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() " ". .

16.06.95 N 34

1 2008 ()

8
 
       --------------------------------
       <*>      "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.

   ----------------
      XXXXX
   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-----------------------------------------------------------------------------



   ----------------
      XX  X
   L--L--L--L--L--L--L--L--
   ___________________________________________________________________
      1011DT(1997)                                   
   Enclosure to the form 1011DT(1997)                                
   ---------------------------------------  -   
                                               
   L--------------------------------------- name of foreign entity   
                                                                     
   -------------------------   --T-T-T-T-T-    (  4)  
                                     Date (from paragraph 4) 
   L-------------------------   L-+-+-+-+-+--                         Sheet N
   L-------------------------------------------------------------------
   ___________________________________________________________________----------
                                                      
    Information about source of income                                         
   +---                                                                        
    1.       ---------------------------------------      --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-+--
   L-----------------------------------------------------------------------------

   ___________________________________________________________________----------
   +---                                                                        
    2.       ---------------------------------------      --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-+--
   L-----------------------------------------------------------------------------

   ___________________________________________________________________----------
   +---                                                                        
    3.       ---------------------------------------      --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------------------------------------------
   L-----------------------------------------------------------------------------

   ----------------
     X  X X
   L--L--L--L--L--L--L--L--
     Form 1011DT(1997)                                   . Page 2
   ___________________________________________________________________----------
                               --T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-
    Contractor  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-+--
   L-----------------------------------------------------------------------------

   ___________________________________________________________________----------
   +---                                                                        
    4.       ---------------------------------------      --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-+--
   L-----------------------------------------------------------------------------

   ___________________________________________________________________----------
   +---                                                                        
    5.       ---------------------------------------      --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-+-+-+-+-+-+-+-+-+--



     ( .     31.12.1997 N -6-06/928)

   ---------------- ---------------------------------------------------
     X X X                     
   L--L--L--L--L--L--L--L-- Fields are filled by block letters                
                            L---------------------------------------------------
    For the Claimant _______________________________________
       
      
   Double Taxation Convention
   between the Russian Federation and __________________________________________
   ----------------------T--------------------------------------------T---------
      1012DT(1997)                CLAIM                        
          /   for--
     Form 1012DT(1997)   for a refund of tax withheld in Russia on     199 
   the State Tax Service            dividends / interest                  L--
         of Russia                                                           
   +---------------------+--------------------------------------------+---------+
   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                           
                                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.                                            <*> --T-T-
      Capital investment                              Currency code <*>    
                                                                        L-+-+--
            ---------------------------------------  --T-T-
   Description of investment                                             
                              L---------------------------------------  L-+-+--
   +----------------------------------------------------------------------------+
          ------------------------------------------------
                                                                    
     Name of debtor, address                                                 
                              L------------------------------------------------
   +----------------------------------------------------------------------------+
         --T-T-T-T-T-  --T-T-T-T-T-T-T-T-T-        
   Number of shares      Total par               
                   L-+-+-+-+-+--value         L-+-+-+-+-+-+-+-+-+--Date of     
   +-----------------------------------------------------------    acquisition 
     ,      --T-T-T-T-T-       --T-T-T-T-T-
   Date of accrued of dividends, interest                       
                                             L-+-+-+-+-+--       L-+-+-+-+-+--
   +------------------------------------T----------------------+----------------+
         --T-T-T-T-T-       --T-              
                       A                          D                 
   Dividends per share   L-+-+-+-+-+--  Interest rate (%)  L-+--              
   +------------------------------------+---------------------------------------+
     -                                                 
      --T-T-T-T-T-T-T-T-     --T-T-T-T-T-T-T-T-
   Dividends from B               E          
   subsidiary       L-+-+-+-+-+-+-+-+-- Interest on        L-+-+-+-+-+-+-+-+--
   +------------------------------------+ government bonds                      
                            +---------------------------------------+
      --T-T-T-T-T-T-T-T-      --T-T-T-T-T-T-T-T-
   Dividends from C                            F          
   other companies  L-+-+-+-+-+-+-+-+-- Others interest    L-+-+-+-+-+-+-+-+--
   +------------------------------------+---------------------------------------+
         --T-T-T-T-T-T-T-T-            --T-
   Amount of Tax withheld                            Tax Rate     
                               L-+-+-+-+-+-+-+-+--                        L-+--
   +----------------------------------------------------------------------------+
                    --T-T-T-T-T-T-T-T-            --T-
                                          
   Amount of Tax               L-+-+-+-+-+-+-+-+--         Tax rate under L-+--
   under the Treaty                                          the Treaty        
   +-----------------------------------------------T-----------------------------
     ,               --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".

   ----------------
     X X XX
   L--L--L--L--L--L--L--L--

    Form 1012DT(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;                                               


---