Statement of income of a physical person for 2014 No 324 from 06.02.2014
- Information on the tax agent
2.1. Taxpayer Identification Number (INN)/ Record Validity Code (KPP) for companies or INN for natural persons 3123035312/312301001
2.2. Name of the company / Full name of the natural person FSAEI of Highest Professional Education “Belgorod State National Research University”
2.3. The national classifier of administrative and territorial division (OKTMO) 14701000
2.4. Telephone number (4722) 30-10-75
2.Information on the natural person – recipient of income
2.1.TIN (INN) 312306670307
2.2 Surname, Name, Patronymic Chebotareva Irina Mickhailovna
2.3 Status of taxpayer 1
2.4 Date of birth 26.09.1961
2.5 Citizenship (country code) 643
2.6 Code of Identity paper 21
2.7.Series, number of Identity paper 14 05 719732
2.8. Address of permanent residence in the Russian Federation: Post code 308001 Region code 31
Region _______ City Belgorod Settlement________ Street Preobrazhenskaya House 11 Building _____ Apartment 106
2.9.Address in the country of residence: Country code _____ Address _______
3.Income taxable at the rate of 13%
| Month | Income code | Income amount | Deduction code | Deduction amount | Month | Income code | Income amount | Deduction code | Deduction amount |
| 52481.57 |
4. Standard social and property-related tax deductions
4.1. Amount of tax deductions, which the taxpayer is entitled to get
| Deduction code | Deduction amount | Deduction code | Deduction amount | Deduction code | Deduction amount | Deduction code | Deduction amount |
4.2. Notification No. confirming the right for property-related tax deduction_________________
4.3. Notification issue date __________________
4.4. Code of tax authority issuing ________________
5. Total amounts of income and tax as of the results of the tax period 13%
| 5.1. Income total amount | 52481.57 |
| 5.2. Tax base | 52481.57 |
| 5.3 Appraised tax amount | |
| 5.4 Withheld tax amount | |
| 5.5. Delivered tax amount* | |
| 5.6. Tax amount deducted in excess by the tax agent | - |
| 5.7. Tax amount submitted to collection to the tax authority | - |
Tax agent Chief Accountant / signature / Chirkova V.V.
(position) (signature) (Surname, Name, Patronymic)
Seal: Ministry of Education and science of the Russian Federation
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Federal State Autonomous Educational Institution of Higher Professional Education “Belgorod State National Research University”
*This clause is filled in accordance with tax sum, appraised income received from 2011
The translation from Russian into English is made by Perutskaya T.V., an associate professor of Translation Theory and Practice Department of Belgorod State National Research University; hereby confirm that this is unabridged and accurate translation of the original document
11.02.2014 Perutskaya T.V
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