3943

ID3943
Data2017-02-15
Symbol2017/02/15/3943
InstytucjaUrząd Gminy Gizałki
NazwaDEKLARACJA O WYSOKOŚCI OPŁATY ZA GOSPODAROWANIE ODPADAMI KOMUNALNYMI
Czy Aktualny1

Ustawy (1)

  • URI://Dziennik_Ustaw/2016/250/6n/1/2/a
    		• Ustawa z dnia 13 września 1996r. o utrzymaniu czystości i porządku w gminach

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    <?xml version="1.0" encoding="UTF-8"?><xsl:stylesheet xmlns:xsl="http://www.w3.org/1999/XSL/Transform" xmlns:adr="http://crd.gov.pl/xml/schematy/adres/2009/11/09/" xmlns:ds="http://www.w3.org/2000/09/xmldsig#" xmlns:inst="http://crd.gov.pl/xml/schematy/instytucja/2009/11/16/" xmlns:meta="http://crd.gov.pl/xml/schematy/meta/2009/11/16/" xmlns:oso="http://crd.gov.pl/xml/schematy/osoba/2009/11/16/" xmlns:str="http://crd.gov.pl/xml/schematy/struktura/2009/11/16/" xmlns:wnio="http://crd.gov.pl/wzor/2017/02/15/3943/" xmlns:xsd="http://www.w3.org/2001/XMLSchema" version="1.0"><xsl:template match="/"><xsl:for-each select="wnio:Dokument"><html xmlns="http://www.w3.org/1999/xhtml"><head/><body><xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:Naglowek"><xsl:if test="true()"><table border="1" cellpadding="5" style="border: 1px solid #000000; border-image: none; width: 100%;"><tbody><tr><td rowspan="7" style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 1px; width: 5%;"><br/>     </td><td colspan="2" style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><h2><span style="font-size: large;"><strong>DEKLARACJA O WYSOKOŚCI OPŁATY ZA GOSPODAROWANIE ODPADAMI KOMUNALNYMI<br/></strong></span></h2></td></tr><tr><td colspan="2" style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 1px;" valign="middle"><h4><strong><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:RodzajNieruchomosci) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>NIERUCHOMOŚCI, NA KTÓRYCH ZAMIESZKUJĄ MIESZKAŃCY </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:RodzajNieruchomosci) = normalize-space(' 2 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>NIERUCHOMOŚCI, NA KTÓRYCH NIE ZAMIESZKUJĄ MIESZKAŃCY, A POWSTAJĄ ODPADY KOMUNALNE </span></label></span></xsl:if></span></strong></h4></td></tr><tr><td colspan="2" style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;" valign="middle"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Data"/></span></xsl:if></span></td></tr><tr><td style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 1px;">Podstawa prawna:</td><td style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 1px;">Ustawa z 13 września 1996 r. o utrzymaniu czystości i porządku w gminach <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:PodstawaPrawna"/></span></xsl:if></span></td></tr><tr><td style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 1px;">Składający:</td><td style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 1px;"><xsl:for-each select="wnio:SkladajacyZamieszkane"><xsl:if test="//wnio:RodzajNieruchomosci='1'"><span><label><span/></label><xsl:if test="true()"><span><xsl:value-of select="wnio:Zamieszkale"/></span></xsl:if></span></xsl:if></xsl:for-each><xsl:for-each select="wnio:SkladajacyNiezamieszkanej"><xsl:if test="//wnio:RodzajNieruchomosci='2'"><span><label><span/></label><xsl:if test="true()"><span><xsl:value-of select="wnio:Niezamieszkale"/></span></xsl:if></span></xsl:if></xsl:for-each></td></tr><tr><td style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 1px;">Termin składania:</td><td style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 1px;"><span><label><span/></label><xsl:if test="true()"><span><xsl:value-of select="wnio:TerminSkladania"/></span></xsl:if></span></td></tr><tr><td style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 1px;">Miejsce składania:</td><td style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 1px;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:MiejsceSkladania"/></span></xsl:if></span></td></tr></tbody></table></xsl:if></xsl:for-each><xsl:for-each select="wnio:DaneDokumentu/str:Adresaci/meta:Podmiot"><xsl:if test="true()">  <table border="1" cellpadding="5" style="border: 1px solid #000000; border-image: none; width: 100%; background-color: #c0c0c0;"><tbody><tr><td style="width: 5%; text-align: center;"><span style="font-size: medium;"><strong>A.</strong></span></td><td><p><span style="font-size: medium;"><strong>Miejsce składania deklaracji</strong></span></p><p><span style="font-size: medium;"><span style="font-size: x-small;">Nazwa i adres siedziby organu, do którego należy złożyć deklarację</span><br/></span></p></td></tr><tr><td style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 0px;"> </td><td style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 1px 0px 0px 1px;"><table align="center" border="0" style="border-width: 0px; border-style: solid; width: 100%;"><tbody><tr><td style="text-align: center;"><span style="font-size: large;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="inst:Instytucja/inst:Instytucja"/></span></xsl:if></span></span></td></tr></tbody></table></td></tr></tbody></table></xsl:if></xsl:for-each><xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ObowiazekZlozenia"><xsl:if test="true()">  <table border="1" cellpadding="5" style="border: 1px solid #000000; border-image: none; width: 100%; background-color: #c0c0c0;"><tbody><tr><td style="width: 5%; text-align: center;"><span style="font-size: medium;"><strong>B.</strong></span></td><td><p><span style="font-size: medium;"><strong>Obowiązek złożenia deklaracji</strong></span></p><p><span style="font-size: x-small;">Obowiązek złożenia deklaracji wynika z art. 6m ustawy.<br/>Cel złożenia deklaracji<strong><br/></strong></span></p></td></tr><tr><td style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 0px;"> </td><td style="background-color: #ffffff; border-color: #000000; border-style: solid; border-width: 1px 0px 0px 1px;"><p><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:Okolicznosci) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>Złożenie deklaracji </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:Okolicznosci) = normalize-space(' 2 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>Korekta deklaracji </span></label></span></xsl:if></span></p><xsl:for-each select="wnio:DataObowiazywaniaKorekty"><xsl:if test="//wnio:Okolicznosci='2'">     data zaistnienia zmian <xsl:if test="true()"><xsl:value-of select="wnio:DataKorekty"/></xsl:if></xsl:if></xsl:for-each></td></tr></tbody></table></xsl:if></xsl:for-each><xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:SkladajacyDeklaracjeZam"><xsl:if test="//wnio:RodzajNieruchomosci='1'">  <table border="1" cellpadding="5" style="border: 1px solid #000000; border-image: none; width: 100%; background-color: #c0c0c0;"><tbody><tr><td style="width: 5%; text-align: center;"><span style="font-size: medium;"><strong>C.</strong></span></td><td><p><span style="font-size: medium;"><strong>Podmiot zobowiązany do złożenia deklaracji</strong></span></p><p><span style="font-size: x-small;">Rodzaj podmiotu<br/></span></p></td></tr><tr><td style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 0px;"> </td><td style="background-color: #ffffff; border-color: #000000; border-style: solid; border-width: 1px 0px 0px 1px;"><p><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:SkladajacyDeklaracjeZam) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>Właściciel nieruchomości </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:SkladajacyDeklaracjeZam) = normalize-space(' 2 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>Współwłaściciel </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:SkladajacyDeklaracjeZam) = normalize-space(' 3 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>Najemca, dzierżawca </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:SkladajacyDeklaracjeZam) = normalize-space(' 4 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>Użytkownik wieczysty </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:SkladajacyDeklaracjeZam) = normalize-space(' 5 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>Zarządca nieruchomości wspólnej </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:SkladajacyDeklaracjeZam) = normalize-space(' 6 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>Inny podmiot </span></label></span></xsl:if></span></p></td></tr></tbody></table></xsl:if></xsl:for-each><xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:SkladajacyDeklaracjeNiez"><xsl:if test="//wnio:RodzajNieruchomosci='2'">  <table border="1" cellpadding="5" style="border: 1px solid #000000; border-image: none; width: 100%; background-color: #c0c0c0;"><tbody><tr><td style="width: 5%; text-align: center;"><span style="font-size: medium;"><strong>C.</strong></span></td><td><p><span style="font-size: medium;"><strong>Podmiot zobowiązany do złożenia deklaracji</strong></span></p><p><span style="font-size: x-small;">Rodzaj podmiotu<br/></span></p></td></tr><tr><td style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 0px;"> </td><td style="background-color: #ffffff; border-color: #000000; border-style: solid; border-width: 1px 0px 0px 1px;"> <span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:SkladajacyDeklaracjeNieZam) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>Właściciel nieruchomości </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:SkladajacyDeklaracjeNieZam) = normalize-space(' 2 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>Współwłaściciel </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:SkladajacyDeklaracjeNieZam) = normalize-space(' 3 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>Najemca, dzierżawca </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:SkladajacyDeklaracjeNieZam) = normalize-space(' 4 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>Użytkownik wieczysty </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:SkladajacyDeklaracjeNieZam) = normalize-space(' 5 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>Zarządca nieruchomości </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:SkladajacyDeklaracjeNieZam) = normalize-space(' 6 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>Inny podmiot </span></label></span></xsl:if></span></td></tr></tbody></table></xsl:if></xsl:for-each><xsl:for-each select="wnio:TrescDokumentu/str:Nadawcy/meta:Osoba/adr:Adres"><xsl:if test="//wnio:RodzajNieruchomosci='1'">  <table border="1" cellpadding="5" style="border: 1px solid #000000; border-image: none; width: 100%; background-color: #c0c0c0;"><tbody><tr><td style="width: 5%; text-align: center;"><span style="font-size: medium;"><strong>D.</strong></span></td><td><span style="font-size: medium;"><strong>Dane identyfikacyjne podmiotu zobowiązanego do złożenia deklaracji<br/></strong></span></td></tr><tr><td style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 0px;"> </td><td style="background-color: #ffffff; border-color: #000000; border-style: solid; border-width: 1px 0px 0px 1px;"><h3>D.1. Osoba fizyczna</h3></td></tr><tr><td style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 0px;"> </td><td style="background-color: #ffffff; border-color: #000000; border-style: solid; border-width: 1px 0px 0px 1px;"><table border="0" cellpadding="5" style="width: 100%;"><tbody><tr><td style="width: 50%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Nazwisko"/></span></xsl:if></span></td><td colspan="2" style="width: 50%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Imie"/></span></xsl:if></span></td></tr><tr><td style="width: 1%;"> <span style="font-size: xx-small;">Nazwisko</span></td><td colspan="2" style="width: 50%;"><span style="font-size: xx-small;"> Pierwsze imię, drugie imię</span></td></tr></tbody></table></td></tr><tr><td style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 0px;"> </td><td style="background-color: #ffffff; border-color: #000000; border-style: solid; border-width: 1px 0px 0px 1px;"><table border="0" cellpadding="5" style="width: 100%;"><tbody><tr><td style="width: 50%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Pesel"/></span></xsl:if></span></td><td colspan="2" style="width: 50%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Telefon"/></span></xsl:if></span></td></tr><tr><td style="width: 1%;"><span style="font-size: xx-small;"> Pesel</span></td><td colspan="2" style="width: 50%;"><span style="font-size: xx-small;"> Nr telefonu</span></td></tr></tbody></table></td></tr><tr><td style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 0px;"> </td><td style="background-color: #ffffff; border-color: #000000; border-style: solid; border-width: 1px 0px 0px 1px;"><table border="0" cellpadding="5" style="width: 100%;"><tbody><tr><td style="width: 50%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Email"/></span></xsl:if></span></td><td colspan="2" style="width: 50%;"><span style="font-size: xx-small;"> </span></td></tr><tr><td style="width: 1%;"><span style="font-size: xx-small;"> Adres e-mail</span></td><td colspan="2" style="width: 50%;"><span style="font-size: xx-small;"> </span></td></tr></tbody></table></td></tr></tbody></table></xsl:if></xsl:for-each><xsl:for-each select="wnio:TrescDokumentu/str:Nadawcy/meta:Podmiot/adr:Adres"><xsl:if test="//wnio:RodzajNieruchomosci='2'">  <table border="1" cellpadding="5" style="border: 1px solid #000000; border-image: none; width: 100%; background-color: #c0c0c0;"><tbody><tr><td style="width: 5%; text-align: center;"><span style="font-size: medium;"><strong>D.1</strong></span></td><td><span style="font-size: medium;"><strong>Dane identyfikacyjne podmiotu zobowiązanego do złożenia deklaracji<br/></strong></span></td></tr><tr><td style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 0px;"> </td><td style="background-color: #ffffff; border-color: #000000; border-style: solid; border-width: 1px 0px 0px 1px;"><table border="0" cellpadding="5" style="width: 100%;"><tbody><tr><td style="width: 50%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Nazwa"/></span></xsl:if></span></td><td colspan="2" style="width: 50%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:NazwaSkr"/></span></xsl:if></span></td></tr><tr><td style="width: 1%;"><span style="font-size: xx-small;"> Nazwisko i imię, nazwa pełna</span></td><td colspan="2" style="width: 50%;"><span style="font-size: xx-small;"> Nazwa skrócona</span></td></tr><tr><td style="width: 1%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:NIP"/></span></xsl:if></span></td><td colspan="2" style="width: 50%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:REGON"/></span></xsl:if></span></td></tr><tr><td style="width: 1%;"><span style="font-size: xx-small;"> Nr KRS/NIP</span></td><td colspan="2" style="width: 50%;"><span style="font-size: xx-small;"> REGON<br/></span></td></tr><tr><td style="width: 1%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Telefon"/></span></xsl:if></span></td><td colspan="2" style="width: 50%;"> </td></tr><tr><td style="width: 1%;"><span style="font-size: xx-small;"> Nr telefonu</span></td><td colspan="2" style="width: 50%;"><span style="font-size: xx-small;"> </span></td></tr><tr><td colspan="3" style="width: 1%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:OsobaReprezentujaca"/></span></xsl:if></span></td></tr><tr><td colspan="3" style="width: 1%;"><span style="font-size: xx-small;"> Osoby upoważnione do reprezentowania</span></td></tr><tr><td colspan="3" style="width: 1%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:PodstawaUmocowania"/></span></xsl:if></span></td></tr><tr><td colspan="3" style="width: 1%;"><span style="font-size: xx-small;"> Podstawa umocowania</span></td></tr><tr><td colspan="3" style="width: 1%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:SposobReprezentacji"/></span></xsl:if></span></td></tr><tr><td colspan="3" style="width: 1%;"><span style="font-size: xx-small;"> Sposób reprezentacji</span></td></tr></tbody></table></td></tr></tbody></table></xsl:if></xsl:for-each><xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:DaneNieruchomosciZam"><xsl:if test="//wnio:RodzajNieruchomosci='1'">  <table border="1" cellpadding="5" style="border: 1px solid #000000; border-image: none; width: 100%; background-color: #c0c0c0;"><tbody><tr><td style="width: 5%; text-align: center;"> </td><td><span style="font-size: medium;"><strong><br/></strong></span></td></tr><tr><td style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 0px;"> </td><td style="background-color: #ffffff; border-color: #000000; border-style: solid; border-width: 1px;"><h3>D.2. Dane nieruchomości - na której powstają odpady komunalne</h3></td></tr></tbody><tbody><tr><td style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 0px;"> </td><td style="background-color: #ffffff; border-color: #000000; border-style: solid; border-width: 1px 0px 0px 1px;"><table border="0" cellpadding="5" style="width: 100%;"><tbody><tr><td style="width: 50%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:MiejscowoscZam"/></span></xsl:if></span></td><td style="width: 50%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:UlicaZam"/></span></xsl:if></span></td></tr><tr><td style="width: 50%;"><span style="font-size: xx-small;"> Miejscowość</span></td><td style="width: 50%;"><span style="font-size: xx-small;"> Ulica</span></td></tr><tr><td style="width: 50%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:NrDomuZam"/></span></xsl:if></span></td><td style="width: 50%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:NrLokaluZam"/></span></xsl:if></span></td></tr><tr><td style="width: 50%;"><span style="font-size: xx-small;"> Numer domu</span></td><td style="width: 50%;"><span style="font-size: xx-small;"> Numer lokalu</span></td></tr><tr><td style="width: 50%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:KodPocztowyZam"/></span></xsl:if></span></td><td style="width: 50%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:PocztaZam"/></span></xsl:if></span></td></tr><tr><td style="width: 50%;"><span style="font-size: xx-small;"> Kod pocztowy</span></td><td style="width: 50%;"><span style="font-size: xx-small;"> Poczta<br/></span></td></tr></tbody></table></td></tr></tbody></table></xsl:if></xsl:for-each><xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:DaneNieruchomosciNieZam"><xsl:if test="//wnio:RodzajNieruchomosci='2'">  <table border="1" cellpadding="5" style="border: 1px solid #000000; border-image: none; width: 100%; background-color: #c0c0c0;"><tbody><tr><td style="width: 5%; text-align: center;"> </td><td><span style="font-size: medium;"><strong><br/></strong></span></td></tr><tr><td style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 0px;"> </td><td style="background-color: #ffffff; border-color: #000000; border-style: solid; border-width: 1px;"><h3>D.2. Dane nieruchomości - na której powstają odpady komunalne</h3></td></tr></tbody><tbody><tr><td style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 0px;"> </td><td style="background-color: #ffffff; border-color: #000000; border-style: solid; border-width: 1px 0px 0px 1px;"><table border="0" cellpadding="5" style="width: 100%;"><tbody><tr><td style="width: 50%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:MiejscowoscNieZam"/></span></xsl:if></span></td><td style="width: 50%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:UlicaNieZam"/></span></xsl:if></span></td></tr><tr><td style="width: 50%;"><span style="font-size: xx-small;"> Miejscowość</span></td><td style="width: 50%;"><span style="font-size: xx-small;"> Ulica</span></td></tr><tr><td style="width: 50%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:NrDomuNieZam"/></span></xsl:if></span></td><td style="width: 50%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:NrLokaluNieZam"/></span></xsl:if></span></td></tr><tr><td style="width: 50%;"><span style="font-size: xx-small;"> Numer domu</span></td><td style="width: 50%;"><span style="font-size: xx-small;"> Numer lokalu</span></td></tr><tr><td style="width: 50%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:KodPocztowyNieZam"/></span></xsl:if></span></td><td style="width: 50%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:PocztaNieZam"/></span></xsl:if></span></td></tr><tr><td style="width: 50%;"><span style="font-size: xx-small;"> Kod pocztowy</span></td><td style="width: 50%;"><span style="font-size: xx-small;"> Poczta<br/></span></td></tr></tbody></table></td></tr></tbody></table></xsl:if></xsl:for-each><xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:RodzajOdpadow"><xsl:if test="true()">  <table border="1" cellpadding="5" style="border: 1px solid #000000; border-image: none; width: 100%; background-color: #c0c0c0;"><tbody><tr><td style="width: 5%; text-align: center;"> </td><td><span style="font-size: medium;"><strong><br/></strong></span></td></tr><tr><td style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 0px;"> </td><td style="background-color: #ffffff; border-color: #000000; border-style: solid; border-width: 1px 0px 0px 1px;"><h3>D.3. Adres do korespondencji - jeśli jest inny niż adres nieruchomości z D.2.</h3></td></tr><tr><td style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 0px;"> </td><td style="background-color: #ffffff; border-color: #000000; border-style: solid; border-width: 1px 0px 0px 1px;"><table border="0" cellpadding="5" style="width: 100%;"><tbody><tr><td style="width: 50%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Kraj"/></span></xsl:if></span></td><td colspan="2" style="width: 50%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wojewodztwo"/></span></xsl:if></span></td></tr><tr><td style="width: 1%;"><span style="font-size: xx-small;"> Kraj</span></td><td colspan="2" style="width: 50%;"><span style="font-size: xx-small;"> Województwo</span></td></tr><tr><td style="width: 1%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Powiat"/></span></xsl:if></span></td><td colspan="2" style="width: 50%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Gmina"/></span></xsl:if></span></td></tr><tr><td style="width: 1%;"><span style="font-size: xx-small;"> Powiat</span></td><td colspan="2" style="width: 50%;"><span style="font-size: xx-small;"> Gmina</span></td></tr><tr><td style="width: 1%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Miejscowosc"/></span></xsl:if></span></td><td colspan="2" style="width: 50%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Ulica"/></span></xsl:if></span></td></tr><tr><td style="width: 1%;"><span style="font-size: xx-small;"> Miejscowość</span></td><td colspan="2" style="width: 50%;"><span style="font-size: xx-small;"> Ulica</span></td></tr><tr><td style="width: 1%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:NrDomu"/></span></xsl:if></span></td><td colspan="2" style="width: 50%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:NrLokalu"/></span></xsl:if></span></td></tr><tr><td style="width: 1%;"><span style="font-size: xx-small;"> Numer domu</span></td><td colspan="2" style="width: 50%;"><span style="font-size: xx-small;"> Numer lokalu</span></td></tr><tr><td style="width: 1%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:KodPocztowy"/></span></xsl:if></span></td><td colspan="2" style="width: 50%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Poczta"/></span></xsl:if></span></td></tr><tr><td style="width: 1%;"><span style="font-size: xx-small;"> Kod pocztowy</span></td><td colspan="2" style="width: 50%;"><span style="font-size: xx-small;"> Poczta</span></td></tr></tbody></table></td></tr></tbody></table></xsl:if></xsl:for-each><xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:SposobZbieraniaZam"><xsl:if test="//wnio:RodzajNieruchomosci='1'">  <table border="1" cellpadding="5" style="border: 1px solid #000000; border-image: none; width: 100%; background-color: #c0c0c0;"><tbody><tr><td style="width: 5%; text-align: center;"> </td><td><span style="font-size: medium;"><strong><br/></strong></span></td></tr><tr><td style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 0px;"> </td><td style="background-color: #ffffff; border-color: #000000; border-style: solid; border-width: 1px;"><h3>Jednocześnie oświadczam, że odpady z nieruchomości będą zbierane w sposób:</h3></td></tr></tbody><tbody><tr><td style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 0px;"> </td><td style="background-color: #ffffff; border-color: #000000; border-style: solid; border-width: 1px 0px 0px 1px; text-align: center;"><span style="font-size: medium;"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:RodzajSelekcji) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> - selektywny </span></label></span><span><xsl:choose><xsl:when test="normalize-space(wnio:RodzajSelekcji) = normalize-space(' 2 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> - zmieszany </span></label></span></xsl:if></span></span> </td></tr></tbody></table></xsl:if></xsl:for-each><xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:WysokoscOplaty"><xsl:if test="//wnio:RodzajNieruchomosci='1'">  <table border="1" cellpadding="5" style="border: 1px solid #000000; border-image: none; width: 100%; background-color: #c0c0c0;"><tbody><tr><td style="width: 5%; text-align: center;"><span style="font-size: medium;"><strong>E.</strong></span></td><td><span style="font-size: medium;"><strong>Opłata za gospodarowanie odpadami komunalnymi<br/></strong></span></td></tr><tr><td style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 0px;"> </td><td style="background-color: #ffffff; border-color: #000000; border-style: solid; border-width: 1px 0px 0px 1px;"><table border="0" cellpadding="5" style="width: 100%;"><tbody><tr><td colspan="2" style="width: 50%;"><h3>1. Stawka opłaty określona w uchwale Rady Gminy Gizałki w sprawie wyboru metody ustalania opłaty za gospodarowanie odpadami komunalnymi oraz ustalanie wysokości tej opłaty.</h3></td></tr><tr><td style="width: 8%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Stawka"/></span></xsl:if></span></td><td style="width: 50%;">zł/osobę</td></tr><tr><td colspan="2" style="width: 50%;"><h3>2. Liczba osób zamieszkujących nieruchomość</h3></td></tr><tr><td><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:LiczbaOsob"/></span></xsl:if></span></td><td style="width: 50%;">osób</td></tr><tr><td colspan="2" style="width: 50%;"><h3>3. Wysokość miesięcznej opłaty (iloczyn punktu 1 i 2)</h3></td></tr><tr><td><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:WysokoscOplaty"/></span></xsl:if></span></td><td style="width: 50%;">zł</td></tr></tbody></table></td></tr></tbody></table><p style="text-align: center;"><span style="font-size: small;"><strong>POUCZENIE</strong><br/></span></p><p><span style="font-size: small;"><span><label><span/></label><xsl:if test="true()"><span><xsl:value-of select="wnio:Pouczenie1"/></span></xsl:if></span></span></p></xsl:if></xsl:for-each><xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:DaneOplatyNiezamieszkane"><xsl:if test="//wnio:RodzajNieruchomosci='2'">  <table border="1" cellpadding="5" style="border: 1px solid #000000; border-image: none; width: 100%; background-color: #c0c0c0;"><tbody><tr><td style="width: 5%; text-align: center;"><span style="font-size: medium;"><strong>E.</strong></span></td><td><span style="font-size: medium;"><strong>Dane dotyczące przedmiotu opłaty (wypełniają właściciele nieruchomości niezamieszkałych)<br/></strong></span></td></tr><tr><td style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 0px;"> </td><td style="background-color: #ffffff; border-color: #000000; border-style: solid; border-width: 1px 0px 0px 1px;"><table border="0" cellpadding="5" style="width: 100%;"><tbody><tr><td colspan="2" style="width: 50%;"><h3>Oświadczam, że odpady z nieruchomości będą zbierane w sposób:</h3></td></tr><tr><td colspan="2" style="width: 50%;"><p style="text-align: center;"><span style="font-size: medium;"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:RodzajOdpadowNiez) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> - selektywny </span></label></span><span><xsl:choose><xsl:when test="normalize-space(wnio:RodzajOdpadowNiez) = normalize-space(' 2 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> - zmieszany </span></label></span></xsl:if></span></span></p></td></tr><tr><td colspan="2" style="height: 5px;"> </td></tr></tbody></table><table border="1" cellpadding="5" style="border: 1px solid #000000; border-image: none; width: 100%; border-collapse: collapse;"><tbody><tr><td colspan="3" style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><strong>1. Pojemniki na odpady - proszę podać liczbę</strong></td><td colspan="2" style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><strong>2. Stawka miesięczna od pojemnika</strong><span style="font-size: x-small;"><br/></span></td><td colspan="2" style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><strong>3. Kwota opłaty za pojemniki</strong></td></tr><tr><td colspan="3" style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span style="font-size: x-small;">Pojemnik na odpady - pojemność</span></td><td colspan="2" style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span style="font-size: x-small;">Pojemnik na odpady - pojemność</span></td><td colspan="2" style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span style="font-size: x-small;">Liczba pojemników x stawka</span></td></tr><tr><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px;">60 l</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID1"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">szt.</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID13"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">zł</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID0"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">zł</td></tr><tr><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px;">80 l</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID36"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">szt.</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID14"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">zł</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID25"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">zł</td></tr><tr><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px;">110 l</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID2"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">szt.</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID15"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">zł</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID26"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">zł</td></tr><tr><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px;">120 l</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID3"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">szt.</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID16"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">zł</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID27"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">zł</td></tr><tr><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px;">140 l</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID4"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">szt.</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID17"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">zł</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID28"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">zł</td></tr><tr><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px;">180 l</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID5"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">szt.</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID18"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">zł</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID29"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">zł</td></tr><tr><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px;">240 l</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID7"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">szt.</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID19"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">zł</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID30"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">zł</td></tr><tr><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px;">360 l</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID8"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">szt.</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID20"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">zł</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID31"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">zł</td></tr><tr><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px;">1100 l</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID9"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">szt.</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID21"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">zł</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID32"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">zł</td></tr><tr><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px;">5000 l</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID10"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">szt.</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID22"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">zł</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID33"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">zł</td></tr><tr><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px;">7000 l</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID11"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">szt.</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID23"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">zł</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID34"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">zł</td></tr><tr><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px;">10000 l</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID12"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">szt.</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID24"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">zł</td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID35"/></span></xsl:if></span></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;">zł</td></tr><tr><td colspan="5" style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px;"><strong>SUMA - Łączna kwota miesięcznej opłaty<br/></strong></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><p><strong><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ID37"/></span></xsl:if></span></strong></p></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><strong>zł</strong></td></tr><tr><td colspan="5" style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"> </td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><strong><span><label><span/></label></span></strong></td><td style="width: 8%; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"> </td></tr></tbody></table></td></tr></tbody></table><br/>  <table border="1" cellpadding="5" style="border: 1px solid #000000; border-image: none; width: 100%; background-color: #c0c0c0;"><tbody><tr><td style="width: 5%; text-align: center;"><span style="font-size: medium;"><strong>F.</strong></span></td><td><span style="font-size: medium;"><strong>Dane dotyczące przedmiotu opłaty (wypełniają właściciele nieruchomości, na której znajdują się domki letniskowe, lub innej nieruchomości wykorzystywanej na cele rekreacyjno-wypoczynkowe, wykorzystywanej jedynie przez część roku)<br/></strong></span></td></tr><tr><td style="background-color: #c0c0c0; border-color: #000000; border-style: solid; border-width: 0px;"> </td><td style="background-color: #ffffff; border-color: #000000; border-style: solid; border-width: 1px 0px 0px 1px;"><table border="0" cellpadding="5" style="width: 100%;"><tbody><tr><td colspan="3" style="width: 50%;"><h3>Oświadczam, że odpady z nieruchomości będą zbierane w sposób:</h3></td></tr><tr><td colspan="3" style="width: 8%; text-align: center;"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:RodzajOdpadowRekr) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> - selektywny </span></label></span><span><xsl:choose><xsl:when test="normalize-space(wnio:RodzajOdpadowRekr) = normalize-space(' 2 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> - zmieszany </span></label></span></xsl:if></span> </td></tr><tr><td colspan="3" style="width: 50%;"> </td></tr><tr><td style="width: 70%;">1. Ryczałtowa stawka opłaty od jednego domku letniskowego</td><td><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:StawkaRekr"/></span></xsl:if></span></td><td style="width: 50%;">zł</td></tr><tr><td colspan="3" style="width: 50%;"> </td></tr><tr><td>2. Liczba domków letniskowych znajdujących się na terenie nieruchomości</td><td><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:LiczbaDomkow"/></span></xsl:if></span></td><td style="width: 50%;"> </td></tr><tr><td colspan="3"> </td></tr><tr><td><p>3. Ryczałtowa stawka opłaty za gospodarowanie odpadami komunalnymi za rok<br/><span style="font-size: xx-small;">(stanowi iloczyn ryczałtowej stawki opłaty oraz liczby domków letniskowych)</span></p></td><td><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:StawkaRoczna"/></span></xsl:if></span></td><td style="width: 50%;">zł</td></tr></tbody></table></td></tr></tbody></table><p style="text-align: center;"><strong><span style="font-size: small;">POUCZENIE</span></strong></p><p><span><label><span/></label><xsl:if test="true()"><span><xsl:value-of select="wnio:Pouczenie2"/></span></xsl:if></span></p></xsl:if></xsl:for-each><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/@format"/></span></xsl:if></span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/@kodowanie"/></span></xsl:if></span></p></body></html></xsl:for-each></xsl:template></xsl:stylesheet>