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The document ceased to be valid since May 14, 2014 according to the Order of the Ministry of Labour of the Russian Federation of December 4, 2013 No. 712n

IT IS REGISTERED

in Ministry of Justice

Russian Federation

On December 25, 2009 No. 15839

ORDER OF THE MINISTRY OF HEALTH AND SOCIAL DEVELOPMENT OF THE RUSSIAN FEDERATION

of December 11, 2009 No. 979n

About approval of the document forms applied when implementing offsetting or return of the amounts of excessively paid (collected) insurance premiums

According to parts 5, 6, 7, the 11th Articles 26, part 3 Articles 27, part 5 of article 29 of the Federal Law of July 24, 2009 N 212-FZ "About insurance premiums in the Pension Fund of the Russian Federation, Social Insurance Fund of the Russian Federation, Federal Compulsory Health Insurance Fund and territorial funds of compulsory medical insurance" (The Russian Federation Code, 2009, N 30, the Art. 3738), subitem 5.2.100.73 of the Regulations on the Ministry of Health and Social Development of the Russian Federation approved by the order of the Government of the Russian Federation of June 30, 2004 N 321 (The Russian Federation Code, 2004 N 28, Art. 2898; 2005, N 2, Art. 162, 2006, N 19, Art. 2080; 2008, N 11, Art. 1036; N 15, of Art. 1555; N 23, of Art. 2713; N 42, of Art. 4825; N 46, of Art. 5337; N 48, of Art. 5618; 2009, N 2, Art. 244; N 3, of Art. 378; N 6, of Art. 738; N 12, of the Art. 1427, 1434; N 33, of the Art. 4083, 4088; 5064, N 45, of the Art. 5350) I order to N 43, of the Art.:

Approve:

form of the act of joint reconciliation of calculations for insurance premiums, penalty fee and penalties (form 21-PFR) according to the appendix N 1;

form of the act of joint reconciliation of calculations for insurance premiums, penalty fee and penalties (form 21-FSS RF) according to the appendix N 2;

the application form about offsetting of the amounts of excessively paid insurance premiums, penalty fee, penalties (form 22-PFR) according to the appendix N 3;

the application form about offsetting of the amounts of excessively paid insurance premiums, penalty fee, penalties (form 22-FSS RF) according to the appendix N 4;

the application form about return of the amounts of excessively paid insurance premiums, penalty fee, penalties (form 23-PFR) according to the appendix N 5;

the application form about return of the amounts of excessively paid insurance premiums, penalty fee, penalties (form 23-FSS RF) according to the appendix N 6;

the application form about return of the amounts of excessively collected insurance premiums, penalty fee, penalties (form 24-PFR) according to the appendix N 7;

the application form about return of the amounts of excessively collected insurance premiums, penalty fee, penalties (form 24-FSS RF) according to the appendix N 8;

form of the decision on offsetting of the amounts of excessively paid insurance premiums, penalty fee, penalties (form 25-PFR) according to the appendix N 9;

form of the decision on offsetting of the amounts of excessively paid insurance premiums, penalty fee, penalties (form 25-FSS RF) according to the appendix N 10;

form of the decision on return of the amounts of excessively paid (collected) insurance premiums, penalty fee, penalties (form 26-PFR) according to the appendix N 11;

form of the decision on return of the amounts of excessively paid (collected) insurance premiums, penalty fee, penalties (form 26-FSS RF) according to the appendix N 12;

form of the decision on offsetting of the amounts of excessively collected insurance premiums, penalty fee, penalties (form 27-PFR) according to the appendix N 13;

form of the decision on offsetting of the amounts of excessively collected insurance premiums, penalty fee, penalties (form 27-FSS RF) according to the appendix N 14.

 

Minister T. Golikova

Appendix №1

to the order of the Ministry of Health and Social Development of the Russian Federation of December 11, 2009 No. 979n


                            Form 21-PFR

     _________________________________________________________________
(наименование органа контроля за уплатой страховых взносов)
_________________________________________________________________
(полное наименование организации (обособленного подразделения),
Ф.И.О. индивидуального предпринимателя, физического лица)
_________________________________________________________________
______________________________________________________________________
(регистрационный номер в органе контроля за уплатой страховых взносов)
______________________________________________________________________
(адрес места нахождения организации (обособленного подразделения,
адрес постоянного места жительства индивидуального предпринимателя,
физического лица)
                                 АКТ
совместной сверки расчетов по страховым взносам,
пеням и штрафам
            от____________________ N _____________________
     Должностное лицо органа контроля за  уплатой  страховых  взносов,
осуществляющее сверку расчетов по страховым взносам, пеням и штрафам,
_____________________________________________________________________и
(Ф.И.О., телефон)
плательщик страховых взносов (уполномоченный представитель)
______________________________________________________________________
(Ф.И.О., телефон)
произвели совместную сверку расчетов по страховым взносам на
обязательное пенсионное страхование, пеням и штрафам в Пенсионный фонд
Российской Федерации, на обязательное медицинское страхование, пеням и
штрафам в Федеральный фонд обязательного медицинского страхования, на
обязательное медицинское страхование, пеням и штрафам в
территориальный фонд обязательного медицинского страхования за период
с__________по __________ по состоянию на_____________:
(дата) (дата) (дата)
                                                            (в рублях)  
+-----+----------------+-----------------------------------------------------------------------------------+---------------------------+---------------------------+
¦ N ¦ Расчеты ¦ Пенсионный фонд Российской Федерации ¦ Федеральный фонд ¦ Территориальный фонд ¦
¦ п/п ¦ +---------------------------T---------------------------T---------------------------+обязательного медицинского ¦обязательного медицинского ¦
¦ ¦ ¦ всего ¦ на страховую часть ¦ на накопительную ¦ страхования ¦ страхования ¦
¦ ¦ ¦ ¦ трудовой пенсии ¦ часть трудовой пенсии ¦ ¦ ¦
¦ ¦ +---------+---------+-------+---------+---------+-------+---------+---------+-------+---------+---------+-------+---------+---------+-------+
¦ ¦ ¦по данным¦по данным¦расхож-¦по данным¦по данным¦расхож-¦по данным¦по данным¦расхож-¦по данным¦по данным¦расхож-¦по данным¦по данным¦расхож-¦
¦ ¦ ¦платель- ¦ органа ¦дение ¦платель- ¦ органа ¦дение ¦платель- ¦ органа ¦дение ¦платель- ¦ органа ¦дение ¦платель- ¦ органа ¦дение ¦
¦ ¦ ¦щика ¦контроля ¦между ¦щика ¦контроля ¦между ¦щика ¦контроля ¦между ¦щика ¦контроля ¦между ¦щика ¦контроля ¦между ¦
¦ ¦ ¦страховых¦ за ¦данными¦страховых¦ за ¦данными¦страховых¦ за ¦данными¦страховых¦ за ¦данными¦страховых¦ за ¦данными¦
¦ ¦ ¦взносов ¦ уплатой ¦ ¦взносов ¦ уплатой ¦ ¦взносов ¦ уплатой ¦ ¦взносов ¦ уплатой ¦ ¦взносов ¦ уплатой ¦ ¦
¦ ¦ ¦ ¦страховых¦ ¦ ¦страховых¦ ¦ ¦страховых¦ ¦ ¦страховых¦ ¦ ¦страховых¦ ¦
¦ ¦ ¦ ¦ взносов ¦ ¦ ¦ взносов ¦ ¦ ¦ взносов ¦ ¦ ¦ взносов ¦ ¦ ¦ взносов ¦ ¦
+-----+----------------+---------+---------+-------+---------+---------+-------+---------+---------+-------+---------+---------+-------+---------+---------+-------+
¦ 1 ¦ 2 ¦ 3 ¦ 4 ¦ 5 ¦ 6 ¦ 7 ¦ 8 ¦ 9 ¦ 10 ¦ 11 ¦ 12 ¦ 13 ¦ 14 ¦ 15 ¦ 16 ¦ 17 ¦
+-----+----------------+---------+---------+-------+---------+---------+-------+---------+---------+-------+---------+---------+-------+---------+---------+-------+
¦1 ¦По страховым ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
¦ ¦взносам: ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
+-----+----------------+---------+---------+-------+---------+---------+-------+---------+---------+-------+---------+---------+-------+---------+---------+-------+
¦1.1 ¦задолженность, ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
¦ ¦всего ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
+-----+----------------+---------+---------+-------+---------+---------+-------+---------+---------+-------+---------+---------+-------+---------+---------+-------+
¦ ¦в том

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