1856
| ID | 1856 |
|---|
| Data | 2014-11-18 |
|---|
| Symbol | 2014/11/18/1856 |
|---|
| Instytucja | Urząd Miejski w Kaliszu |
|---|
| Nazwa | Deklaracja wysokości opłat za gospodarowanie odpadami komunalnymi |
|---|
| Czy Aktualny | 0 |
|---|
Ustawy (1)
Pliki
Styl
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<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong>DEKLARACJA<br/>
</strong>
</span>
</p>
<h3 style="margin-left: 0cm; text-indent: 0cm; tab-stops: 0cm;">
<span style="font-family: arial,helvetica,sans-serif;">
<span style="font-size: small;">O WYSOKOŚCI OPŁATY ZA GOSPODAROWANIE ODPADAMI KOMUNALNYMI SKŁADANA PRZEZ WŁAŚCICIELA NIERUCHOMOŚCI, NA KTÓREJ ZAMIESZKUJĄ MIESZKAŃCY</span> <span style="font-size: small;">
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<span style="font-size: small; font-family: arial,helvetica,sans-serif;">Podstawa prawna: <span>
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<span style="font-family: arial,helvetica,sans-serif;">
<span style="font-size: small;">Miejsce składania: <strong>
<span>
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<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:MiejsceSkladania"/>
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</strong> Organ, któremu składana jest deklaracja: <strong>
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<xsl:if test="true()">
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<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:OrganSkladania"/>
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<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:UchwalaTerminWplat"/>
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<br/>
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<tr style="mso-yfti-irow: 3;">
<td style="width: 27.4pt; border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top" width="37">
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<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong>I.</strong>
</span>
</p>
</td>
<td colspan="12" style="width: 460.7pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top" width="614">
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<strong>OKOLICZNOŚCI POWODUJĄCE KONIECZNOŚĆ ZŁOŻENIA DEKLARACJI</strong>(zaznaczyć właściwy kwadrat)</span>
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<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong> </strong>
</span>
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<strong>
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<br/>
</span>
</strong>
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<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
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<span>[<b>X</b>]</span>
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<span>Pierwsza deklaracja </span>
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<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> obowiązująca od: <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:Deklaracja_miesiac = 1"/>
<xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:Deklaracja_miesiac = 2">01</xsl:if>
<xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:Deklaracja_miesiac = 3">02</xsl:if>
<xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:Deklaracja_miesiac = 4">03</xsl:if>
<xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:Deklaracja_miesiac = 5">04</xsl:if>
<xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:Deklaracja_miesiac = 6">05</xsl:if>
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<xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:Deklaracja_miesiac = 10">09</xsl:if>
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<xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:Deklaracja_miesiac = 13">12</xsl:if>
</span>
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<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> / <span>
<label>
<span/>
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<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:Deklaracja_rok"/>
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</span> <em>(miesiąc / rok)</em>
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<span>Nowa deklaracja </span>
</label>
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</span> obowiązująca od: <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:ZmianaDeklaracji_miesiac = 1"/>
<xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:ZmianaDeklaracji_miesiac = 2">01</xsl:if>
<xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:ZmianaDeklaracji_miesiac = 3">02</xsl:if>
<xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:ZmianaDeklaracji_miesiac = 4">03</xsl:if>
<xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:ZmianaDeklaracji_miesiac = 5">04</xsl:if>
<xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:ZmianaDeklaracji_miesiac = 6">05</xsl:if>
<xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:ZmianaDeklaracji_miesiac = 7">06</xsl:if>
<xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:ZmianaDeklaracji_miesiac = 8">07</xsl:if>
<xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:ZmianaDeklaracji_miesiac = 9">08</xsl:if>
<xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:ZmianaDeklaracji_miesiac = 10">09</xsl:if>
<xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:ZmianaDeklaracji_miesiac = 11">10</xsl:if>
<xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:ZmianaDeklaracji_miesiac = 12">11</xsl:if>
<xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:ZmianaDeklaracji_miesiac = 13">12</xsl:if>
</span>
</xsl:if>
</span> / <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ZmianaDeklaracji_rok"/>
</span>
</xsl:if>
</span> <span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<em>(miesiąc / rok)</em>
</span>
</span>
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<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">składana w związku z:</span>
</p>
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<span style="font-size: small; font-family: arial,helvetica,sans-serif;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:PowodSkladaniaDeklaracji"/>
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</xsl:if>
</span> </span>
</p>
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<tr style="mso-yfti-irow: 5;">
<td style="width: 27.4pt; border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top" width="37">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong>II.</strong>
</span>
</p>
</td>
<td colspan="12" style="width: 460.7pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top" width="614">
<h1 style="margin-left: 0cm; text-indent: 0cm; tab-stops: 0cm; layout-grid-mode: char;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">DANE SKŁADAJĄCEGO DEKLARACJĘ</span>
</h1>
</td>
</tr>
<tr style="mso-yfti-irow: 6; page-break-inside: avoid; height: 12.7pt;">
<td rowspan="11" style="width: 27.4pt; border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt; height: 12.7pt;" valign="top" width="37">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong> </strong>
</span>
</p>
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong> </strong>
</span>
</p>
</td>
<td style="width: 33.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt; height: 12.7pt;" valign="top" width="44">
<p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">II.1.</span>
</p>
</td>
<td colspan="11" style="width: 427.7pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt; height: 12.7pt;" valign="top" width="570">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">DANE IDENTYFIKACYJNE</span>
</p>
</td>
</tr>
<tr style="mso-yfti-irow: 7; page-break-inside: avoid; height: 17.15pt;">
<td colspan="12" style="width: 460.7pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 17.15pt;" valign="top" width="614">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal;">
<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="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:FormaPrawna)),' '), ' 1 ' )">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>osoba fizyczna </span>
</label>
</span>
<span>
<xsl:choose>
<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:FormaPrawna)),' '), ' 2 ' )">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>osoba prawna </span>
</label>
</span>
<span>
<xsl:choose>
<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:FormaPrawna)),' '), ' 3 ' )">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>jednostka organizacyjna </span>
</label>
</span>
<span>
<xsl:choose>
<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:FormaPrawna)),' '), ' 4 ' )">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>inne </span>
</label>
</span>
</xsl:if>
</span>
<strong> <br/>
</strong>
</span>
</p>
</td>
</tr>
<tr style="mso-yfti-irow: 8; page-break-inside: avoid; height: 28.05pt;">
<td style="width: 33.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt; height: 28.05pt;" valign="top" width="44">
<p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">II.2.</span>
</p>
</td>
<td colspan="11" style="width: 427.7pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt; height: 28.05pt;" valign="top" width="570">
<p class="MsoNormal" style="margin-bottom: .0001pt; text-align: justify; line-height: normal; layout-grid-mode: char;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">IMIĘ I NAZWISKO (dotyczy osób fizycznych) / NAZWA (dotyczy osób prawnych, jednostek organizacyjnych i pozostałych podmiotów)</span>
</p>
</td>
</tr>
<tr style="mso-yfti-irow: 9; page-break-inside: avoid; height: 35.55pt;">
<td colspan="12" style="width: 460.7pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 35.55pt;" valign="top" width="614">
<p class="Tekstdymka1" style="layout-grid-mode: char;">
<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:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja/inst:Jednostka/inst:Pracownik/oso:Imie"/>
</span>
</xsl:if>
</span> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja/inst:Jednostka/inst:Pracownik/oso:Nazwisko"/>
</span>
</xsl:if>
</span> / <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja/inst:NazwaInstytucji"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
<tr style="mso-yfti-irow: 10; page-break-inside: avoid; height: 29.0pt;">
<td style="width: 33.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt; height: 29.0pt;" valign="top" width="44">
<p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">II.3.</span>
</p>
</td>
<td colspan="11" style="width: 427.7pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt; height: 29.0pt;" valign="top" width="570">
<p class="MsoNormal" style="margin-bottom: .0001pt; text-align: justify; line-height: normal; layout-grid-mode: char;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">PESEL (dotyczy osób fizycznych) / NIP I REGON (dotyczy osób prawnych, jednostek organizacyjnych i pozostałych podmiotów podlegających obowiązkowi ewidencyjnemu, które na podstawie odrębnych ustaw są podatnikami)</span>
</p>
</td>
</tr>
<tr style="mso-yfti-irow: 11; page-break-inside: avoid; height: 27.7pt;">
<td colspan="3" style="width: 147.9pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 27.7pt;" valign="top" width="197">
<p class="Tekstdymka1" style="layout-grid-mode: char;">
<span lang="DE" style="font-family: arial,helvetica,sans-serif; font-size: small;">PESEL: <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:PESEL"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td colspan="4" style="width: 147.75pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 27.7pt;" valign="top" width="197">
<p class="Tekstdymka1">
<span lang="DE" style="font-size: small; font-family: arial,helvetica,sans-serif;">NIP: <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja/inst:IdInstytucji/inst:NIP"/>
</span>
</xsl:if>
</span>
<br/>
</span>
</p>
</td>
<td colspan="5" style="width: 165.05pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 27.7pt;" valign="top" width="220">
<p class="Tekstdymka1" style="layout-grid-mode: char;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span lang="DE">REGON: <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja/inst:IdInstytucji/inst:REGON"/>
</span>
</xsl:if>
</span>
<br/>
</span>
</span>
</p>
</td>
</tr>
<tr style="mso-yfti-irow: 12; page-break-inside: avoid; height: 12.7pt;">
<td style="width: 33.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt; height: 12.7pt;" valign="top" width="44">
<p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; layout-grid-mode: char;">
<span lang="DE" style="font-size: small; font-family: arial,helvetica,sans-serif;">II.4.</span>
</p>
</td>
<td colspan="11" style="width: 427.7pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt; height: 12.7pt;" valign="top" width="570">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">ADRES ZAMIESZKANIA SKŁADAJĄCEGO DEKLARACJĘ</span>
</p>
</td>
</tr>
<tr style="mso-yfti-irow: 13; page-break-inside: avoid; height: 24.9pt;">
<td colspan="4" style="width: 148.35pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: white; padding: 0cm 5.4pt 0cm 5.4pt; height: 24.9pt;" valign="top" width="198">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">Kraj</span>
</p>
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja/adr:Adres/adr:Kraj "/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td colspan="4" style="width: 170.65pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: white; padding: 0cm 5.4pt 0cm 5.4pt; height: 24.9pt;" valign="top" width="228">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">Województwo</span>
</p>
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja/adr:Adres/adr:Wojewodztwo"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td colspan="4" style="width: 141.7pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: white; padding: 0cm 5.4pt 0cm 5.4pt; height: 24.9pt;" valign="top" width="189">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">Powiat</span>
</p>
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja/adr:Adres/adr:Powiat"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
<tr style="mso-yfti-irow: 14; page-break-inside: avoid; height: 24.9pt;">
<td colspan="4" style="width: 148.35pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: white; padding: 0cm 5.4pt 0cm 5.4pt; height: 24.9pt;" valign="top" width="198">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">Gmina</span>
</p>
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja/adr:Adres/adr:Gmina"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td colspan="8" style="width: 312.35pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: white; padding: 0cm 5.4pt 0cm 5.4pt; height: 24.9pt;" valign="top" width="416">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">Ulica (pełna nazwa)</span>
</p>
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja/adr:Adres/adr:Ulica"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
<tr style="mso-yfti-irow: 15; page-break-inside: avoid; height: 24.9pt;">
<td colspan="2" style="width: 77.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: white; padding: 0cm 5.4pt 0cm 5.4pt; height: 24.9pt;" valign="top" width="103">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">Nr domu</span>
</p>
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja/adr:Adres/adr:Budynek"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td colspan="2" style="width: 71.35pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: white; padding: 0cm 5.4pt 0cm 5.4pt; height: 24.9pt;" valign="top" width="95">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">Nr lokalu</span>
</p>
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja/adr:Adres/adr:Lokal"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td colspan="2" style="width: 134.7pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: white; padding: 0cm 5.4pt 0cm 5.4pt; height: 24.9pt;" valign="top" width="180">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">Miejscowość</span>
</p>
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja/adr:Adres/adr:Miejscowosc"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td colspan="4" style="width: 96.25pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: white; padding: 0cm 5.4pt 0cm 5.4pt; height: 24.9pt;" valign="top" width="128">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">Kod pocztowy</span>
</p>
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja/adr:Adres/adr:KodPocztowy"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td colspan="2" style="width: 81.4pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: white; padding: 0cm 5.4pt 0cm 5.4pt; height: 24.9pt;" valign="top" width="109">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">Poczta</span>
</p>
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja/adr:Adres/adr:Poczta"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
<tr style="mso-yfti-irow: 16; page-break-inside: avoid; height: 24.9pt;">
<td colspan="5" style="width: 236.5pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: white; padding: 0cm 5.4pt 0cm 5.4pt; height: 24.9pt;" valign="top" width="315">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">Nr telefonu kontaktowego<br/>
</span>
</p>
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:Telefon"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td colspan="7" style="width: 224.2pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: white; padding: 0cm 5.4pt 0cm 5.4pt; height: 24.9pt;" valign="top" width="299">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">Adres e-mail<br/>
</span>
</p>
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:Email"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
<tr style="mso-yfti-irow: 17; page-break-inside: avoid; height: 28.0pt;">
<td style="width: 27.4pt; border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt; height: 28.0pt;" valign="top" width="37">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong>III.</strong>
</span>
</p>
</td>
<td colspan="12" style="width: 460.7pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt; height: 28.0pt;" valign="top" width="614">
<h1 style="margin-left: 0cm; text-align: justify; text-indent: 0cm; tab-stops: 0cm; layout-grid-mode: char;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">NIERUCHOMOŚĆ, DLA KTÓREJ SKŁADANA JEST DEKLARACJA</span>
</h1>
<h1 style="margin-left: 0cm; text-align: justify; text-indent: 0cm; tab-stops: 0cm; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">(dla każdej nieruchomości należy złożyć odrębną deklarację)</span>
</h1>
</td>
</tr>
<tr style="mso-yfti-irow: 18; page-break-inside: avoid; height: 12.7pt;">
<td rowspan="4" style="width: 27.4pt; border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt; height: 12.7pt;" valign="top" width="37">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;"> </span>
</p>
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;"> </span>
</p>
</td>
<td style="width: 33.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt; height: 12.7pt;" valign="top" width="44">
<p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">III.1.</span>
</p>
</td>
<td colspan="11" style="width: 427.7pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt; height: 12.7pt;" valign="top" width="570">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">ADRES NIERUCHOMOŚCI W KALISZU, DLA KTÓREJ SKŁADANA JEST DEKLARACJA</span>
</p>
</td>
</tr>
<tr style="mso-yfti-irow: 19; page-break-inside: avoid; height: 30.4pt;">
<td colspan="9" style="width: 332.9pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 30.4pt;" valign="top" width="444">
<p class="Tekstdymka1" style="layout-grid-mode: char;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">Ulica (pełna nazwa)</span>
</p>
<p class="Tekstdymka1" style="layout-grid-mode: char;">
<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:NieruchomoscUlica"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td colspan="2" style="width: 2.0cm; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 30.4pt;" valign="top" width="76">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">Nr domu</span>
</p>
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:NieruchomoscNrDomu"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 71.1pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 30.4pt;" valign="top" width="95">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">Nr lokalu</span>
</p>
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:NieruchomoscNrLokalu"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
<tr style="mso-yfti-irow: 20; page-break-inside: avoid; height: 12.7pt;">
<td style="width: 33.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #D9D9D9; padding: 0cm 5.4pt 0cm 5.4pt; height: 12.7pt;" valign="top" width="44">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">III.2.</span>
</p>
</td>
<td colspan="11" style="width: 427.7pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #D9D9D9; padding: 0cm 5.4pt 0cm 5.4pt; height: 12.7pt;" valign="top" width="570">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">FORMA WŁADANIA NIERUCHOMOŚCIĄ (zaznaczyć właściwy kwadrat)</span>
</p>
</td>
</tr>
<tr style="mso-yfti-irow: 21; mso-yfti-lastrow: yes; page-break-inside: avoid; height: 56.45pt;">
<td colspan="12" style="width: 460.7pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: white; padding: 0cm 5.4pt 0cm 5.4pt; height: 56.45pt;" valign="top" width="614">
<p class="MsoNormal" style="margin-top: 6.0pt; margin-right: 0cm; margin-bottom: 6.0pt; margin-left: 0cm; line-height: normal;">
<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="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:FormaWladania)),' '), ' 1 ' )">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>właściciel </span>
</label>
</span>
<span>
<xsl:choose>
<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:FormaWladania)),' '), ' 2 ' )">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>współwłaściciel </span>
</label>
</span>
<span>
<xsl:choose>
<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:FormaWladania)),' '), ' 3 ' )">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>zarządca </span>
</label>
</span>
</xsl:if>
</span>
<br/>
</span>
</p>
<p class="MsoNormal" style="margin-bottom: 6.0pt; line-height: normal;">
<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="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:FormaWladaniaInny)),' '), ' 1 ' )">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>inny </span>
</label>
</span>
</xsl:if>
</span>: <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:FormaWladaniaInnyTekst"/>
</span>
</xsl:if>
</span>
<br/>
</span>
</p>
</td>
</tr>
<tr>
<td style="border: none;" width="37">
<span style="font-family: arial,helvetica,sans-serif;"> </span>
</td>
<td style="border: none;" width="48">
<span style="font-family: arial,helvetica,sans-serif;"> </span>
</td>
<td style="border: none;" width="64">
<span style="font-family: arial,helvetica,sans-serif;"> </span>
</td>
<td style="border: none;" width="104">
<span style="font-family: arial,helvetica,sans-serif;"> </span>
</td>
<td style="border: none;" width="1">
<span style="font-family: arial,helvetica,sans-serif;"> </span>
</td>
<td style="border: none;" width="118">
<span style="font-family: arial,helvetica,sans-serif;"> </span>
</td>
<td style="border: none;" width="64">
<span style="font-family: arial,helvetica,sans-serif;"> </span>
</td>
<td style="border: none;" width="17">
<span style="font-family: arial,helvetica,sans-serif;"> </span>
</td>
<td style="border: none;" width="31">
<span style="font-family: arial,helvetica,sans-serif;"> </span>
</td>
<td style="border: none;" width="19">
<span style="font-family: arial,helvetica,sans-serif;"> </span>
</td>
<td style="border: none;" width="62">
<span style="font-family: arial,helvetica,sans-serif;"> </span>
</td>
<td style="border: none;" width="14">
<span style="font-family: arial,helvetica,sans-serif;"> </span>
</td>
<td style="border: none;" width="95">
<span style="font-family: arial,helvetica,sans-serif;"> </span>
</td>
</tr>
</tbody>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="margin-left: -0.5pt; border-collapse: collapse; width: 100%;">
<tbody>
<tr style="mso-yfti-irow: 0; mso-yfti-firstrow: yes; page-break-inside: avoid;">
<td rowspan="3" style="width: 27.4pt; border: solid windowtext 1.0pt; border-bottom: solid black 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-bottom-alt: solid black .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top" width="37">
<p class="MsoNormal">
<br/>
</p>
</td>
<td style="width: 33.0pt; border: solid windowtext 1.0pt; border-left: none; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top" width="44">
<p class="Tekstdymka1" style="layout-grid-mode: char;">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">III.3.</span>
</p>
</td>
<td colspan="4" style="width: 427.7pt; border: solid windowtext 1.0pt; border-left: none; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top" width="570">
<p class="Tekstdymka1" style="layout-grid-mode: char;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">SPOSÓB ZBIERANIA ODPADÓW KOMUNALNYCH (zaznaczyć właściwy kwadrat)</span>
</p>
</td>
</tr>
<tr style="mso-yfti-irow: 1; page-break-inside: avoid; height: 26.3pt;">
<td colspan="5" style="width: 460.7pt; border-width: medium 1pt 1pt medium; border-style: none solid solid none; border-color: -moz-use-text-color; background-color: white; background-repeat: repeat; background-attachment: scroll; background-position: 0% 0%; background-clip: border-box; background-origin: padding-box; background-size: auto auto; padding: 0cm 5.4pt; height: 56.45pt;" valign="top">
<p>
<span style="font-family: arial,helvetica,sans-serif;"> </span>
</p>
<p>
<span style="font-family: arial,helvetica,sans-serif;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:choose>
<xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:CzySelektywnie) = normalize-space(' 1 ')">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>odpady zbierane selektywnie </span>
</label>
</span>
<span>
<xsl:choose>
<xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:CzySelektywnie) = normalize-space(' 2 ')">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>odpady nie zbierane selektywnie </span>
</label>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
<tr style="mso-yfti-irow: 2; page-break-inside: avoid; height: 31.4pt;">
<td colspan="5" style="width: 460.7pt; border-width: medium 1pt 1pt medium; border-style: none solid solid none; border-color: -moz-use-text-color; background-color: white; background-repeat: repeat; background-attachment: scroll; background-position: 0% 0%; background-clip: border-box; background-origin: padding-box; background-size: auto auto; padding: 0cm 5.4pt; height: 56.45pt;" valign="top">
<p>
<span style="font-family: arial,helvetica,sans-serif;"> </span>
</p>
<p>
<span style="font-family: arial,helvetica,sans-serif;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:choose>
<xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:CzyKompostownik) = normalize-space(' 1 ')">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>nieruchomość wyposażona w kompostownik </span>
</label>
</span>
<span>
<xsl:choose>
<xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:CzyKompostownik) = normalize-space(' 2 ')">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>brak kompostownika </span>
</label>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
<tr style="mso-yfti-irow: 3; page-break-inside: avoid; height: 9.7pt;">
<td style="width: 27.4pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid black 1.0pt; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-bottom-alt: solid black .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt; height: 9.7pt;" valign="top" width="37">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong>IV.</strong>
</span>
</p>
</td>
<td colspan="5" style="width: 460.7pt; border: solid black 1.0pt; border-top: none; mso-border-top-alt: solid black .5pt; mso-border-alt: solid black .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt; height: 9.7pt;" valign="top" width="614">
<h1 style="margin-left: 0cm; text-indent: 0cm; tab-stops: 0cm; layout-grid-mode: char;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">OPŁATA ZA GOSPODAROWANIE ODPADAMI KOMUNALNYMI</span>
</h1>
</td>
</tr>
<tr style="mso-yfti-irow: 4; page-break-inside: avoid; height: 24.5pt;">
<td rowspan="3" style="width: 27.4pt; border: none; border-left: solid black 1.0pt; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt; height: 24.5pt;" valign="top" width="37">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong> </strong>
</span>
</p>
</td>
<td colspan="2" style="width: 35.2pt; border: none; border-left: solid black 1.0pt; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 24.5pt;" valign="top" width="47">
<h1 style="margin-left: 0cm; text-indent: 0cm; tab-stops: 0cm; layout-grid-mode: char;">
<span style="font-weight: normal; font-family: arial,helvetica,sans-serif; font-size: small;">IV.1.</span>
</h1>
</td>
<td colspan="2" style="width: 297.7pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid black 1.0pt; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-bottom-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 24.5pt;" valign="top" width="397">
<h1 style="margin-left: 0cm; text-indent: 0cm; tab-stops: 0cm; layout-grid-mode: char;">
<span style="font-weight: normal; font-family: arial,helvetica,sans-serif; font-size: small;">Stawka opłaty określona w uchwale Rady Miejskiej Kalisza zmieniającej uchwałę w sprawie wyboru metody ustalenia opłaty za gospodarowanie odpadami komunalnymi oraz ustalenia stawki takiej opłaty</span>
</h1>
</td>
<td style="width: 127.8pt; border: solid black 1.0pt; border-top: none; mso-border-top-alt: solid black .5pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 24.5pt;" valign="top" width="170">
<h1 style="margin-left: 0cm; text-indent: 0cm; tab-stops: 0cm; layout-grid-mode: char;">
<span style="font-weight: normal; 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:StawkaOplaty"/>
</span>
</xsl:if>
</span> zł/osobę</span>
</h1>
</td>
</tr>
<tr style="mso-yfti-irow: 5; page-break-inside: avoid; height: 24.5pt;">
<td colspan="2" style="width: 35.2pt; border-top: solid black 1.0pt; border-left: solid black 1.0pt; border-bottom: none; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 24.5pt;" valign="top" width="47">
<h1 style="margin-left: 0cm; text-indent: 0cm; tab-stops: 0cm; layout-grid-mode: char;">
<span style="font-weight: normal; font-family: arial,helvetica,sans-serif; font-size: small;">IV.2.</span>
</h1>
</td>
<td colspan="2" style="width: 297.7pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid black 1.0pt; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-bottom-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 24.5pt;" valign="top" width="397">
<h1 style="margin-left: 0cm; text-indent: 0cm; tab-stops: 0cm; layout-grid-mode: char;">
<span style="font-weight: normal; font-family: arial,helvetica,sans-serif; font-size: small;">Liczba osób zamieszkujących nieruchomość wskazaną w części III.1.</span>
</h1>
</td>
<td style="width: 127.8pt; border: solid black 1.0pt; border-top: none; mso-border-top-alt: solid black .5pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 24.5pt;" valign="top" width="170">
<h1 style="margin-left: 0cm; text-indent: 0cm; tab-stops: 0cm; layout-grid-mode: char;">
<span style="font-weight: normal; 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:LiczbaOsob"/>
</span>
</xsl:if>
</span> osób</span>
</h1>
</td>
</tr>
<tr style="mso-yfti-irow: 6; page-break-inside: avoid; height: 24.5pt;">
<td colspan="2" style="width: 35.2pt; border: solid black 1.0pt; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-bottom-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 24.5pt;" valign="top" width="47">
<h1 style="margin-left: 0cm; text-indent: 0cm; tab-stops: 0cm; layout-grid-mode: char;">
<span style="font-weight: normal; font-family: arial,helvetica,sans-serif; font-size: small;">IV.3.</span>
</h1>
</td>
<td colspan="2" style="width: 297.7pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid black 1.0pt; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-bottom-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 24.5pt;" valign="top" width="397">
<h1 style="margin-left: 0cm; text-indent: 0cm; tab-stops: 0cm; layout-grid-mode: char;">
<span style="font-weight: normal; font-family: arial,helvetica,sans-serif; font-size: small;">Miesięczna kwota opłaty (kwotę z części IV.1. należy pomnożyć przez liczbę osób wskazaną w części IV.2)</span>
</h1>
</td>
<td style="width: 127.8pt; border: solid black 1.0pt; border-top: none; mso-border-top-alt: solid black .5pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 24.5pt;" valign="top" width="170">
<h1 style="margin-left: 0cm; text-indent: 0cm; tab-stops: 0cm; layout-grid-mode: char;">
<span style="font-weight: normal; 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:MiesiecznaKwota"/>
</span>
</xsl:if>
</span> zł/miesiąc</span>
</h1>
</td>
</tr>
<tr style="mso-yfti-irow: 7; page-break-inside: avoid; height: 7.05pt;">
<td style="width: 27.4pt; border-top: solid black 1.0pt; border-left: solid black 1.0pt; border-bottom: none; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt; height: 7.05pt;" valign="top" width="37">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong>V.</strong>
</span>
</p>
</td>
<td colspan="5" style="width: 460.7pt; border: solid black 1.0pt; border-top: none; mso-border-top-alt: solid black .5pt; mso-border-alt: solid black .5pt; background: #DFDFDF; mso-shading: windowtext; mso-pattern: gray-125 auto; padding: 0cm 5.4pt 0cm 5.4pt; height: 7.05pt;" valign="top" width="614">
<h1 style="margin-left: 0cm; text-indent: 0cm; tab-stops: 0cm; layout-grid-mode: char;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">ODLICZENIE OD OPŁATY ZA GOSPODAROWANIE ODPADAMI KOMUNALNYMI</span>
</h1>
</td>
</tr>
<tr style="mso-yfti-irow: 8; page-break-inside: avoid; height: 7.05pt;">
<td rowspan="2" style="width: 27.4pt; border-top: solid black 1.0pt; border-left: solid black 1.0pt; border-bottom: none; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt; height: 7.05pt;" valign="top" width="37">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong> </strong>
</span>
</p>
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong> </strong>
</span>
</p>
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong> </strong>
</span>
</p>
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong> </strong>
</span>
</p>
</td>
<td colspan="2" style="width: 35.2pt; border: solid black 1.0pt; border-top: none; mso-border-top-alt: solid black .5pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 7.05pt;" valign="top" width="47">
<h1 style="margin-top: 12.0pt; margin-right: 0cm; margin-bottom: .0001pt; margin-left: 0cm; text-indent: 0cm; tab-stops: 0cm; layout-grid-mode: char;">
<span style="font-weight: normal; font-family: arial,helvetica,sans-serif; font-size: small;">V.1.</span>
</h1>
</td>
<td colspan="3" style="width: 425.5pt; border: solid black 1.0pt; border-left: none; mso-border-left-alt: solid black .5pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 7.05pt;" valign="top" width="567">
<p class="MsoNormal" style="margin-top: 12.0pt; margin-right: 0cm; margin-bottom: 12.0pt; margin-left: 0cm;">
<span style="font-size: small; line-height: 115%; font-family: arial,helvetica,sans-serif;">Z tytułu kompostowania</span>
</p>
<p class="MsoNormal" style="margin-bottom: 6.0pt;">
<span style="font-size: small; line-height: 115%; font-family: arial,helvetica,sans-serif;">- liczba osób zamieszkujących <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:OdliczeniaKompostownikLiczbaOsob"/>
</span>
</xsl:if>
</span> x stawka <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:OdliczeniaKompostownikStawka"/>
</span>
</xsl:if>
</span> zł/osobę = <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:OdliczeniaKompostownikKwota"/>
</span>
</xsl:if>
</span> zł</span>
</p>
</td>
</tr>
<tr style="mso-yfti-irow: 9; page-break-inside: avoid; height: 7.05pt;">
<td colspan="2" style="width: 35.2pt; border: solid black 1.0pt; border-top: none; mso-border-top-alt: solid black .5pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 7.05pt;" valign="top" width="47">
<h1 style="margin-left: 0cm; text-indent: 0cm; tab-stops: 0cm; layout-grid-mode: char;">
<span style="font-weight: normal; font-family: arial,helvetica,sans-serif; font-size: small;">V.2.</span>
</h1>
</td>
<td colspan="3" style="width: 425.5pt; border-top: none; border-left: none; border-bottom: solid black 1.0pt; border-right: solid black 1.0pt; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 7.05pt;" valign="top" width="567">
<h1 style="margin-top: 0cm; margin-right: 0cm; margin-bottom: 12.0pt; margin-left: 0cm; text-indent: 0cm; tab-stops: 0cm; layout-grid-mode: char;">
<span style="font-weight: normal; font-family: arial,helvetica,sans-serif; font-size: small;">Z tytułu posiadania dzieci objętych odliczeniem</span>
</h1>
<p class="MsoNormal">
<span style="font-size: small; line-height: 115%; font-family: arial,helvetica,sans-serif;">- liczba dzieci ogółem <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:OdliczeniaDzieciLiczba"/>
</span>
</xsl:if>
</span>
</span>
</p>
<p class="MsoNormal" style="margin-bottom: 6.0pt;">
<span style="font-size: small; line-height: 115%; font-family: arial,helvetica,sans-serif;">- liczba dzieci niepełnoletnich i uczących się do 25 roku życia powyżej drugiego dziecka</span>
</p>
<p class="MsoNormal" style="margin-bottom: 12.0pt;">
<span style="font-size: small; line-height: 115%; font-family: arial,helvetica,sans-serif;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:OdliczeniaDzieciLiczbaUczacych"/>
</span>
</xsl:if>
</span> x stawka <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:OdliczeniaDzieciStawka"/>
</span>
</xsl:if>
</span> zł/dziecko = <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:OdliczeniaDzieciKwota"/>
</span>
</xsl:if>
</span> zł</span>
</p>
</td>
</tr>
<tr style="mso-yfti-irow: 10; page-break-inside: avoid; height: 33.7pt;">
<td style="width: 27.4pt; border: none; border-left: solid black 1.0pt; mso-border-left-alt: solid black .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt; height: 33.7pt;" valign="top" width="37">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong> </strong>
</span>
</p>
</td>
<td colspan="2" style="width: 35.2pt; border: solid black 1.0pt; border-top: none; mso-border-top-alt: solid black .5pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 33.7pt;" valign="top" width="47">
<h1 style="mso-list: none; tab-stops: 35.4pt; layout-grid-mode: char;">
<span style="font-weight: normal; font-family: arial,helvetica,sans-serif; font-size: small;"> </span>
</h1>
<h1 style="margin-left: 0cm; text-indent: 0cm; tab-stops: 0cm; layout-grid-mode: char;">
<span style="font-weight: normal; font-family: arial,helvetica,sans-serif; font-size: small;">V.3.</span>
</h1>
</td>
<td colspan="3" style="width: 425.5pt; border-top: none; border-left: none; border-bottom: solid black 1.0pt; border-right: solid black 1.0pt; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 33.7pt;" valign="top" width="567">
<h1 style="margin-left: 0cm; text-indent: 0cm; tab-stops: 0cm; layout-grid-mode: char;">
<span style="font-weight: normal; font-family: arial,helvetica,sans-serif; font-size: small;"> </span>
</h1>
<h1 style="margin-top: 0cm; margin-right: 0cm; margin-bottom: 12.0pt; margin-left: 0cm; text-indent: 0cm; tab-stops: 0cm; layout-grid-mode: char;">
<span style="font-weight: normal; font-family: arial,helvetica,sans-serif; font-size: small;">Suma odliczeń <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:SumaOdliczenV1V2"/>
</span>
</xsl:if>
</span> zł</span>
</h1>
</td>
</tr>
<tr style="mso-yfti-irow: 11; page-break-inside: avoid; height: 8.7pt;">
<td style="width: 27.4pt; border: solid black 1.0pt; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-bottom-alt: solid black .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt; height: 8.7pt;" valign="top" width="37">
<p align="center" class="MsoNormal" style="margin-bottom: 6.0pt; text-align: center; line-height: normal; layout-grid-mode: char;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong>VI.</strong>
</span>
</p>
</td>
<td colspan="5" style="width: 460.7pt; border: solid black 1.0pt; border-top: none; mso-border-top-alt: solid black .5pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 8.7pt;" valign="top" width="614">
<h1 style="margin-left: 0cm; text-indent: 0cm; tab-stops: 0cm; layout-grid-mode: char;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">OPŁATA ZA GOSPODAROWANIE ODPADAMI KOMUNALNYMI PO ODLICZENIACH</span>
</h1>
<p class="MsoNormal">
<span style="font-size: small; line-height: 115%; font-family: arial,helvetica,sans-serif;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:OplataPoOdliczeniach"/>
</span>
</xsl:if>
</span> zł</span>
</p>
</td>
</tr>
<tr style="mso-yfti-irow: 12; page-break-inside: avoid; height: 8.7pt;">
<td style="width: 27.4pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid black 1.0pt; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-bottom-alt: solid black .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt; height: 8.7pt;" valign="top" width="37">
<p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; layout-grid-mode: char;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong>VII.</strong>
</span>
</p>
</td>
<td colspan="5" style="width: 460.7pt; border: solid black 1.0pt; border-top: none; mso-border-top-alt: solid black .5pt; mso-border-alt: solid black .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt; height: 8.7pt;" valign="top" width="614">
<h1 style="margin-left: 0cm; text-indent: 0cm; tab-stops: 0cm; layout-grid-mode: char;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">DODATKOWA INFORMACJA SKŁADAJĄCEGO DEKLARACJĘ</span>
</h1>
</td>
</tr>
<tr style="mso-yfti-irow: 13; page-break-inside: avoid; height: 31.35pt;">
<td style="width: 27.4pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid black 1.0pt; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-bottom-alt: solid black .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt; height: 31.35pt;" valign="top" width="37">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong> </strong>
</span>
</p>
</td>
<td colspan="5" style="width: 460.7pt; border: solid black 1.0pt; border-top: none; mso-border-top-alt: solid black .5pt; mso-border-alt: solid black .5pt; background: white; padding: 0cm 5.4pt 0cm 5.4pt; height: 31.35pt;" valign="top" width="614">
<h1 style="margin-left: 0cm; text-indent: 0cm; tab-stops: 0cm;">
<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="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:InneNieruchomosciOpcjaTak)),' '), ' 1 ' )">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>TAK </span>
</label>
</span>
</xsl:if>
</span> - <span style="font-weight: normal;">p</span>
<span style="font-weight: normal;">osiadam inne nieruchomości, na które składam odrębną deklarację.</span>
</span>
</h1>
<h1 style="margin-left: 0cm; text-indent: 0cm; tab-stops: 0cm;">
<span style="font-weight: normal; font-family: arial,helvetica,sans-serif; font-size: small;">Łączna ilość wszystkich nieruchomości, na które składam odrębne deklaracje wynosi: <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:IloscNieruchomosci"/>
</span>
</xsl:if>
</span>
</span>
</h1>
<h1 style="margin-left: 0cm; text-indent: 0cm; tab-stops: 0cm;">
<span style="font-weight: normal; font-family: arial,helvetica,sans-serif; font-size: small;"> </span>
</h1>
<h1 style="margin-left: 0cm; text-indent: 0cm; tab-stops: 0cm;">
<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="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:InneNieruchomosciOpcjaNie)),' '), ' 1 ' )">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>NIE </span>
</label>
</span>
</xsl:if>
</span>- <span style="font-weight: normal;">nie posiadam innych nieruchomości, na które składam odrębne deklaracje.</span>
</span>
</h1>
</td>
</tr>
<tr style="mso-yfti-irow: 14; page-break-inside: avoid; height: 8.7pt;">
<td style="width: 27.4pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid black 1.0pt; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-bottom-alt: solid black .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt; height: 8.7pt;" valign="top" width="37">
<p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; layout-grid-mode: char;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong>VIII.</strong>
</span>
</p>
</td>
<td colspan="5" style="width: 460.7pt; border: solid black 1.0pt; border-top: none; mso-border-top-alt: solid black .5pt; mso-border-alt: solid black .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt; height: 8.7pt;" valign="top" width="614">
<h1 style="margin-left: 0cm; text-indent: 0cm; tab-stops: 0cm; layout-grid-mode: char;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">PODPIS SKŁADAJĄCEGO DEKLARACJĘ</span>
</h1>
</td>
</tr>
<tr style="mso-yfti-irow: 15; page-break-inside: avoid; height: 81.9pt;">
<td style="border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: black; background: url('/portal/none') repeat scroll 0% 0% #e0e0e0; padding: 0cm 5.4pt;" valign="top">
<span style="font-family: arial,helvetica,sans-serif;"> </span>
</td>
<td colspan="5" style="border-right: 1pt solid black; border-width: medium 1pt 1pt; border-style: none solid solid; border-color: black; -moz-border-top-colors: none; -moz-border-right-colors: none; -moz-border-bottom-colors: none; -moz-border-left-colors: none; border-image: none; background: url('/portal/none') repeat scroll 0% 0% white; padding: 0cm 5.4pt;" valign="top">
<p>
<span style="font-family: arial,helvetica,sans-serif;"> </span>
</p>
<xsl:call-template name="Podpis_v23.99"/>
<p>
<span style="font-family: arial,helvetica,sans-serif;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:MiejscowoscSkladania"/>
</span>
</xsl:if>
</span> <xsl:if test="true()">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:DataSkladania"/>
</xsl:if>
</span>
</p>
<p>
<span style="font-family: arial,helvetica,sans-serif;">
<span style="font-size: x-small;">
<em>(miejscowość i data)</em>
</span>
<br/>
</span>
</p>
</td>
</tr>
<tr style="mso-yfti-irow: 16; page-break-inside: avoid; height: 16.75pt;">
<td style="width: 27.4pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid black 1.0pt; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-bottom-alt: solid black .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt; height: 16.75pt;" width="37">
<p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; layout-grid-mode: char;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong>IX.</strong>
</span>
</p>
</td>
<td colspan="5" style="width: 460.7pt; border: solid black 1.0pt; border-top: none; mso-border-top-alt: solid black .5pt; mso-border-alt: solid black .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt; height: 16.75pt;" width="614">
<p class="MsoHeader" style="layout-grid-mode: char;">
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<strong>ADNOTACJE URZĘDOWE</strong>
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<tr style="mso-yfti-irow: 17; mso-yfti-lastrow: yes; page-break-inside: avoid; height: 76.35pt;">
<td style="width: 27.4pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid black 1.0pt; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-bottom-alt: solid black .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt; height: 76.35pt;" valign="top" width="37">
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<strong> </strong>
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<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong> </strong>
</span>
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<td colspan="5" style="width: 460.7pt; border: solid black 1.0pt; border-top: none; mso-border-top-alt: solid black .5pt; mso-border-alt: solid black .5pt; background: #E0E0E0; padding: 0cm 5.4pt 0cm 5.4pt; height: 76.35pt;" valign="top" width="614">
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<strong> </strong>
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<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong> </strong>
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<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong> </strong>
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<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong> </strong>
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<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong> </strong>
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<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong> </strong>
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<p class="MsoHeader">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong> </strong>
</span>
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<tr>
<td style="border: none;" width="38">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> </span>
</td>
<td style="border: none;" width="44">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> </span>
</td>
<td style="border: none;" width="3">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> </span>
</td>
<td style="border: none;" width="270">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> </span>
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<td style="border: none;" width="127">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> </span>
</td>
<td style="border: none;" width="170">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> </span>
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</tbody>
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<p>
<span style="font-family: arial,helvetica,sans-serif;"/>
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<p class="MsoNormal"> <br/>
<span style="font-family: arial,helvetica,sans-serif;"> </span>
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<span style="font-family: arial,helvetica,sans-serif;">
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<label>
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<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:Pouczenie"/>
</span>
</xsl:if>
</span>
</span>
</p>
</body>
</html>
</xsl:for-each>
</xsl:template>
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<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="."/>
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</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>
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<br/>
<span name="info_v99.23" style="font-size: 7pt;font-weight: bold;">
</span>
</p>
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<div name="clear_v23.23" style="clear: both;"/>
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