Total amount of income and taxation on income according to taxable period
PERSONAL INCOME CERTIFICATE
Tax agent information
1.1.Tax Payer Id Number 7730569836 / 773001001
1.2.Telephone 8-916-011-03-32
1.3.Organazation name/private enterpreneur “Diaks”LLC
Physical body information-income recipient
2.1.Tax Payer Id Number
2.2.Surname Chalbasov Askar Satanovich
2.3.Status- 1 2.4. Sex- Male 2.5. Date of Birth 11/10/1972 2.6. Nationality(country code) 643
2.7.Id document code 21 2.8. Passport number 45 00 863996
2.9.Home address in the Russian Federation:
Post code 125430 Region code 77 Area
City Moscow Locality
Street Pyatnitskoe Highway House 25 Building 1 App. 426
3.Income under taxation of 13%
Month Income code Income sum
01 2000 20000.00
02 2000 17805.97
02 2012 2049.36
03 2000 22857.14
03 2012 5464.14
04 2000 28224.72
05 2000 30000.00
06 2000 30000.00
07 2000 30000.00
08 2000 21428.57
08 2012 6551.76
09 2012 4913.82
Standard and Property Charge-off
4.1.Charge-off sum tax payer can get back
Charge-off code
Charge-off sum
4.2.Number of advice note, confirming the right of property charge-off
4.3.Date of isue 4.4.Tax body code
4.5.Total amount of standard allowed taxation charge-off
4.6.Total amount of property allowed taxation charge-off
Total amount of income and taxation on income according to taxable period
5.1.Total income sum 219296.30 5.2.Taxable sum of income 28509
5.3.Sum of estimated tax 219296.30 5.4.Retained tax sum 28509
5.5. Repayment tax sum according to the re-calculation of previous years income
5.6.Taxation set off sum according to previous years re-calculation
5.7.Taxation retained sum according to previous years re-calculation
5.8.Unpaid tax balance
5.9.Taxation sum overcharged by the tax agent
5.10.Taxation forwarding to the tax department for charging
Tax agent /signature/ Commercial Director Voskrsesensky M.L.
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