4244
| ID | 4244 |
|---|
| Data | 2017-06-21 |
|---|
| Symbol | 2017/06/21/4244 |
|---|
| Instytucja | Urząd Gminy Rzezawa |
|---|
| Nazwa | Deklaracja o wysokości opłaty za gospodarowanie odpadami komunalnymi |
|---|
| Czy Aktualny | 1 |
|---|
Ustawy (1)
Pliki
Styl
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<table style="width: 100%;" border="0" cellspacing="0" cellpadding="3">
<tbody>
<tr>
<td style="text-align: center;">
<p>
<strong>
<span style="font-family: verdana, geneva; font-size: medium;">DEKLARACJA O WYSOKOŚCI OPŁATY ZA GOSPODAROWANIE</span>
</strong>
<br/>
<strong>
<span style="font-family: verdana, geneva; font-size: medium;">ODPADAMI KOMUNALNYMI DLA WŁAŚCICIELI NIERUCHOMOŚCI,</span>
</strong>
<br/>
<strong>
<span style="font-family: verdana, geneva; font-size: medium;">NA KTÓRYCH ZAMIESZKUJĄ MIESZKAŃCY</span>
</strong>
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<tbody>
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<td style="background-color: #d3d3d3; width: 20%;">
<span style="font-family: verdana, geneva; font-size: small;">Podstawa prawna:</span>
</td>
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<span style="font-family: verdana, geneva; font-size: small;">Miejsce składania:</span>
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<span style="font-family: verdana, geneva; font-size: small;">
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<tr>
<td> </td>
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<td style="border-color: #000000; background-color: #d3d3d3; border-style: solid; border-width: 1px;">
<p>
<strong>
<span style="font-family: verdana, geneva; font-size: small;">A. ORGAN WŁAŚCIWY DO ZŁOŻENIA DEKLARACJI</span>
</strong>
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<xsl:value-of select="inst:NazwaInstytucji"/>
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<xsl:value-of select="adr:Adres/adr:Ulica/@rodzajUlicy"/>
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<xsl:if test="true()">
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<xsl:value-of select="adr:Adres/adr:Budynek"/>
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<span type="text">
<xsl:value-of select="adr:Adres/adr:KodPocztowy"/>
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<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Adres/adr:Miejscowosc"/>
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<tr>
<td> </td>
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<p>
<strong>
<span style="font-family: verdana, geneva; font-size: small;">B. OBOWIĄZEK ZŁOŻENIA DEKLARACJI</span>
</strong>
</p>
</td>
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<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:OkolicznosciSkladania">
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<xsl:value-of select="wnio:Okolicznosci"/>
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<tr>
<td> </td>
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<td style="border-color: #000000; background-color: #d3d3d3; border-style: solid; border-width: 1px;">
<strong>
<span style="font-family: verdana, geneva; font-size: small;">C. SKŁADAJĄCY DEKLARACJĘ</span>
</strong>
</td>
</tr>
<tr>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
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<td> </td>
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<strong>
<span style="font-family: verdana, geneva; font-size: small;">D. DANE SKŁADAJĄCEGO DEKLARACJĘ</span>
</strong>
</td>
</tr>
<tr>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<xsl:for-each select="wnio:DaneDokumentu/meta:Tworcy/meta:Tworca/meta:Podmiot">
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<span style="font-family: verdana, geneva; font-size: x-small;">Typ podmiotu</span>
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<span style="font-family: verdana, geneva; font-size: x-small;">
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<span style="font-family: verdana, geneva; font-size: x-small;">Pełna nazwa podmiotu</span>
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<xsl:value-of select="inst:NazwaInstytucji"/>
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<tr>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">REGON</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
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<xsl:if test="true()">
<span type="text">
<xsl:value-of select="inst:IdInstytucji/inst:REGON"/>
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<td style="border-color: #000000; width: 50%; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">NIP</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
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<span type="text">
<xsl:value-of select="inst:IdInstytucji/inst:NIP"/>
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</tr>
<tr>
<td style="border-color: #000000; border-style: solid; border-width: 1px;" colspan="2">
<span style="font-family: verdana, geneva; font-size: x-small;">Numer telefonu</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Kontakt/adr:Telefon"/>
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<td style="border-color: #000000; background-color: #d3d3d3; border-style: solid; border-width: 1px;" colspan="2">
<span style="font-family: verdana, geneva; font-size: x-small;">ADRES SIEDZIBY</span>
</td>
</tr>
<tr>
<td colspan="2">
<xsl:for-each select="adr:Adres">
<xsl:if test="true()">
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<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Kraj</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
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<span type="text">
<xsl:value-of select="adr:Kraj"/>
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<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Województwo</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
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<span type="text">
<xsl:value-of select="adr:Wojewodztwo"/>
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</span>
</span>
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<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Powiat</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
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<span type="text">
<xsl:value-of select="adr:Powiat"/>
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<tr>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Gmina</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Gmina"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Ulica/@rodzajUlicy"/>
</span>
</xsl:if>
</span> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Ulica"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<table style="width: 100%;" border="0" cellspacing="0" cellpadding="0">
<tbody>
<tr>
<td style="border-color: #000000; width: 50%; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Nr domu</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Budynek"/>
</span>
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</span>
</td>
<td style="border-color: #000000; width: 50%; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Nr lokalu</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Lokal"/>
</span>
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</span>
</span>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Miejscowość</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Miejscowosc"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Kod pocztowy</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:KodPocztowy"/>
</span>
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</span>
</span>
</td>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Poczta</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Poczta"/>
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</span>
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</tr>
</tbody>
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</xsl:if>
</xsl:for-each>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
<xsl:for-each select="oso:Osoba">
<xsl:if test="true()">
<table style="width: 100%;" border="0" cellspacing="0" cellpadding="3">
<tbody>
<tr>
<td style="border-color: #000000; border-style: solid; border-width: 1px;" colspan="2">
<span style="font-family: verdana, geneva; font-size: x-small;">Imie i nazwisko</span>
<br/>
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<xsl:value-of select="oso:Nazwisko"/>
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<tr>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">PESEL</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
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<span type="text">
<xsl:value-of select="oso:IdOsoby/oso:PESEL"/>
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<td style="border-color: #000000; width: 50%; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">NIP</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="oso:IdOsoby/oso:NIP"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
<tr>
<td style="border-color: #000000; border-style: solid; border-width: 1px;" colspan="2">
<span style="font-family: verdana, geneva; font-size: x-small;">Numer telefonu</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Kontakt/adr:Telefon"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
<tr>
<td style="border-color: #000000; background-color: #d3d3d3; border-style: solid; border-width: 1px;" colspan="2">
<span style="font-family: verdana, geneva; font-size: x-small;">ADRES ZAMELDOWANIA</span>
</td>
</tr>
<tr>
<td colspan="2">
<xsl:for-each select="adr:Adres">
<xsl:if test="true()">
<table style="width: 100%;" border="0" cellspacing="0" cellpadding="0">
<tbody>
<tr>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Kraj</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Kraj"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Województwo</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Wojewodztwo"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Powiat</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Powiat"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
<tr>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Gmina</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Gmina"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Ulica/@rodzajUlicy"/>
</span>
</xsl:if>
</span> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Ulica"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<table style="width: 100%;" border="0" cellspacing="0" cellpadding="0">
<tbody>
<tr>
<td style="width: 50%; border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Nr domu</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Budynek"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="width: 50%; border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Nr lokalu</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Lokal"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Miejscowość</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Miejscowosc"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Kod pocztowy</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:KodPocztowy"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Poczta</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Poczta"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
</xsl:if>
</xsl:for-each>
</td>
</tr>
<tr>
<td> </td>
</tr>
<tr>
<td style="border-color: #000000; background-color: #d3d3d3; border-style: solid; border-width: 1px;">
<strong>
<span style="font-family: verdana, geneva; font-size: small;">E. ADRES NIERUCHOMOŚCI, NA KTÓREJ POWSTAJĄ ODPADY KOMUNALNE</span>
</strong>
</td>
</tr>
<tr>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:AdresNieruchomosci">
<xsl:if test="true()">
<span style="font-family: verdana, geneva; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:choose>
<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:CzyInny)),' '), ' 1 ' )">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>Adres nieruchomości, na której powstają odpady jest inny niż adres powyżej</span>
</label>
</span>
<br/>
</xsl:if>
</span>
</span>
<br/>
<xsl:for-each select="adr:Adres">
<xsl:if test="true()">
<table style="width: 100%;" border="0" cellspacing="0" cellpadding="0">
<tbody>
<tr>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Gmina</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Gmina"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Ulica/@rodzajUlicy"/>
</span>
</xsl:if>
</span> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Ulica"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<table style="width: 100%;" border="0" cellspacing="0" cellpadding="0">
<tbody>
<tr>
<td style="width: 50%; border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Nr domu</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Budynek"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="width: 50%; border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Nr lokalu</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Lokal"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Miejscowość</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Miejscowosc"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Kod pocztowy</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:KodPocztowy"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Poczta</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Poczta"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
</xsl:if>
</xsl:for-each>
</td>
</tr>
<tr>
<td> </td>
</tr>
<tr>
<td style="border-color: #000000; background-color: #d3d3d3; border-style: solid; border-width: 1px;">
<strong>
<span style="font-family: verdana, geneva; font-size: small;">F. SPOSÓB GROMADZENIA ODPADÓW KOMUNALNYCH</span>
</strong>
</td>
</tr>
<tr>
<td style="border-color: #000000; border-style: solid; border-width: 1px;" align="center">
<span style="font-family: verdana, geneva; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:SposobGromadzeniaOdpadow"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
<tr>
<td> </td>
</tr>
<tr>
<td style="border-color: #000000; background-color: #d3d3d3; border-style: solid; border-width: 1px;">
<strong>
<span style="font-family: verdana, geneva; font-size: small;">G. OPŁATA ZA GOSPODAROWANIE ODPADAMI KOMUNALNYMI</span>
</strong>
</td>
</tr>
<tr>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:OplataBudynekJednolokalowy">
<xsl:if test="true()">
<p>
<span style="font-family: verdana, geneva; font-size: x-small;">Oświadczam, że składam deklarację za <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:LiczbaOsob"/>
</span>
</xsl:if>
</span> osób zamieszkałych na terenie nieruchomości wskazanej w części E niniejszej deklaracji.</span>
</p>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;">Wysokość miesięcznej opłaty za gospodarowanie odpadami komunalnymi wynosi <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:WysokoscMiesiecznejOplaty"/>
</span>
</xsl:if>
</span> zł</span>
</p>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;">słownie złotych: <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:Slownie"/>
</span>
</xsl:if>
</span>
</span>
</p>
</xsl:if>
</xsl:for-each>
</td>
</tr>
<tr>
<td> </td>
</tr>
<tr>
<td style="border-color: #000000; background-color: #d3d3d3; border-style: solid; border-width: 1px;">
<strong>
<span style="font-family: verdana, geneva; font-size: small;">H. OPŁATA ZA GOSPODAROWANIE ODPADAMI KOMUNALNYMI</span>
</strong>
</td>
</tr>
<tr>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: small;">OBLICZENIE WYSOKOŚCI OPŁATY ZA GOSPODAROWANIE ODPADAMI KOMUNALNYMI</span>
</td>
</tr>
<tr>
<td>
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:OznaczenieNieruchomosci">
<xsl:if test="true()">
<table style="width: 100%;" border="0" cellspacing="0" cellpadding="3">
<tbody>
<tr>
<td style="border-color: #000000; background-color: #d3d3d3; border-style: solid; border-width: 1px;" colspan="3">
<strong>
<span style="font-family: verdana, geneva; font-size: small;">OZNACZENIE NIERUCHOMOŚCI</span>
</strong>
</td>
</tr>
<tr>
<td style="width: 30%; border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Miejscowość</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:Miejscowosc"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Ulica i nr domu</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Ulica/@rodzajUlicy"/>
</span>
</xsl:if>
</span> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Ulica"/>
</span>
</xsl:if>
</span> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:Budynek"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="width: 30%; border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Kod pocztowy</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:KodPocztowy"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
</td>
</tr>
<tr>
<td>
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:OznaczenieLokalu">
<xsl:if test="true()">
<table style="width: 100%;" border="0" cellspacing="0" cellpadding="3">
<tbody>
<tr>
<td style="border-color: #000000; background-color: #d3d3d3; border-style: solid; border-width: 1px;" colspan="3">
<strong>
<span style="font-family: verdana, geneva; font-size: small;">OZNACZENIE LOKALU</span>
</strong>
</td>
</tr>
<tr>
<td style="width: 30%; border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Numer lokalu mieszkaniowego</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:NumerLokalu"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Liczba osób w gospodarstwie domowym</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:LiczbaOsob"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="width: 30%; border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Opłata (zł/miesiąc)</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:Oplata"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
<tr>
<td style="border-color: #000000; background-color: #d3d3d3; border-style: solid; border-width: 1px;" colspan="3">
<span style="font-family: verdana, geneva; font-size: x-small;">Słownie: <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:OznaczenieLokalu/wnio:Slownie"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
</td>
</tr>
<tr>
<td>
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:PodsumowanieBudynekWielolokalowy">
<xsl:if test="true()">
<table style="width: 100%;" border="0" cellspacing="0" cellpadding="3">
<tbody>
<tr>
<td style="width: 70%; border-color: #000000; background-color: #d3d3d3; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: small;">SUMA OSÓB OGÓŁEM zamieszkałych na terenie nieruchomości wielolokalowej położonej pod adresem wskazanym w części E niniejszej deklaracji</span>
</td>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:SumaOsob"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
<tr>
<td style="border-color: #000000; background-color: #d3d3d3; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: small;">SUMA OPŁAT OGÓŁEM za lokale mieszkalne w zł/miesiąc</span>
</td>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:SumaOplat"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
<tr>
<td style="border-color: #000000; border-style: solid; border-width: 1px;" colspan="2">
<span style="font-family: verdana, geneva; font-size: small;">Słownie: <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:Slownie"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
</td>
</tr>
<tr>
<td> </td>
</tr>
<tr>
<td style="border-color: #000000; background-color: #d3d3d3; border-style: solid; border-width: 1px;">
<p>
<strong>
<span style="font-family: verdana, geneva; font-size: small;">I. PODPIS I OŚWIADCZENIE SKŁADAJĄCEGO DEKLARACJĘ / OSOBY REPREZENTUJĄCEJ SKŁADAJĄCEGO DEKLARACJĘ</span>
</strong>
</p>
</td>
</tr>
<tr>
<td style="border-color: #000000; border-style: solid; border-width: 1px;">
<p>
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:choose>
<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:KomunikacjaElektroniczna)),' '), ' 1 ' )">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>Oświadczam, że rezygnuję z doręczania pism za pomocą środków komunikacji elektronicznej w niniejszym postępowaniu.</span>
</label>
</span>
<br/>
</xsl:if>
</span>
</p>
<p>
<span style="font-family: verdana, geneva; font-size: small;">Miejscowość i data</span>
<br/>
<span style="font-family: verdana, geneva; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:MiejscowoscDokumentu"/>
</span>
</xsl:if>
</span> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:DaneDokumentu/meta:Data/meta:Czas"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
<tr>
<td> </td>
</tr>
</tbody>
</table>
<span style="display: none;"/>
<xsl:call-template name="Podpis"/>
</body>
</html>
</xsl:for-each>
</xsl:template>
<xsl:template name="Podpis">
<div style="float:left;text-align: right;font-size: 10px;font-family: Verdana;line-height: 20px;">
<table style="float: right;">
<tr>
<td style="width: 340px;">
<h2>Podpisy elektroniczne</h2>
<p align="center" style="text-align: center;font-size: 10px;font-family: Verdana;line-height: 20px;">
<xsl:if test="string-length(//wnio:Dokument/ds:Signature/ds:SignatureValue) > 0">
<xsl:text>Dokument został podpisany, aby go zweryfikować należy użyć oprogramowania do weryfikacji podpisu</xsl:text>
<br/>
<xsl:for-each select="//wnio:Dokument/ds:Signature/ds:Object">
<xsl:if test="descendant::*[local-name() = 'SigningTime']">
<xsl:value-of select="descendant::*[local-name() = 'SigningTime']"/>
</xsl:if>
<xsl:choose>
<xsl:when test="descendant::*[local-name() = 'PodpisZP']"> Podpis profilem zaufanym: <xsl:value-of select="descendant::*[local-name() = 'Imie']"/>
<xsl:text> </xsl:text>
<xsl:value-of select="descendant::*[local-name() = 'Nazwisko']"/>
<br/>
</xsl:when>
</xsl:choose>
</xsl:for-each>
</xsl:if>
</p>
</td>
</tr>
</table>
</div>
</xsl:template>
</xsl:stylesheet>