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ANAF 4 Formular

ANAF 4 Formular

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Published by Ovidiu Dumitrache
Formular Anaf 4
Formular Anaf 4

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Categories:Types, Business/Law
Published by: Ovidiu Dumitrache on Jan 08, 2014
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06/26/2015

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ANEXA nr.

4

DECLARAŢIE PE PROPRIA RĂSPUNDERE
Subsemnatul/Subsemnata, .................................................................., având
C.N.P. ......................................, cet!ean "#mân, $%ul/$%%ca lu% ...................... &%
al/a ..........................., nscut/nscut la data de ....../......./.......... 'n
l#cal%tatea ..........................................., d#m%c%l%at/d#m%c%l%at
'n ................................................................., ad"esa
c#m(let ....................................................................., le)%t%mat/le)%t%mat cu CI/*I
se"%a ......... n". ................, el%be"at/el%be"at de .......................... la data de ..................,
cun#scând ("evede"%le a"t. +,+ d%n C#dul (enal cu ("%v%"e la $alsul 'n decla"a!%%, decla" ("%n
("e-enta, (e ("#("%a "s(unde"e, c.
/ nu am $#st luc"t#" sau c#lab#"at#" al Secu"%t!%%, ast$el cum sunt de$%n%!% ("%n
O"d#nan!a de u")en! a 0uve"nulu% n". +1/+223 ("%v%nd accesul la ("#("%ul d#sa" &%
dec#ns(%"a"ea Secu"%t!%%, a("#bat cu m#d%$%c"% &% c#m(let"% ("%n Le)ea n". +,4/+2235
/ nu am $#st dest%tu%t/dest%tu%t d%nt"/# $unc!%e (ubl%c &% n%c% nu m%/a 'ncetat c#nt"actul
%nd%v%dual de munc, (ent"u m#t%ve %m(utab%le, 'n ult%m%% 6 an%.
Dau aceast decla"a!%e &% # sus!%n.
Data ..../...../..... Semntu"a ..............................

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