9838

ID9838
Data2020-08-03
Symbol2020/08/03/9838
InstytucjaMinisterstwo Finansów
NazwaWniosek o zawarcie umowy w ramach Programu Współdziałania (Dział IIB Ordynacji podatkowej)
Czy Aktualny1

Ustawy (1)

  • URI://Dziennik_Ustaw/2020/346/16b/1
  • Art. 16b ust. 1 ustawy z dnia 17 lutego 2005 r. o informatyzacji działalności podmiotów realizujących zadania publiczne

    Pliki

    Styl

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    									<br/>
    								</td>
    							</tr>
    							<tr>
    								<td align="center" colspan="4">
    									<h2>
    										<strong>Wniosek<br/>o zawarcie umowy o współdziałanie</strong>
    									</h2>
    									<br/>
    								</td>
    							</tr>
    							<tr>
    								<td colspan="4" style="padding-left: 30px; border-width: 1pt; border-style: none none solid; border-color: #000000; background-color: #dfeded;">
    									<p>
    										<span style="font-size: medium; font-family: arial, helvetica, sans-serif;">1. Dane Wnioskodawcy</span>
    									</p>
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    							<tr>
    								<td colspan="4" style="padding-left: 10px; border-width: 1pt; border-style: none solid solid; border-color: #000000; background-color: #dfeded;">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;">Identyfikator podatkowy<br/>
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    							</tr>
    							<tr>
    								<td style="border-width: 1pt; border-style: none none solid solid; border-color: #000000;">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> </span>
    								</td>
    								<td colspan="3" style="border-width: 1pt; border-style: none solid solid none; border-color: #000000;">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> <span>
    											<label>
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    											</label>
    											<xsl:if test="true()">
    												<span type="text">
    													<xsl:value-of select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja/inst:IdInstytucji/inst:NIP"/>
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    							<tr>
    								<td colspan="4" style="padding-left: 10px; border-width: 1pt; border-style: none solid solid; border-color: #000000; background-color: #dfeded;">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;">Nazwa pełna    </span>
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    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> </span>
    								</td>
    								<td colspan="3" style="border-width: 1pt; border-style: none solid solid none; border-color: #000000;">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> <span>
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    											</label>
    											<xsl:if test="true()">
    												<span type="text">
    													<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:NazwaInstytucji"/>
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    											</xsl:if>
    										</span>
    									</span>
    								</td>
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    							<tr>
    								<td colspan="4" style="padding-left: 10px; border-width: 1pt; border-style: none solid solid; border-color: #000000; background-color: #dfeded;">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;">Adres siedziby</span>
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    							<tr>
    								<td style="border-width: 1pt; border-style: none solid solid; border-color: #000000; background-color: #dfeded;">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> Województwo</span>
    								</td>
    								<td style="border-width: 1pt; border-style: none solid solid none; border-color: #000000; background-color: #dfeded;">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> Powiat</span>
    								</td>
    								<td style="border-width: 1pt; border-style: none solid solid none; border-color: #000000; background-color: #dfeded;">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> Gmina</span>
    								</td>
    								<td style="border-width: 1pt; border-style: none solid solid none; border-color: #000000; background-color: #dfeded;">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> Miejscowość</span>
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    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> <span>
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    											<xsl:if test="true()">
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    													<xsl:value-of select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja/adr:Adres/adr:Wojewodztwo"/>
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    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> <span>
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    											<xsl:if test="true()">
    												<span type="text">
    													<xsl:value-of select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja/adr:Adres/adr:Powiat"/>
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    										</span>
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    								<td style="border-width: 1pt; border-style: none solid solid none; border-color: #000000;">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> <span>
    											<label>
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    											</label>
    											<xsl:if test="true()">
    												<span type="text">
    													<xsl:value-of select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja/adr:Adres/adr:Gmina"/>
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    											</xsl:if>
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    								<td style="border-width: 1pt; border-style: none solid solid none; border-color: #000000;">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> <span>
    											<label>
    												<span/>
    											</label>
    											<xsl:if test="true()">
    												<span type="text">
    													<xsl:value-of select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja/adr:Adres/adr:Miejscowosc"/>
    												</span>
    											</xsl:if>
    										</span>
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    								</td>
    							</tr>
    							<tr>
    								<td style="border-width: 1pt; border-style: none solid solid; border-color: #000000; background-color: #dfeded;">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> Kod pocztowy</span>
    								</td>
    								<td style="border-width: 1pt; border-style: none solid solid none; border-color: #000000; background-color: #dfeded;">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> Ulica</span>
    								</td>
    								<td style="border-width: 1pt; border-style: none solid solid none; border-color: #000000; background-color: #dfeded;">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> Nr budynku</span>
    								</td>
    								<td style="border-width: 1pt; border-style: none solid solid none; border-color: #000000; background-color: #dfeded;">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> Nr lokalu</span>
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    								<td style="border-width: 1pt; border-style: none solid solid; border-color: #000000;">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> <span>
    											<label>
    												<span/>
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    											<xsl:if test="true()">
    												<span type="text">
    													<xsl:value-of select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja/adr:Adres/adr:KodPocztowy"/>
    												</span>
    											</xsl:if>
    										</span>
    									</span>
    								</td>
    								<td style="border-width: 1pt; border-style: none solid solid none; border-color: #000000;">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> <span>
    											<label>
    												<span/>
    											</label>
    											<xsl:if test="true()">
    												<span type="text">
    													<xsl:value-of select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja/adr:Adres/adr:Ulica"/>
    												</span>
    											</xsl:if>
    										</span>
    									</span>
    								</td>
    								<td style="border-width: 1pt; border-style: none solid solid none; border-color: #000000;">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> <span>
    											<label>
    												<span/>
    											</label>
    											<xsl:if test="true()">
    												<span type="text">
    													<xsl:value-of select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja/adr:Adres/adr:Budynek"/>
    												</span>
    											</xsl:if>
    										</span>
    									</span>
    								</td>
    								<td style="border-width: 1pt; border-style: none solid solid none; border-color: #000000;">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> <span>
    											<label>
    												<span/>
    											</label>
    											<xsl:if test="true()">
    												<span type="text">
    													<xsl:value-of select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja/adr:Adres/adr:Lokal"/>
    												</span>
    											</xsl:if>
    										</span>
    									</span>
    								</td>
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    							<tr>
    								<td colspan="4" style="padding-left: 30px; border-width: 1pt; border-style: none none solid none; border-color: #000000; background-color: #dfeded;">
    									<p>
    										<span style="font-size: medium; font-family: arial, helvetica, sans-serif;">2. Na podstawie art. 20s § 1 ustawy Ordynacja podatkowa wnioskuję o zawarcie umowy o współdziałanie w zakresie<br/>
    										</span>
    									</p>
    								</td>
    							</tr>
    							<tr>
    								<td colspan="2" style="padding-left: 10px; border-width: 1pt; border-style: none solid solid; border-color: #000000; width: 50%; background-color: #dfeded;">
    									<p>
    										<span style="font-family: arial, helvetica, sans-serif; font-size: small;">Wszystkich podatków pozostających we właściwości Krajowej Administracji Skarbowej, w zakresie których jestem podatnikiem lub płatnikiem<br/>
    										</span>
    									</p>
    								</td>
    								<td align="right" style="border-width: 1pt; border-style: none none solid; border-color: #000000; width: 25%; " valign="middle">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;">  1.  </span>
    								</td>
    								<td align="left" style="border-width: 1pt; border-style: none solid solid none; border-color: #000000; width: 25%; " valign="middle">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
    										<label>
    											<span/>
    										</label>
    										<xsl:if test="true()">
    											<span>
    												<xsl:choose>
    													<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:WszystkichPodatkow)),' '),  ' 1 ' )">
    														<span>☒</span>
    													</xsl:when>
    													<xsl:otherwise>
    														<span>☐</span>
    													</xsl:otherwise>
    												</xsl:choose>
    												<label>
    													<span>  </span>
    												</label>
    											</span>
    										</xsl:if>
    									</span>
    								</td>
    							</tr>
    							<tr>
    								<td colspan="2" style="padding-left: 10px; border-width: 1pt; border-style: none solid solid; border-color: #000000; background-color: #dfeded;">
    									<p>
    										<span style="font-family: arial, helvetica, sans-serif; font-size: small;">Podatku dochodowego od osób prawnych<br/>
    										</span>
    									</p>
    								</td>
    								<td align="right" style="border-width: 1pt; border-style: none none solid; border-color: #000000;" valign="middle">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;">  2.  </span>
    								</td>
    								<td align="left" style="border-width: 1pt; border-style: none solid solid none; border-color: #000000;" valign="middle">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
    										<label>
    											<span/>
    										</label>
    										<xsl:if test="true()">
    											<span>
    												<xsl:choose>
    													<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:PodatkuDochodowegoOsobPrawnych)),' '),  ' 1 ' )">
    														<span>☒</span>
    													</xsl:when>
    													<xsl:otherwise>
    														<span>☐</span>
    													</xsl:otherwise>
    												</xsl:choose>
    												<label>
    													<span>  </span>
    												</label>
    											</span>
    										</xsl:if>
    									</span>
    								</td>
    							</tr>
    							<tr>
    								<td colspan="2" style="padding-left: 10px; border-width: 1pt; border-style: none solid solid; border-color: #000000; background-color: #dfeded;">
    									<p>
    										<span style="font-family: arial, helvetica, sans-serif; font-size: small;">
    											<span style="font-family: arial, helvetica, sans-serif; font-size: small;">Podatku dochodowego od osób fizycznych<br/>
    											</span>
    										</span>
    									</p>
    								</td>
    								<td align="right" style="border-width: 1pt; border-style: none none solid; border-color: #000000;" valign="middle">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;">  3.  </span>
    								</td>
    								<td align="left" style="border-width: 1pt; border-style: none solid solid none; border-color: #000000;" valign="middle">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
    										<label>
    											<span/>
    										</label>
    										<xsl:if test="true()">
    											<span>
    												<xsl:choose>
    													<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:PodatkuDochodowegoOsobFizycznych)),' '),  ' 1 ' )">
    														<span>☒</span>
    													</xsl:when>
    													<xsl:otherwise>
    														<span>☐</span>
    													</xsl:otherwise>
    												</xsl:choose>
    												<label>
    													<span>  </span>
    												</label>
    											</span>
    										</xsl:if>
    									</span>
    								</td>
    							</tr>
    							<tr>
    								<td colspan="2" style="padding-left: 10px; border-width: 1pt; border-style: none solid solid; border-color: #000000; background-color: #dfeded;">
    									<p>
    										<span style="font-family: arial,helvetica,sans-serif; font-size: small;">Podatku od towarów i usług<br/>
    										</span>
    									</p>
    								</td>
    								<td align="right" style="border-width: 1pt; border-style: none none solid; border-color: #000000;" valign="middle">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> 4.  </span>
    								</td>
    								<td style="border-width: 1pt; border-color: #000000; border-style: none solid solid none;">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
    										<span>
    											<label>
    												<span/>
    											</label>
    											<xsl:if test="true()">
    												<span>
    													<xsl:choose>
    														<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:PodatkuTiU)),' '),  ' 1 ' )">
    															<span>☒</span>
    														</xsl:when>
    														<xsl:otherwise>
    															<span>☐</span>
    														</xsl:otherwise>
    													</xsl:choose>
    													<label>
    														<span>  </span>
    													</label>
    												</span>
    											</xsl:if>
    										</span>
    									</span>
    								</td>
    							</tr>
    							<tr>
    								<td colspan="2" style="padding-left: 10px; border-width: 1pt; border-style: none solid solid; border-color: #000000; background-color: #dfeded;">
    									<p>
    										<span style="font-family: arial,helvetica,sans-serif; font-size: small;">Podatku akcyzowego<br/>
    										</span>
    									</p>
    								</td>
    								<td align="right" style="border-width: 1pt; border-style: none none solid; border-color: #000000;" valign="middle">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> 5.  </span>
    								</td>
    								<td style="border-width: 1pt; border-style: none solid solid none; border-color: #000000;">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
    										<span>
    											<label>
    												<span/>
    											</label>
    											<xsl:if test="true()">
    												<span>
    													<xsl:choose>
    														<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:PodatkuAkcyzowego)),' '),  ' 1 ' )">
    															<span>☒</span>
    														</xsl:when>
    														<xsl:otherwise>
    															<span>☐</span>
    														</xsl:otherwise>
    													</xsl:choose>
    													<label>
    														<span>  </span>
    													</label>
    												</span>
    											</xsl:if>
    										</span>
    									</span>
    								</td>
    							</tr>
    							<tr>
    								<td colspan="2" style="padding-left: 10px; border-width: 1pt; border-style: none solid solid; border-color: #000000; background-color: #dfeded;">
    									<p>
    										<span style="font-family: arial,helvetica,sans-serif; font-size: small;">Podatku od czynności cywilnoprawnych<br/>
    										</span>
    									</p>
    								</td>
    								<td align="right" style="border-width: 1pt; border-style: none none solid; border-color: #000000;" valign="middle">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> 6.  </span>
    								</td>
    								<td style="border-width: 1pt; border-style: none solid solid none; border-color: #000000;">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
    										<span>
    											<label>
    												<span/>
    											</label>
    											<xsl:if test="true()">
    												<span>
    													<xsl:choose>
    														<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:PodatkuCzCywilnoprawnych)),' '),  ' 1 ' )">
    															<span>☒</span>
    														</xsl:when>
    														<xsl:otherwise>
    															<span>☐</span>
    														</xsl:otherwise>
    													</xsl:choose>
    													<label>
    														<span>  </span>
    													</label>
    												</span>
    											</xsl:if>
    										</span>
    									</span>
    								</td>
    							</tr>
    							<tr>
    								<td colspan="2" style="padding-left: 10px; border-width: 1pt; border-style: none solid solid; border-color: #000000; background-color: #dfeded;">
    									<p>
    										<span style="font-family: arial,helvetica,sans-serif; font-size: small;">Podatku od spadków i darowizn<br/>
    										</span>
    									</p>
    								</td>
    								<td align="right" style="border-width: 1pt; border-style: none none solid; border-color: #000000;" valign="middle">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> 7.  </span>
    								</td>
    								<td style="border-width: 1pt; border-style: none solid solid none; border-color: #000000;">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
    										<span>
    											<label>
    												<span/>
    											</label>
    											<xsl:if test="true()">
    												<span>
    													<xsl:choose>
    														<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:PodatkuSpadkowDarowizn)),' '),  ' 1 ' )">
    															<span>☒</span>
    														</xsl:when>
    														<xsl:otherwise>
    															<span>☐</span>
    														</xsl:otherwise>
    													</xsl:choose>
    													<label>
    														<span>  </span>
    													</label>
    												</span>
    											</xsl:if>
    										</span>
    									</span>
    								</td>
    							</tr>
    							<tr>
    								<td colspan="2" style="padding-left: 10px; border-width: 1pt; border-style: none solid solid; border-color: #000000; background-color: #dfeded;">
    									<p>
    										<span style="font-family: arial,helvetica,sans-serif; font-size: small;">Podatku od gier<br/>
    										</span>
    									</p>
    								</td>
    								<td align="right" style="border-width: 1pt; border-style: none none solid; border-color: #000000;" valign="middle">
    									<p>
    										<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> 8.  </span>
    									</p>
    								</td>
    								<td style="border-width: 1pt; border-style: none solid solid none; border-color: #000000;">
    									<p>
    										<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
    											<span>
    												<label>
    													<span/>
    												</label>
    												<xsl:if test="true()">
    													<span>
    														<xsl:choose>
    															<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:PodatkuOdGier)),' '),  ' 1 ' )">
    																<span>☒</span>
    															</xsl:when>
    															<xsl:otherwise>
    																<span>☐</span>
    															</xsl:otherwise>
    														</xsl:choose>
    														<label>
    															<span>  </span>
    														</label>
    													</span>
    												</xsl:if>
    											</span>
    										</span>
    									</p>
    								</td>
    							</tr>
    							<tr>
    								<td colspan="2" style="padding-left: 10px; border-width: 1pt; border-style: none solid solid; border-color: #000000; background-color: #dfeded;">
    									<p>
    										<span style="font-size: small; font-family: arial,helvetica,sans-serif;">Podatku od produkcji okrętowej</span>
    									</p>
    								</td>
    								<td align="right" style="border-width: 1pt; border-style: none none solid; border-color: #000000;" valign="middle">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;">9.  </span>
    								</td>
    								<td style="border-width: 1pt; border-style: none solid solid none; border-color: #000000;">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
    										<span>
    											<label>
    												<span/>
    											</label>
    											<xsl:if test="true()">
    												<span>
    													<xsl:choose>
    														<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:PodatkuProdukcjiOkretowej)),' '),  ' 1 ' )">
    															<span>☒</span>
    														</xsl:when>
    														<xsl:otherwise>
    															<span>☐</span>
    														</xsl:otherwise>
    													</xsl:choose>
    													<label>
    														<span>  </span>
    													</label>
    												</span>
    											</xsl:if>
    										</span>
    									</span>
    								</td>
    							</tr>
    							<tr>
    								<td colspan="2" style="padding-left: 10px; border-width: 1pt; border-style: none solid solid; border-color: #000000; background-color: #dfeded;">
    									<p>
    										<span style="font-size: small; font-family: arial,helvetica,sans-serif;">Podatku tonażowego</span>
    									</p>
    								</td>
    								<td align="right" style="border-width: 1pt; border-style: none none solid; border-color: #000000;" valign="middle">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;">10.  </span>
    								</td>
    								<td style="border-width: 1pt; border-style: none solid solid none; border-color: #000000;">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
    										<span>
    											<label>
    												<span/>
    											</label>
    											<xsl:if test="true()">
    												<span>
    													<xsl:choose>
    														<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:PodatkuTonazowego)),' '),  ' 1 ' )">
    															<span>☒</span>
    														</xsl:when>
    														<xsl:otherwise>
    															<span>☐</span>
    														</xsl:otherwise>
    													</xsl:choose>
    													<label>
    														<span>  </span>
    													</label>
    												</span>
    											</xsl:if>
    										</span>
    									</span>
    								</td>
    							</tr>
    							<tr>
    								<td colspan="2" style="padding-left: 10px; border-width: 1pt; border-style: none solid solid; border-color: #000000; background-color: #dfeded;">
    									<p>
    										<span style="font-size: small; font-family: arial,helvetica,sans-serif;">Podatku od niektórych instytucji finansowych</span>
    									</p>
    								</td>
    								<td align="right" style="border-width: 1pt; border-style: none none solid; border-color: #000000;" valign="middle">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;">11.  </span>
    								</td>
    								<td style="border-width: 1pt; border-style: none solid solid none; border-color: #000000;">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
    										<span>
    											<label>
    												<span/>
    											</label>
    											<xsl:if test="true()">
    												<span>
    													<xsl:choose>
    														<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:PodatkuInstytucjiFinansowych)),' '),  ' 1 ' )">
    															<span>☒</span>
    														</xsl:when>
    														<xsl:otherwise>
    															<span>☐</span>
    														</xsl:otherwise>
    													</xsl:choose>
    													<label>
    														<span>  </span>
    													</label>
    												</span>
    											</xsl:if>
    										</span>
    									</span>
    								</td>
    							</tr>
    							<tr>
    								<td colspan="2" style="padding-left: 10px; border-width: 1pt; border-style: none solid solid; border-color: #000000; background-color: #dfeded;">
    									<p>
    										<span style="font-size: small; font-family: arial,helvetica,sans-serif;">Podatku od wydobycia niektórych kopalin</span>
    									</p>
    								</td>
    								<td align="right" style="border-width: 1pt; border-style: none none solid; border-color: #000000;" valign="middle">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;">12.  </span>
    								</td>
    								<td style="border-width: 1pt; border-style: none solid solid none; border-color: #000000;">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
    										<span>
    											<label>
    												<span/>
    											</label>
    											<xsl:if test="true()">
    												<span>
    													<xsl:choose>
    														<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:PodatkuWydobyciaKopalin)),' '),  ' 1 ' )">
    															<span>☒</span>
    														</xsl:when>
    														<xsl:otherwise>
    															<span>☐</span>
    														</xsl:otherwise>
    													</xsl:choose>
    													<label>
    														<span>  </span>
    													</label>
    												</span>
    											</xsl:if>
    										</span>
    									</span>
    								</td>
    							</tr>
    							<tr>
    								<td colspan="2" style="padding-left: 10px; border-width: 1pt; border-style: none solid solid; border-color: #000000; background-color: #dfeded;">
    									<p>
    										<span style="font-size: small; font-family: arial,helvetica,sans-serif;">Innych<span style="font-size: x-small;">
    											</span>:</span>
    									</p>
    								</td>
    								<td align="right" style="border-width: 1pt; border-style: none none solid; border-color: #000000;" valign="middle">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;">13.  </span>
    								</td>
    								<td style="border-width: 1pt; border-style: none solid solid none; border-color: #000000;">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
    										<span>
    											<label>
    												<span/>
    											</label>
    											<xsl:if test="true()">
    												<span>
    													<xsl:choose>
    														<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:InnychPodatkow)),' '),  ' 1 ' )">
    															<span>☒</span>
    														</xsl:when>
    														<xsl:otherwise>
    															<span>☐</span>
    														</xsl:otherwise>
    													</xsl:choose>
    													<label>
    														<span>  </span>
    													</label>
    												</span>
    											</xsl:if>
    										</span>
    									</span>
    								</td>
    							</tr>
    							<tr>
    								<td colspan="4">
    									<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:InneTytuly">
    										<xsl:if test="(../wnio:InnychPodatkow='1')">
    											<xsl:for-each select="wnio:OpisPodatku">
    												<xsl:if test="true()">
    													<table border="0" cellspacing="0" style="width: 100%;">
    														<tbody>
    															<tr>
    																<td colspan="2" style="border-width: 1pt; border-style: none solid solid; border-color: #000000; width: 50%;">
    																	<span style="font-family: arial,helvetica,sans-serif; font-size: small;">  <span>
    																			<label>
    																				<span/>
    																			</label>
    																			<xsl:if test="true()">
    																				<span>
    																					<xsl:value-of select="wnio:TytulPodatkowy"/>
    																				</span>
    																			</xsl:if>
    																		</span>
    																		<br/>
    																	</span>
    																</td>
    																<td align="right" style="border-width: 1pt; border-style: none none solid; border-color: #000000; width: 25%;" valign="middle">
    																	<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
    																		<span>
    																			<label>
    																				<span/>
    																			</label>
    																			<xsl:if test="true()">
    																				<span type="text">
    																					<xsl:value-of select="wnio:Lp"/>
    																				</span>
    																			</xsl:if>
    																		</span>.  <br/>
    																	</span>
    																</td>
    																<td style="border-width: 1pt; border-style: none solid solid none; border-color: #000000; width: 25%;">
    																	<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> </span>
    																</td>
    															</tr>
    														</tbody>
    													</table>
    												</xsl:if>
    											</xsl:for-each>
    										</xsl:if>
    									</xsl:for-each>
    								</td>
    							</tr>
    							<tr>
    								<td colspan="4" style="padding-left: 30px; background-color: #dfeded;">
    									<p>
    										<span style="font-size: medium; font-family: arial, helvetica, sans-serif;">3. Oświadczenia</span>
    									</p>
    								</td>
    							</tr>
    							<tr>
    								<td align="center" style="border-width: 1pt; border-style: solid; border-color: #000000;" valign="middle">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
    										<span>
    											<label>
    												<span/>
    											</label>
    											<xsl:if test="true()">
    												<span>
    													<xsl:choose>
    														<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:Oświadczenie)),' '),  ' 1 ' )">
    															<span>☒</span>
    														</xsl:when>
    														<xsl:otherwise>
    															<span>☐</span>
    														</xsl:otherwise>
    													</xsl:choose>
    													<label>
    														<span>  </span>
    													</label>
    												</span>
    											</xsl:if>
    										</span>
    									</span>
    								</td>
    								<td colspan="3" style="border-width: 1pt; border-style: solid solid solid none; border-color: #000000;">
    									<span style="font-family: arial,helvetica,sans-serif; font-size: small;">Oświadczam, że wartość przychodu wskazana w zeznaniu, o którym mowa w art. 27 ust. 1 ustawy z dnia 15 lutego 1992 r. o podatku dochodowym od osób prawnych, w poprzednim roku podatkowym przekroczyła równowartość 50 000 000 euro, przeliczonych na złote według średniego kursu euro ogłaszanego przez Narodowy Bank Polski w ostatnim dniu roboczym roku kalendarzowego poprzedzającego rok złożenia wniosku.</span>
    								</td>
    							</tr>
    							<tr>
    								<td colspan="4" style="padding-left: 30px; background-color: #dfeded;">
    									<p>
    										<span style="font-size: medium; font-family: arial, helvetica, sans-serif;">4. Osoba wyznaczona przez Wnioskodawcę do kontaktów roboczych<br/>
    										</span>
    									</p>
    								</td>
    							</tr>
    						</tbody>
    						<tbody>
    							<tr>
    								<td colspan="4">
    									<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:Osoba">
    										<xsl:if test="true()">
    											<table border="0" cellspacing="0" style="width: 100%;">
    												<tbody>
    													<tr>
    														<td align="left" style="border-width: 1pt; border-style: solid; border-color: #000000; width: 16%; background-color: #dfeded;">
    															<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> Imię</span>
    														</td>
    														<td align="left" style="border-width: 1pt; border-style: solid solid solid none; border-color: #000000; width: 18%; background-color: #dfeded;">
    															<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> Nazwisko</span>
    														</td>
    														<td align="left" style="border-width: 1pt; border-style: solid solid solid none; border-color: #000000; width: 16%; background-color: #dfeded;">
    															<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> Stanowisko</span>
    														</td>
    														<td align="left" style="border-width: 1pt; border-style: solid solid solid none; border-color: #000000; width: 16%; background-color: #dfeded;">
    															<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> Nr telefonu</span>
    															<br/>
    															<span style="font-family: arial,helvetica,sans-serif; font-size: small;">(komórkowy)</span>
    														</td>
    														<td align="left" style="border-width: 1pt; border-style: solid solid solid none; border-color: #000000; width: 16%; background-color: #dfeded;">
    															<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> Nr telefonu</span>
    															<br/>
    															<span style="font-family: arial,helvetica,sans-serif; font-size: small;">(stacjonarny)</span>
    														</td>
    														<td align="left" style="border-width: 1pt; border-style: solid solid solid none; border-color: #000000; width: 20%; background-color: #dfeded;">
    															<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> Adres e-mail</span>
    														</td>
    													</tr>
    													<tr>
    														<td align="left" style="border-width: 1pt; border-style: none solid solid; border-color: #000000;">
    															<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> <span>
    																	<label>
    																		<span/>
    																	</label>
    																	<xsl:if test="true()">
    																		<span type="text">
    																			<xsl:value-of select="wnio:Imie"/>
    																		</span>
    																	</xsl:if>
    																</span>
    															</span>
    														</td>
    														<td align="left" style="border-width: 1pt; border-style: none solid solid none; border-color: #000000;">
    															<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> <span>
    																	<label>
    																		<span/>
    																	</label>
    																	<xsl:if test="true()">
    																		<span type="text">
    																			<xsl:value-of select="wnio:Nazwisko"/>
    																		</span>
    																	</xsl:if>
    																</span>
    															</span>
    														</td>
    														<td align="left" style="border-width: 1pt; border-style: none solid solid none; border-color: #000000;">
    															<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> <span>
    																	<label>
    																		<span/>
    																	</label>
    																	<xsl:if test="true()">
    																		<span type="text">
    																			<xsl:value-of select="wnio:Stanowisko"/>
    																		</span>
    																	</xsl:if>
    																</span>
    															</span>
    														</td>
    														<td align="left" style="border-width: 1pt; border-style: none solid solid none; border-color: #000000;">
    															<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> <span>
    																	<label>
    																		<span/>
    																	</label>
    																	<xsl:if test="true()">
    																		<span type="text">
    																			<xsl:value-of select="wnio:Kontakt/wnio:Telefon"/>
    																		</span>
    																	</xsl:if>
    																</span>
    															</span>
    														</td>
    														<td align="left" style="border-width: 1pt; border-style: none solid solid none; border-color: #000000;">
    															<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> <span>
    																	<label>
    																		<span/>
    																	</label>
    																	<xsl:if test="true()">
    																		<span type="text">
    																			<xsl:value-of select="wnio:Kontakt/wnio:Faks"/>
    																		</span>
    																	</xsl:if>
    																</span>
    															</span>
    														</td>
    														<td align="left" style="border-width: 1pt; border-style: none solid solid none; border-color: #000000; width: 20%;">
    															<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> <span>
    																	<label>
    																		<span/>
    																	</label>
    																	<xsl:if test="true()">
    																		<span type="text">
    																			<xsl:value-of select="wnio:Kontakt/wnio:Email"/>
    																		</span>
    																	</xsl:if>
    																</span>
    															</span>
    														</td>
    													</tr>
    												</tbody>
    											</table>
    										</xsl:if>
    									</xsl:for-each>
    								</td>
    							</tr>
    							<tr>
    								<td colspan="4" style="padding-left: 30px; background-color: #dfeded;">
    									<p>
    										<span style="font-size: medium; font-family: arial, helvetica, sans-serif;">5. Dane kontaktowe osoby podpisującej wniosek<span style="font-size: x-small;">
    											</span>
    										</span>
    									</p>
    								</td>
    							</tr>
    							<tr>
    								<td colspan="4">
    									<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:Kontakt">
    										<xsl:if test="true()">
    											<table border="0" cellspacing="0" style="width: 100%;">
    												<tbody>
    													<tr>
    														<td align="left" style="border-width: 1pt; border-style: solid; border-color: #000000; width: 18%; background-color: #dfeded;">
    															<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> Nr telefonu</span>
    															<br/>
    															<span style="font-family: arial,helvetica,sans-serif; font-size: small;">(komórkowy)</span>
    														</td>
    														<td align="left" style="border-width: 1pt; border-style: solid solid solid none; border-color: #000000; width: 18%; background-color: #dfeded;">
    															<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> Nr telefonu</span>
    															<br/>
    															<span style="font-family: arial,helvetica,sans-serif; font-size: small;">(stacjonarny)</span>
    														</td>
    														<td style="border-width: 1pt; border-style: solid solid solid none; border-color: #000000; background-color: #dfeded;">
    															<span style="font-family: arial,helvetica,sans-serif; font-size: small;"> Adres e-mail</span>
    														 </td>
    													</tr>
    													<tr>
    														<td style="border-width: 1pt; border-style: none solid solid; border-color: #000000;"> <span>
    																<label>
    																	<span/>
    																</label>
    																<xsl:if test="true()">
    																	<span style="font-family: arial,helvetica,sans-serif; font-size: small;" type="text">
    																		<xsl:value-of select="wnio:Telefon"/>
    																	</span>
    																</xsl:if>
    															</span>
    														</td>
    														<td style="border-width: 1pt; border-style: none solid solid none; border-color: #000000;"> <span>
    																<label>
    																	<span/>
    																</label>
    																<xsl:if test="true()">
    																	<span style="font-family: arial,helvetica,sans-serif; font-size: small;" type="text">
    																		<xsl:value-of select="wnio:Faks"/>
    																	</span>
    																</xsl:if>
    															</span>
    														</td>
    														<td style="border-width: 1pt; border-style: none solid solid none; border-color: #000000;"> <span>
    																<label>
    																	<span/>
    																</label>
    																<xsl:if test="true()">
    																	<span style="font-family: arial,helvetica,sans-serif; font-size: small;" type="text">
    																		<xsl:value-of select="wnio:Email"/>
    																	</span>
    																</xsl:if>
    															</span>
    														</td>
    													</tr>
    												</tbody>
    											</table>
    										</xsl:if>
    									</xsl:for-each>
    								</td>
    							</tr>
    							<tr>
    								<td colspan="4" style="padding-left: 30px; background-color: #dfeded;">
    									<p>
    										<span style="font-size: medium; font-family: arial, helvetica, sans-serif;">6. Załączniki<br/>Możliwość dołączenia max 8 załączników, każdy do 500 MB.</span>
    									</p>
    								</td>
    							</tr>
    							<tr>
    								<td colspan="4" style="border-width: 1pt; border-style: solid solid none solid; border-color: #000000;">
    									<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:Zalaczniki">
    										<xsl:if test="true()">
    											<xsl:for-each select="str:Zalacznik">
    												<xsl:if test="true()">
    													<table border="0" cellspacing="0" style="width: 100%;">
    														<tbody>
    															<tr>
    																<td align="center" style="border-width: 1pt; border-style: none solid solid none; border-color: #000000; width: 50%;" valign="middle">
    																	<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
    																		<label>
    																			<span/>
    																		</label>
    																		<xsl:if test="true()">
    																			<span type="text">
    																				<xsl:value-of select="str:OpisZalacznika"/>
    																			</span>
    																		</xsl:if>
    																	</span>
    																</td>
    																<td align="left" style="border-width: 1pt; border-style: none none solid none; border-color: #000000; width: 45%;">
    																	<span style="font-family: arial,helvetica,sans-serif; font-size: small;" type="text">
    																		<xsl:value-of select="@rodzajZalacznika"/>.  <xsl:value-of select="str:DaneZalacznika/../@nazwaPliku"/>
    																	</span>
    																</td>
    															</tr>
    														</tbody>
    													</table>
    												</xsl:if>
    											</xsl:for-each>
    										</xsl:if>
    									</xsl:for-each>
    								</td>
    							</tr>
    						</tbody>
    					</table>
    					<p> </p>
    					<p>   </p>
    				</body>
    			</html>
    		</xsl:for-each>
    	</xsl:template>
    </xsl:stylesheet>