9802
| ID | 9802 |
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| Data | 2020-07-24 |
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| Symbol | 2020/07/24/9802 |
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| Instytucja | Urząd Gminy Pniewy |
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| Nazwa | Deklaracja o wysokości opłaty za gospodarowanie odpadami komunalnymi |
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| Czy Aktualny | 1 |
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Ustawy (1)
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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/2020/07/24/9802/" xmlns:wyr="http://crd.gov.pl/wzor/2008/05/09/1/" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" version="1.0"><xsl:template match="/"><xsl:for-each select="wnio:Dokument"><html xmlns="http://www.w3.org/1999/xhtml"><head/><body><table frame="box" rules="all" style="width: 100%; border-color: #000000; border-style: solid; border-width: 1px;"><thead><tr><td colspan="4" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial; background-color: #a9a9a9;"><p style="text-align: center;"><strong>DEKLARACJA O WYSOKOŚCI OPŁATY<br/></strong> <strong>ZA GOSPODAROWANIE ODPADAMI KOMUNALNYMI</strong></p></td></tr></thead><tbody><tr><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p style="text-align: center;"><strong><strong>Podstawa prawna:</strong></strong></p></td><td colspan="3" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">Ustawa z dnia 13 września 1996 r. o utrzymaniu czystości i porządku w gminach (tekst jednolity Dz. U. z 2019 r. poz. 2010 z późn. zm.)</td></tr><tr><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p style="text-align: center;"><strong><strong><strong>Termin składania:</strong></strong></strong></p></td><td colspan="3" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><ol><li><p>14 dni od zamieszkania na danej nieruchomości pierwszego mieszkańca</p></li><li><p>do 10 dnia miesiąca następującego po miesiącu w którym nastąpiła zmiana będąca podstawą ustalenia wysokości należnej opłaty</p></li></ol></td></tr><tr><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p style="text-align: center;"><strong><strong><strong><strong>Adres i miejsce składania deklaracji:</strong></strong></strong></strong></p></td><td colspan="3" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">Wójt Gminy Pniewy, Pniewy 2, 05-652 Pniewy</td></tr><tr><td colspan="4" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial; background-color: #a9a9a9;"><p style="text-align: left;"><strong>A. OBOWIĄZEK ZŁOŻENIA DEKLARACJI</strong></p></td></tr><tr><td colspan="4" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"> Okoliczności powodujące obowiązek złożenia deklaracji</td></tr><tr><td colspan="2" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID1) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>pierwsza deklaracja </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID1) = normalize-space(' 2 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>nowa (kolejna) deklaracja </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID1) = normalize-space(' 3 ')"><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></td><td colspan="2" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><xsl:if test="true()"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID2"/></xsl:if></p><p> </p></td></tr><tr><td colspan="2" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">W przypadku kolejnej deklaracji proszę wybrać powód:</td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><span><span><label><span/></label><xsl:if test="true()"><span><xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID3 = 1">Nie dotyczy</xsl:if><xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID3 = 2">zbycie nieruchomości</xsl:if><xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID3 = 3">inna zmiana</xsl:if></span></xsl:if></span></span></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span>Inna zmiana:</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID4"/></span></xsl:if></span></td></tr><tr><td colspan="2" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">W przypadku korekty proszę wybrać powód</td><td colspan="2" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><span><span><label><span/></label><xsl:if test="true()"><span><xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID5 = 1">Nie dotyczy</xsl:if><xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID5 = 2">wygaśnięcie obowiązku</xsl:if><xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID5 = 3">korekta z art. 81§ 1 Ordynacji podatkowej</xsl:if></span></xsl:if></span></span></span></td></tr><tr><td colspan="4" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial; background-color: #a9a9a9;"><p><strong>B. SKŁADAJĄCY DEKLARACJĘ </strong></p></td></tr><tr><td colspan="4" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><span><label><span><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID6) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>Właściciel/Współwłaściciel </span></label></span><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID6) = normalize-space(' 2 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>Użytkownik wieczysty </span></label></span><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID6) = normalize-space(' 3 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>Zarządca/użytkownik </span></label></span><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID6) = normalize-space(' 4 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>Inny </span></label></span></xsl:if></span></span></label></span></span></td></tr><tr><td colspan="4" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial; background-color: #a9a9a9;"><p><strong>C. DANE SKŁADAJĄCEGO DEKLARACJĘ</strong></p></td></tr><tr><td colspan="2" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p> <span><label><span>NAZWISKO:</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID7"/></span></xsl:if></span></p><p> </p><p> </p></td><td colspan="2" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span>IMIĘ:</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID8"/></span></xsl:if></span></p><p> </p><p> </p></td></tr><tr><td colspan="2" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID9) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>PESEL </span></label></span><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID9) = normalize-space(' 2 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>REGON </span></label></span></xsl:if></span></p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID10"/></span></xsl:if></span></p><p> </p><p> </p></td><td colspan="2" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span>TELEFON KONTAKTOWY:</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID11"/></span></xsl:if></span></p><p><span><label><span>ADRES E-MAIL</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID12"/></span></xsl:if></span> </p></td></tr><tr><td colspan="4" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial; background-color: #a9a9a9;"><p><strong>C1. ADRES ZAMIESZKANIA SKŁADAJĄCEGO DEKLARACJĘ / ADRES DO KORESPONDENCJI</strong></p></td></tr><tr><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span>MIEJSCOWOŚĆ:</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID13"/></span></xsl:if></span></p></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span>ULICA:</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID14"/></span></xsl:if></span></p></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span>NR DOMU:</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID15"/></span></xsl:if></span></p></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span>NR LOKALU:</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID16"/></span></xsl:if></span></p></td></tr><tr><td colspan="2" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span>GMINA:</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID17"/></span></xsl:if></span></p></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span>KOD POCZTOWY:</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID18"/></span></xsl:if></span></p></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span>POCZTA:</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID19"/></span></xsl:if></span></p></td></tr><tr><td colspan="4" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial; background-color: #a9a9a9;"><p><strong>C2. DANE MAŁŻONKA/ WSPÓŁWŁAŚCICIELA</strong></p></td></tr><tr><td colspan="2" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span>NAZWISKO:</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID20"/></span></xsl:if></span></p></td><td colspan="2" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span>IMIĘ:</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID21"/></span></xsl:if></span></p></td></tr><tr><td colspan="2" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID22) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>PESEL </span></label></span><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID22) = normalize-space(' 2 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>REGON </span></label></span></xsl:if></span></p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID23"/></span></xsl:if></span></p></td><td colspan="2" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span>TELEFON KONTAKTOWY:</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID24"/></span></xsl:if></span></p><p><span><label><span>ADRES E-MAIL:</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID25"/></span></xsl:if></span></p></td></tr><tr><td colspan="4" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial; background-color: #a9a9a9;"><p><strong>C3.ADRES ZAMIESZKANIA/ ADRES DO KORESPONDENCJI MAŁŻONKA / WSPÓŁWŁAŚCICIELA</strong></p></td></tr><tr><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span>MIEJSCOWOŚĆ:</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID26"/></span></xsl:if></span></p></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span>ULICA:</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID27"/></span></xsl:if></span></p></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span>NR DOMU:</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID28"/></span></xsl:if></span></p></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span>NR LOKALU:</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID29"/></span></xsl:if></span></p></td></tr><tr><td colspan="2" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span>GMINA:</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID30"/></span></xsl:if></span></p></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span>KOD POCZTOWY:</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID31"/></span></xsl:if></span></p></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span>POCZTA:</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID32"/></span></xsl:if></span> </p></td></tr><tr><td colspan="4" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial; background-color: #a9a9a9;"><strong>D. ADRES NIERUCHOMOŚCI ZAMIESZKAŁEJ PRZEZNACZONEJ DO ODBIORU ODPADÓW</strong></td></tr><tr><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span>MIEJSCOWOŚĆ:</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID33"/></span></xsl:if></span></p></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span>ULICA:</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID34"/></span></xsl:if></span></p></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span>NR DOMU:</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID35"/></span></xsl:if></span> </p></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span>NR LOKALU:</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID36"/></span></xsl:if></span></p></td></tr><tr><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span>GMINA:</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID37"/></span></xsl:if></span></p></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span>KOD POCZTOWY:</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID38"/></span></xsl:if></span></p></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span>POCZTA:</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID39"/></span></xsl:if></span></p></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span>NR DZIAŁKI:</span></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID40"/></span></xsl:if></span></p></td></tr><tr><td colspan="4" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial; background-color: #a9a9a9;"><strong>E. OŚWIADCZENIE O ZAMIARZE KOMPOSTOWANIA ODPADÓW BIODEGRADOWALNYCH</strong></td></tr><tr><td colspan="4" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p>Oświadczam, że nieruchomość wskazana w części D wyposażona jest w kompostownik i zobowiązuje się do kompostowania w nim bioodpadów, stanowiących odpady komunalne</p><p><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID41) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>TAK </span></label></span><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID41) = normalize-space(' 2 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>NIE </span></label></span></xsl:if></span></p></td></tr><tr><td colspan="4" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial; background-color: #a9a9a9;"><strong>F. OŚWIADCZENIE O ILOŚCI OSÓB ZAMIESZKUJĄCYCH NIERUCHOMOŚĆ, DLA KTÓREJ SKŁADANA JEST DEKLARACJA</strong></td></tr><tr><td colspan="4" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">Oświadczam, że na terenie nieruchomości wskazanej w części D zamieszkuje <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID42"/></span></xsl:if></span> osób.</td></tr><tr><td colspan="4" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">W poszczególnych miesiącach nieruchomość zamieszkuje (należy podać liczbę osób):</td></tr></tbody></table><table border="1" style="width: 100%;"><tbody><tr><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">miesiąc</td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">I</td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">II</td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">III</td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">IV</td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">V</td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">VI</td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">VII</td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">VIII</td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">IX</td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">X</td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">XI</td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">XII</td></tr><tr><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">Ilość osób</td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID43"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID44"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID45"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID46"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID47"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID48"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID49"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID50"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID51"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID52"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID53"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID54"/></span></xsl:if></span></td></tr></tbody></table><table border="1" style="width: 100%; border-color: #000000; border-width: 1px; border-style: solid;"><tbody><tr><td colspan="5" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial; background-color: #a9a9a9;"><strong>G. OBLICZANIE MIESIĘCZNEJ WYSOKOŚCI OPŁATY ZA GOSPODAROWANIE ODPADAMI KOMUNALNYMI DLA NIERUCHOMOŚCI ZAMIESZKAŁEJ<br/> (w tym obliczenie częściowego zwolnienia z opłaty za gospodarowanie odpadami komunalnymi)</strong></td></tr><tr><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial; text-align: center;"><strong>Miesiąc</strong></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">ilość osób zamieszkująca daną nieruchomość (dane z tabeli powyżej)</td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">miesięczna stawka opłaty wynikająca z uchwały za odpady selektywne w zł</td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">kwota zwolnienia za kompostowanie bioodpadów (ilość osób x wysokość zwolnienia w zł)</td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p>wysokość miesięcznej opłaty</p><p>1x2-3</p></td></tr><tr><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"> </td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial; text-align: center;">1</td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial; text-align: center;">2</td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial; text-align: center;">3</td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial; text-align: center;">4</td></tr><tr><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"> I</td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID55"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID67"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID79"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID91"/></span></xsl:if></span></td></tr><tr><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">II </td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID56"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID68"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID80"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID92"/></span></xsl:if></span></td></tr><tr><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">III </td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID57"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID69"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID81"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID93"/></span></xsl:if></span></td></tr><tr><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">IV </td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID58"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID70"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID82"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID94"/></span></xsl:if></span></td></tr><tr><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">V </td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID59"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID71"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID83"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID95"/></span></xsl:if></span></td></tr><tr><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">VI </td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID60"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID72"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID84"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID96"/></span></xsl:if></span></td></tr><tr><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">VII </td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID61"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID73"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID85"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID97"/></span></xsl:if></span></td></tr><tr><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">VIII </td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID62"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID74"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID86"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID98"/></span></xsl:if></span></td></tr><tr><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">IX </td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID63"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID75"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID87"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID99"/></span></xsl:if></span></td></tr><tr><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">X </td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID64"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID76"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID88"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID100"/></span></xsl:if></span></td></tr><tr><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">XI </td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID65"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID77"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID89"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID101"/></span></xsl:if></span></td></tr><tr><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;">XII </td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID66"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID78"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID90"/></span></xsl:if></span></td><td style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID102"/></span></xsl:if></span></td></tr><tr><td colspan="5" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial; background-color: #a9a9a9;"><strong>H. OŚWIADCZENIE I PODPIS</strong></td></tr><tr><td colspan="5" style="background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding: 5px 5px 10px; border-width: 1px; border-style: solid; border-image: initial;"><p><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID103) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>Składający deklarację </span></label></span><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID103) = normalize-space(' 2 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>Osoba reprezentująca składającego deklarację </span></label></span></xsl:if></span><strong>*</strong></p><p>Oświadczam, że podane dane są zgodne ze stanem faktycznym.</p></td></tr></tbody></table><br/><br/> <p> </p><p> </p><p><strong>Pouczenie:</strong></p><p><strong> </strong></p><ol><li>Niniejsza deklaracja stanowi podstawę do wystawienia tytułu wykonawczego, zgodnie z przepisami ustawy z dnia 17 czerwca 1966r. o postępowaniu egzekucyjnym w administracji (Dz. U. z 2019 r. poz. 14387 ze zm.).</li><li>Gospodarka komunalna prowadzona na nieruchomości będzie podlegać bieżącej kontroli. W przypadku nie wywiązywania się z obowiązku selektywnego zbierania odpadów Wójt Gminy Pniewy w drodze decyzji naliczy opłatę stosując stawkę opłaty podwyższonej za gospodarowanie odpadami komunalnymi.</li><li>Dane zawarte w deklaracji (w szczególności o podanej liczbie mieszkańców) będą weryfikowane na podstawie danych dostępnych w Urzędzie Gminy Pniewy.</li></ol><p> </p><p> </p><p align="center"><strong>OBOWIĄZEK INFORMACYJNY</strong></p><p>Na podstawie art. 13 ust. 1 i 2 Rozporządzenia Parlamentu Europejskiego i Rady (UE) 2016/679 z 27 kwietnia 2016 r. w sprawie ochrony osób fizycznych w związku z przetwarzaniem danych osobowych i w sprawie swobodnego przepływu takich danych oraz uchylenia dyrektywy 95/46/WE (Dz.U.UE.L. z 2016r. Nr 119, s.1 ze zm.) - dalej: „RODO” informuję, że:</p><p>1) Administratorem Państwa danych jest <strong>Gmina Pniewy</strong> z siedzibą: <strong>Pniewy 2, 05-652 Pniewy</strong>, e-mail: <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID104"/></span></xsl:if></span>, tel.: <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID105"/></span></xsl:if></span>, reprezentowana przez <strong>Wójta</strong>.</p><p>2) Administrator wyznaczył Inspektora Ochrony Danych, z którym mogą się Państwo kontaktować we wszystkich sprawach dotyczących przetwarzania danych osobowych za pośrednictwem adresu email: <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID106"/></span></xsl:if></span> lub pisemnie na adres Administratora.</p><p>3) Państwa dane osobowe będą przetwarzane w celu realizacji zadań w zakresie organizacji odbioru odpadów komunalnych, w tym pobieranie opłaty za gospodarowanie odpadami komunalnymi, jak również w celu realizacji praw oraz obowiązków wynikających z przepisów prawa (art. 6 ust. 1 lit. c RODO) oraz:</p><p>- ustawy z dnia 13 września 1996 r. o utrzymaniu czystości i porządku w gminach</p><p> ( Dz. U. z 2019 poz. 2010 ),</p><p>a także</p><p> - ustawy z dnia 17 czerwca 1966 r. o postępowaniu egzekucyjnym w administracji ( Dz.U.</p><p> 2019 r. poz. 1438 ze zm.)</p><p>4) Państwa dane osobowe będą przetwarzane przez okres niezbędny do realizacji ww. celu z uwzględnieniem okresów przechowywania określonych w przepisach szczególnych, w tym przepisów archiwalnych.</p><p>5) Państwa dane osobowe będą przetwarzane w sposób zautomatyzowany, lecz nie będą podlegały zautomatyzowanemu podejmowaniu decyzji, w tym profilowaniu.</p><p>6) Państwa dane osobowych nie będą przekazywane poza Europejski Obszar Gospodarczy (obejmujący Unię Europejską, Norwegię, Liechtenstein i Islandię).</p><p>7) W związku z przetwarzaniem Państwa danych osobowych, przysługują Państwu następujące prawa:</p><p>a) prawo dostępu do swoich danych oraz otrzymania ich kopii;</p><p>b) prawo do sprostowania (poprawiania) swoich danych osobowych;</p><p>c) prawo do ograniczenia przetwarzania danych osobowych;</p><p>d) prawo wniesienia skargi do Prezesa Urzędu Ochrony Danych Osobowych<br/> (ul. Stawki 2, 00-193 Warszawa), w sytuacji, gdy uzna Pani/Pan, że przetwarzanie danych osobowych narusza przepisy ogólnego rozporządzenia o ochronie danych osobowych (RODO);</p><p>8) Podanie przez Państwa danych osobowych jest obowiązkowe. Nieprzekazanie danych skutkować będzie brakiem realizacji celu, o którym mowa w punkcie 3.</p><p>9) Państwa dane mogą zostać przekazane podmiotom zewnętrznym na podstawie umowy powierzenia przetwarzania danych osobowych, a także podmiotom lub organom uprawnionym na podstawie przepisów prawa.</p><p> </p></body></html></xsl:for-each></xsl:template></xsl:stylesheet>