5014
| ID | 5014 |
|---|
| Data | 2018-01-19 |
|---|
| Symbol | 2018/01/19/5014 |
|---|
| Instytucja | Urząd Gminy Zgierz |
|---|
| Nazwa | Deklaracja o wysokości opłaty za gospodarowanie odpadami komunalnymi |
|---|
| Czy Aktualny | 1 |
|---|
Ustawy (1)
Pliki
Styl
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<xsl:template match="/">
<xsl:for-each select="wnio:Dokument">
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<title>Dokument elektroniczny</title>
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<td style="text-align: center;">
<strong>
<span style="font-family: verdana, geneva; font-size: medium;">DEKLARACJA O WYSOKOŚCI OPŁATY ZA GOSPODAROWANIE ODPADAMI KOMUNALNYMI</span>
</strong>
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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;">
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<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:DaneDeklaracji">
<xsl:if test="true()">
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<td style="width: 20%;">
<strong>
<span style="font-family: verdana, geneva; font-size: x-small;">Podstawa Prawna</span>
</strong>
</td>
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<span style="font-family: verdana, geneva; font-size: x-small;">
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<xsl:if test="true()">
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<xsl:value-of select="wnio:PodstawaPrawna"/>
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<strong>
<span style="font-family: verdana, geneva; font-size: x-small;">Składający</span>
</strong>
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<span style="font-family: verdana, geneva; font-size: x-small;">
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<xsl:if test="true()">
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<xsl:value-of select="wnio:Skladajacy"/>
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</xsl:if>
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<tr>
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<strong>
<span style="font-family: verdana, geneva; font-size: x-small;">Miejsce Składania</span>
</strong>
</td>
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<span style="font-family: verdana, geneva; font-size: x-small;">
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<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:MiejsceSkladania"/>
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</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;">A. ORGAN WŁAŚCIWY DO ZŁOŻENIA DEKLARACJI</span>
</strong>
<table style="width: 95%;" border="0" cellspacing="0" cellpadding="0" align="center">
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<td style="border-color: #000000; background-color: #ffffff; border-style: solid; border-width: 1px;">
<xsl:for-each select="wnio:DaneDokumentu/str:Adresaci/meta:Podmiot/inst:Instytucja">
<xsl:if test="true()">
<p>
<span style="font-family: verdana, geneva; font-size: x-small;">Nazwa i adres siedziby organu, do którego należy złożyć deklarację:</span>
</p>
<p>
<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="inst:NazwaInstytucji"/>
</span>
</xsl:if>
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</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:Adres/adr:Ulica/@rodzajUlicy"/>
</span>
</xsl:if>
</span> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Adres/adr:Ulica"/>
</span>
</xsl:if>
</span> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Adres/adr:Budynek"/>
</span>
</xsl:if>
</span>
</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:Adres/adr:KodPocztowy"/>
</span>
</xsl:if>
</span> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Adres/adr:Miejscowosc"/>
</span>
</xsl:if>
</span>
</span>
</p>
</xsl:if>
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</tbody>
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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;">B. OBOWIĄZEK ZŁOŻENIA DEKLARACJI</span>
</strong>
<table style="width: 95%;" border="0" cellspacing="0" cellpadding="0" align="center">
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<td style="border-color: #000000; background-color: #ffffff; border-style: solid; border-width: 1px;">
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ObowiazekZlozenia">
<xsl:if test="true()">
<span style="font-family: verdana, geneva; font-size: x-small;">Cel złożenia deklaracji:</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:Cel"/>
</span>
</xsl:if>
</span>
</span>
<br/>
<xsl:for-each select="wnio:Zmiana">
<xsl:if test="true()">
<span style="font-family: verdana, geneva; font-size: x-small;">od miesiąca <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:OdMiesiaca"/>
</span>
</xsl:if>
</span>
</span>
</xsl:if>
</xsl:for-each>
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</tr>
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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>
<table style="width: 95%;" border="0" cellspacing="0" cellpadding="0" align="center">
<tbody>
<tr>
<td style="border-color: #000000; background-color: #ffffff; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Rodzaj podmiotu</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
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</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:FormaWladania"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
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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;">D. DANE IDENTYFIKACYJNE</span>
</strong>
<table style="width: 95%;" border="0" cellspacing="0" cellpadding="0" align="center">
<tbody>
<tr>
<td style="border-color: #000000; background-color: #ffffff; border-style: solid; border-width: 1px;">
<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;">
<span>
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</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:DaneDokumentu/meta:Tworcy/meta:Tworca/meta:Podmiot/@typPodmiotu"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td>
<xsl:for-each select="wnio:DaneDokumentu/meta:Tworcy/meta:Tworca/meta:Podmiot/oso:Osoba">
<xsl:if test="true()">
<table style="width: 100%;" border="0" cellspacing="0" cellpadding="0">
<tbody>
<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;">D.1 OSOBA FIZYCZNA- DANE ZOBOWIĄZANEGO</span>
</strong>
<table style="width: 95%;" border="0" cellspacing="0" cellpadding="0" align="center">
<tbody>
<tr>
<td style="width: 50%; border-color: #000000; background-color: #ffffff; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Nazwisko</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:Nazwisko"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="width: 50%; border-color: #000000; background-color: #ffffff; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Imię/Imiona</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:Imie"/>
</span>
</xsl:if>
</span> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="oso:ImieDrugie"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
<tr>
<td style="width: 50%; border-color: #000000; background-color: #ffffff; border-style: solid; border-width: 1px;" colspan="2">
<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/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="oso:IdOsoby/oso:PESEL"/>
</span>
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</span>
</span>
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</tr>
</tbody>
</table>
</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;">D.2 ADRES ZAMIESZKANIA ZOBOWIĄZANEGO</span>
</strong>
<table style="width: 95%;" border="0" cellspacing="0" cellpadding="0" align="center">
<tbody>
<tr>
<td>
<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; background-color: #ffffff; border-style: solid; border-width: 1px;" colspan="2">
<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; background-color: #ffffff; border-style: solid; border-width: 1px;" colspan="2">
<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; background-color: #ffffff; border-style: solid; border-width: 1px;" colspan="2">
<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; background-color: #ffffff; border-style: solid; border-width: 1px;" colspan="3">
<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; background-color: #ffffff; border-style: solid; border-width: 1px;" colspan="3">
<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>
</tr>
<tr>
<td style="border-color: #000000; background-color: #ffffff; border-style: solid; border-width: 1px;" colspan="2">
<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; background-color: #ffffff; border-style: solid; border-width: 1px;" colspan="2">
<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="border-color: #000000; background-color: #ffffff; border-style: solid; border-width: 1px;" colspan="2">
<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>
<tr>
<td style="border-color: #000000; background-color: #ffffff; border-style: solid; border-width: 1px;" colspan="3">
<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; background-color: #ffffff; border-style: solid; border-width: 1px;" colspan="3">
<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>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:Malzenstwo">
<xsl:if test="true()">
<table style="background-color: #d3d3d3; ; width: 100%;" border="1">
<tbody>
<tr>
<td>
<strong>
<strong>
<span style="font-size: small; font-family: verdana, geneva;">D.3 DANE MAŁŻONKA ZOBOWIĄZANEGO - WYPEŁNIAJĄ MAŁŻONKOWIE POZOSTAJĄCY WE WSPÓLNOŚCI USTAWOWEJ<br/>
</span>
</strong>
</strong>
<table style="background-color: #ffffff; width: 95%;" border="1" align="center">
<tbody>
<tr>
<td>
<span style="font-size: x-small; font-family: verdana, geneva;">Nazwisko</span>
<br/>
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:Nazwisko"/>
</span>
</xsl:if>
</span>
</td>
<td>
<span style="font-size: x-small; font-family: verdana, geneva;">Imię/Imiona<br/>
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:Imiona"/>
</span>
</xsl:if>
</span> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:Imie"/>
</span>
</xsl:if>
</span>
<br/>
</span>
</td>
</tr>
<tr>
<td colspan="2">
<span style="font-size: x-small; font-family: verdana, geneva;">PESEL<br/>
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:PESEL"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td>
<strong>
<strong>
<strong>
<span style="font-size: small; font-family: verdana, geneva;">
<strong>D.4 ADRES ZAMIESZKANIA MAŁŻONKA ZOBOWIĄZANEGO<br/>
</strong>
</span>
</strong>
</strong>
</strong>
<table style="width: 95%; background-color: ffffff;" border="1" align="center">
<tbody>
<tr>
<td>
<span style="font-size: x-small;">Kraj</span>
<br/>
<span style="font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Adres/adr:Kraj"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td>
<span style="font-size: x-small;">Województwo</span>
<br/>
<span style="font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Adres/adr:Wojewodztwo"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td colspan="2">
<span style="font-size: x-small;">Powiat</span>
<br/>
<span style="font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Adres/adr:Powiat"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
<tr>
<td style="width: 50%;">
<span style="font-size: x-small;">Gmina<br/>
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Adres/adr:Miejscowosc"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="width: 50%;" colspan="3">
<span style="font-size: x-small;">Miejscowość<br/>
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Adres/adr:Gmina"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
<tr>
<td style="width: 33%;" colspan="2">
<span style="font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Adres/adr:Ulica/@rodzajUlicy"/>
</span>
</xsl:if>
</span> </span>
<span style="font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Adres/adr:Ulica"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="width: 33%;">
<span style="font-size: x-small;">Nr domu</span>
<br/>
<span style="font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Adres/adr:Budynek"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="width: 33%;">
<span style="font-size: x-small;">Nr lokalu</span>
<br/>
<span style="font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Adres/adr:Lokal"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
<tr>
<td>
<span style="font-size: x-small;">Kod pocztowy</span>
<br/>
<span style="font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Adres/adr:KodPocztowy"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td colspan="3">
<span style="font-size: x-small;">Poczta</span>
<br/>
<span style="font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Adres/adr:Poczta"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
<xsl:for-each select="wnio:DaneDokumentu/meta:Tworcy/meta:Tworca/meta:Podmiot/inst:Instytucja">
<xsl:if test="true()">
<table style="width: 100%;" border="0" cellspacing="0" cellpadding="0">
<tbody>
<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;">D.5 POZOSTAŁE PODMIOTY</span>
</strong>
<table style="width: 95%;" border="0" cellspacing="0" cellpadding="0" align="center">
<tbody>
<tr>
<td style="border-color: #000000; background-color: #ffffff; width: 50%; border-style: solid; border-width: 1px;" colspan="2">
<span style="font-family: verdana, geneva; font-size: x-small;">Nazwa podmiotu</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="inst:NazwaInstytucji"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
<tr>
<td style="border-color: #000000; background-color: #ffffff; 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="inst:IdInstytucji/inst:NIP"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="border-color: #000000; background-color: #ffffff; width: 50%; 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>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="inst:IdInstytucji/inst:REGON"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
</tbody>
</table>
</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;">D.6 </span>
</strong>
<strong>
<span style="font-family: verdana, geneva; font-size: small;">ADRES SIEDZIBY</span>
</strong>
</p>
<table style="width: 95%;" border="0" cellspacing="0" cellpadding="0" align="center">
<tbody>
<tr>
<td>
<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; background-color: #ffffff; border-style: solid; border-width: 1px;" colspan="2">
<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; background-color: #ffffff; border-style: solid; border-width: 1px;" colspan="2">
<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; background-color: #ffffff; border-style: solid; border-width: 1px;" colspan="2">
<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; background-color: #ffffff; border-style: solid; border-width: 1px;" colspan="3">
<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; background-color: #ffffff; border-style: solid; border-width: 1px;" colspan="3">
<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>
</tr>
<tr>
<td style="border-color: #000000; background-color: #ffffff; border-style: solid; border-width: 1px;" colspan="2">
<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; background-color: #ffffff; border-style: solid; border-width: 1px;" colspan="2">
<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="border-color: #000000; background-color: #ffffff; border-style: solid; border-width: 1px;" colspan="2">
<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>
<tr>
<td style="border-color: #000000; background-color: #ffffff; border-style: solid; border-width: 1px;" colspan="3">
<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; background-color: #ffffff; border-style: solid; border-width: 1px;" colspan="3">
<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>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
</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;">D.7 DANE KONTAKTOWE</span>
</strong>
<table style="width: 95%;" border="0" cellspacing="0" cellpadding="0" align="center">
<tbody>
<tr>
<td style="border-color: #000000; background-color: #ffffff; border-style: solid; border-width: 1px;">
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:DaneKontaktowe">
<xsl:if test="true()">
<table style="width: 100%;" border="0" cellspacing="0" cellpadding="0">
<tbody>
<tr>
<td style="border-color: #000000; background-color: #ffffff; border-style: solid; border-width: 1px;">
<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="wnio:Telefon"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
<tr>
<td style="border-color: #000000; background-color: #ffffff; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Adres e-mail</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:Email"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
</td>
</tr>
</tbody>
</table>
</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, KTÓREJ DEKLARACJA DOTYCZY</span>
</strong>
<table style="width: 95%;" border="0" cellspacing="0" cellpadding="0" align="center">
<tbody>
<tr>
<td>
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:NieruchomoscOdpady">
<xsl:if test="true()">
<table style="width: 100%;" border="0" cellspacing="0" cellpadding="0">
<tbody>
<tr>
<td style="width: 50%; border-color: #000000; background-color: #ffffff; 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="width: 50%; border-color: #000000; background-color: #ffffff; 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="wnio:RodzajUlicy"/>
</span>
</xsl:if>
</span> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:Ulica"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
<tr>
<td style="width: 50%; border-color: #000000; background-color: #ffffff; 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="wnio:Budynek"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="width: 50%; border-color: #000000; background-color: #ffffff; 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="wnio:Lokal"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
</td>
</tr>
</tbody>
</table>
</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. DANE DOTYCZĄCE PRZEDMIOTU OPŁATY</span>
</strong>
<table style="width: 95%;" border="0" cellspacing="0" cellpadding="0" align="center">
<tbody>
<tr>
<td>
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:PrzedmiotOplaty">
<xsl:if test="true()">
<table style="width: 100%;" border="0" cellspacing="0" cellpadding="0">
<tbody>
<tr>
<td style="border-color: #000000; background-color: #ffffff; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Oświadczam, że na terenie nieruchomości wskazanej w części E niniejszej deklaracji zamieszkuje <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:LiczbaMieszkancow"/>
</span>
</xsl:if>
</span> </span>
</td>
</tr>
<tr>
<td style="border-color: #000000; background-color: #ffffff; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Oświadczam, iż odpady komunalne z nieruchomości wskazanej w części E :</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:SposobGromadzenia"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
</td>
</tr>
</tbody>
</table>
</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>
<table style="width: 95%;" border="0" cellspacing="0" cellpadding="0" align="center">
<tbody>
<tr>
<td>
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:OplataZaGospodarowanie">
<xsl:if test="true()">
<table style="width: 100%;" border="0" cellspacing="0" cellpadding="0">
<tbody>
<tr>
<td style="border-color: #000000; background-color: #d3d3d3; border-style: solid; border-width: 1px;" align="center" valign="middle">
<strong>
<span style="font-family: verdana, geneva; font-size: x-small;">STAWKA OPŁATY ZA MIESZKAŃCA OKREŚLONA W UCHWALE <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:JakaUchwala"/>
</span>
</xsl:if>
</span>
</span>
</strong>
</td>
<td style="border-color: #000000; background-color: #d3d3d3; border-style: solid; border-width: 1px;" align="center" valign="middle">
<strong>
<span style="font-family: verdana, geneva; font-size: x-small;">X</span>
</strong>
</td>
<td style="border-color: #000000; background-color: #d3d3d3; border-style: solid; border-width: 1px;" align="center" valign="middle">
<strong>
<span style="font-family: verdana, geneva; font-size: x-small;">ILOŚĆ OSÓB ZAMIESZKUJĄCYCH NIERUCHOMOŚĆ</span>
</strong>
</td>
<td style="border-color: #000000; background-color: #d3d3d3; border-style: solid; border-width: 1px;" align="center" valign="middle">
<strong>
<span style="font-family: verdana, geneva; font-size: x-small;">=</span>
</strong>
</td>
<td style="border-color: #000000; background-color: #d3d3d3; border-style: solid; border-width: 1px;" align="center" valign="middle">
<strong>
<span style="font-family: verdana, geneva; font-size: x-small;">MIESIĘCZNA OPŁATA</span>
</strong>
</td>
</tr>
<tr>
<td style="border-color: #000000; background-color: #ffffff; border-style: solid; border-width: 1px;" align="center" valign="middle">
<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:Stawka"/>
</span>
</xsl:if>
</span> zł</span>
</td>
<td style="border-color: #000000; background-color: #d3d3d3; border-style: solid; border-width: 1px;" align="center" valign="middle">
<strong>
<span style="font-family: verdana, geneva; font-size: x-small;">X</span>
</strong>
</td>
<td style="border-color: #000000; background-color: #ffffff; border-style: solid; border-width: 1px;" align="center" valign="middle">
<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="border-color: #000000; background-color: #d3d3d3; border-style: solid; border-width: 1px;" align="center" valign="middle">
<strong>
<span style="font-family: verdana, geneva; font-size: x-small;">=</span>
</strong>
</td>
<td style="border-color: #000000; background-color: #ffffff; border-style: solid; border-width: 1px;" align="center" valign="middle">
<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:Kwota"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="border-color: #000000; background-color: #d3d3d3; border-style: solid; border-width: 1px;">
<table style="width: 95%;" border="0" cellspacing="0" cellpadding="0" align="center">
<tbody>
<tr>
<td style="border-color: #000000; background-color: #ffffff; 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>
<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>
</span>
</td>
</tr>
<tr>
<td style="border-color: #000000; background-color: #ffffff; border-style: solid; border-width: 1px;">
<span style="font-family: verdana, geneva; font-size: x-small;">Data wypełnienia deklaracji</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:DaneDokumentu/meta:Data/meta:Czas"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td> </td>
</tr>
<tr>
<td> </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>