11105
ID | 11105 |
Data | 2021-12-02 |
Symbol | 2021/12/02/11105 |
Instytucja | Urząd Gminy Poronin |
Nazwa | Oświadczenie o stanie majątkowym osoby fizycznej prowadzącej/nieprowadzącej działalności gospodarczej składane w związku z wnioskiem o udzielenie ulgi w spłacie zobowiązań |
Czy Aktualny | 1 |
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Ustawy (1)
URI://Dziennik_Ustaw/2021/2070/16b/1 | Art. 16b ust. 1 ustawy z dnia 17 lutego 2005 r. o informatyzacji działalności podmiotów realizujących zadania publiczne (Dz. U. z 2021 r. poz. 2070) |
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<tr><td style="text-align: right;"><span style="font-family: verdana, geneva; font-size: small;">Miejscowość <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:MiejscowoscDokumentu"/></span></xsl:if></span> , data <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:DaneDokumentu/meta:Data/meta:Czas"/></span></xsl:if></span></span></td>
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<tr><td style="text-align: right;"><span style="font-family: verdana, geneva; font-size: small;"> </span></td>
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<tr><td style="background-color: #4e41bd; text-align: center;"><span style="color: #ffffff; font-family: verdana, geneva; font-size: medium;"><strong>Oświadczenie o stanie majątkowym osoby fizycznej prowadzącej/nieprowadzącej działalności gospodarczej</strong></span></td>
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<tr><td style="text-align: left;"><span style="font-family: verdana, geneva; font-size: small;"> </span></td>
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<tr><td style="width: 100%; border-style: solid; border-width: 1px; background-color: #d9d9d9;" colspan="2"><span style="font-size: small; font-family: verdana, geneva;"><strong><strong>ADRESAT</strong></strong></span></td>
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<tr><td style="width: 100%; border-style: solid; border-width: 1px;" colspan="2"><span style="font-size: small; font-family: verdana, geneva;"><strong><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:DaneDokumentu/str:Adresaci/meta:Podmiot/inst:Instytucja/inst:NazwaInstytucji"/></span></xsl:if></span><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:DaneDokumentu/str:Adresaci/meta:Podmiot/inst:Instytucja/adr:Adres/adr:Ulica/@rodzajUlicy"/></span></xsl:if></span> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:DaneDokumentu/str:Adresaci/meta:Podmiot/inst:Instytucja/adr:Adres/adr:Ulica"/></span></xsl:if></span> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:DaneDokumentu/str:Adresaci/meta:Podmiot/inst:Instytucja/adr:Adres/adr:Budynek"/></span></xsl:if></span><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:DaneDokumentu/str:Adresaci/meta:Podmiot/inst:Instytucja/adr:Adres/adr:KodPocztowy"/></span></xsl:if></span> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:DaneDokumentu/str:Adresaci/meta:Podmiot/inst:Instytucja/adr:Adres/adr:Miejscowosc"/></span></xsl:if></span><br/><br/></strong></span></td>
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<tr><td style="width: 100%; border-style: solid; border-width: 1px; background-color: #d9d9d9;" colspan="2"><span style="font-size: small; font-family: verdana, geneva;"><strong>A. PODMIOT</strong></span></td>
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<tr><td style="width: 100%; border-style: solid; border-width: 1px;" colspan="2"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:Podmiot"/></span></xsl:if></span></td>
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<tr><td style="width: 100%; border-style: solid; border-width: 1px; background-color: #d9d9d9;" colspan="2"><span style="font-size: small; font-family: verdana, geneva;"><strong>B. DANE WNIOSKODAWCY</strong></span></td>
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<tr><td style="width: 100%; border-style: solid; border-width: 1px;" colspan="2">
<xsl:for-each select="wnio:DaneDokumentu/meta:Tworcy/meta:Tworca/meta:Podmiot/oso:Osoba"><xsl:if test="true()">
<table style="width: 100%;" border="1" cellpadding="5"><tbody><tr><td style="width: 20%; background-color: #d9d9d9;" colspan="2"><span style="font-family: verdana, geneva; font-size: small;"><strong>B1. DANE OSOBY</strong></span></td>
</tr><tr><td style="width: 20%;"><span style="font-size: small; font-family: verdana, geneva;">Nazwisko<br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="oso:Nazwisko"/></span></xsl:if></span><br/></span></td>
<td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Pierwsze imię<br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="oso:Imie"/></span></xsl:if></span><br/></span></td>
</tr><tr><td style="width: 20%;" colspan="2"><span style="font-size: small; font-family: verdana, geneva;">Nazwa firmy<br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Adres/adr:Uwagi"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 20%;"><span style="font-family: verdana, geneva; font-size: small;">Data urodzenia</span><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Kontakt/adr:InnyKontakt"/></span></xsl:if></span></td>
<td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Numer REGON</span><br/><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Kontakt/adr:Faks"/></span></xsl:if></span></span></td>
</tr><tr><td colspan="2">
<xsl:for-each select="adr:Adres"><xsl:if test="true()">
<table style="width: 100%;" border="1" cellpadding="5"><tbody><tr><td style="background-color: #d9d9d9;" colspan="2"><span style="font-size: small; font-family: verdana, geneva;"><strong>B.2 ADRES ZAMIESZKANIA</strong></span></td>
</tr><tr><td style="width: 19%;"><span style="font-size: small; font-family: verdana, geneva;">Kraj<br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Kraj"/></span></xsl:if></span><br/></span></td>
<td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Województwo<br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Wojewodztwo"/></span></xsl:if></span><br/></span></td>
</tr><tr><td style="width: 19%;"><span style="font-size: small; font-family: verdana, geneva;">Powiat<br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Powiat"/></span></xsl:if></span><br/></span></td>
<td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Gmina<br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Gmina"/></span></xsl:if></span><br/></span></td>
</tr><tr><td style="width: 19%;"><span style="font-size: small; font-family: verdana, geneva;">Miejscowość<br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Miejscowosc"/></span></xsl:if></span><br/></span></td>
<td style="width: 50%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Ulica/@rodzajUlicy"/></span></xsl:if></span><br/><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Ulica"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 19%;"><span style="font-size: small; font-family: verdana, geneva;">Numer budynku <br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Budynek"/></span></xsl:if></span><br/></span></td>
<td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Numer lokalu<br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Lokal"/></span></xsl:if></span><br/></span></td>
</tr><tr><td style="width: 19%;"><span style="font-family: verdana, geneva; font-size: small;">Kod pocztowy<br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:KodPocztowy"/></span></xsl:if></span><br/></span></td>
<td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Poczta<br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Poczta"/></span></xsl:if></span><br/></span></td>
</tr></tbody></table></xsl:if></xsl:for-each></td>
</tr><tr><td style="background-color: #d9d9d9;" colspan="2"><span style="font-size: small; font-family: verdana, geneva;"><strong>DANE KONTAKTOWE</strong></span></td>
</tr><tr><td style="width: 19%;"><span style="font-size: small; font-family: verdana, geneva;">Numer telefonu<br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Kontakt/adr:Telefon"/></span></xsl:if></span><br/></span></td>
<td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Adres email<br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Kontakt/adr:Email"/></span></xsl:if></span><br/></span></td>
</tr></tbody></table></xsl:if></xsl:for-each></td>
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<tr><td style="width: 100%; border-style: solid; border-width: 1px; background-color: #dddddd;" colspan="2">
<p> <span style="font-size: small; font-family: verdana, geneva;"><strong>C. DANE DOTYCZĄCE WNIOSKU</strong></span></p>
</td>
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<tr><td style="width: 100%; border-style: solid; border-width: 1px;" colspan="2">
<table style="width: 100%;" border="1" cellpadding="5"><tbody><tr><td style="width: 50%;" rowspan="2"><span style="font-family: verdana, geneva; font-size: small;">Oświadczenie jest składane w związku ze złożonym wnioskiem o udzielenie ulgi w spłacie zobowiązań: </span></td>
<td><span style="font-family: verdana, geneva; font-size: small;">Data złożenia wniosku</span><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:DataZlozeniaWniosku"/></span></xsl:if></span></td>
</tr><tr><td><span style="font-family: verdana, geneva; font-size: small;">Zakres wniosku i rodzaj podatku</span><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ZakresWniosku"/></span></xsl:if></span></td>
</tr></tbody></table></td>
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<tr><td style="width: 100%; border-style: solid; border-width: 1px; background-color: #dddddd;" colspan="2"><span style="font-size: small; font-family: verdana, geneva;"><strong> D. SYTUACJA MATERIALNA WNIOSKODAWCY</strong></span></td>
</tr>
<tr><td style="width: 100%; border-style: solid; border-width: 1px;" colspan="2">
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:SekcjaD"><xsl:if test="true()">
<table style="width: 100%;" border="1" cellpadding="5"><tbody><tr><td style="background-color: #dddddd;" colspan="2"><strong><span style="font-family: verdana, geneva; font-size: small;">D.1. ŹRÓDŁO I WYSOKOŚĆ OSIĄGANYCH DOCHODÓW PRZEZ WNIOSKODAWCĘ</span></strong></td>
</tr><tr><td style="width: 50%;"><strong><span style="font-family: verdana, geneva; font-size: small;">Rodzaj</span></strong></td>
<td><strong><span style="font-family: verdana, geneva; font-size: small;">Wysokość osiąganych dochodów netto (miesięcznie)</span></strong></td>
</tr><tr><td style="width: 50%;">
<p><span style="font-family: verdana, geneva; font-size: small;">a) z działalności gospodarczej</span></p>
<table style="width: 100%;" border="0"><tbody><tr><td style="width: 50%;"><span style="font-size: small;">nazwa</span></td>
<td><span style="font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Nazwa"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-size: small;">rodzaj</span></td>
<td><span style="font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Rodzaj"/></span></xsl:if></span></span></td>
</tr></tbody></table></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:W1"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;">
<p><span style="font-family: verdana, geneva; font-size: small;">b) ze stosunku pracy </span></p>
<table style="width: 100%;" border="0"><tbody><tr><td style="width: 50%;"><span style="font-size: small;">miejsce pracy</span></td>
<td><span style="font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:MiejscePracy"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-size: small;">stanowisko</span></td>
<td><span style="font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Stanowisko"/></span></xsl:if></span></span></td>
</tr></tbody></table></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:W2"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">c) z gospodarstwa rolnego</span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:W3"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">d) emerytura/renta</span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:W4"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">e) zasiłek dla bezrobotnych</span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:W5"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">f) zasiłek z opieki społecznej</span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:W6"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">g) dochody z zagranicy</span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:W7"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">h) najem/dzierżawa</span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:W8"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">i) inne (np. udziały w spółkach kapitałowych, zysk z lokat, obligacji i innych papierów wartościowych, alimenty, pomoc innych osób)</span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:W9"/></span></xsl:if></span></span></td>
</tr></tbody></table><br/><table style="width: 100%;" border="1" cellpadding="5"><tbody><tr><td style="background-color: #dddddd;" colspan="6"><span style="font-size: small; font-family: verdana, geneva;"><strong>D.2. OSOBY POZOSTAJĄCE WE WSPÓLNYM GOSPODARSTWIE DOMOWYM</strong></span></td>
</tr><tr><td style="width: 15%;"><span style="font-family: verdana, geneva; font-size: small;">Imię</span></td>
<td style="width: 15%;"><span style="font-family: verdana, geneva; font-size: small;">Nazwisko</span></td>
<td style="width: 20%;"><span style="font-family: verdana, geneva; font-size: small;">Stopień pokrewieństwa</span></td>
<td style="width: 10%;"><span style="font-family: verdana, geneva; font-size: small;">Wiek</span></td>
<td style="width: 20%;"><span style="font-family: verdana, geneva; font-size: small;">Tytuł uzyskiwanego dochodu</span></td>
<td style="width: 20%;"><span style="font-family: verdana, geneva; font-size: small;">Wysokość osiąganych dochodów netto (miesięcznie)</span></td>
</tr></tbody></table><xsl:for-each select="wnio:WierszTabeli"><xsl:if test="true()">
<table style="width: 100%;" border="1" cellpadding="5"><tbody><tr><td style="width: 15%;"><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Imie"/></span></xsl:if></span></span></td>
<td style="width: 15%;"><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Nazwisko"/></span></xsl:if></span></span></td>
<td style="width: 20%;"><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Pokrewienstwo"/></span></xsl:if></span></span></td>
<td style="width: 10%;"><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wiek"/></span></xsl:if></span></span></td>
<td style="width: 20%;"><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Tytul"/></span></xsl:if></span></span></td>
<td style="width: 20%;"><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Dochody"/></span></xsl:if></span></span></td>
</tr></tbody></table></xsl:if></xsl:for-each><br/><table style="width: 100%;" border="1" cellpadding="5"><tbody><tr><td style="background-color: #dddddd;" colspan="2"><span style="font-size: small; font-family: verdana, geneva;"><strong>D.3. WYDATKI PONOSZONE NA BIEŻĄCE UTRZYMANIE</strong></span></td>
</tr><tr><td style="width: 50%;"><strong><span style="font-family: verdana, geneva; font-size: small;">Rodzaj wydatków</span></strong></td>
<td><strong><span style="font-family: verdana, geneva; font-size: small;">Miesięczne koszty</span></strong></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Czynsz / Podatek od nieruchomości</span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:K1"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Energia elektryczna</span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:K2"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Gaz</span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:K3"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Ogrzewanie</span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:K4"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Woda i kanalizacja</span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:K5"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Wywóz nieczystości</span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:K6"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Internet</span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:K7"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Telefon</span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:K8"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Ubezpieczenie</span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:K9"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Dojazd do pracy</span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:K10"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Dojazd do miejsca leczenia</span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:K11"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Spłata kredytów (wysokość pozostałej kwoty zaległości <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Zaleglosc1"/></span></xsl:if></span>)</span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:K12"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Spłata pożyczek (wysokość pozostałej kwoty zaległości <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Zaleglosc2"/></span></xsl:if></span>)</span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:K13"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Wydatki na lekarstwa i leczenie</span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:K14"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Wydatki na własną edukację</span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:K15"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Wydatki na edukację członków rodziny</span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:K16"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Wydatki na wyżywienie</span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:K17"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Koszty utrzymania środków transportu (np. ubezpieczenie, paliwo, przeglądy okresowe, wymiana opon, koszty napraw itp.)</span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:K18"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Alimenty</span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:K19"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;">
<p><span style="font-family: verdana, geneva; font-size: small;">Inne wydatki<br/></span></p>
<p><span style="font-family: verdana, geneva; font-size: small;">jakie:<br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:InneWydatki"/></span></xsl:if></span><br/></span></p>
</td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:K20"/></span></xsl:if></span></span></td>
</tr></tbody></table><br/><xsl:for-each select="wnio:D4"><xsl:if test="true()">
<table style="width: 100%;" border="1" cellpadding="5"><tbody><tr><td style="background-color: #dddddd;" colspan="3"><span style="font-family: verdana, geneva; font-size: small;"><strong>D.4. POSIADANE NIERUCHOMOŚCI (stanowiące własność lub współwłasność wnioskodawcy i małżonka lub będące w użytkowaniu wnioskodawcy) </strong></span></td>
</tr><tr><td style="width: 50%;"><strong><span style="font-family: verdana, geneva; font-size: small;">Rodzaj nieruchomości</span></strong></td>
<td style="width: 25%;"><strong><span style="font-family: verdana, geneva; font-size: small;">Adres położenia</span></strong></td>
<td><strong><span style="font-family: verdana, geneva; font-size: small;">Powierzchnia</span></strong></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">dom jednorodzinny</span></td>
<td style="width: 25%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:A1"/></span></xsl:if></span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:P1"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">mieszkanie</span></td>
<td style="width: 25%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:A2"/></span></xsl:if></span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:P2"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">gospodarstwo rolne</span></td>
<td style="width: 25%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:A3"/></span></xsl:if></span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:P3"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">grunty (np. działki budowlane, grunty orne, lasy itp.)</span></td>
<td style="width: 25%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:A4"/></span></xsl:if></span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:P4"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">lokal użytkowy</span></td>
<td style="width: 25%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:A5"/></span></xsl:if></span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:P5"/></span></xsl:if></span></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">inne nieruchomości nieujęte wyżej (np. garaż, dom letniskowy itp.)</span></td>
<td style="width: 25%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:A6"/></span></xsl:if></span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:P6"/></span></xsl:if></span></span></td>
</tr></tbody></table></xsl:if></xsl:for-each><br/><xsl:for-each select="wnio:D5"><xsl:if test="true()">
<table style="width: 100%;" border="1" cellpadding="5"><tbody><tr><td style="background-color: #dddddd;" colspan="7"><strong><span style="font-family: verdana, geneva; font-size: small;">D.5. POSIADANY MAJĄTEK RUCHOMY</span></strong></td>
</tr><tr><td style="background-color: #dddddd;" colspan="7"><strong><span style="font-family: verdana, geneva; font-size: small;">D.5.1 ŚRODKI TRANSPORTU</span></strong></td>
</tr><tr><td> </td>
<td><strong><span style="font-family: verdana, geneva; font-size: small;">marka</span></strong></td>
<td><strong><span style="font-family: verdana, geneva; font-size: small;">model</span></strong></td>
<td><strong><span style="font-family: verdana, geneva; font-size: small;">typ</span></strong></td>
<td><strong><span style="font-family: verdana, geneva; font-size: small;">nr rejestracyjny</span></strong></td>
<td><strong><span style="font-family: verdana, geneva; font-size: small;">rok produkcji</span></strong></td>
<td><strong><span style="font-family: verdana, geneva; font-size: small;">szacunkowa wartość</span></strong></td>
</tr><tr><td><span style="font-family: verdana, geneva; font-size: small;">samochody ciężarowe</span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Marka1"/></span></xsl:if></span></span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Model1"/></span></xsl:if></span></span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Typ1"/></span></xsl:if></span></span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Nr1"/></span></xsl:if></span></span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Rok1"/></span></xsl:if></span></span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wartosc1"/></span></xsl:if></span></span></td>
</tr><tr><td><span style="font-family: verdana, geneva; font-size: small;">samochody osobowe</span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Marka2"/></span></xsl:if></span></span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Model2"/></span></xsl:if></span></span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Typ2"/></span></xsl:if></span></span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Nr2"/></span></xsl:if></span></span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Rok2"/></span></xsl:if></span></span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wartosc2"/></span></xsl:if></span></span></td>
</tr><tr><td><span style="font-family: verdana, geneva; font-size: small;">inne np. przyczepy, autobusy itp.</span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Marka3"/></span></xsl:if></span></span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Model3"/></span></xsl:if></span></span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Typ3"/></span></xsl:if></span></span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Nr3"/></span></xsl:if></span></span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Rok3"/></span></xsl:if></span></span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wartosc3"/></span></xsl:if></span></span></td>
</tr></tbody></table></xsl:if></xsl:for-each><br/><xsl:for-each select="wnio:D6"><xsl:if test="true()">
<table style="width: 100%;" border="1" cellpadding="5"><tbody><tr><td style="background-color: #dddddd;" colspan="3"><span style="font-family: verdana, geneva; font-size: small;"><strong>D.6. INNE SKŁADNIKI MAJĄTKU </strong></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;"><strong>Składnik</strong></span></td>
<td style="width: 25%;"><span style="font-family: verdana, geneva; font-size: small;"><strong>Wartość</strong></span></td>
<td><span style="font-family: verdana, geneva; font-size: small;"><strong>Opis</strong></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Gotówka</span></td>
<td style="width: 25%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:W1"/></span></xsl:if></span></td>
<td><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:O1"/></span></xsl:if></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Środki zgromadzone na rachunkach bankowych</span></td>
<td style="width: 25%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:W2"/></span></xsl:if></span></td>
<td><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:O2"/></span></xsl:if></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Lokaty</span></td>
<td style="width: 25%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:W3"/></span></xsl:if></span></td>
<td><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:O3"/></span></xsl:if></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Papiery dłużne</span></td>
<td style="width: 25%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:W4"/></span></xsl:if></span></td>
<td><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:O4"/></span></xsl:if></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Polisy ubezpieczeniowe</span></td>
<td style="width: 25%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:W5"/></span></xsl:if></span></td>
<td><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:O5"/></span></xsl:if></span></td>
</tr><tr><td style="width: 50%;">
<p><span style="font-family: verdana, geneva; font-size: small;">Udziały w spółkach</span></p>
</td>
<td style="width: 25%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:W6"/></span></xsl:if></span></td>
<td><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:O6"/></span></xsl:if></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Akcje</span></td>
<td style="width: 25%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:W7"/></span></xsl:if></span></td>
<td><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:O7"/></span></xsl:if></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Obligacje</span></td>
<td style="width: 25%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:W8"/></span></xsl:if></span></td>
<td><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:O8"/></span></xsl:if></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Certyfikaty i jednostki inwestycyjne</span></td>
<td style="width: 25%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:W9"/></span></xsl:if></span></td>
<td><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:O9"/></span></xsl:if></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Dzieła sztuki, antyki, biżuteria</span></td>
<td style="width: 25%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:W10"/></span></xsl:if></span></td>
<td><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:O10"/></span></xsl:if></span></td>
</tr><tr><td style="width: 50%;">
<p><span style="font-family: verdana, geneva; font-size: small;">Inne</span></p>
<p><span style="font-family: verdana, geneva; font-size: small;">jakie: <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Inne"/></span></xsl:if></span></span></p>
</td>
<td style="width: 25%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:W11"/></span></xsl:if></span></td>
<td><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:O11"/></span></xsl:if></span></td>
</tr></tbody></table></xsl:if></xsl:for-each><br/><xsl:for-each select="wnio:D7"><xsl:if test="true()">
<table style="width: 100%;" border="1" cellpadding="5"><tbody><tr><td style="background-color: #dddddd;" colspan="2"><span style="font-size: small; font-family: verdana, geneva;"><strong>D.7. INNE INFORMACJE O SYTUACJI FINANSOWEJ WNIOSKODAWCY</strong></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Posiadane zobowiązania i zaległości względem innych instytucji np. ZUS, UM, UG itp.</span></td>
<td><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:P1"/></span></xsl:if></span></td>
</tr><tr><td style="width: 50%;">
<p><span style="font-family: verdana, geneva; font-size: small;">Inne informacje nieujęte w poprzednich rubrykach</span></p>
</td>
<td><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:P2"/></span></xsl:if></span></td>
</tr><tr><td style="width: 50%;">
<p><span style="font-family: verdana, geneva; font-size: small;">Ustanowione zabezpieczenia na majątku (hipoteki, zastawy)</span></p>
</td>
<td><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:P3"/></span></xsl:if></span></td>
</tr><tr><td style="width: 50%;">
<p><span style="font-family: verdana, geneva; font-size: small;">Udzielone pożyczki (komu, w jakiej wysokości, terminy spłaty)</span></p>
</td>
<td><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:P4"/></span></xsl:if></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Dodatkowe informacje potwierdzające ważny interes, które mogą mieć istotny wpływ na rozstrzygnięcie w sprawie np. choroba, wypadek, kradzież</span></td>
<td><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:P5"/></span></xsl:if></span></td>
</tr></tbody></table></xsl:if></xsl:for-each><br/><xsl:for-each select="wnio:D8"><xsl:if test="true()">
<table style="width: 100%;" border="1" cellpadding="5"><tbody><tr><td style="background-color: #dddddd;" colspan="2"><span style="font-size: small; font-family: verdana, geneva;"><strong>D.8. INNE INFORMACJE DOTYCZĄCE WNIOSKODAWCY</strong></span></td>
</tr><tr><td style="width: 50%;">
<p><span style="font-family: verdana, geneva; font-size: small;">Przyczyna niezapłacenia w terminie zobowiązania objętego wnioskiem</span></p>
</td>
<td><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:P1"/></span></xsl:if></span></td>
</tr><tr><td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Źródło spłaty zobowiązania objętego wnioskiem (dotyczy wyłącznie wniosku o ulgę w formie rozłożenia na raty lub odroczenia)</span></td>
<td><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:P2"/></span></xsl:if></span></td>
</tr></tbody></table></xsl:if></xsl:for-each></xsl:if></xsl:for-each></td>
</tr>
<tr><td style="width: 100%; border-style: solid; border-width: 1px; background-color: #d9d9d9;" colspan="2"><span style="font-size: small; font-family: verdana, geneva;"><strong>PODPIS</strong></span></td>
</tr>
<tr><td style="width: 100%; border-style: solid; border-width: 1px;" colspan="2">
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:Podpis"><xsl:if test="true()">
<table style="width: 100%;" border="0" cellpadding="5"><tbody><tr><td style="width: 50%;"><span style="font-size: small; font-family: verdana, geneva;">Imię</span><br/><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Imie"/></span></xsl:if></span></span></td>
<td colspan="10"><span style="font-size: small; font-family: verdana, geneva;">Nazwisko<br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Nazwisko"/></span></xsl:if></span><br/></span></td>
</tr></tbody></table></xsl:if></xsl:for-each></td>
</tr>
<tr><td style="width: 100%; border-style: solid; border-width: 1px;" colspan="2">
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:Podpis"><xsl:if test="true()">
<table style="width: 100%;" border="0" cellpadding="5"><tbody><tr><td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:Oswiadczenie)),' '), ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>Oświadczam, że rezygnuję z doręczania pism za pomocą środków komunikacji elektronicznej w niniejszym postępowaniu.</span></label></span><br/></xsl:if></span></span></td>
</tr></tbody></table></xsl:if></xsl:for-each></td>
</tr>
</tbody>
</table>
<span style="display: none;"/>
<div style="clear: both;"/>
<div/>
<xsl:call-template name="Podpis"/>
</body>
</html>
</xsl:for-each>
</xsl:template>
<xsl:template name="Podpis">
<div style="float:left;text-align: right;font-size: 10px;font-family: Verdana;line-height: 20px;">
<table style="float: right;">
<tr>
<td style="width: 340px;">
<h2>Podpisy elektroniczne</h2>
<p align="center" style="text-align: center;font-size: 10px;font-family: Verdana;line-height: 20px;">
<xsl:if 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>
<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:if>
</p>
</td>
</tr>
</table>
</div>
</xsl:template>
</xsl:stylesheet>