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Pge Form ccording to the tx return code Tx Return on tx pid ccording to the simplified tx system Revision number Tx period code ccounting tx period To be filed to

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Appendix №1 to the decree of the Ministry of Finance of the Russian Federation of

Individual Taxpayer Number

Tax registration reason code --- Page

Form according to the tax return code

Tax Return

on tax paid according to the simplified tax system

Revision number   Tax period (code)  Accounting tax period

To be filed to the taxing authority (code)  at its location (record) (code)

Individual Entrepreneur    

    (taxpayer)

Code of type of economic activity according to OKVED

Contact telephone number  

On … pages with an enclosure of confirming documents or their copies on --- pages

Credibility and completeness of the information given in the present tax return are confirmed by:

1    1 – tax payer

        2 – tax payer’s representative

To be filled in by a tax official

Information about the tax return filing

The present tax return is to be filed to (code) on                                     pages

with an enclosure of confirming documents or their copies on                 pages

Date of filing                       .                .

Registered under №

___________________    _________________

               Full name                                      Signature

Stamp with the following text:

(Full name)

(Name of the organization - tax payer’s representative)

Signature   

Round seal with the following text:

PSRN IE

Individual Taxpayer Number

 

Name of the document confirming representative’s authority

______________________________________

______________________________________

Individual Taxpayer Number

Tax registration reason code --- Page

Section 1. Tax amount which is to be paid according to the simplified tax system and minimal tax amount which is to be paid in budget provided by taxpayer

Indicators

Line code

Indicator values (roubles)

Taxable item        

1 - income

2 - income decreased by cost value

Code according to All-Russian Classifier     

of Political Subdivisions

Budget classification code     

Amount of advance tax payment

to be paid for:

first quarter        

half year      

nine months      050  216795

Amount of tax to be paid

for a tax period

for a line 001=”1”: line 260-line 280-line 050,    060  114310

if line 260-line 280-line 050>=0

for a line 001=”2”: line 260-line 050,

if line 260>=line 050 and line 260>=line 270

Amount of tax deductible

in a tax period      070  ----

for a line 001=”1”: line 050-(line 260-line 280),

if line 260-line 280-line 050<0

for a line 001=”2”: line 050-line 260,

if line 050>line 260 and line 270<=line 260

or line 050, if line 260<line270

Budget classification code    080  ----

Amount of minimal tax to be paid   090  ----

in a tax period

for line 001=“2”: line 270,

if line 270>line 260

Credibility and completeness of the information given on the present page are confirmed

__________________________(Signature)______________(Date)

Individual Taxpayer Number

Tax registration reason code --- Page

Section 2. Calculation of tax to be paid according to the simplified tax system and of minimal tax

Indicators

Line code

Indicator values (roubles)

Tax rate (%)        

Amount of income        

earned in a tax period

Amount of expenses incurred      ----

in a tax period

for a line 001=”2”

Amount of losses suffered in the       ----

previous tax period (periods) decreasing

the taxable base

for a line 001=”2”

Taxable base for tax computation

for a tax period         

for a line 001=”1”: equals line 210

for a line 001=”2”: line 210-line 220-line 230,

if line 210-line 220-line 230>0

Amount of losses suffered in a      ----

tax period

for a line 001=”2”: line 220-line 210,

if line 210>line 220

Amount of computed tax for a        

tax period

(line 240 x line 201 / 100)

 

Amount of computed minimal tax for a     ----

tax period (tax rate 1 %)

for a line 001=”2”: line 210 x 1 / 100

Amount of insurance payment for       

a compulsory pension insurance in a tax period

and of temporary disability benefits paid to the

employees during a tax period from the   

taxpayers' money decreasing (but not more than by 50%)

the amount of the computed tax

for a line 001=”1”

Credibility and completeness of the information given on the present page are confirmed

__________________________(Signature)______________(Date)

Appendix №1 to the decree of the Ministry of Finance of the Russian Federation of 22.06.2009

Individual Taxpayer Number

Tax registration reason code --- Page

Form according to the tax return code 1152017

Tax Return

on tax paid according to the simplified tax system

Revision number 0  Tax period (code)   Accounting tax period

To be filed to the taxing authority (code)   at its location (record) (code)

Individual Entrepreneur   

    (taxpayer)

Code of type of economic activity according to OKVED

Contact telephone number  

On 3 pages with an enclosure of confirming documents or their copies on --- pages

Credibility and completeness of the information given in the present tax return are confirmed by:

1    1 – tax payer

        2 – tax payer’s representative

To be filled in by a tax official

Information about the tax return filing

The present tax return is to be filed to (code) on                                     pages

with an enclosure of confirming documents or their copies on                 pages

Date of filing                       .                .

Registered under №

___________________    _________________

               Full name                                      Signature

Stamp with the following text:

(Full name)

(Name of the organization - tax payer’s representative)

Signature (without seal)

 

Name of the document confirming representative’s authority

______________________________________

______________________________________

Individual Taxpayer Number

Tax registration reason code --- Page

Section 1. Tax amount which is to be paid according to the simplified tax system and minimal tax amount which is to be paid in budget provided by taxpayer

Indicators

Line code

Indicator values (roubles)

Taxable item      001  1

1 - income

2 - income decreased by cost value

Code according to All-Russian Classifier   010  

of Political Subdivisions

Budget classification code    020  18210501012011000110

Amount of advance tax payment

to be paid for:

first quarter      030  48875

half year      040  98312

nine months      050  143312

Amount of tax to be paid

for a tax period

for a line 001=”1”: line 260-line 280-line 050,    060  51267

if line 260-line 280-line 050>=0

for a line 001=”2”: line 260-line 050,

if line 260>=line 050 and line 260>=line 270

Amount of tax deductible

in a tax period      070  ----

for a line 001=”1”: line 050-(line 260-line 280),

if line 260-line 280-line 050<0

for a line 001=”2”: line 050-line 260,

if line 050>line 260 and line 270<=line 260

or line 050, if line 260<line270

Budget classification code    080  ----

Amount of minimal tax to be paid   090  ----

in a tax period

for line 001=“2”: line 270,

if line 270>line 260

Credibility and completeness of the information given on the present page are confirmed

__________________________(Signature)______________(Date)

Individual Taxpayer Number 231100442009

Tax registration reason code --- Page 003

Section 2. Calculation of tax to be paid according to the simplified tax system and of minimal tax

Indicators

Line code

Indicator values (roubles)

Tax rate (%)      201  6

Amount of income      210  3381066

earned in a tax period

Amount of expenses incurred   220  ----

in a tax period

for a line 001=”2”

Amount of losses suffered in the    230  ----

previous tax period (periods) decreasing

the taxable base

for a line 001=”2”

Taxable base for tax computation

for a tax period     240  3381066

for a line 001=”1”: equals line 210

for a line 001=”2”: line 210-line 220-line 230,

if line 210-line 220-line 230>0

Amount of losses suffered in a   250  ----

tax period

for a line 001=”2”: line 220-line 210,

if line 210>line 220

Amount of computed tax for a    260  202864

tax period

(line 240 x line 201 / 100)

 

Amount of computed minimal tax for a  270  ----

tax period (tax rate 1 %)

for a line 001=”2”: line 210 x 1 / 100

Amount of insurance payment for    280  8285

a compulsory pension insurance in a tax period

and of temporary disability benefits paid to the

employees during a tax period from the   

taxpayers' money decreasing (but not more than by 50%)

the amount of the computed tax

for a line 001=”1”

Credibility and completeness of the information given on the present page are confirmed

__________________________(Signature)______________(Date)




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