| ID | 11104 |
|---|---|
| Data | 2021-12-02 |
| Symbol | 2021/12/02/11104 |
| Instytucja | Urząd Gminy Dębowiec |
| Nazwa | Deklaracja o wysokości opłaty za gospodarowanie odpadami komunalnymi |
| Czy Aktualny | 1 |
| Ustawa z dnia 13 września 1996 r. o utrzymaniu czystości i porządku w gminach |
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<body>
<p align="center" class="Default"> <span style="font-size: small; font-family: verdana, geneva;"><strong>DEKLARACJA O WYSOKOŚCI OPŁATY ZA GOSPODAROWANIE ODPADAMI
KOMUNALNYMI<br/></strong></span></p>
<table border="0" cellpadding="0" cellspacing="0" style="border: 0px solid #000000; width: 100%;">
<tbody>
<tr>
<td align="left" colspan="2" style="width: 20%;" valign="middle"> </td>
</tr>
<tr>
<td align="left" style="background-color: #e2e2e2; width: 20%; border-top-style: solid; border-right-style: solid; border-left: 1px solid #000000; border-top-width: 1px; border-right-width: 1px; border-top-color: #000000; border-right-color: #000000;" valign="middle">
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Podstawa prawna:</span>
</strong>
</td>
<td align="left" style="background-color: #e2e2e2; width: 80%; border-top-style: solid; border-right-style: solid; border-top-width: 1px; border-right-width: 1px; border-left-width: 0px; border-top-color: #000000; border-right-color: #000000; text-align: justify;" valign="middle">
<span style="font-size: x-small; font-family: verdana, geneva;"> Ustawa z dnia 13 września 1996 r. o utrzymaniu czystości i
porządku w gminach (tekst jednolity Dz.U.2021r. poz. 888)</span>
</td>
</tr>
<tr>
<td align="left" style="background-color: #e2e2e2; width: 20%; border-top-style: solid; border-right-style: solid; border-left: 1px solid #000000; border-top-width: 1px; border-right-width: 1px; border-top-color: #000000; border-right-color: #000000;" valign="middle">
<span style="font-size: x-small; font-family: verdana, geneva;">
<strong>Termin składania:</strong>
</span>
</td>
<td align="left" style="background-color: #e2e2e2; width: 80%; border-top-style: solid; border-right-style: solid; border-top-width: 1px; border-right-width: 1px; border-left-width: 0px; border-top-color: #000000; border-right-color: #000000; text-align: justify;" valign="middle">
<span style="font-size: x-small; font-family: verdana, geneva;">W terminie <strong>14 dni</strong> od dnia zamieszkania na
danej nieruchomości pierwszego mieszkańca lub powstania na
danej nieruchomości odpadów komunalnych.<br/>W terminie do
<strong>10 dnia</strong> miesiąca następującego po
miesiącu, w którym nastąpiła zmiana danych będących podstawą
ustalenia wysokości należnej opłaty za gospodarowanie
odpadami komunalnymi</span>
</td>
</tr>
<tr>
<td align="left" style="background-color: #e2e2e2; width: 20%; border-style: solid; border-width: 1px; border-color: #000000;" valign="middle">
<strong>
<span style="font-family: verdana, geneva; font-size: x-small;">Miejsce składania:</span>
</strong>
</td>
<td align="left" style="background-color: #e2e2e2; width: 80%; border-style: solid; border-width: 1px 1px 1px 0px; border-color: #000000; text-align: justify;" valign="middle">
<span style="font-size: x-small; font-family: verdana, geneva;"> Urząd Gminy Dębowiec, ul. Katowicka 6, 43-426
Dębowiec</span>
</td>
</tr>
</tbody>
</table>
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="background-color: #e2e2e2; border-style: solid; border-width: 0px 1px 1px; border-color: #000000;">
<strong>
<span style="font-size: small; font-family: verdana, geneva;">A. ORGAN WŁAŚCIWY DO ZŁOŻENIA DEKLARACJI<br/></span>
</strong>
</td>
</tr>
<tr>
<td style="background-color: #ebebeb; border-style: solid; border-width: 0px 1px 1px; border-color: #000000;">
<p class="western" style="margin-top: 0.11cm; margin-bottom: 0.11cm; line-height: 100%; text-align: center;">
<span style="font-family: verdana, geneva;">
<strong>
<span style="font-size: small;"><br/>Urząd Gminy
Dębowiec</span>
</strong>
</span>
</p>
<p class="western" style="margin-top: 0.11cm; margin-bottom: 0.11cm; line-height: 100%; text-align: center;">
<span style="font-family: verdana, geneva;">
<strong>
<span style="font-size: small;">ul. Katowicka
6</span>
</strong>
</span>
</p>
<p class="western" style="margin-top: 0.11cm; margin-bottom: 0.11cm; line-height: 100%; text-align: center;">
<span style="font-family: verdana, geneva;">
<strong>
<span style="font-size: small;">43-426
Dębowiec</span>
</strong>
</span>
</p>
<p style="text-align: center;">
<span style="font-size: small; font-family: verdana, geneva;">
<strong>
<br/>
</strong>
</span>
</p>
</td>
</tr>
<tr>
<td style="background-color: #e2e2e2; text-align: left; border-style: solid; border-width: 0px 1px 1px; border-color: #000000;">
<strong>
<span style="font-size: small; font-family: verdana, geneva;">B. OBOWIĄZEK ZŁOŻENIA DEKLARACJI<br/></span>
</strong>
</td>
</tr>
<tr>
<td style="text-align: left; border-style: solid; border-width: 0px 1px 1px; border-color: #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Okoliczności powodujące obowiązek złożenia
deklaracji:</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID0) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[
]</span></xsl:otherwise></xsl:choose><label><span>Pierwsza
deklaracja
</span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID0) = normalize-space(' 2 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[
]</span></xsl:otherwise></xsl:choose><label><span>Zmiana
danych zawartych w pierwszej deklaracji
</span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID0) = normalize-space(' 3 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[
]</span></xsl:otherwise></xsl:choose><label><span>Korekta
deklaracji
</span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID0) = normalize-space(' 4 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[
]</span></xsl:otherwise></xsl:choose><label><span>Wygaśnięcie
obowiązku uiszczenia opłaty
</span></label></span></xsl:if></span> od dnia
<xsl:if test="true()"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID8"/></xsl:if><br/></span>
</p>
</td>
</tr>
</tbody>
</table>
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="background-color: #e2e2e2; border-right-style: solid; border-bottom-style: solid; border-left: 1px solid #000000; border-right-width: 1px; border-bottom-width: 1px; border-right-color: #000000; border-bottom-color: #000000;">
<span style="font-size: small; font-family: verdana, geneva;">
<strong>C. SKŁADAJĄCY DEKLARACJĘ</strong>
</span>
</td>
</tr>
<tr>
<td style="background-color: #ffffff; border-style: solid; border-width: 0px 1px 1px; border-color: #000000;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:choose>
<xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID4) = normalize-space(' 1 ')">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>Właściciel </span>
</label>
</span>
<br/>
<span>
<xsl:choose>
<xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID4) = normalize-space(' 2 ')">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>Użytkownik wieczysty </span>
</label>
</span>
<br/>
<span>
<xsl:choose>
<xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID4) = normalize-space(' 3 ')">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>Użytkownik </span>
</label>
</span>
<br/>
<span>
<xsl:choose>
<xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID4) = normalize-space(' 4 ')">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>Najemca </span>
</label>
</span>
<br/>
<span>
<xsl:choose>
<xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID4) = normalize-space(' 5 ')">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>Dzierżawca </span>
</label>
</span>
<br/>
<span>
<xsl:choose>
<xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID4) = normalize-space(' 6 ')">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>Inna osoba władająca nieruchomością </span>
</label>
</span>
<br/>
<span>
<xsl:choose>
<xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID4) = normalize-space(' 7 ')">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>Współwłaściciel </span>
</label>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="background-color: #e2e2e2; border-right-style: solid; border-left: 1px solid #000000; border-right-width: 1px; border-right-color: #000000;">
<strong>
<span style="font-size: small; font-family: verdana, geneva;">D. DANE SKŁADAJĄCEGO DEKLARACJĘ<br/></span>
</strong>
</td>
</tr>
<tr>
<td style="border-top-style: solid; border-right-style: solid; border-left: 1px solid #000000; border-top-width: 1px; border-right-width: 1px; border-top-color: #000000; border-right-color: #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">D.1 Rodzaj składającego deklarację</span>
</strong>
</p>
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;"> </span>
</strong>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:choose>
<xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID1) = normalize-space(' 1 ')">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>Osoba fizyczna </span>
</label>
</span>
<br/>
<span>
<xsl:choose>
<xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID1) = normalize-space(' 2 ')">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>Osoba prawna </span>
</label>
</span>
<br/>
<span>
<xsl:choose>
<xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID1) = normalize-space(' 3 ')">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>Jednostka organizacyjna nieposiadająca
osobowości prawnej </span>
</label>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
<tr>
<td style="border-top-style: solid; border-right-style: solid; border-left: 1px solid #000000; border-top-width: 1px; border-right-width: 1px; border-top-color: #000000; border-right-color: #000000;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td>
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID5">
<xsl:if test="//wnio:TrescDokumentu/wnio:Wartosc/wnio:ID1 = '1'">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="background-color: #e2e2e2; width: 50%; border-bottom: 1px solid #000000;">
<strong>
<span style="font-size: small; font-family: verdana, geneva;">D.2. Osoba fizyczna</span>
</strong>
</td>
</tr>
<tr>
<td style="width: 50%; border-bottom: 1px solid #000000; border-right: 1px solid #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Nazwisko</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID7"/></span></xsl:if></span></span>
</p>
</td>
<td style="width: 50%; border-bottom: 1px solid #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Imię</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID15"/></span></xsl:if></span></span>
</p>
</td>
</tr>
<tr>
<td colspan="2" style="background-color: #e2e2e2; width: 50%; border-bottom: 1px solid #000000;">
<strong>
<span style="font-size: small; font-family: verdana, geneva;">D.3. Identyfikator</span>
</strong>
</td>
</tr>
<tr>
<td style="width: 50%; border-bottom: 1px solid #000000; border-right: 1px solid #000000;">
<p>
<span style="font-size: x-small;">
<strong>
<span style="font-family: verdana, geneva;">NIP</span>
</strong>
</span>
</p>
<p> <span style="font-size: x-small; font-family: verdana, geneva;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID2"/></span></xsl:if></span></span></p>
</td>
<td style="width: 50%; border-bottom: 1px solid #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">PESEL</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID17"/></span></xsl:if></span></span>
</p>
</td>
</tr>
<tr>
<td style="width: 50%; border-right: 1px solid #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Telefon</span>
</strong>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span style="font-size: x-small; font-family: verdana, geneva;">
</span>
</span>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">
<br/>
</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID20"/></span></xsl:if></span></span>
</p>
</td>
<td style="width: 50%;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<strong>Adres e-mail</strong>
</span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<em> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID21"/></span></xsl:if></span></em>
</span>
</p>
</td>
</tr>
<tr>
<td style="width: 50%; border-top-style: solid; border-right: 1px solid #000000; border-top-width: 1px; border-top-color: #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Kraj</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID9"/></span></xsl:if></span></span>
</p>
</td>
<td style="width: 50%; border-top-style: solid; border-width: 1px; border-color: #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Województwo</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID10"/></span></xsl:if></span></span>
</p>
</td>
</tr>
<tr>
<td style="width: 50%; border-top-style: solid; border-right: 1px solid #000000; border-top-width: 1px; border-top-color: #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Powiat</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID11"/></span></xsl:if></span></span>
</p>
</td>
<td style="width: 50%; border-top-style: solid; border-width: 1px; border-color: #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Gmina</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID12"/></span></xsl:if></span></span>
</p>
</td>
</tr>
<tr>
<td style="width: 50%; border-top-style: solid; border-right: 1px solid #000000; border-top-width: 1px; border-top-color: #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Ulica</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID13"/></span></xsl:if></span></span>
</p>
</td>
<td style="width: 50%; border-top-style: solid; border-width: 1px; border-color: #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Numer domu</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID14"/></span></xsl:if></span></span>
</p>
</td>
</tr>
<tr>
<td style="width: 50%; border-top-style: solid; border-right: 1px solid #000000; border-top-width: 1px; border-top-color: #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Numer lokalu</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID16"/></span></xsl:if></span></span>
</p>
</td>
<td style="width: 50%; border-top-style: solid; border-width: 1px; border-color: #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Miejscowość</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID18"/></span></xsl:if></span></span>
</p>
</td>
</tr>
<tr>
<td style="width: 50%; border-top-style: solid; border-right: 1px solid #000000; border-top-width: 1px; border-top-color: #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Kod pocztowy</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID19"/></span></xsl:if></span></span>
</p>
</td>
<td style="width: 50%; border-top-style: solid; border-width: 1px; border-color: #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Poczta</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID24"/></span></xsl:if></span></span>
</p>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID6">
<xsl:if test="//wnio:TrescDokumentu/wnio:Wartosc/wnio:ID1 != '1'">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="background-color: #e2e2e2; width: 50%; border-bottom: 1px solid #000000;">
<strong>
<span style="font-size: small; font-family: verdana, geneva;">D.2. Osoba prawna / Jednostka organizacyjna
nieposiadająca osobowości prawnej</span>
</strong>
</td>
</tr>
<tr>
<td colspan="2" style="width: 50%; border-bottom: 1px solid #000000;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<strong>Pełna nazwa</strong>
</span>
</p>
<p>
<span style="font-size: x-small; font-family: trebuchet ms, geneva;"> <span style="font-family: verdana, geneva;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID26"/></span></xsl:if></span></span></span>
</p>
</td>
</tr>
<tr>
<td colspan="2" style="background-color: #e2e2e2; width: 50%; border-bottom: 1px solid #000000;">
<strong>
<span style="font-size: small; font-family: verdana, geneva;">D.3. Identyfikator</span>
</strong>
</td>
</tr>
<tr>
<td style="width: 50%; border-bottom: 1px solid #000000; border-right: 1px solid #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">REGON</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID30"/></span></xsl:if></span></span>
</p>
</td>
<td style="width: 50%; border-bottom: 1px solid #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">NIP</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID31"/></span></xsl:if></span></span>
</p>
</td>
</tr>
<tr>
<td style="width: 50%; border-right: 1px solid #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Telefon</span>
</strong>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span style="font-size: x-small; font-family: verdana, geneva;">
</span>
</span>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">
<br/>
</span>
</strong>
</p>
<p> <span style="font-size: x-small; font-family: verdana, geneva;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID3"/></span></xsl:if></span></span></p>
</td>
<td style="width: 50%;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"><strong><span style="font-size: x-small; font-family: verdana, geneva;">Adres e-mail</span></strong>
<span style="font-size: x-small; font-family: verdana, geneva;"><span style="font-size: x-small; font-family: verdana, geneva;"/></span> </span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID29"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
<tr>
<td style="width: 50%; border-top-style: solid; border-right: 1px solid #000000; border-top-width: 1px; border-top-color: #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Kraj</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID25"/></span></xsl:if></span></span>
</p>
</td>
<td style="width: 50%; border-top-style: solid; border-width: 1px; border-color: #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Województwo</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID27"/></span></xsl:if></span></span>
</p>
</td>
</tr>
<tr>
<td style="width: 50%; border-top-style: solid; border-right: 1px solid #000000; border-top-width: 1px; border-top-color: #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Powiat</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID28"/></span></xsl:if></span></span>
</p>
</td>
<td style="width: 50%; border-top-style: solid; border-width: 1px; border-color: #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Gmina</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID32"/></span></xsl:if></span></span>
</p>
</td>
</tr>
<tr>
<td style="width: 50%; border-top-style: solid; border-right: 1px solid #000000; border-top-width: 1px; border-top-color: #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Ulica</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID36"/></span></xsl:if></span></span>
</p>
</td>
<td style="width: 50%; border-top-style: solid; border-width: 1px; border-color: #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Numer domu</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID37"/></span></xsl:if></span></span>
</p>
</td>
</tr>
<tr>
<td style="width: 50%; border-top-style: solid; border-right: 1px solid #000000; border-top-width: 1px; border-top-color: #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Numer lokalu</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID38"/></span></xsl:if></span></span>
</p>
</td>
<td style="width: 50%; border-top-style: solid; border-width: 1px; border-color: #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Miejscowość</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID39"/></span></xsl:if></span></span>
</p>
</td>
</tr>
<tr>
<td style="width: 50%; border-top-style: solid; border-right: 1px solid #000000; border-top-width: 1px; border-top-color: #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Kod pocztowy</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID40"/></span></xsl:if></span></span>
</p>
</td>
<td style="width: 50%; border-top-style: solid; border-width: 1px; border-color: #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Poczta</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID41"/></span></xsl:if></span></span>
</p>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="background-color: #ffffff; border-style: solid; border-width: 0px 1px 1px; border-color: #000000;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td>
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID23">
<xsl:if test="//wnio:TrescDokumentu/wnio:Wartosc/wnio:ID1 = '1'">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="3" style="background-color: #e2e2e2; width: 33%; border-top-style: solid; border-bottom: 1px solid #000000; border-top-width: 1px; border-top-color: #000000;">
<strong>
<span style="font-size: small; font-family: verdana, geneva;">D.4. Adres do korespondencji</span>
</strong>
</td>
</tr>
<tr>
<td style="width: 33%; border-bottom: 1px solid #000000; border-right: 1px solid #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Kraj</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID42"/></span></xsl:if></span></span>
</p>
</td>
<td style="width: 33%; border-bottom: 1px solid #000000; border-right: 1px solid #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Województwo</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID43"/></span></xsl:if></span></span>
</p>
</td>
<td style="width: 33%; border-bottom: 1px solid #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Powiat</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID44"/></span></xsl:if></span></span>
</p>
</td>
</tr>
<tr>
<td style="width: 33%; border-bottom: 1px solid #000000; border-right: 1px solid #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Gmina</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID45"/></span></xsl:if></span></span>
</p>
</td>
<td style="width: 33%; border-bottom: 1px solid #000000; border-right: 1px solid #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Miejscowość</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID46"/></span></xsl:if></span></span>
</p>
</td>
<td style="width: 33%; border-bottom: 1px solid #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Kod pocztowy</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID47"/></span></xsl:if></span></span>
</p>
</td>
</tr>
<tr>
<td style="width: 33%; border-right: 1px solid #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Ulica</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID48"/></span></xsl:if></span></span>
</p>
</td>
<td style="width: 33%; border-right: 1px solid #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Numer domu</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID49"/></span></xsl:if></span></span>
</p>
</td>
<td style="width: 33%;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Numer lokalu</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID50"/></span></xsl:if></span></span>
</p>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID22">
<xsl:if test="//wnio:TrescDokumentu/wnio:Wartosc/wnio:ID1 != '1'">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="3" style="background-color: #e2e2e2; width: 33%; border-top-style: solid; border-bottom: 1px solid #000000; border-top-width: 1px; border-top-color: #000000;">
<strong>
<span style="font-size: small; font-family: verdana, geneva;">D.4. Adres do korespondencji</span>
</strong>
</td>
</tr>
<tr>
<td style="width: 33%; border-bottom: 1px solid #000000; border-right: 1px solid #000000;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<strong>Kraj</strong>
</span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<strong> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID51"/></span></xsl:if></span><br/></strong>
</span>
</p>
</td>
<td style="width: 33%; border-bottom: 1px solid #000000; border-right: 1px solid #000000;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<strong>Województwo</strong>
</span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<strong> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID52"/></span></xsl:if></span><br/></strong>
</span>
</p>
</td>
<td style="width: 33%; border-bottom: 1px solid #000000;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<strong>Powiat</strong>
</span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<strong> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID53"/></span></xsl:if></span><br/></strong>
</span>
</p>
</td>
</tr>
<tr>
<td style="width: 33%; border-bottom: 1px solid #000000; border-right: 1px solid #000000;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<strong>Gmina</strong>
</span>
</p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID54"/></span></xsl:if></span></span>
</td>
<td style="width: 33%; border-bottom: 1px solid #000000; border-right: 1px solid #000000;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<strong>Miejscowość</strong>
</span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<strong> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID55"/></span></xsl:if></span><br/></strong>
</span>
</p>
</td>
<td style="width: 33%; border-bottom: 1px solid #000000;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<strong>Kod pocztowy</strong>
</span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<strong> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID56"/></span></xsl:if></span><br/></strong>
</span>
</p>
</td>
</tr>
<tr>
<td style="width: 33%; border-right: 1px solid #000000;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<strong>Ulica</strong>
</span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<strong> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID57"/></span></xsl:if></span><br/></strong>
</span>
</p>
</td>
<td style="width: 33%; border-right: 1px solid #000000;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<strong>Numer domu</strong>
</span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<strong> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID58"/></span></xsl:if></span><br/></strong>
</span>
</p>
</td>
<td style="width: 33%;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<strong>Numer lokalu</strong>
</span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<strong> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID59"/></span></xsl:if></span><br/></strong>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="background-color: #e2e2e2; border-right-style: solid; border-bottom-style: solid; border-left: 1px solid #000000; border-right-width: 1px; border-bottom-width: 1px; border-right-color: #000000; border-bottom-color: #000000;">
<strong>
<span style="font-size: small; font-family: verdana, geneva;">E. ADRES NIERUCHOMOŚCI, NA KTÓREJ POWSTAJĄ ODPADY
KOMUNALNE</span>
</strong>
</td>
</tr>
</tbody>
</table>
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="border-style: solid; border-width: 0px 1px 1px; border-color: #000000;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 33.33%; border-bottom: 1px solid #000000; border-right: 1px solid #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Kraj</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID60"/></span></xsl:if></span></span>
</p>
</td>
<td style="width: 33.33%; border-bottom: 1px solid #000000; border-right: 1px solid #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Województwo</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID61"/></span></xsl:if></span></span>
</p>
</td>
<td style="width: 33.33%; border-bottom: 1px solid #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Powiat</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID62"/></span></xsl:if></span></span>
</p>
</td>
</tr>
<tr>
<td style="width: 33.33%; border-bottom: 1px solid #000000; border-right: 1px solid #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Gmina</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID63"/></span></xsl:if></span></span>
</p>
</td>
<td style="width: 33.33%; border-bottom: 1px solid #000000; border-right: 1px solid #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Ulica</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID64"/></span></xsl:if></span></span>
</p>
</td>
<td style="width: 33.33%; border-bottom: 1px solid #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Numer domu</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID65"/></span></xsl:if></span></span>
</p>
</td>
</tr>
<tr>
<td style="width: 33.33%; border-bottom: 1px solid #000000; border-right: 1px solid #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Numer lokalu</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID66"/></span></xsl:if></span></span>
</p>
</td>
<td style="width: 33.33%; border-bottom: 1px solid #000000; border-right: 1px solid #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Miejscowość</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID67"/></span></xsl:if></span></span>
</p>
</td>
<td style="width: 33.33%; border-bottom: 1px solid #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Kod pocztowy</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID68"/></span></xsl:if></span></span>
</p>
</td>
</tr>
<tr>
<td style="width: 33.33%; border-right: 1px solid #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Poczta</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID69"/></span></xsl:if></span></span>
</p>
</td>
<td colspan="2" style="width: 33.33%;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Numer ewidencyjny nieruchomości w rejestrze
gruntów</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID70"/></span></xsl:if></span></span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="font-family: verdana, geneva; font-size: small; background-color: #e2e2e2; border-right-style: solid; border-bottom-style: solid; border-left: 1px solid #000000; border-right-width: 1px; border-bottom-width: 1px; border-right-color: #000000; border-bottom-color: #000000;">
<span style="font-size: small; font-family: verdana, geneva;">
<strong>F. OŚWIADCZENIE</strong>
</span>
</td>
</tr>
<tr>
<td style="background-color: #ffffff; border-style: solid; border-width: 0px 1px 1px; border-color: #000000;">
<span style="font-size: x-small; font-family: verdana, geneva;">Oświadczam, że na terenie nieruchomości wskazanej w części
E niniejszej deklaracji zamieszkuje:
<span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID71"/></span></xsl:if></span> osób.</span>
</td>
</tr>
</tbody>
</table>
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="background-color: #e2e2e2; border-style: solid; border-width: 0px 1px 1px; border-color: #000000;">
<strong>
<span style="font-size: small; font-family: verdana, geneva;">G. OBLICZENIE WYSOKOŚCI MIESIĘCZNEJ OPŁATY ZA
GOSPODAROWANIE ODPADAMI KOMUNALNYMI</span>
</strong>
</td>
</tr>
<tr>
<td style="border-style: solid; border-width: 0px 1px 1px; border-color: #000000;">
<span style="font-size: x-small; font-family: verdana, geneva;">G.1. Dotyczy wyłącznie nieruchomości zamieszkałych</span>
</td>
</tr>
<tr>
<td style="border-style: solid; border-width: 0px 1px 1px; border-color: #000000; text-align: center;">
<strong>
<span style="font-size: small; font-family: verdana, geneva;">STAWKI OPŁAT</span>
</strong>
</td>
</tr>
<tr>
<td style="border-style: solid; border-width: 0px 1px 1px; border-color: #000000;">
<span style="font-size: x-small; font-family: verdana, geneva;">Posiadam kompostownik przydomowy i deklaruję kompostowanie
bioodpadów stanowiących odpady komunalne na terenie własnej
nieruchomości:
<strong><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID72) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[
]</span></xsl:otherwise></xsl:choose><label><span>Tak
</span></label></span><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID72) = normalize-space(' 2 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[
]</span></xsl:otherwise></xsl:choose><label><span>Nie
</span></label></span></xsl:if></span></strong></span>
</td>
</tr>
<tr>
<td style="border-style: solid; border-width: 0px 1px 1px; border-color: #000000; width: 33.33%;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 33.33%; border-right: 1px solid #000000; text-align: center;">
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Liczba mieszkańców zamieszkujących daną
nieruchomość (a)</span>
</strong>
</td>
<td style="width: 33.33%; border-right: 1px solid #000000; text-align: center;">
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Stawka opłaty za mieszkańca (b)</span>
</strong>
</td>
<td style="width: 33.33%; text-align: center;">
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Wysokość opłaty (iloczyn a×b)</span>
</strong>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="border-style: solid; border-width: 0px 1px 1px; border-color: #000000;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 33.33%; border-right: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID73"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 33.33%; border-right: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID74"/></span></xsl:if></span> zł</span>
</p>
</td>
<td style="width: 33.33%; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID75"/></span></xsl:if></span> zł</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="border-style: solid; border-width: 0px 1px 1px; border-color: #000000;">
<span style="font-size: x-small; font-family: verdana, geneva;">G.2. Dotyczy wyłącznie nieruchomości, na której nie
mieszkają mieszkańcy, a powstają odpady oraz nieruchomości,
na której prowadzona jest działalność gospodarcza</span>
</td>
</tr>
<tr>
<td style="border-style: solid; border-width: 0px 1px 1px; border-color: #000000; text-align: center;">
<strong>
<span style="font-size: small; font-family: verdana, geneva;">STAWKI OPŁAT</span>
</strong>
</td>
</tr>
<tr>
<td style="border-style: solid; border-width: 0px 1px 1px; border-color: #000000; text-align: center;">
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Dotyczy worków z segregacją</span>
</strong>
</td>
</tr>
<tr>
<td style="border-style: solid; border-width: 0px 1px 1px; border-color: #000000;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 25%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Liczba worków (a)</span>
</strong>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<p align="center" class="western" style="margin-top: 0.11cm; margin-bottom: 0.11cm; line-height: 100%;">
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Częstotliwość (b)</span>
</strong>
</p>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<p align="center" class="western" style="margin-top: 0.11cm; margin-bottom: 0.11cm; line-height: 100%;">
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Pojemność worka (c)</span>
</strong>
</p>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000; text-align: center;">
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Wysokość opłaty (iloczyn a×b×c)</span>
</strong>
</td>
</tr>
<tr>
<td style="width: 25%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">Liczba worków z popiołem powstała na
nieruchomości:</span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID107"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID76"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">Koszt wywozu jednego worka o pojemności 80
l</span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID77"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID78"/></span></xsl:if></span> zł<br/></span>
</td>
</tr>
<tr>
<td style="width: 25%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">Liczba worków z plastikiem/metalem powstała na
nieruchomości:</span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID108"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID79"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">Koszt wywozu jednego worka o pojemności 120
l</span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID80"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID81"/></span></xsl:if></span> zł</span>
</td>
</tr>
<tr>
<td style="width: 25%; border-bottom: 1px solid #000000; border-right: 1px solid #000000;">
<p align="center" class="western" style="margin-bottom: 0cm; line-height: 100%;">
<span style="font-size: x-small; font-family: verdana, geneva;">Liczba worków z papierem powstała na
nieruchomości:</span>
</p>
<p align="center" class="western" style="margin-bottom: 0cm; line-height: 100%;">
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID109"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID82"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">Koszt wywozu jednego worka o pojemności 120
l</span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID83"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID84"/></span></xsl:if></span> zł</span>
</td>
</tr>
<tr>
<td style="width: 25%; border-bottom: 1px solid #000000; border-right: 1px solid #000000;">
<p align="center" class="western" style="margin-bottom: 0cm; line-height: 100%;">
<span style="font-size: x-small; font-family: verdana, geneva;">Liczba worków ze szkłem powstała na
nieruchomości:</span>
</p>
<p align="center" class="western" style="margin-bottom: 0cm; line-height: 100%;">
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID110"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID85"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<p align="center" class="western" style="margin-top: 0.11cm; margin-bottom: 0.11cm; line-height: 100%;">
<span style="font-family: verdana, geneva; font-size: x-small;">Koszt wywozu jednego worka o pojemności
80l</span>
</p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<br/>
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID86"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID87"/></span></xsl:if></span> zł</span>
</td>
</tr>
<tr>
<td style="width: 25%; border-bottom: 1px solid #000000; border-right: 1px solid #000000;">
<p align="center" class="western" style="margin-bottom: 0cm; line-height: 100%;">
<span style="font-size: x-small; font-family: verdana, geneva;">Liczba worków z bioodpadami powstała na
nieruchomości:</span>
</p>
<p align="center" class="western" style="margin-bottom: 0cm; line-height: 100%;">
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID111"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID88"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">Koszt wywozu jednego worka o pojemności
120l</span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID89"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID90"/></span></xsl:if></span> zł</span>
</td>
</tr>
<tr>
<td colspan="4" style="width: 25%; border-bottom: 1px solid #000000; text-align: center;">
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Dotyczy pojemników na odpady niesegregowane
(zmieszane)</span>
</strong>
</td>
</tr>
<tr>
<td style="width: 25%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Liczba pojemników (a)</span>
</strong>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Częstotliwość (b)</span>
</strong>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Pojemność pojemnika (c)</span>
</strong>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000; text-align: center;">
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Wysokość opłaty (iloczyn a×b×c)</span>
</strong>
</td>
</tr>
<tr>
<td style="width: 25%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">Liczba pojemników z odpadami powstała na
nieruchomości:</span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID91"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID95"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">Koszt wywozu jednego pojemnika o pojemności 120
l</span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID99"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID103"/></span></xsl:if></span> zł</span>
</p>
</td>
</tr>
<tr>
<td style="width: 25%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">Liczba pojemników z odpadami powstała na
nieruchomości:</span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID92"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID96"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">Koszt wywozu jednego pojemnika o pojemności 240
l</span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID100"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID104"/></span></xsl:if></span> zł</span>
</p>
</td>
</tr>
<tr>
<td style="width: 25%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">Liczba pojemników z odpadami powstała na
nieruchomości:</span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID93"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID97"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">Koszt wywozu jednego pojemnika o pojemności 900
l</span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID101"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID105"/></span></xsl:if></span> zł</span>
</p>
</td>
</tr>
<tr>
<td style="width: 25%; border-right: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">Liczba pojemników z odpadami powstała na
nieruchomości:</span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID94"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 25%; border-right: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID98"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 25%; border-right: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">Koszt wywozu jednego pojemnika o pojemności 1100
l</span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID102"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 25%; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID106"/></span></xsl:if></span> zł</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="border-style: solid; border-width: 0px 1px 1px; border-color: #000000;">
<p>
<span style="font-size: small; font-family: verdana, geneva;">
<strong>
<br/>
</strong>
</span>
</p>
<p>
<span style="font-size: small; font-family: verdana, geneva;">
<strong>SUMA</strong>
</span>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID112"/></span></xsl:if></span> zł.</span>
</strong>
</p>
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">
<br/>
</span>
</strong>
</p>
</td>
</tr>
</tbody>
</table>
<div>
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td align="left" colspan="3" style="background-color: #e2e2e2; width: 100%; border-right-style: solid; border-bottom-style: solid; border-left: 1px solid #000000; border-right-width: 1px; border-bottom-width: 1px; border-right-color: #000000; border-bottom-color: #000000;" valign="middle">
<p>
<strong>
<span style="font-size: small; font-family: verdana, geneva;">H. OŚWIADCZENIE I PODPIS SKŁADAJĄCEGO DEKLARACJĘ<br/></span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">Oświadczam, że są mi znane przepisy Kodeksu karnego
skarbowego o odpowiedzialności za podanie danych
niezgodnych z rzeczywistością.</span>
</p>
</td>
</tr>
<tr>
<td align="left" colspan="3" style="width: 100%; border-right-style: solid; border-bottom-style: solid; border-left: 1px solid #000000; border-right-width: 1px; border-bottom-width: 1px; border-right-color: #000000; border-bottom-color: #000000;" valign="middle">
<em>
<span style="font-size: x-small; font-family: verdana, geneva;">Oświadczenie i podpis składającego / osoby
reprezentującej składającego</span>
</em>
</td>
</tr>
<tr>
<td align="left" colspan="3" style="width: 100%; border-right-style: solid; border-bottom-style: solid; border-left: 1px solid #000000; border-right-width: 1px; border-bottom-width: 1px; border-right-color: #000000; border-bottom-color: #000000;" valign="middle">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 50%; border-right: 1px solid #000000; text-align: left;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">Imię</span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID33"/></span></xsl:if></span></span>
</p>
</td>
<td style="width: 50%; text-align: left;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> Nazwisko</span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID34"/></span></xsl:if></span></span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td align="left" colspan="3" style="background-color: #ffffff; width: 34%; border-style: solid; border-width: 0px 1px 1px; border-color: #000000;" valign="middle">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="width: 50%;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">Data wypełniania deklaracji</span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID35"/></span></xsl:if></span></span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</div>
<div>
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="background-color: #e2e2e2; border-right-style: solid; border-bottom-style: solid; border-left: 1px solid #000000; border-right-width: 1px; border-bottom-width: 1px; border-right-color: #000000; border-bottom-color: #000000;">
<strong>
<span style="font-size: small; font-family: verdana, geneva;">I. ADNOTACJE ORGANU<br/></span>
</strong>
</td>
</tr>
<tr>
<td style="border-right-style: solid; border-bottom-style: solid; border-left: 1px solid #000000; border-right-width: 1px; border-bottom-width: 1px; border-right-color: #000000; border-bottom-color: #000000;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<br/>
</span>
</p>
<p> </p>
<p> </p>
<p> </p>
<p> </p>
</td>
</tr>
</tbody>
</table>
</div>
<table align="right">
<tr>
<td style="width: 100%;">
<p/>
<p/>
<p align="right" style="text-align: left;font-size: small;font-family: verdana, geneva;line-height: 20px;">
<xsl:choose>
<xsl:when test="string-length(//wnio:Dokument/ds:Signature/ds:SignatureValue) > 0">
<xsl:text>Dokument został podpisany, aby go zweryfikować należy użyć oprogramowania do weryfikacji podpisu </xsl:text>
<br/>
<xsl:for-each select="//wnio:Dokument/ds:Signature/ds:Object">
<xsl:if test="descendant::*[local-name() = 'SigningTime']">
<xsl:value-of select="descendant::*[local-name() = 'SigningTime']"/>
</xsl:if>
<br/>
<xsl:choose>
<xsl:when test="descendant::*[local-name() = 'PodpisZP']">
Podpis profilem zaufanym: <xsl:value-of select="descendant::*[local-name() = 'Imie']"/><xsl:text> </xsl:text><xsl:value-of select="descendant::*[local-name() = 'Nazwisko']"/><br/></xsl:when>
</xsl:choose>
</xsl:for-each>
</xsl:when>
<xsl:otherwise>
<xsl:text>Dokument nie zawiera podpisu</xsl:text>
</xsl:otherwise>
</xsl:choose>
<br/>
</p>
</td>
</tr>
</table>
</body>
</html>
</xsl:for-each>
</xsl:template>
</xsl:stylesheet>