LawRu.info -  .
 
LawRU.info
08.11.2014
59.3
49.3
47.9
7.8
75.8


@Mail.ru

() " ". .

16.06.95 N 34

1 2008 ()

7
 
   2.  ,                          
      Authorized representative if any                                         
                                                                               
       ,    ------------------------------------------------
         ,                                                       
      Name, address, phone                                                   
                              L------------------------------------------------
   +----------------------------------------------------------------------------+
                           --T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-  
   Identification tax number                           
                              L-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+--  
   +----------------------------------------------------------------------------+
   3.                                                 
      Information about source of income                                       
                                                                               
          ---------------------------------------   <**> --T-  
    Type of income                                        Number <**>     
                   L---------------------------------------             L-+--  
   +----------------------------------------------------------------------------+
              --T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-
    Contractor                                           
                Name in full        L-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+--
                                    --T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-
                                                         
                                    L-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+--
                         ------------------------------------------
                Full address                                                 
                                    L------------------------------------------
                                         --T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-
                Identification tax number                    
                                            L-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+--
   +----------------------------------------------------------------------------+
            ------------------------------       --T-T-T-T-T-
   Contract     Number                                   Date         
                        L------------------------------           L-+-+-+-+-+--
   +-------------------------------------------------------T--------------------+
              --T-T-T-T-T-T-T-T-T-T-T-                     
                                                 
                   L-+-+-+-+-+-+-+-+-+-+-+--        <*> 
   Gross amount of income                     Currency code <*> 
   in whole currency units            --T-T-T-T-T-                     
                            Date of accrued               --T-T-      
                            of income       L-+-+-+-+-+--                 
   +-------------------------------------------------------+       L-+-+--      
          --T-T-T-T-T-T-T-T-T-T-T-                     
   Tax withheld                                                  
                                L-+-+-+-+-+-+-+-+-+-+-+--                     
   +-------------------------------------------------------+--------------------+
    ,      --T-T-T-T-T-T-T-T-T-T-T-     --T-
                             Tax Rate     
   Tax under the Treaty         L-+-+-+-+-+-+-+-+-+-+-+--                 L-+--
   +-------------------------------------------------T---------------------------
     ,               --T-T-T-T-T-T-T-T-T-
   Total amount to be reimbursed                                 
   L--------------------------------------------------   L-+-+-+-+-+-+-+-+-+--

     _____   Enclosures on _____ pages

       --------------------------------
       <*>      "BIC  directory". By reference book "BIC
   directory".
       <**>       ,  
       ,   . Order number in the
   List  of the types of income,  named in the Claimant's copy of the
   Form.

   ----------------
     X   X 
   L--L--L--L--L--L--L--L--

    Form 1011DT(1997)                                    . Page 2
   ___________________________________________________________________----------
   4.     Bank of recipient                               
                              --T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-
                                             
                              L-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+--
                              --T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-
         Name in full                                 
                              L-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+--
   +----------------------------------------------------------------------------+
                              ------------------------------------------------
                                                                  
                              L------------------------------------------------
                               ------------------               --T-
    Full residential address                                              
                              CountryL------------------ Country code     L-+--
   +----------------------------------------------------------------------------+
                    --T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-
     Number of Bank account                           
                              L-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+--
   +----------------------------------------------------------------------------+
      , :                                                            
      I declare that                                                           
      -            
        ;                                                             
      the above mentioned income is not connected with activities carried      
      in the Russian Federation                                                
      -   ,    3 ,            
             ;                           
      on the date of accrued entered in paragraph 3, above, recipient of the   
      above income has being the beneficial owner                              
                                                                               
                             
      I hereby confirm that the information provided herewith is accurate      
                                                                               
    ------------------        ------------------------------------  
                             L------------------------------------ Occupation
                                                                             
                       ------------------------------------        
                      Stamp  L------------------------------------     Name  
                                                                             
                             ------------------------------------    
    L------------------        L------------------------------------  Signature
                                                                               
                                --T-T-T-T-T-                              
                                L-+-+-+-+-+--  Date                            
   +----------------------------------------------------------------------------+
   5.          
      Note of the foreign Tax authority                                        
   +----------------------------------------------------------------------------+
      ,       __________ 
                                              
      It is hereby confirmed that the claimant during ________________________ 
      was a resident of ______________________________________________________ 
                                   / name of the country         
               /   
                                                          
      in the sense implied in the Double Taxation Convention between the USSR /
      Russian Federation and                                                   
      ________________________________________________________________________ 
                       / name of the country                     
                                                                               
             ---                       
      The claimed incomes are taxable                      
                                     L---       ( ----)
   ---------------------  --- in the country           (mark  X )
                        not taxable   of residence                   L---- 
                                   L---                                      
                         ----------------------------       
                        Stamp                                    
                               L----------------------------  Date and Place 
                               ----------------------------          
                                                               Signature   
   L---------------------        L----------------------------                 
   L-----------------------------------------------------------------------------



   ---------------- ---------------------------------------------------
     X  XX                     
   L--L--L--L--L--L--L--L-- Fields are filled by block letters                
                            L---------------------------------------------------
                                                   --T-T-T-
   To the State Tax Office ________________________________________  N     
                                                                       L-+-+-+--
       
      
   Double Taxation Convention
   between the Russian Federation and __________________________________________
   ----------------------T--------------------------------------------T---------
      1011DT(1997)                CLAIM                        
              for--
    Form 1011DT(1997)                               199 
   the State Tax Service       (  / )             L--
         of Russia       for a refund of tax withheld in Russia on           
                            income (except dividends / interest)             
   +------T--------------+--------T-------T---------------------------+---------+
           ""                    
         L------------------------                       
                                                                              
   +--------------------------------------+-------------------------------------+
   1.   (Foreign entity)                                        
                              --T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-
                                             
                              L-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+--
                              --T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-
         Name in full                                 
                              L-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+--
   +----------------------------------------------------------------------------+
                              ------------------------------------------------
                                                                  
                              L------------------------------------------------
                               ------------------  <*>          --T-
    Full residential address                                              
                              CountryL------------------ Country code <*> L-+--
   +----------------------------------------------------------------------------+
         --T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-  
   Identification tax number                           
   in country of registration L-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+--  
   +----------------------------------------------------------------------------+
   2.  ,                          
      Authorized representative if any                                         
                                                                               
       ,    ------------------------------------------------
         ,                                                       
      Name, address, phone                                                   
                              L------------------------------------------------
   +----------------------------------------------------------------------------+
                           --T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-  
   Identification tax number                           
                              L-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+--  
   +----------------------------------------------------------------------------+
   3.                                                 
      Information about source of income                                       
                                                                               
          ---------------------------------------   <**> --T-  
    Type of income                                        Number <**>     
                   L---------------------------------------             L-+--  
   +----------------------------------------------------------------------------+
              --T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-
    Contractor                                           
                Name in full        L-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+--
                                    --T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-
                                                         
                                    L-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+--
                         ------------------------------------------
                Full address                                                 
                                    L------------------------------------------
                                         --T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-
                Identification tax number                    
                                            L-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+--
   +----------------------------------------------------------------------------+
            ------------------------------       --T-T-T-T-T-
   Contract     Number                                   Date         
                        L------------------------------           L-+-+-+-+-+--
   +-------------------------------------------------------T--------------------+
              --T-T-T-T-T-T-T-T-T-T-T-                     
                                                 
                   L-+-+-+-+-+-+-+-+-+-+-+--            
   Gross amount of income                     Currency code     
   in whole currency units            --T-T-T-T-T-                     
                            Date of accrued               --T-T-      
                            of income       L-+-+-+-+-+--                 
   +-------------------------------------------------------+       L-+-+--      
          --T-T-T-T-T-T-T-T-T-T-T-                     
   Tax withheld                                                  
                                L-+-+-+-+-+-+-+-+-+-+-+--                     
   +-------------------------------------------------------+--------------------+
    ,      --T-T-T-T-T-T-T-T-T-T-T-     --T-
                             Tax Rate     
   Tax under the Treaty         L-+-+-+-+-+-+-+-+-+-+-+--                 L-+--
   +-------------------------------------------------T---------------------------
     ,               --T-T-T-T-T-T-T-T-T-
   Total amount to be reimbursed                                 
   L--------------------------------------------------   L-+-+-+-+-+-+-+-+-+--

     _____   Enclosures on _____ pages

       --------------------------------
       <*>      "BIC directory".  By reference book "BIC
   directory".
       <**>       ,  
       ,   . Order number in the
   List  of the types of income,  named in the Claimant's copy of the
   Form.

   ----------------
     X    X
   L--L--L--L--L--L--L--L--

    Form 1011DT(1997)                                    . Page 2
   ___________________________________________________________________----------
   4.     Bank of recipient                               
                              --T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-
                                             
                              L-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+--
                              --T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-
         Name in full                                 
                              L-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+--
   +----------------------------------------------------------------------------+
                              ------------------------------------------------
                                                                  
                              L------------------------------------------------
                               ------------------               --T-
    Full residential address                                              
                              CountryL------------------ Country code     L-+--
   +----------------------------------------------------------------------------+
                    --T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-
     Number of Bank account                           
                              L-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+--
   +----------------------------------------------------------------------------+
      , :                                                            
      I declare that                                                           
      -            
        ;                                                             
      the above mentioned income is not connected with activities carried      
      in the Russian Federation                                                
      -   ,    3 ,            
             ;                           
      on the date of accrued entered in paragraph 3, above, recipient of the   
      above income has being the beneficial owner                              
                                                                               
                             
      I hereby confirm that the information provided herewith is accurate      
                                                                               
    ----------------        --------------------------------------  
                           L-------------------------------------- Occupation
                     --------------------------------------        
                    Stamp  L--------------------------------------    Name   
                           --------------    --T-T-T-T-T-       
    L----------------        L-------------- Signature L-+-+-+-+-+--    Date   
   +----------------------------------------------------------------------------+
   5.          
      Note of the foreign Tax authority                                        
   +----------------------------------------------------------------------------+
      ,       __________ 
                                              
      It is hereby confirmed that the claimant during ________________________ 
      was a resident of _______________________________________________________
                                   / name of the country         
               /   
                                                          
      in the sense implied in the Double Taxation Convention between the USSR /
      Russian Federation and                                                   
      ________________________________________________________________________ 
                       / name of the country                     
                                                                               
             ---                       
      The claimed incomes are taxable                      
                                     L---       ( ----)
   ---------------------  --- in the country           (mark  X )
                        not taxable   of residence                   L---- 
                                   L---                                      
                         ----------------------------       
                        Stamp                                    
                               L----------------------------  Date and Place 
                               ----------------------------          
                                                               Signature   
   L---------------------        L----------------------------                 
   +----------------------------------------------------------------------------+
   6.   Note of the Russian State Tax Office      
   +----------------------------------------------------------------------------+
                          --T-T-T-T-T-T-T-T-T-T-T-            
                                                      
                                          L-+-+-+-+-+-+-+-+-+-+-+--            
                      --------------------------------------------------------
                                                                
                      L--------------------------------------------------------
     / .                          ----------------
                                                            
   ---------------------------         -------------                       
   L---------------------------  L-------------                   
   +----------------------------------------------------------                
               --T-T-T-T-T-T-T-T-T-T-T-                    
                                                           
                                L-+-+-+-+-+-+-+-+-+-+-+--                    
                                                  
   ---------------------------     -------------                           
   L---------------------------     L-------------            L----------------
   L-----------------------------------------------------------------------------



   ---------------- ---------------------------------------------------
      XX                       
   L--L--L--L--L--L--L--L-- Fields are filled by block letters                
                            L---------------------------------------------------
      (   
     )
   103381, , . , 23, .: (095) 200-05-52
   To the State Tax Service, 103381, Moscow, Neglinnaya, 23
       
      
   Double Taxation Convention
   between the Russian Federation and __________________________________________
   ----------------------T--------------------------------------------T---------
      1011DT(1997)                CLAIM                        
              for--
    Form 1011DT(1997)                               199 
   the State Tax Service       (  / )             L--
         of Russia       for a refund of tax withheld in Russia on           
                            income (except dividends / interest)             
   +---------------------+--------------------------------------------+---------+
   1.   (Foreign entity)                                        
                              --T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-
                                             
                              L-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+--
                              --T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-
         Name in full                                 
                              L-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+--
   +----------------------------------------------------------------------------+
                              ------------------------------------------------
                                                                  
                              L------------------------------------------------
                               ------------------  <*>          --T-
    Full residential address                                              
                              CountryL------------------ Country code <*> L-+--
   +----------------------------------------------------------------------------+
         --T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-  
   Identification tax number                           
   in country of registration L-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+--  
   +----------------------------------------------------------------------------+
   2.  ,                          
      Authorized representative if any                                         
                                                                               
       ,    ------------------------------------------------
         ,                                                       
      Name, address, phone                                                   
                              L------------------------------------------------
   +----------------------------------------------------------------------------+
                           --T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-  
   Identification tax number                           
                              L-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+--  
   +----------------------------------------------------------------------------+
   3.                                                 
      Information about source of income                                       
                                                                               
          ---------------------------------------   <**> --T-  
    Type of income                                        Number <**>     
                   L---------------------------------------             L-+--  
   +----------------------------------------------------------------------------+
              --T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-
    Contractor                                           
                Name in full        L-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+--
                                    --T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-
                                                         
                                    L-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+--
                         ------------------------------------------
                Full address                                                 
                                    L------------------------------------------
                                         --T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-
                Identification tax number                    
                                            L-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+--
   +----------------------------------------------------------------------------+
            ------------------------------       --T-T-T-T-T-
   Contract     Number                                   Date         
                        L------------------------------           L-+-+-+-+-+--
   +-------------------------------------------------------T--------------------+
              --T-T-T-T-T-T-T-T-T-T-T-                     
                                                 
                   L-+-+-+-+-+-+-+-+-+-+-+--        <*> 
   Gross amount of income                     Currency code <*> 
   in whole currency units            --T-T-T-T-T-                     
                            Date of accrued               --T-T-      
                            of income       L-+-+-+-+-+--                 
   +-------------------------------------------------------+       L-+-+--      
          --T-T-T-T-T-T-T-T-T-T-T-                     
   Tax withheld                                                  
                                L-+-+-+-+-+-+-+-+-+-+-+--                     
   +-------------------------------------------------------+--------------------+
    ,      --T-T-T-T-T-T-T-T-T-T-T-     --T-
                             Tax Rate     
   Tax under the Treaty         L-+-+-+-+-+-+-+-+-+-+-+--                 L-+--
   +-------------------------------------------------T---------------------------
     ,               --T-T-T-T-T-T-T-T-T-
   Total amount to be reimbursed                                 
   L--------------------------------------------------   L-+-+-+-+-+-+-+-+-+--

     _____   Enclosures on _____ pages

       --------------------------------


---