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îò ___ ______ 20__ ã. n ____
"__" __________ 20__ n ____

îò "__" _________ ____ ã. n ___ íà _________________________________
- ____ ðóá.; 4.2. ñ "__" _______ ____ ã. ïî "__" _______ ____ ã.

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äåéñòâóþùàÿ íà îñíîâàíèè ïðèêàçà îò ___ __________________ ã. n ____
äåéñòâóþùàÿ íà îñíîâàíèè ïðèêàçà îò "___" __________ 200_ ã. n _____

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îò 15 íîÿáðÿ 1999 ã. n 673, â ñîîòâåòñòâèè ñ ïîðó÷åíèåì ____________________________________________________________________
Ïðåäûäóùàÿ ïðîâåðêà ïðàâèëüíîñòè èñ÷èñëåíèÿ, ïîëíîòû è ñâîåâðåìåííîñòè óïëàòû íàëîãîâ è èíûõ ïëàòåæåé â áþäæåò ïðîèçâåäåíà ____________________________________________________________________ (óêàçûâàþòñÿ äîëæíîñòü, îðãàí, ôàìèëèÿ, èìÿ, ____________________________________________________________________ îò÷åñòâî ïðîèçâîäèâøèõ ïðîâåðêó, ïåðèîä ïðîâåðêè)  õîäå ïðåäûäóùåé ïðîâåðêè äîïðè÷èñëåíî â áþäæåò ________ òûñ. ðóáëåé, â òîì ÷èñëå ôèíàíñîâûõ ñàíêöèé ___________ òûñ. ðóáëåé.

äîâåðåííîñòü n ________ îò "__" ____________ 20__ ã.
Íàèìåíîâàíèå ñóäà Ãåðá Íàèìåíîâàíèå ñóäà Èñõ. n ___ îò "___" ________ 200_ ã.

Èñõ. n _______________ îò "__" _________ 20__ ã. ÀÊÒ
____________________________________________________________________ (ïîäïèñü îòâåòñòâåííîãî õðàíèòåëÿ) Ñóäåáíûé èñïîëíèòåëü ________________________ õðàíèòåëþ ïîëüçîâàòüñÿ (ðàçðåøèë, íå ðàçðåøèë) èìóùåñòâîì.

"__" ___________ ____ ã. è çàðåãèñòðèðîâàííîãî â ___________________ (ðååñòðå / êíèãå _____________________________________________________ çà n _________
Çàðåãèñòðèðîâàíî â ðååñòðå çà n ____________ Âçûñêàíî ãîñóäàðñòâåííîé ïîøëèíû ________ ____________________________ _________________ (íàèìåíîâàíèå äîëæíîñòè) (ïîäïèñü) Ãåðáîâàÿ ïå÷àòü

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