Model cerere autorizare Anexa 1.1 PRIMARIA CERERE ... - Ploiesti.ro
Model cerere autorizare Anexa 1.1 PRIMARIA CERERE ... - Ploiesti.ro
Model cerere autorizare Anexa 1.1 PRIMARIA CERERE ... - Ploiesti.ro
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<st<strong>ro</strong>ng>Model</st<strong>ro</strong>ng> <st<strong>ro</strong>ng>cerere</st<strong>ro</strong>ng> <st<strong>ro</strong>ng>autorizare</st<strong>ro</strong>ng> <st<strong>ro</strong>ng>Anexa</st<strong>ro</strong>ng> <st<strong>ro</strong>ng>1.1</st<strong>ro</strong>ng><br />
<st<strong>ro</strong>ng>PRIMARIA</st<strong>ro</strong>ng><br />
<st<strong>ro</strong>ng>CERERE</st<strong>ro</strong>ng><br />
_____ <st<strong>ro</strong>ng>autorizare</st<strong>ro</strong>ng> si<br />
inregistrare<br />
______ completare si<br />
modificare,inregistrare<br />
Primaria –nr. si data<br />
inregistrare<br />
___________________<br />
______<br />
Oficiul registrului<br />
comertului de pe langa<br />
tribunal-nr. si data<br />
inregistrare__________<br />
_____<br />
DOMNULE PRIMAR,<br />
1.Subsemnatu_____________________________________________________<br />
in calitate de ________________________________identificat cu BI/CI _______seria<br />
____________nr.__________________CIF(CNP)_________________________data si<br />
locul<br />
nasterii______________localitatea______________________judetul______________<br />
____tara____________________<br />
2.Cu domiciliul<br />
in:localitatea__________________________str._________________________<br />
_________________________nr._______bl.______sc._________et.______ap._______<br />
__judetul_________tara_________________________telefon____________________<br />
__fax________cetatenie_______________starea civila__________________________<br />
3.Resedinta in Romania(daca este cazul)_______________________________<br />
4.Prin____________________________________________________________<br />
CNP__________________________in calitate de ___________________________in<br />
temeiul Legii 300/2004 pentru <st<strong>ro</strong>ng>autorizare</st<strong>ro</strong>ng>a persoanelor fizice si asociatiilor familiale<br />
care desfasoara activitati in mod independent si Legii 26/1990 privind registrul<br />
comertului ,republicata cu modificarile ulterioare va solicit:<br />
4.1. _______eliberarea autorizatiei pentru desfasurarea de activitati<br />
economice,inregistrare la ORC si la Organul fiscal<br />
4.2. ______completarea /mpdoficarea si inregistrarea in ORC dupa cum<br />
urmeaza<br />
1.Forma de organizare: persoana fizica_____________ sau asociatie<br />
familiala______________<br />
2. Denumire firma___________________________________<br />
1
3. Sediul firmei :<br />
localitatea__________________________str._________________________________<br />
_________________________nr._______bl.______sc._________et.______ap._______<br />
__judetul______tara_________________________telefon_______________________<br />
fax________<br />
4. Obiect de activitate:<br />
ACTIVITATEA PRINCIPALA:<br />
Clasa CAEN<br />
_________________/______________________________________________________<br />
________________________________________________________________________<br />
_______________________________________________________________________<br />
Activitati secundare<br />
Clasa<br />
CAEN____________/_____________________________________________________<br />
________________________________________________________________________<br />
Clasa<br />
CAEN____________/_____________________________________________________<br />
________________________________________________________________________<br />
Clasa<br />
CAEN____________/_____________________________________________________<br />
________________________________________________________________________<br />
Clasa<br />
CAEN____________/_____________________________________________________<br />
________________________________________________________________________<br />
Activitati itinerante<br />
Clasa<br />
CAEN____________/_____________________________________________________<br />
________________________________________________________________________<br />
Locul de desfasurarea al activitatilor (inclusiv activitati itinerante in alte<br />
localitati):<br />
1. Sediul firmei__________<br />
2. Domiciliul consumatorului______________<br />
3. Alte sedii (adresa<br />
completa)____________________________________________________________<br />
________________________________________________________________________<br />
VII . Solicit inregistrarea fiscala cf. <st<strong>ro</strong>ng>Anexa</st<strong>ro</strong>ng> 6.2<br />
Modificari ale datelor inscrise in autorizatie<br />
________________________________________________________________________<br />
_______________________________________________________________________<br />
________________________________________________________________________<br />
_______________________________________________________________________<br />
2
In sustinerea cererii se depun actele mentionate in opisul de documente:<br />
Nr<br />
.<br />
Denumirea actului<br />
1. Cerere de verificare<br />
disponibilitate si /sau<br />
rezervare nume<br />
2. Cerere pentru obtinerea<br />
cazierului fiscal<br />
3. Declaratie tip pe p<strong>ro</strong>pria<br />
raspundere<br />
Nr.<br />
file<br />
Nr. Denumirea actului Nr<br />
.<br />
fil<br />
e<br />
10. Dovada plata taxe<br />
11.<br />
12.<br />
4. Declaratie tip de notorietate 13.<br />
5. Declaratie autentificata pe 14.<br />
p<strong>ro</strong>pria raspundere<br />
6. Copii de pe actele de<br />
15.<br />
identitate<br />
7. Certificate medicale 16.<br />
8. <st<strong>ro</strong>ng>Anexa</st<strong>ro</strong>ng> 6.1-reprezentat<br />
17.<br />
/membrii asociatiei familiale<br />
9. <st<strong>ro</strong>ng>Anexa</st<strong>ro</strong>ng> 6.2 –referitoarela<br />
inregistrarea fiscala<br />
18.<br />
Total file:<br />
XI Declar ca nu detin o alta autorizatie in calitate de persoana fizica si nu fac parte<br />
dintr-o alta asociatie familiala<br />
XII Anexele nr.________________________________fac parte integranta din<br />
prezenta <st<strong>ro</strong>ng>cerere</st<strong>ro</strong>ng>.<br />
Intocmita intr-un exemplar ,pe p<strong>ro</strong>pria raspundere ,cunoscand ca<br />
declaratiile inexacte sunt pedepsite conform legii.<br />
Data ,<br />
Semnatura,<br />
Domnului Primar al_________________________________<br />
3
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