11228
| ID | 11228 |
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| Data | 2022-01-11 |
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| Symbol | 2022/01/11/11228 |
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| Instytucja | Ministerstwo Finansów |
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| Nazwa | UPL-1 PEŁNOMOCNICTWO DO PODPISYWANIA DEKLARACJI SKŁADANEJ ZA POMOCĄ ŚRODKÓW KOMUNIKACJI ELEKTRONICZNEJ |
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| Czy Aktualny | 1 |
|---|
Ustawy (1)
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<strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">1. <span>
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<xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:TypIdentyfikatoraPodatnika = 1">Identyfikator podatkowy NIP</xsl:if>
<xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:TypIdentyfikatoraPodatnika = 2">Numer PESEL </xsl:if>
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</span> podatnika, płatnika lub inkasenta</span>
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<td> </td>
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<strong> <span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">2. Numer identyfikacyjny podmiotu zagranicznego</span>
</strong>
<p style="text-align: center;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong>EU616 <span>
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<xsl:if test="true()">
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<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotZagraniczny"/>
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</strong>
</span>
<br/>
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</p>
</td>
<td> </td>
</tr>
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<td style="text-align: left; padding-left: 30px;">
<strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: medium;">UPL-1</span>
</strong>
</td>
<td> </td>
<td> </td>
</tr>
<tr>
<td colspan="3" style="text-align: center;">
<span style="font-family: arial,helvetica,sans-serif; font-size: medium;">
<strong>PEŁNOMOCNICTWO</strong>
</span>
<span style="font-family: arial,helvetica,sans-serif; font-size: medium;">
<strong>DO PODPISYWANIA DEKLARACJI SKŁADANEJ</strong>
</span>
<span style="font-family: arial,helvetica,sans-serif; font-size: medium;">
<strong>ZA POMOCĄ<br/> ŚRODKÓW KOMUNIKACJI ELEKTRONICZNEJ<br/>
</strong>
</span>
</td>
</tr>
<tr>
<td colspan="3" style="text-align: center;">
<table border="0" cellpadding="2" cellspacing="0" style="width: 100%;">
<tbody>
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<td style="width: 40%;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> </span>
</td>
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<td style="width: 40%;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> </span>
</td>
</tr>
<tr>
<td style="width: 40%;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> </span>
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<td style="width: 40%; border-width: 1pt; border-style: solid solid none; border-color: #000000; background-color: #ffffff; padding-left: 5px;">
<strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">3. Kolejny nr egz. / ogółem liczba egzemplarzy</span>
</strong>
<br/>
<p align="center">
<span style="font-family: arial,helvetica,sans-serif;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:NumerEgzemplarza"/>
</span>
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</span>
</span> / <span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:LiczbaEgzemplarzy"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</p>
</td>
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</tbody>
</table>
</td>
</tr>
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<td style="border-width: 1pt; border-style: solid none none solid; border-color: #000000; background-color: #d3d3d3; padding-left: 5px; width: 20%;" valign="top">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">Podstawa prawna:</span>
</td>
<td colspan="2" style="border-width: 1pt; border-style: solid solid none none; border-color: #000000; background-color: #d3d3d3; padding-left: 5px; width: 80%;" valign="top">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
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</label>
<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:PodstawaPrawna"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
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<span style="font-family: arial,helvetica,sans-serif; font-size: small;">Składający:</span>
</td>
<td colspan="2" style="border-width: 1pt; border-style: none solid none none; background-color: #d3d3d3; padding-left: 5px; width: 80%; border-color: #000000;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">Podatnik, płatnik, inkasent lub podmiot zagraniczny udzielający pełnomocnictwa do podpisywania deklaracji składanej za pomocą środków komunikacji elektronicznej.</span>
</td>
</tr>
<tr>
<td style="border-width: 1pt; border-style: none none none solid; border-color: #000000; background-color: #d3d3d3; padding-left: 5px; width: 20%;" valign="top">
<span style="font-family: arial,helvetica,sans-serif; font-size: small; background-color: #d3d3d3;">Miejsce składania:</span>
</td>
<td colspan="2" style="border-width: 1pt; border-style: none solid none none; border-color: #000000; background-color: #d3d3d3; padding-left: 5px; width: 80%;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">Naczelnik urzędu skarbowego właściwy w sprawach ewidencji podatników i płatników albo Naczelnik Drugiego Urzędu Skarbowego Warszawa-Śródmieście właściwy w sprawach dotyczących podmiotu zagranicznego, a jeżeli pełnomocnictwo jest składane w formie dokumentu elektronicznego Szef Krajowej Administracji Skarbowej.</span>
</td>
</tr>
</tbody>
</table>
<table border="0" cellpadding="2" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="border-width: 1pt; border-style: solid solid none solid; border-color: #000000; background-color: #d3d3d3; padding-left: 5px;">
<strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">A. ORGAN PODATKOWY, DO KTÓREGO JEST ADRESOWANE PEŁNOMOCNICTWO<br/>
</span>
</strong>
</td>
</tr>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: none solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td style="width: 95%; border-width: 1pt; border-style: solid solid solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>4. <span>
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</label>
<xsl:if test="true()">
<span>
<xsl:choose>
<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:Naczelnik4)),' '), ' 1 ' )">
<span>☒</span>
</xsl:when>
<xsl:otherwise>
<span>☐</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span> </span>
</label>
</span>
</xsl:if>
</span>Naczelnik urzędu skarbowego właściwy w sprawach ewidencji podatników i płatników </strong>
<br/>
</span>
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:AdresyUrzedow">
<xsl:if test="../wnio:Naczelnik4="1"">
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<xsl:if test="wnio:DaneUrzedu!='-- wybierz --'">
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<xsl:value-of select="wnio:DaneUrzedu"/>
</span>
</xsl:if>
</span>
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<xsl:value-of select="wnio:NazwaUrzedu"/>
</span>
</xsl:if>
</span>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
</td>
</tr>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: none solid solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td style="width: 95%; border-width: 1pt; border-style: none solid solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>5. <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:choose>
<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:Naczelnik5)),' '), ' 1 ' )">
<span>☒</span>
</xsl:when>
<xsl:otherwise>
<span>☐</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span> </span>
</label>
</span>
</xsl:if>
</span>Naczelnik Drugiego Urzędu Skarbowego Warszawa-Śródmieście </strong>
<br/>
</span>
</span>
</td>
</tr>
</tbody>
</table>
<table border="0" cellpadding="2" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="border-width: 1pt; border-style: solid none none solid; border-color: #000000; background-color: #d3d3d3; padding-left: 5px;" valign="top">
<strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">B.<br/>
</span>
</strong>
</td>
<td style="border-width: 1pt; border-style: solid solid none none; border-color: #000000; background-color: #d3d3d3; padding-left: 5px;">
<strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">DANE PODATNIKA, PŁATNIKA, INKASENTA</span>
</strong>
<strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">LUB PODMIOTU ZAGRANICZNEGO,</span>
</strong>
<strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">KTÓRY USTANAWIA PEŁNOMOCNIKA</span>
</strong>
</td>
</tr>
<tr>
<td colspan="2" style="border-width: 1pt; border-style: solid solid none; border-color: #000000; background-color: #d3d3d3; padding-left: 10px;" valign="top">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">B.1. DANE IDENTYFIKACYJNE<br/> * - dotyczy podmiotu niebędącego osobą fizyczną ** - dotyczy podmiotu będącego osobą fizyczną</span>
</td>
</tr>
</tbody>
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<table border="0" cellpadding="2" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: none solid none solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td style="width: 95%; border-width: 1pt; border-style: solid solid none none; border-color: #000000; padding-left: 5px;">
<strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">6. Rodzaj podmiotu:</span>
</strong>
</td>
</tr>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: none solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td align="center" style="width: 95%; border-width: 1pt; border-style: none solid solid none; border-color: #000000; padding-left: 5px; text-align: center;" valign="top">
<p>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:choose>
<xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotZobowiazany) = normalize-space(' 1 ')">
<span>☒</span>
</xsl:when>
<xsl:otherwise>
<span>☐</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>1. podmiot niebędący osobą fizyczną </span>
</label>
</span>
<span>
<xsl:choose>
<xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotZobowiazany) = normalize-space(' 2 ')">
<span>☒</span>
</xsl:when>
<xsl:otherwise>
<span>☐</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>2. osoba fizyczna </span>
</label>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: none solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td align="center" style="width: 95%; border-width: 1pt; border-style: none solid none none; border-color: #000000; padding-left: 5px; text-align: left;">
<strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">7. Nazwa pełna * / Nazwisko, pierwsze imię **</span>
</strong>
<br/>
<xsl:for-each select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja">
<xsl:if test="/wnio:Dokument/wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotZobowiazany="1""> <span style="font-family: arial,helvetica,sans-serif;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="inst:NazwaInstytucji"/>
</span>
</xsl:if>
</span>
</span>
</span>
</xsl:if>
</xsl:for-each>
<xsl:for-each select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/oso:Osoba">
<xsl:if test="/wnio:Dokument/wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotZobowiazany!="1""> <span style="font-family: arial,helvetica,sans-serif;">
<span style="font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="oso:Nazwisko"/>
</span>
</xsl:if>
</span>
</span>
</span>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="oso:Imie"/>
</span>
</xsl:if>
</span>
</span>
</xsl:if>
</xsl:for-each>
</td>
</tr>
</tbody>
</table>
<xsl:for-each select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/oso:Osoba/adr:Adres">
<xsl:if test="/wnio:Dokument/wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotZobowiazany!="1"">
<table border="0" cellpadding="2" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="border-width: 1pt; border-style: solid solid none; border-color: #000000; background-color: #d3d3d3; padding-left: 10px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">B.2. ADRES SIEDZIBY * / AKTUALNY ADRES ZAMIESZKANIA **<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> Podmiot zagraniczny podaje obowiązkowo kraj i miejscowość.</span>
</span>
</td>
</tr>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: none solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td style="width: 95%; border-width: 1pt; border-style: solid solid none none; border-color: #000000;">
<table border="0" cellpadding="2" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-width: 1pt; border-style: none solid solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>8. Kraj</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Uwagi"/>
</span>
</xsl:if>
</span>
</span>
</span>
</td>
<td colspan="2" style="width: 35%; border-width: 1pt; border-style: none solid solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>9. Województwo</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
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<xsl:value-of select="adr:Wojewodztwo"/>
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</xsl:if>
</span>
</span>
</span>
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<td colspan="3" style="width: 35%; border-width: 1pt; border-style: none none solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>10. Powiat</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Powiat"/>
</span>
</xsl:if>
</span>
</span>
</span>
</td>
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<tr>
<td style="width: 30%; border-width: 1pt; border-style: none solid solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>11. Gmina</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Gmina"/>
</span>
</xsl:if>
</span>
</span>
</span>
</td>
<td colspan="2" style="width: 35%; border-width: 1pt; border-style: none solid solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>12. Ulica</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; 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>
</span>
</td>
<td style="width: 20%; border-width: 1pt; border-style: none solid solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>13. Nr domu</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Budynek"/>
</span>
</xsl:if>
</span>
</span>
</span>
</td>
<td style="width: 15%; border-width: 1pt; border-style: none none solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>14. Nr lokalu</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Lokal"/>
</span>
</xsl:if>
</span>
</span>
</span>
</td>
</tr>
<tr>
<td colspan="2" style="width: 45%; border-width: 1pt; border-style: none solid none none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>15. Miejscowość</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Miejscowosc"/>
</span>
</xsl:if>
</span>
</span>
</span>
</td>
<td style="width: 20%; border-width: 1pt; border-style: none solid none none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>16. Kod pocztowy</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:KodPocztowy"/>
</span>
</xsl:if>
</span>
</span>
</span>
</td>
<td colspan="3" style="width: 35%; border-width: 1pt; border-style: none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>17. Poczta</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Poczta"/>
</span>
</xsl:if>
</span>
</span>
</span>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
<xsl:for-each select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja/adr:Adres">
<xsl:if test="/wnio:Dokument/wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotZobowiazany="1"">
<table border="0" cellpadding="2" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="border-width: 1pt; border-style: solid solid none; border-color: #000000; background-color: #d3d3d3; padding-left: 10px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">B.2. ADRES SIEDZIBY * / AKTUALNY ADRES ZAMIESZKANIA **<br/> Podmiot zagraniczny podaje obowiązkowo kraj i miejscowość.</span>
</td>
</tr>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: none solid solid solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td style="width: 95%; border-width: 1pt; border-style: solid solid solid none; border-color: #000000;">
<table border="0" cellpadding="2" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-width: 1pt; border-style: none solid solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>8. Kraj</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Uwagi"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</td>
<td colspan="2" style="width: 35%; border-width: 1pt; border-style: none solid solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>9. Województwo</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Wojewodztwo"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</td>
<td colspan="3" style="width: 35%; border-width: 1pt; border-style: none none solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>10. Powiat</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Powiat"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</td>
</tr>
<tr>
<td style="width: 30%; border-width: 1pt; border-style: none solid solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>11. Gmina</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Gmina"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</td>
<td colspan="2" style="width: 35%; border-width: 1pt; border-style: none solid solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>12. Ulica</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; 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>
<br/>
</span>
</td>
<td style="width: 20%; border-width: 1pt; border-style: none solid solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>13. Nr domu</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Budynek"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</td>
<td style="width: 15%; border-width: 1pt; border-style: none none solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>14. Nr lokalu</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Lokal"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</td>
</tr>
<tr>
<td colspan="2" style="width: 45%; border-width: 1pt; border-style: none solid none none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>15. Miejscowość</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Miejscowosc"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</td>
<td style="width: 20%; border-width: 1pt; border-style: none solid none none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>16. Kod pocztowy</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:KodPocztowy"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</td>
<td colspan="3" style="width: 35%; border-width: 1pt; border-style: none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>17. Poczta</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Poczta"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
<xsl:for-each select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/oso:Osoba/adr:Kontakt">
<xsl:if test="/wnio:Dokument/wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotZobowiazany!="1"">
<table border="0" cellpadding="2" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="border-width: 1pt; border-style: none solid none; border-color: #000000; background-color: #d3d3d3; padding-left: 10px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">B.3. KONTAKT </span>
</td>
</tr>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: none solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td style="width: 95%; border-width: 1pt; border-style: solid solid none none; border-color: #000000; padding-left: 5px;">
<table border="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="border-width: 1pt; border-style: none solid none none; border-color: #000000; width: 30%;"><span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>18. Telefon</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Telefon"/>
</span>
</xsl:if>
</span>
<br/>
</span>
</span>
</td>
<td style="border-width: 1pt; border-style: none solid none none; border-color: #000000; width: 30%; padding-left: 5px;"><span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>19. Faks</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small; padding-left: 5px;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Faks"/>
</span>
</xsl:if>
</span>
<br/>
</span>
</span>
</td>
<td colspan="2" style="border-width: 1pt; border-style: none; border-color: #000000; width: 40%; padding-left: 5px;"><span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>20. E-mail</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small; padding-left: 5px;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Email"/>
</span>
</xsl:if>
</span>
</span>
</span>
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<br/>
</span>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
<xsl:for-each select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja/adr:Kontakt">
<xsl:if test="/wnio:Dokument/wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotZobowiazany="1"">
<table border="0" cellpadding="2" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="border-width: 1pt; border-style: none solid solid solid; border-color: #000000; background-color: #d3d3d3; padding-left: 10px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">B.3. KONTAKT</span>
</td>
</tr>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: none solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td style="width: 95%; border-width: 1pt; border-style:none solid none none; border-color: #000000; padding-left: 5px;">
<table border="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="border-width: 1pt; border-style: none solid none none; border-color: #000000; width: 30%;"> <span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>18. Telefon</strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small; padding-left: 5px;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Telefon"/>
</span>
</xsl:if>
</span>
</span>
</span>
<br/>
</span>
</td>
<td style="border-width: 1pt; border-style: none solid none none; border-color: #000000; width: 30%;"> <span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>19. Faks</strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small; padding-left: 5px;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Faks"/>
</span>
</xsl:if>
</span>
</span>
</span>
<br/>
</span>
</td>
<td colspan="2" style="border-width: 1pt; border-style: none; border-color: #000000; width: 40%;"> <span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>20. E-mail</strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small; padding-left: 5px;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Email"/>
</span>
</xsl:if>
</span>
</span>
</span>
</span>
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<br/>
</span>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
<table border="0" cellpadding="2" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="border-width: 1pt; border-style: solid solid none; border-color: #000000; background-color: #d3d3d3; padding-left: 5px; width: 5%;" valign="top">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong>C. </strong>
<strong>DANE PEŁNOMOCNIKA UPOWAŻNIONEGO DO PODPISYWANIA DEKLARACJI SKŁADANEJ ZA POMOCĄ</strong><br/>
<strong> ŚRODKÓW KOMUNIKACJI ELEKTRONICZNEJ</strong>
<br/>
</span>
</td>
</tr>
</tbody>
</table>
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:Pelnomocnik">
<xsl:if test="true()">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="border-width: 1pt; border-style: solid solid none solid; border-color: #000000; background-color: #d3d3d3; padding-left: 10px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">C.1. DANE IDENTYFIKACYJNE</span>
</td>
</tr>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: none solid none solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td style="width: 95%; border-width: 1pt; border-style: none solid none none; border-color: #000000;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td align="left" colspan="2" style="width: 50%; border-width: 1pt; border-style: solid none none; border-color: #000000; background-color: #ffffff; padding-left: 5px; text-align: left;" valign="top">
<strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:if test="wnio:Identyfikator = 1">21. Identyfikator podatkowy NIP</xsl:if>
<xsl:if test="wnio:Identyfikator = 2">21. Numer PESEL</xsl:if>
</span>
</xsl:if>
</span>
</span>
</strong>
<br/>
<xsl:for-each select="wnio:IdentyfikatorNIP">
<xsl:if test="../wnio:Identyfikator="1"">
<table border="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td align="center">
<p>
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="oso:NIP"/>
</span>
</xsl:if>
</span>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
<xsl:for-each select="wnio:IdentyfikatorPESEL">
<xsl:if test="../wnio:Identyfikator!="1"">
<table border="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td align="center">
<p>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="oso:PESEL"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
</td>
</tr>
<tr>
<td align="left" style="width: 50%; border-width: 1pt; border-style: solid solid none none; border-color: #000000; background-color: #ffffff; padding-left: 5px; text-align: left;" valign="top">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>22. Nazwisko</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="oso:Nazwisko"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</span>
</td>
<td style="width: 50%; border-width: 1pt; border-style: solid none none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>23. Pierwsze imię</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="oso:Imie"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</span>
</td>
</tr>
<tr>
<td align="left" colspan="2" style="width: 50%; border-width: 1pt; border-style: solid none none none; border-color: #000000; background-color: #ffffff; padding-left: 5px; text-align: left;" valign="top">
<strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">24. Data urodzenia (dzień - miesiąc - rok)</span>
</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small; text-align: center;">
<xsl:if test="wnio:DataUrodzenia">
<xsl:variable name="dt" select="wnio:DataUrodzenia"/>
<xsl:value-of select="concat(substring($dt,9,2),'-',substring($dt,6,2),'-',substring($dt,1,4))"/>
</xsl:if>
<br/>
</span>
</td>
</tr>
<tr>
<td align="left" colspan="2" style="width: 50%; border-width: 1pt; border-style: solid none none; border-color: #000000; background-color: #ffffff; padding-left: 5px; text-align: left;" valign="top">
<strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">25. Numer i seria paszportu lub innego dokumentu potwierdzającego tożsamość lub inny numer identyfikacyjny</span>
</strong>
<br style="font-family: arial,helvetica,sans-serif; font-size: x-small;"/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:NumerDokumentu"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
<tr>
<td align="left" style="width: 50%; border-width: 1pt; border-style: solid solid none none; border-color: #000000; background-color: #ffffff; padding-left: 5px; text-align: left;" valign="top">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>26. Kraj wydania dokumentu </strong>
<br/>
<span style="ffont-family: arial,helvetica,sans-serif; font-size: small;">
<xsl:value-of select="wnio:KrajWydania"/>
</span>
<br/>
</span>
</td>
<td style="width: 50%; border-width: 1pt; border-style: solid none none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>27. Adres elektroniczny</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:URIKontakt"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:Pelnomocnik/adr:Adres">
<xsl:if test="true()">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="border-width: 1pt; border-style: solid solid none solid; border-color: #000000; background-color: #d3d3d3; padding-left: 10px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">C.2. ADRES DO DORĘCZEŃ<br style="font-family: arial,helvetica,sans-serif; font-size: small;"/>
</span>
</td>
</tr>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: none solid none solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td style="width: 95%; border-width: 1pt; border-style: none solid none none; border-color: #000000;">
<table border="0" cellpadding="2" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-width: 1pt; border-style: none solid solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>28. Kraj</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Uwagi"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</td>
<td colspan="2" style="width: 35%; border-width: 1pt; border-style: none solid solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>29. Województwo</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Wojewodztwo"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</td>
<td colspan="3" style="width: 35%; border-width: 1pt; border-style: none none solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>30. Powiat</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Powiat"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</td>
</tr>
<tr>
<td style="width: 30%; border-width: 1pt; border-style: none solid solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>31. Gmina</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Gmina"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</td>
<td colspan="2" style="width: 35%; border-width: 1pt; border-style: none solid solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">3<strong>2. Ulica</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; 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>
<br/>
</span>
</td>
<td style="width: 20%; border-width: 1pt; border-style: none solid solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>33. Nr domu</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Budynek"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</td>
<td style="width: 15%; border-width: 1pt; border-style: none none solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>34. Nr lokalu</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Lokal"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</td>
</tr>
<tr>
<td colspan="2" style="width: 45%; border-width: 1pt; border-style: none solid none none; border-color: #000000; padding-left: 5px;">
<span style="font- family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>
<span style="font-family: arial,helvetica,sans-serif;">35. Miejscowość</span>
</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Miejscowosc"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</td>
<td style="width: 20%; border-width: 1pt; border-style: none solid none none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>36. Kod pocztowy</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:KodPocztowy"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</td>
<td colspan="3" style="width: 35%; border-width: 1pt; border-style: none; border-color: #000000; padding-left: 5px;">
<span style="font- family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>
<span style="font-family: arial,helvetica,sans-serif;">37. Poczta</span>
</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Poczta"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:Pelnomocnik/adr:Kontakt">
<xsl:if test="true()">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="border-width: 1pt; border-style: solid solid none solid; border-color: #000000; background-color: #d3d3d3; padding-left: 10px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">C.3. KONTAKT </span>
</td>
</tr>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: none solid solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td style="width: 95%; border-width: 1pt; border-style: none solid solid none; border-color: #000000;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td align="left" style="width: 30%; border-width: 1pt; border-style: solid solid none none; border-color: #000000; background-color: #ffffff; padding-left: 5px; text-align: left;" valign="top">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span style="font-size: x-small;">
<strong>38. Telefon</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Telefon"/>
</span>
</xsl:if>
</span>
</span>
</span>
</span>
</td>
<td align="left" style="width: 30%; border-width: 1pt; border-style: solid solid none none; border-color: #000000; background-color: #ffffff; padding-left: 5px; text-align: left;" valign="top">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>39. Faks</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Faks"/>
</span>
</xsl:if>
</span>
</span>
</span>
</td>
<td style="width: 40%; border-width: 1pt; border-style: solid none none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong>
<span style="font-size: x-small;">40. E-mail</span>
</strong>
<br/>
</span>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Email"/>
</span>
</xsl:if>
</span>
</span>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<br/>
</span>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:OkresObowiazywania">
<xsl:if test="true()">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="border-width: 1pt; border-style: solid solid none; border-color: #000000; background-color: #d3d3d3; padding-left: 5px;">
<strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">D. OKRES OBOWIĄZYWANIA PEŁNOMOCNICTWA<br/>
</span>
</strong>
</td>
</tr>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: none solid none solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td style="width: 95%; border-width: 1pt; border-style: none solid none none; border-color: #000000;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td align="left" colspan="2" style="width: 50%; border-width: 1pt; border-style: solid none none; border-color: #000000; background-color: #ffffff; padding-left: 5px; text-align: left;" valign="top">
<table border="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="border-width: 1pt; border-style: none solid none none; border-color: #000000; padding-left: 5px; width: 50%;">
<strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<span style="text-align: left;">41.</span> Ważne od<span style="font-family: arial,helvetica,sans-serif;"> </span>
</span>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<xsl:if test="true()">
<xsl:variable name="dt" select="wnio:DataOd"/>
<xsl:value-of select="concat(substring($dt,9,2),'-',substring($dt,6,2),'-',substring($dt,1,4))"/>
</xsl:if>
</span>
</strong>
</td>
<td style="padding-left: 5px;">
<strong>
<span style="text-align: left; font-family: arial,helvetica,sans-serif; font-size: x-small;">42. Ważne do </span>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<xsl:if test="true()">
<xsl:variable name="dt" select="wnio:DataDo"/>
<xsl:value-of select="concat(substring($dt,9,2),'-',substring($dt,6,2),'-',substring($dt,1,4))"/>
</xsl:if>
</span>
</strong>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:PodpisWnioskodawcy">
<xsl:if test="true()">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="border-width: 1pt; border-style: solid solid none; border-color: #000000; background-color: #d3d3d3; padding-left: 5px;" valign="top">
<strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">E. OŚWIADCZENIE PODATNIKA (PŁATNIKA, INKASENTA LUB PODMIOTU ZAGRANICZNEGO)</span>
</strong>
</td>
</tr>
</tbody>
</table>
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: none solid; border-color: #000000; background-color: #d3d3d3; text-align: center;"> </td>
<td style="width: 95%; border-width: 1pt; border-style: solid solid none none; border-color: #000000;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 50%; border-width: 1pt; border-style: none; border-color: #000000; background-color: #ffffff; padding-left: 5px; text-align: left;" valign="top">
<p style="text-align: center;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small; text-align: center;">Oświadczam, że osobę wymienioną w części C upoważniam do podpisywania deklaracji składanej za pomocą<br/> środków komunikacji elektronicznej</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: solid solid none; border-color: #000000; background-color: #d3d3d3; text-align: center;"> <span style="font-family: arial,helvetica,sans-serif; font-size: small;">1</span>
</td>
<td style="width: 95%; border-width: 1pt; border-style: solid solid none none; border-color: #000000;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td align="left" style="width: 50%; border-width: 1pt; border-style: none solid none none; border-color: #000000; background-color: #ffffff; padding-left: 5px; text-align: left;" valign="top">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>43. Nazwisko</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<xsl:value-of select="wnio:Nazwisko1"/>
</span>
</span>
</td>
<td style="width: 50%; border-width: 1pt; border-style: none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>44. Imię</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<xsl:value-of select="wnio:Imie1"/>
</span>
<br/>
</span>
</td>
</tr>
<tr>
<td align="left" style="width: 50%; border-width: 1pt; border-style: none solid none none; border-color: #000000; background-color: #ffffff; padding-left: 5px; text-align: left;" valign="top">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;"><strong>45. Stanowisko / Funkcja</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<xsl:value-of select="wnio:Funkcja1"/>
</span>
</span>
</td>
<td style="width: 50%; border-width: 1pt; border-style: none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>46. Podpis</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<xsl:value-of select="wnio:Podpis1"/>
</span>
</span>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: solid solid none; border-color: #000000; background-color: #d3d3d3; text-align: center;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">2</span>
</td>
<td style="width: 95%; border-width: 1pt; border-style: solid solid none none; border-color: #000000;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td align="left" style="width: 50%; border-width: 1pt; border-style: none solid none none; border-color: #000000; background-color: #ffffff; padding-left: 5px; text-align: left;" valign="top">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>47. Nazwisko</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<xsl:value-of select="wnio:Nazwisko2"/>
</span>
</span>
</td>
<td style="width: 50%; border-width: 1pt; border-style: none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>48. Imię</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<xsl:value-of select="wnio:Imie2"/>
</span>
<br/>
</span>
</td>
</tr>
<tr>
<td align="left" style="width: 50%; border-width: 1pt; border-style: none solid none none; border-color: #000000; background-color: #ffffff; padding-left: 5px; text-align: left;" valign="top">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>49. Stanowisko / Funkcja</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<xsl:value-of select="wnio:Funkcja2"/>
</span>
</span>
</td>
<td style="width: 50%; border-width: 1pt; border-style: none; border-color: #000000; padding-left: 5px;">
<strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">50</span>
</strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>. Podpis</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<xsl:value-of select="wnio:Podpis2"/>
</span>
</span>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: solid solid none; border-color: #000000; background-color: #d3d3d3; text-align: center;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">3</span>
</td>
<td style="width: 95%; border-width: 1pt; border-style: solid solid none none; border-color: #000000;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td align="left" style="width: 50%; border-width: 1pt; border-style: none solid none none; border-color: #000000; background-color: #ffffff; padding-left: 5px; text-align: left;" valign="top">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>51. Nazwisko</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<xsl:value-of select="wnio:Nazwisko3"/>
</span>
</span>
</td>
<td style="width: 50%; border-width: 1pt; border-style: none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>52. Imię</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<xsl:value-of select="wnio:Imie3"/>
</span>
<br/>
</span>
</td>
</tr>
<tr>
<td align="left" style="width: 50%; border-width: 1pt; border-style: none solid none none; border-color: #000000; background-color: #ffffff; padding-left: 5px; text-align: left;" valign="top">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>53. Stanowisko / Funkcja</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<xsl:value-of select="wnio:Funkcja3"/>
</span>
</span>
</td>
<td style="width: 50%; border-width: 1pt; border-style: none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>54. Podpis</strong>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<xsl:value-of select="wnio:Podpis3"/>
</span>
</span>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td style="width: 95%; border-width: 1pt; border-style: solid solid solid none; border-color: #000000;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="border-width: 1pt; border-style: none none solid; border-color: #000000; background-color: #ffffff; padding-left: 5px; text-align: left;">
<strong>
<span style="font-size: x-small;">
<span style="font-family: arial,helvetica,sans-serif;">55. Data (dzień - miesiąc - rok)</span>
</span>
</strong>
<br/>
<p style="text-align: center;">
<span style="font-size: small;">
<span style="font-family: arial,helvetica,sans-serif;">
<xsl:if test="true()">
<xsl:variable name="dt" select="wnio:DataPodpisu"/>
<xsl:value-of select="concat(substring($dt,9,2),'-',substring($dt,6,2),'-',substring($dt,1,4))"/>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
<tr>
<td style="width: 50%; border-width: 1pt; border-style: none solid solid none; border-color: #000000; background-color: #ffffff; padding-left: 5px; text-align: left;" valign="top">
<strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">56. Uwierzytelnienie odpisu pełnomocnictwa przez</span>
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">pełnomocnika wskazanego w poz. 57</span>
</strong>
</td>
<td style="width: 50%; border-width: 1pt; border-style: none none solid; border-color: #000000; background-color: #ffffff; padding-left: 5px; text-align: left;">
<strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">57. Podpis pełnomocnika będącego adwokatem, radcą prawnym lub doradcą podatkowym </span></strong><span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">(uwierzytelniającego udzielone mu pełnomocnictwo)</span>
<br/>
<p style="text-align: center;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">Dokument podpisany elektronicznie</span>
</p>
</td>
</tr>
<tr>
<td colspan="2" style="padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>58. Data uwierzytelnienia odpisu zawiadomienia </strong></span>
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">(dzień - miesiąc - rok) </span>
<strong><span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">i miejsce jego sporządzenia</span></strong>
<br/>
<p style="text-align: center;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<span style="font-size: small;">
<xsl:if test="wnio:DataUwierzytelnienia">
<xsl:variable name="dt" select="wnio:DataUwierzytelnienia"/>
<xsl:value-of select="concat(substring($dt,9,2),'-',substring($dt,6,2),'-',substring($dt,1,4))"/>
</xsl:if>
</span> <span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Miejscowosc"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
<p style="text-align: justify;"> </p>
<xsl:call-template name="Podpis_v23.99"/>
</body>
</html>
</xsl:for-each>
</xsl:template>
<xsl:template name="Podpis_v23.99">
<div align="right" style="text-align: right;font-size: 10px;font-family: Verdana;line-height: 20px;">
<table style="float: right;">
<tr>
<td style="width: 340px;">
<h5 class="acc" align="center">Podpisy elektroniczne</h5>
<p align="center" style="text-align: center;font-size: 10px;font-family: Verdana;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>
<xsl:choose>
<xsl:when test="count(//wnio:Dokument/ds:Signature/ds:Object/descendant::*[local-name() = 'SigningTime']) > 1">
<br/>
<xsl:text>Daty złożenia podpisu: </xsl:text>
<xsl:for-each select="//wnio:Dokument/ds:Signature/ds:Object/descendant::*[local-name() = 'SigningTime']">
<xsl:value-of select="."/>
</xsl:for-each>
</xsl:when>
<xsl:when test="count(//wnio:Dokument/ds:Signature/ds:Object/descendant::*[local-name() = 'SigningTime']) = 1">
<br/>
<xsl:text>Data złożenia podpisu: </xsl:text>
<xsl:for-each select="//wnio:Dokument/ds:Signature/ds:Object/descendant::*[local-name() = 'SigningTime']">
<xsl:value-of select="."/>
</xsl:for-each>
</xsl:when>
<xsl:when test="0 >= count(//wnio:Dokument/ds:Signature/ds:Object/descendant::*[local-name() = 'SigningTime'])">
</xsl:when>
</xsl:choose>
</xsl:when>
<xsl:otherwise>
<xsl:text>Dokument nie zawiera podpisu</xsl:text>
</xsl:otherwise>
</xsl:choose>
<br/>
<span name="info_v99.23" style="font-size: 7pt;font-weight: bold;">
</span>
</p>
</td>
</tr>
</table>
</div>
<div name="clear_v23.23" style="clear: both;"/>
</xsl:template>
</xsl:stylesheet>