 3436; 2007, N 1, the Art. 28, the Art. 31) and according to the Federal Law of July 22, 2008 N 155-FZ "About modification of part the second the Tax Code of the Russian Federation" (The Russian Federation Code, 2008, N 30, 3611) I order to the Art.:
1. Approve form of the tax declaration on unified imputed income tax for separate types of activity according to the appendix N 1 to this order.
2. Approve the Procedure for filling of the tax declaration on unified imputed income tax for separate types of activity according to the appendix N 2 to this order.
3. Determine that this order becomes effective, since submission of the tax declaration in 1 quarter 2009.
4. From the date of entry into force of this order to recognize invalid orders of the Ministry of Finance of the Russian Federation:
of January 17, 2006 N 8 N (registration number 7482) is registered in the Ministry of Justice of the Russian Federation on February 8, 2006;
of December 19, 2006 N 177 N (registration number 8869) is registered in the Ministry of Justice of the Russian Federation on January 31, 2007;
of September 20, 2007 N 83 N (registration number 10353) is registered in the Ministry of Justice of the Russian Federation on October 19, 2007.
Deputy Prime Minister of Russia Minister of Finance of the Russian Federation
A. L. Kudrin
Appendix №1
to the order of the Ministry of Finance of the Russian Federation of December 8, 2008 No. 137n
+--+ +--+
| | | | +-----------------------------------+
+--+ штрих-код +--+ ИНН | | | | | | | | | | | | |
02908014 +-----------------------------------+
+--------------------------+ +--------+
КПП | | | | | | | | | | Стр. | 0| 0| 1|
+--------------------------+ +--------+
Форма по КНД 1152016
+--------+ +-----+ +-----------+
Номер | | | | Налоговый | | | Отчетный | | | | |
корректировки +--------+ период (код) +-----+ год +-----------+
+-----------+ +--------+
Представляется в налоговый | | | | | по месту учета | | | |
орган (код) +-----------+ (код) +--------+
+------------------------------------------------------------+
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
+------------------------------------------------------------+
+------------------------------------------------------------+
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
+------------------------------------------------------------+
+------------------------------------------------------------+
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
+------------------------------------------------------------+
+------------------------------------------------------------+
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
+------------------------------------------------------------+
(налогоплательщик)
+-----+ +-----+ +-----+
Код вида экономической деятельности по | | |.| | |.| | |
классификатору ОКВЭД +-----+ +-----+ +-----+
+-------------------------------+
Номер контактного телефона | | | | | | | | | | | | | | | | |
+-------------------------------+
+--------+
На | | | | страницах с приложением подтверждающих документов или
+--------+
+--------+
их копий на | | | | листах
+--------+
--------------------------------------------------------------------
Достоверность и полноту сведений, |Заполняется работником налогового
указанных в настоящей декларации, |органа
подтверждаю: |Сведения о представлении дек-
+--+ |ларации +-----+
| |1 - налогоплательщик, | Данная декларация | | |
| |2 - представитель налогопла- | представлена (код): +-----+
+--+ тельщика |
+--------------------------------+ | +--------+
|| | | | | | | | | | | | | | | | | | на | | | | страницах
+--------------------------------+ | +--------+
+--------------------------------+ | с приложением +-----+
|| | | | | | | | | | | | | | | | | |подтверждающих | | | | листах
+--------------------------------+ |документов или +-----+
+--------------------------------+ |их копий на
|| | | | | | | | | | | | | | | | | |
+--------------------------------+ | +---+ +---+ +-------+
(фамилия, имя, отчество полностью) |Дата пред- | | |.| | |.| | | | |
+--------------------------------+ |ставления +---+ +---+ +-------+
| | | | | | | | | | | | | | | | || |декларации
+--------------------------------+ |
+--------------------------------+ |Зарегистрирована +---------------+
| | | | | | | | | | | | | | | | || | за N | | | | | | |
+--------------------------------+ | +---------------+
+--------------------------------+ |
| | | | | | | | | | | | | | | | || |
+--------------------------------+ |
+--------------------------------+ | _______________ ___________
| | | | | | | | | | | | | | | | || | Фамилия, И.О. Подпись
+--------------------------------+ |
+--------------------------------+ |
| | | | | | | | | | | | | | | | || |
+--------------------------------+ |
+--------------------------------+ |
| | | | | | | | | | | | | | | | || |
+--------------------------------+ |
+--------------------------------+ |
| | | | | | | | | | | | | | | | || |
+--------------------------------+ |
+--------------------------------+ |
| | | | | | | | | | | | | | | | || |
+--------------------------------+ |
(наименование организации - |
представителя |
налогоплательщика) |
+-+ +---+ +---+ |
Подпись _____ Дата |||.| | |.| | | |
+-+ +---+ +---+ |
МП |
|
Наименование документа, |
подтверждающего полномочия |
представителя |
+-------------------------------+ |
| | | | | | | | | | | | | | | | | |
+-------------------------------+ |
+-------------------------------+ |
| | | | | |
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The document ceased to be valid according to the Order of the Ministry of Finance of the Russian Federation of January 27, 2012 No. 14n