· 8U! 3. Alfs uetivs pl"oel*c6t*rre t}p yeniluri nete, c*re ?n*umafe depitqese eshiv.{lenful *...
Transcript of · 8U! 3. Alfs uetivs pl"oel*c6t*rre t}p yeniluri nete, c*re ?n*umafe depitqese eshiv.{lenful *...
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, w$fld fttttsiia$u lrsert n*ttt l/$ ub**tn n*ta' \ .*q'
rle ln *}[CN}) , donieilittl
crrnoscft$g preveilerilo *rt ?gZ din Corlvl p+n*t priviud f*lssl tn declcrnfiio tl$slsr Fe prcprie r.**purtlsre
cE tnnreuns,eu familinn) tletin urnrEto*rele:
* I) Frin liimilie se lnlelege serprl/sofia gi copi.ii o11a1i tn lntre$inerea $ee$torfl.
L $rrnuri imtl:ile
1,llerenuriNOT,{:$e vor cieclara inclusiv *ele a'fJete In rrlre 16ti'
* Categoriile indicate sunt: (1) rigricol; (?) forestisr; (3) inravilxn; {4) lueiu de a.p6; (5) atte aategofi'i d,o telenuli
extlavilane, ciacd se afli flr cirsuitul civil,*2) L.a "'IitrrlRr" $e menlioneazE, ?n cazul bunur"ilor proprii, nun:ele ploprietatul*i (titularrul, s0EuVso;ia, copiltrl),
iar in car,ul bunulilor in coproprietate., cota-parte ginumele coprcpricfarilor,
2, Cl{diri
N OTA:Se vor cleclala inclusjv cele aflate ln alte t6ri,
* Ciategoriile incficate $une (1) apartemsntl (2) cas{ cle locuit; (3} eas6 de vecan$; (4) spatii comerciale/de
pLoduefie,*2) La "'fitular" se m.en.{.ioneaz{t,Xtt caz.,u,l trrmuril*f praprij, nffnele proplietar:ullti (titglarul, solul/ro}in' copilul).
iar in cazul bsnuti,lor in ooproprietate, cota-perte pi numele ooptioprietcrilo3,
II. Funuri mobiloL A*tgvehfculel*utofuris*n+, tract**r*", rn*qini ag:t'icnle, q*ltpe, ishtu,rl qi a.lte mijlo*ce tle tr:ansporf
care sunf silpu:s& txmatriclll*rli' potrivit logll
&.frrsru t{ *vr 'f,i*:$*:q:k-(}if *6 3'* \3 C}'1{t'{?'fr-t"iv?.s
't. Etln*ri sub f*rnr,{ s}e $letnle pre{io*se, bijnterii, obieet.e de sr*f, gi de *w.lto *olec{ii de artfi gi
nurnismstied, obiecfe *nre fs,c p$rte *lin patrinroniu,l esltr*rrrtl *afion*l s*u universnl, a cXror v*lssvein$sm*fi dep$pegfe 5.i)00 d* e$ro
N O1'A;Se verr men{iona toate bun$rile aflate tn propr:ietate, indifereni dae* ele se a{l* sau nu pe teritoriul l{om$niei
I a rnomentirl declar'[r:ii,
III" Bun$ri mobile, a c*r*r vrl[**re d*p$q*6te 3.{}S& cle errra fi*car*, Ei hu*rtri imabile ?nsfr*itr*te in*ltirnele *2I*ni
t*ld{"*-l S\L,tlt
IV, Active f,inan cicrre
I. flu*turi 6i depoaite bsnc*re,.foutluri:de intsstilii, furme ss'hiv*trepte tls eccncnrislre 5'* inves*ire,
in ciusiv enyrlurils d*';.rliir,tu*s va.lo*rorr tusuru*f* a itttumr weestura def{$Ete '5'00S rle euru
NOTA: .,
fi* uo,, cJeclara inclusiv cele af'lnte tn b&nei sou inntilt4ii finnncisre dilr str:ilii .6tate.
*C*tegorii'le i.nclicate srmt: (]) cont ew'ent suu es]tivctlente {inclusiv eetrd); (2) depozit' battaar s*u
echivulefite; (s) .fQnduri dt inyesti{ii,van echivqlent*, in*lu,siv lbntt*ri ltrfv#e t{e. pensii *cu'r alte sisteme eu
e(:rtrrntlare (se vrtr declartt cele aJbren'tu *mtlai.fisul anterior)'
2. pl$ssr$*nt$, irive*fi$i rlirecte gi ?mprumtturi *cordate, rlncs v*loare& tte pi*t$ lnsumatf n tuluror
$cestors dep6geqte 5.$00 tle euro
N Ol'z\ ;
Se vor deola*r ilslusiv investiliile *i perticipbriie tn $tr&in6tate,
*Cutegoriil,e in,alic'ute sunt: (l) h*rtii cte valoare clelin'ute (tithn't de stat, certiJicctte, obliga{iunt); (2)
ctcli,rti ,vuu pirSi soc[*le h+ s<sc:ietcili aornerctials; (31 imlttunnfturi aavdate. f'n nutne yers'onal'
-Ei:+il.i!+n:,4{€Sli;r'r.l:.:4!
###i itffis$d ,ffi#hl*"$i ffi,
8U!
3. Alfs uetivs pl"oel*c6t*rre t}p yeniluri nete, c*re ?n*umafe depitqese eshiv.{lenful * 5,{it}0 ri* euro pe
NOTAr$c vor deqlar* irr,slusiv cele af'ln,te hr strdindtate.
V.I)aforiiDebite, ipote*ir gar*x{li em*se ta ber*eflsiul 'u.nr*i terf, bu*uri aehi*i}ianate ?n *istem le*slng gt llte
$sem$$sn brrnuri, d*iel{ valanre$ tnstrnrelf* n trttt*ror ase$f$ra tt*p$g*pte Si${}{l de euira
NO'I'A:$ovar ele*lam ir:clu*iv rrasivElc finanainre aeutnul*te ?n strfilniltate,
***,**-:a.
tt a*'er'rtF"
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YL Cndouri, sr*rv*cii s*lr alfirrf*i* prlnrite grstuit sau *ub.veu{i*n*{* f*.f{ *c vtlo*r* de pi*}En dinp{rres Bnor pers.}$ne3 org*}iy,ati}, societ*{* c.omsrcialeo rs#i *uto*umcrle*mpanii/sac*et{fi na$iona,l+ sau
insfitgfii publice rnm*neryti sau *tr*lne, i*elueiv e-urs*, crerliteo grranfii, dpcoutdri rle cb:eltuieli' alteltl tl*c$t*eie ale nngaj*tcrulni, a ctlrnr v*l$sr* intlividunl* dep*ryepfe 5S0 cle euv**
I,l. Titular?
1.2, $ofso{ie
|.J, t"opir
(
*fie cxeepteazd de fu d.et:lcu'cre caelaurile ,7i trilt€gill€ uzvale gtrimite dirN lj&rtefl rudelor cle g'adul I gi al Il-ltn
Vl[, Vtm.ifuri ale tleelara.rttului pi aie mernlrrilor e$i $e faudlio, nr*rlirxtc.tn :uttlm,ill an fi*aal incfueiatipotrivit srt, 4.1 din Lega* nr" 57li20l)3 privind Catltl fi*cnl, c* nodi{ir{r:it* gi crru.plet{rile ulter,ioars}
NO]'A:Se vor declar& incJusiv ve,njlurile pruvsfiite din str*in6tate.
l, l/enittu'i din ,vaIa'ft'l
t,l,l'itula, bt ii$ic'\:i& '\t *n:+rcxsu ti lvL.tvfliu SXci'3Cftl$G"+ i u'ilv
1,2, $o1/so1ic F#j V*u uT\n* ,$ilblvicxi"g q *uitar-i.q r{5{}c,Durvrirrlq €\r(}t\
1.3. t.lopii
2, Ye,ni tu ri dln ae! iyi.tdli .lnclepe nele.nte
2.1. 'T'itul$r:
2,?. iioflsolie
3.
3. L 'l'itular
3,2, So/so1ie
4, Ven'ilar,i din investilii4.1, l"itular
4,2, Solsolie
5. Venivri din nensii
5,1,'fihrlar
5.2. Sof/solie
6, Yenituri etriil,clctiv,'tt d! i .lgz,tco le"
6, L Tinrlar'
ti.Z, Sot/*ofie
7, Ye*itwrl dl'n premit ;t.din jacwrl de narae
7,.l, Titulnr
7.2, $ol*o1ie
7.^). Copii
8, Yenltul:i.tltn a,trte surse
8.1 , llitular
8.2, So{/solie
8,3, Cppii
Prt'lentc declarr:{io scn,t+fitule xet pub}ie pi rfr*pund potriivit legii penalo pentre inexactila'tea s${lcnractsrul inc*mplet *l defelor nr*nfi**nt+.
Data conrpletdrli
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Sem'n*tur'a