ORDIN Nr. 90 Esalonare 2018 Doc

8/15/2019 ORDIN Nr. 90 Esalonare 2018 Doc

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ORDIN nr. 90 din 14 ianuarie 2016 pentru aprobarea conţinutului cererii de acordare a eşalonării la plată şi a documentelor juti!icati"e ane#ate

aceteia$ precum şi a %rocedurii de aplicare a acordării eşalonării la plată de către or&anul !ical central

'(I)'N)* +,'N-I+ N+-ION+/ D' +D(INI)R+R' I+/

%3I+)* (ONI)OR3 OII+ nr. 45 din 20 ianuarie 2016

Comenteaza legea

Având în vedere prevederile art. 187 alin. (2), ale art. 209 şi ale art. 352 alin. (8) din Legea nr.207/2015 privind Cd!l de pr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare, în te&ei!l prevederilr art. 11 alin. (3) din 't#rârea !vern!l!i nr. 520/2013 privind rganiarea şi$!n"*inarea Agen*iei +a*inale de Ad&ini%trare i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare,

preşedintele Agen*iei +a*inale de Ad&ini%trare i%"al# e&ite !rtr!l rdin-

ART. 1 (1) e apr# "n*in!t!l "ererii de a"rdare a eşaln#rii la plat# şi d"!&entele !%ti$i"ative aneate

a"e%teia, prev#!te în anea nr. 1. (2) e apr# r"ed!ra de apli"are a a"rd#rii eşaln#rii la plat# de "#tre rgan!l $i%"al "entral,prev#!t# în anea nr. 2. (3) Aneele nr. 1 şi 2 $a" parte integrant# din preent!l rdin. ART. 2

revederile preent!l!i rdin %e apli"# şi pentr! liga*iile $i%"ale pentr! "are a! $%t a"rdateeşaln#ri la plat# pân# la data intr#rii în vigare a a"e%t!ia.

ART. 3 ire"*ia general# de regle&entare a "le"t#rii "rean*elr !getare, ire"*ia general# de plani$i"are,&nitriare şi %inte#, ire"*ia general# de ad&ini%trare a &arilr "ntri!aili, ire"*ia general# dete4nlgia in$r&a*iei, dire"*iile generale reginale ale $inan*elr p!li"e, pre"!& şi rganele $i%"ale"entrale din %!rdinea a"e%tra vr d!"e la îndeplinire prevederile preent!l!i rdin. ART. 4

reent!l rdin %e p!li"# în nitr!l 6$i"ial al &âniei, artea

reşedintele Agen*iei +a*inale de Ad&ini%trare i%"al#, el!:te$an ia"n!

;!"!reşti, 1< ian!arie 201=. +r. 90.

ANEXA 1

C6+>+?@?L C de a"rdare a eşaln#rii la plat# şi d"!&entele !%ti$i"ative aneate a"e%teia

ART. 1 i%pi*ii privind "ererea de a"rdare a eşaln#rii la plat#

(1) şaln#rile la plat# a liga*iilr $i%"ale %e %li"it# de "#tre deitr în aa !nei "ereri dep!%ela regi%trat!ra rgan!l!i $i%"al "&petent, prev#!t la art. 30, 33, 35 %a!


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"!&ente !%ti$i"ative aneate "ererii de a"rdare a eşaln#rii la plat# (1) La "ererea de a"rdare a eşaln#rilr la plat# a liga*iilr $i%"ale %e aneea# !rtareled"!&ente- a) de"lara*ia pe prpria r#%p!ndere a deitr!l!i din "are %# reia%# "# n! %e a$l# %! in"iden*alegi%la*iei privind in%lven*a, "# n! %e a$l# în dilvare, ptrivit prevederilr legale în vigare, şi "#n! i %a!/%a %tailit r#%p!nderile/r#%p!nderea, ptrivit legi%la*iei privind in%lven*a, şi/%a! r#%p!nderea%lidar#, ptrivit prevederilr art. 25 şi 2= din legeB ) d"!&ente %a! in$r&a*ii relevante în %!%*inerea "ererii. (2) n "a!l per%anelr !ridi"e, la "ererea de a"rdare a eşaln#rilr la plat# a liga*iilr $i%"ale

%e aneea# şi !rtarele d"!&ente- a) "pia !lti&ei %it!a*ii $inan"iare an!aleB ) %it!a*ia în"a%#rilr şi pl#*ilr pe !lti&ele = l!ni anteriare datei dep!nerii "ererii de a"rdare aeşaln#rilr la plat# a liga*iilr $i%"aleB ") "pia !lti&ei alan*e de veri$i"areB d) prgra&!l de re%tr!"t!rare %a! de redre%are $inan"iar# %e&nat de repreentant!l legal al deitr!l!i,"are va "n*ine şi arg!&entarea p%iilit#*ii pl#*ilr pe periada %li"itat# la eşalnareB e) %it!a*ia privind indi"atrii rientativi şi alte in$r&a*ii. (3) n "a!l deitrilr prev#!*i la art. 193 alin. (3) din lege, la "ererea de a"rdare a eşaln#rilrla plat# a liga*iilr $i%"ale %e aneea# şi d"!&ente din "are %# re!lte regi&!l !ridi" al !n!rilr. (


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in$r&a*ii, &delele a"e%tr d"!&ente %!nt prev#!te în aneele nr. < şi 5. (5) entr! veri$i"area "ndi*iilr prev#!te la art. 20= alin. (3) lit. a) şi d)$) din lege, rgan!l$i%"al va %li"ita in$r&a*ii de la %ervi"iile/ir!rile/"&parti&entele "are le ge%tinea#. n a"e%t %en%,%ervi"iile/ir!rile/"&parti&entele vr "&pleta, în &d "re%p!n#tr, r!ri"ile din re$erat!l prev#!t înanea nr. =. (=) eitrii $#r# d&i"ili! $i%"al în &ânia pt ene$i"ia de înle%niri la plat# n!&ai da"# de%e&nea#!n î&p!terni"it, ptrivit art. 18 din lege. (7) n "a!l în "are deitr!l retrage "ererea de a"rdare a eşaln#rii la plat# pân# la e&itereade"iiei de eşalnare la plat# %a! a de"iiei de re%pingere, rgan!l $i%"al "&petent "&!ni"# deitr!l!i

de"iia prin "are %e ia a"t de retragerea "ererii de a"rdare a eşaln#rilr la plat# a liga*iilr$i%"ale, prev#!t# în anea nr. 7. (8) revederile alin. (7) %e apli"# şi în "a!l "ererilr dep!%e ptrivit art. 13 alin. (1) %a! art. 18,d!p# "a. ART. 3

lierarea "erti$i"at!l!i de ate%tare $i%"al# (1) !p# pri&irea "ererii de a"rdare a eşaln#rii la plat# a liga*iilr $i%"ale, rgan!l $i%"al"&petent veri$i"#- a) da"# "ererea "n*ine ele&entele prev#!te la art. 1 alin. (3) %a! (


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a) liga*iile $i%"ale r#&a%e ne%tin%e din înle%nirile la plat# a"rdate în aa a"telr nr&ative în&aterie de înle%niri la plat#. n "a!l deitrilr "are a! în$iin*ate %edii %e"!ndare înregi%trate $i%"al,ptrivit legii, %e în%"ri! liga*iile $i%"ale r#&a%e ne%tin%e ale deitr!l!i, pre"!& şi i&pit!l pevenit!l din %alarii, r#&a% ne%tin%, datrat de $ie"are dintre %ediile %ale %e"!ndare. A"e%te liga*ii n! %eîn%"ri! în "a!l elier#rii "erti$i"at!l!i de ate%tare $i%"al# pentr! &en*inerea valailit#*ii înle%nirii laplat#B ) %!&a ttal# din de"nt!l/de"nt!rile "! %! negativ# de @GA "! p*i!ne de ra&!r%are în "!r% de%l!*inare. e vr &en*ina liga*iile $i%"ale de nat!ra "elr prev#!te la %e"*i!nea A, a "#rr"&pen%are !r&ea# a $i înregi%trat# la data e&iterii de"iiei prin "are a $%t aprat# %!&a de ra&!r%atB

") liga*iile $i%"ale ei%tente în %ld la data elier#rii "erti$i"at!l!i de ate%tare $i%"al#, "!e"ep*ia "elr "are a! $#"!t ie"t!l eşaln#rii a "#rei valailitate a $%t pierd!t#, în "a!l"erti$i"atelr de ate%tare $i%"al# e&i%e în %"p!l &en*inerii valailit#*ii eşaln#rii la plat#B d) liga*ii $i%"ale ei%tente în %ld la data elier#rii "erti$i"at!l!i de ate%tare $i%"al# de a "#rrplat# depinde &en*inerea valailit#*ii înle%nirii la plat#, "! e"ep*ia "elr prev#!te la art. 195 alin.(1) şi (12) din lege, pre"!& şi a ratelr nea"4itate, în "a!l "erti$i"atelr de ate%tare $i%"al# e&i%e în%"p!l &di$i"#rii eşaln#rii la plat#. (=) La %e"*i!nea C, "are repreint# di$eren*a dintre liga*iile $i%"ale "!prin%e la %e"*i!nea A şiliga*iile $i%"ale "!prin%e la %e"*i!nea ;, %e în%"ri! liga*iile $i%"ale nete "e pt $a"e ie"t!lînle%nirilr la plat# %a! %!&e r#&a%e ne%tin%e "are a! $#"!t ie"t!l eşaln#rii %a! a&ân#rii la plat# a"#rr valailitate a $%t pierd!t#, în "a!l &en*inerii valailit#*ii înle%nirilr la plat#. A"e%tea %eindivid!aliea# pe $ie"are tip de i&pit, ta#, "ntri!*ie şi alte %!&e datrate !get!l!i general"n%lidat, in"l!%iv liga*iile $i%"ale a""e%rii. entr! deitrii "are a! în$iin*ate %edii %e"!ndareînregi%trate $i%"al ptrivit legii, %e în%"ri! liga*iile $i%"ale nete ale deitr!l!i, pre"!& şi i&pit!lpe venit!l din %alarii net datrat de $ie"are dintre %ediile %ale %e"!ndare. (7) n "a!l penalit#*ilr de întâriere %e în%"ri! %eparat "ele "e $a" ie"t!l eşaln#rii la plat# şi%eparat "ele "e $a" ie"t!l a&ân#rii la plat#. (8) +! %e în%"ri! în "erti$i"at!l de ate%tare $i%"al# %!&ele repreentând liga*ii $i%"ale %tailiteprin a"te ad&ini%trative $i%"ale a "#rr ee"!tare e%te %!%pendat# în "ndi*iile art. 1< şi 15 din Legea

"nten"i%!l!i ad&ini%trativ nr. 55


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prev#!te la art. 18= alin. (1) lit. a), ")e) şi alin. (2) din lege, pentr! !rtrii deitri- a) in%tit!*ii p!li"e, a%t$el "!& %!nt de$inite prin Legea nr. 500/2002 privind $inan*ele p!li"e, "!&di$i"#rile şi "&plet#rile !lteriare, şi prin Legea nr. 273/200= privind $inan*ele p!li"e l"ale, "!&di$i"#rile şi "&plet#rile !lteriare, d!p# "aB ) a!trit#*ile/%ervi"iile p!li"e a!tn&e în$iin*ate prin lege rgani"#B ") !nit#*ile şi in%tit!*iile de drept p!li" prev#!te la art. 7 din 6rdnan*a !vern!l!i nr. 57/2002privind "er"etarea ştiin*i$i"# şi devltarea te4nlgi"#, aprat# "! &di$i"#ri şi "&plet#ri prin Legeanr. 32


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a"per# valarea prev#!t# la alin. (


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liga*iile $i%"ale prin"ipale pentr! "are %a! "al"!lat a"e%tea %!nt %tin%e d!p# epirarea ter&en!l!i deplat# prev#!t la art. 15= alin. (1) din legeB ) a&ânarea la plat# în vederea red!"erii, ptrivit legii, în %it!a*ia în "are liga*iile $i%"aleprin"ipale pentr! "are %a! "al"!lat a"e%tea %!nt eşalnate la plat#. (12) eriada de eşalnare la plat# a liga*iilr $i%"ale %e %taileşte de rgan!l $i%"al "&petent în$!n"*ie de "!ant!&!l liga*iilr $i%"ale "are %e eşalnea# la plat# şi de "apa"itatea $inan"iar# de plat#a deitr!l!i. eriada de eşalnare la plat# a"rdat# n! pate $i &ai &are de"ât periada de eşalnare laplat# %li"itat# de deitr. (13) ata de eşalnare repreint# liga*ii $i%"ale prin"ipale şi/%a! liga*ii $i%"ale a""e%rii

eşalnate la plat#, in"l!%iv dânile datrate pe periada eşaln#rii la plat#, d!p# "a. C!ant!&!lliga*iilr $i%"ale eşalnate la plat# %e î&parte în &d egal pentr! $ie"are rat# de eşalnare. (1


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plat#, ptrivit art. 199 alin. (1) şi art. 208 alin. (


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(5) n "a!l în "are deitr!l re!ltat în !r&a !nei $!i!nii n! dep!ne d"!&entele prev#!te la alin.(1), în%# rgan!l $i%"al "&petent "n%tat# din $i"i! pera*i!nea de $!i!ne, în ter&en de 30 de ile de ladata "n%tat#rii, a"e%ta înştiin*ea# deitr!l "! privire la %!&ele "are tre!ie a"4itate, repreentândliga*ii $i%"ale prel!ate de la deitrii "are $!inea# şi n! ene$i"ia# de înle%niri la plat#.revederile alin. (3) şi (


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# "a. n a"e%t "a, gra$i"!l de eşalnare %e înt"&eşte pe n!r!l de l!ni r#&a%e din eşalnarea la plat#aprat# ini*ial, iar garan*iile "n%tit!ite pt $i înl"!ite %a! redi&en%inate, ptrivit art. 193 dinlege. (5) n %it!a*ia în "are pe periada de valailitate a înle%nirii la plat#, prin di%pitiv!l 4t#rârii!de"#treşti de$initive, in%tan*a re%pinge a"*i!nea deitr!l!i, în %en%!l "# &en*ine di%pi*iile a"t!l!iad&ini%trativ$i%"al prev#!t la alin. (1), "are a $#"!t ie"t!l di&in!#rii ptrivit alin. (


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&i"F, rgan!l $i%"al înt"&eşte re$erat!l FAF, "n$r& &del!l!i prev#!t în anea nr. 11, şi veri$i"#"ndi*iile de a"rdare a înle%nirilr la plat# de la %e"*i!nea A lit. a) şi d)i). n a"ea%t# %it!a*ie, n!%e "&pletea# %e"*i!nea ; Fate de anali#F. (


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"! nr. ...... din data de .............. I2), pre"!& şi Certi$i"at!l de ate%tare $i%"al# nr. ...... din datade ...............,JJJJJJJJJJ I2) n "a!l e&iterii din $i"i! n! %e "&pletea# in$r&a*iile re$eritare la "erere.JJJJJJJJJJ l!ând în "n%iderare "# %!nt îndeplinite "ndi*iile prev#!te de titl!l G "ap. G F nle%niri laplat#F din Legea nr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile!lteriare, %e e&ite !rtarea de"iie-

e a"rd# eşalnarea la plat# pe periad# de ..... l!ni a liga*iilr $i%"ale ei%tente în %ld ladata elier#rii "erti$i"at!l!i de ate%tare $i%"al#, în %! ttal# de ........., repreentând-

lei JJJJMJJJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJNO O O 6liga*ia $i%"al# OO O PJJJJJJJJJJJJJJJJJMJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJQO+r. Oen!&irea liga*ieiO O O 6liga*ii $i%"ale a""e%rii OO"rt.O $i%"ale O@tal, din "are- O6liga*ie PJJJJJJJJJJJMJJJJJJJJJJMJJJJJJJJJJJQO O O O $i%"al# Oar#ri deOenalit#*iOenalit#*i OO O O Oprin"ipal#Oîntâriere/O de O de OO O O O O âni OîntâriereOnede"larareOPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJQO 0 O 1 O2 S 3 T < T 5 T =O 3 O < O 5 O = OPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJQO 1. O O O O O O O

PJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJQO 2. O O O O O O OPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJQO 3. O O O O O O OPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJQO L6 ?;LC A+>A +A>6+ALD A+@A CALD ?nitatea $i%"al#I1) ......................... ervi"i!l/;ir!l/C&parti&ent!l .................. +r. ......./.............JJJJJJJJJJ I1) e &en*inea# den!&irea rgan!l!i $i%"al e&itent.JJJJJJJJJJ

CK de a&ânare la plat# a penalit#*ilr de întâriere şi a penalit#*ilr de nede"larare

atele de identi$i"are a atele de identi$i"are a "ntri!ail!l!i î&p!terni"it!l!i en!&irea/ en!&irea/ +!&ele şi pren!&ele ............. +!&ele şi pren!&ele ............... Adre%a- .................... Adre%a- .................... Cd!l de identi$i"are Cd!l de identi$i"are $i%"al# .................... $i%"al# ..................

n te&ei!l prevederilr titl!l!i G "ap. G Fnle%niri la plat#F din Legea nr. 207/2015 privind Cd!lde pr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare, şi ale 6rdin!l!i preşedintel!i Agen*iei+a*inale de Ad&ini%trare i%"al# nr. 90/201= pentr! aprarea "n*in!t!l!i "ererii de a"rdare a eşaln#riila plat# şi a d"!&entelr !%ti$i"ative aneate a"e%teia, pre"!& şi a r"ed!rii de apli"are a a"rd#riieşaln#rii la plat# de "#tre rgan!l $i%"al "entral, având în vedere Cererea nr. ....... din data de ..........., înregi%trat# la rgan!l $i%"al %!


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nr. ...... din data de ................I2) , pre"!& şi Certi$i"at!l de ate%tare $i%"al# nr. ........ dindata de ..............,JJJJJJJJJJ I2) n "a!l e&iterii din $i"i! n! %e "&pletea# in$r&a*iile re$eritare la "erere.JJJJJJJJJJ l!ând în "n%iderare "# %!nt îndeplinite "ndi*iile prev#!te de titl!l G "ap. G Fnle%niri la plat#Fdin Legea nr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare, %e e&ite !rtarea de"iie- e a"rd# a&ânarea la plat# a liga*iilr $i%"ale a""e%rii a$erente liga*iilr $i%"ale prin"ipale

eşalnate la plat#, în %! ttal# de ........ lei, repreentând-

lei JJJJMJJJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJMJJJJJJJJJJJJJJMJJJJJJJJJJJJJJNO+r. Oen!&irea liga*ieiOar#ri de Oenalit#*i de Oenalit#*i de OO"rt.O $i%"ale Oîntâriere O întâriere Onede"larareI3)OO O O (50E) O O OPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJRJJJJJJJJJJJJJJRJJJJJJJJJJJJJJQO 0 O 1 O 2 O 3 O < OPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJRJJJJJJJJJJJJJJRJJJJJJJJJJJJJJQO 1. O O O O OPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJRJJJJJJJJJJJJJJRJJJJJJJJJJJJJJQO 2. O O O O OPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJRJJJJJJJJJJJJJJRJJJJJJJJJJJJJJQO....O O O O OPJJJJUJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJRJJJJJJJJJJJJJJRJJJJJJJJJJJJJJQO@tal general O O O O

VJJJJJJJJJJJJJJJJJJJJJJJJJUJJJJJJJJJJJJUJJJJJJJJJJJJJJUJJJJJJJJJJJJJJWJJJJJJJJJJ I3) trivit art. 181 alin. (2) lit. ) din Legea nr. 207/2015, "! &di$i"#rile şi "&plet#rile!lteriare, la $inaliarea eşaln#rii la plat#, 75E din penalit#*ile de nede"larare, a$erente liga*iilr$i%"ale prin"ipale eşalnate la plat#, a&ânate la plat# %e pt red!"e la "ererea deitr!l!i, !r&ând "adi$eren*a de penalit#*i de nede"larare în "t# de 25E %# %e %ting# prin ri"e &dalitate prev#!t# de lege.JJJJJJJJJJ

&ptriva preentei de"iii %e pate $r&!la "nte%ta*ie, ptrivit prevederilr art. 2=8 şi 2=9 dinLegea nr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare, înter&en!l prev#!t de art. 270 al a"el!iaşi a"t nr&ativ, %! %an"*i!nea de"#derii. Cnte%ta*ia %e dep!ne largan!l $i%"al e&itent al de"iiei.

Cnd!"#tr!l !nit#*ii $i%"ale +!&ele şi pren!&ele ...................... e&n#t!ra şi şta&pila !nit#*ii ...........

+!r de peratr de date "! "ara"ter per%nal ............

ANEXA 3 la pr"ed!r#

+@?L +A+>L6 ?;LC A+>A +A>6+ALD A+@A CALD ?nitatea $i%"al#I1) ......................... ervi"i!l/;ir!l/C&parti&ent!l .................. +r. ......./.............JJJJJJJJJJ I1) e &en*inea# den!&irea rgan!l!i $i%"al e&itent.JJJJJJJJJJ

CK de re%pingere a "ererii de ..............I2)JJJJJJJJJJ I2) e &en*inea#, d!p# "a, a"rdare a eşaln#rii la plat#/&en*inere a valailit#*ii eşaln#rii laplat#/&di$i"are a de"iiei de eşalnare la plat# a liga*iilr $i%"ale.JJJJJJJJJJ

atele de identi$i"are a atele de identi$i"are a "ntri!ail!l!i î&p!terni"it!l!i en!&irea/ en!&irea/ +!&ele şi pren!&ele ............. +!&ele şi pren!&ele ............... Adre%a- .................... Adre%a- .................... Cd!l de identi$i"are Cd!l de identi$i"are $i%"al# .................... $i%"al# ..................

n te&ei!l prevederilr titl!l!i G "ap. G Fnle%niri la plat#F din Legea nr. 207/2015 privind Cd!lde pr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare, şi ale 6rdin!l!i preşedintel!i Agen*iei+a*inale de Ad&ini%trare i%"al# nr. 90/201= pentr! aprarea "n*in!t!l!i "ererii de a"rdare a eşaln#riila plat# şi a d"!&entelr !%ti$i"ative aneate a"e%teia, pre"!& şi a r"ed!rii de apli"are a a"rd#riieşaln#rii la plat# de "#tre rgan!l $i%"al "entral, având în vedere Cererea d!&neava%tr# nr. ....... din data de ........., înregi%trat# la rgan!l $i%"al"! nr. ........... din data de .................., pre"!& şi Certi$i"at!l de ate%tare $i%"al# nr. .......din data de ...........,


14/40


15/40

O 19.O alte "4elt!ieli (energie, "&!%tiil, O O O O O O O O O O O O O OO Otele$n et".) O O O O O O O O O O O O O OPJJJJRJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJJJQO 20.O i&pit pe pr$it, alte i&pite şi O O O O O O O O O O O O O OO Otae O O O O O O O O O O O O O OPJJJJRJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJJJQO 21.O ra&!r%#ri de "redite O O O O O O O O O O O O O OPJJJJRJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJJJQO 22.O pl#*i de dâni O O O O O O O O O O O O O O

PJJJJRJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJJJQO 23.O pl#*i de alte datrii O O O O O O O O O O O O O OPJJJJRJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJRJJJJJQO 2


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Cnd!"#tr!l !nit#*ii $i%"ale e&n#t!ra

A@

!%e&nat!l(a), ............., având $!n"*ia de ............. în "adr!lervi"i!l!i/;ir!l!i/C&parti&ent!l!i ............., "a !r&are a Cererii nr. ..... din data de ..........,

dep!%# de "ntri!ail!l ........., "d de identi$i"are $i%"al# .........., înregi%trat# la rgan!l $i%"al"! nr. ..... din data de ...........I2), a& "n%tatat "# a! $%t/n! a! $%t îndeplinite "ndi*iile prev#!tede art. 20= alin. (3) din Legea nr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, "! &di$i"#rile şi"&plet#rile !lteriare, şi de 6rdin!l preşedintel!i Agen*iei +a*inale de Ad&ini%trare i%"al# nr. 90/201=pentr! aprarea "n*in!t!l!i "ererii de a"rdare a eşaln#rii la plat# şi a d"!&entelr !%ti$i"ativeaneate a"e%teia, pre"!& şi a r"ed!rii de apli"are a a"rd#rii eşaln#rii la plat# de "#tre rgan!l $i%"al"entral, re%pe"tiv-JJJJJJJJJJ I2) n "a!l e&iterii din $i"i! n! %e "&pletea# in$r&a*iile re$eritare la "erere.JJJJJJJJJJ

JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJNO Cndi*ii de în"adrare în "ategria F"ntri!ail "! ri%" $i%"al &i"F Od!l de re%pe"tare aOO O "ndi*iilr OPJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJMJJJJJJJJJJQOa) +! are $apte în%"ri%e în "aier!l $i%"al. O \] a O \] +! O

PJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJQO) +i"i!n!l dintre ad&ini%tratri şi/%a! a%"ia*i n! a de*in!t, în O O OO!lti&ii 5 ani anteriri dep!nerii "ererii, "alitatea de ad&ini%tratr O O OO%a! a%"iat la per%ane !ridi"e "are a! $%t li"4idate %a! la "are a O \] a O \] +! OO$%t de"lanşat# pr"ed!ra in%lven*ei şi la "are a! r#&a% liga*ii O O OO$i%"ale nea"4itate. O O OPJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJQO") +! %e a$l# în ina"tivitate te&prar# în%"ri%# la regi%tr!l O O OO"&er*!l!i %a! în regi%tre *in!te de in%tan*e !de"#treşti "&petente.O \] a O \] +! OPJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJQOd) +! are liga*ii $i%"ale re%tante &ai ve"4i de = l!ni. O \] a O \] +! OPJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJQOe) +! a înregi%trat pierderi "ntaile în $ie"are an din !lti&ii 3 ani O O OO$i%"ali "n%e"!tivi. O \] a O \] +! OPJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJQO$) er%ana !ridi"# a $%t în$iin*at# de &ini&!& 12 l!ni anterir O \] a O \] +! OOdep!nerii "ererii. O O OVJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJUJJJJJJJJJJUJJJJJJJJJJW

ndeplinirea "ndi*iilr de &ai %!% e%te "erti$i"at# de !rtarele %ervi"ii/ir!ri/"&parti&ente $!rniare de in$r&a*ii-

e&n#t!r# ervi"i!/;ir!/C&parti&ent :e$ %ervi"i!/ir!/"&parti&ent, ..................... ..................... e&n#t!r# ervi"i!/;ir!/C&parti&ent :e$ %ervi"i!/ir!/"&parti&ent, .................... ..................... Aviat nt"&it :e$ %ervi"i!/ir!/"&parti&ent, ..................... .....................

ANEXA 7 la pr"ed!r#


CK prin "are %e ia a"t de retragerea "ererii .............I2)JJJJJJJJJJ I2) e &en*inea#, d!p# "a, tip!l "ererii- de a"rdare a eşaln#rii la plat# a liga*iilr $i%"ale,de &en*inere a înle%nirilr la plat#, de &di$i"are a de"iiilr de eşalnare/a&ânare la plat#.JJJJJJJJJJ

atele de identi$i"are a atele de identi$i"are a "ntri!ail!l!i î&p!terni"it!l!i en!&irea/ en!&irea/


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+!&ele şi pren!&ele ............. +!&ele şi pren!&ele ............... Adre%a- .................... Adre%a- .................... Cd!l de identi$i"are Cd!l de identi$i"are $i%"al# .................... $i%"al# ..................

n te&ei!l prevederilr titl!l!i G "ap. G Fnle%niri la plat#F din Legea nr. 207/2015 privind Cd!lde pr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare, şi ale 6rdin!l!i preşedintel!i Agen*iei

+a*inale de Ad&ini%trare i%"al# nr. 90/201= pentr! aprarea "n*in!t!l!i "ererii de a"rdare a eşaln#riila plat# şi a d"!&entelr !%ti$i"ative aneate a"e%teia, pre"!& şi a r"ed!rii de apli"are a a"rd#riieşaln#rii la plat# de "#tre rgan!l $i%"al "entral, având în vedere Cererea ...............I2) nr. ...... din data de ......., înregi%trat# la rgan!l$i%"al "! nr. ......... din data de .............,JJJJJJJJJJ I2) e &en*inea#, d!p# "a, tip!l "ererii- de a"rdare a eşaln#rii la plat# a liga*iilr $i%"ale,de &en*inere a înle%nirilr la plat#, de &di$i"are a de"iiilr de eşalnare/a&ânare la plat#.JJJJJJJJJJ pre"!& şi Cererea de retragere a "ererii d!&neava%tr# nr. ..... din data de ........., înregi%trat# largan!l $i%"al %! nr. ...... din data de ..............., a& l!at a"t de retragerea "ererii d!&neava%tr#.

Cnd!"#tr!l !nit#*ii $i%"ale +!&ele şi pren!&ele ...................... e&n#t!ra şi şta&pila !nit#*ii ..........


ANEXA 8 la pr"ed!r#


C@CA@ A@@A CALD

Ca !r&are a Cererii nr. ..... din data de ..........I2), %e "erti$i"# prin preenta "#-JJJJJJJJJJ

I2) n "a!l e&iterii din $i"i! n! %e "&pletea# in$r&a*iile re$eritare la "erere.JJJJJJJJJJ en!&irea/+!&ele şi pren!&ele ........... Adre%a- ..................... nregi%trat la regi%tr!l "&er*!l!i la nr. ....... Cd!l de identi$i"are $i%"al# ..............

A. 6liga*ii $i%"ale ei%tente în eviden*a rgan!l!i $i%"al "entral ig!rea# în eviden*a $i%"al# "! !rtarele liga*ii $i%"ale re%tante, pre"!& şi alte "rean*e !getareindivid!aliate în titl!ri ee"!trii e&i%e ptrivit legii şi ei%tente în eviden*a rgan!l!i $i%"al"&petent în vederea re"!per#rii, ei%tente în %ld la data elier#rii preent!l!i "erti$i"at de ate%tare$i%"al#I3)-JJJJJJJJJJ I3) n %it!a*ia apli"#rii art. 20= din Legea nr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, "!&di$i"#rile şi "&plet#rile !lteriare, %e &en*inea#, d!p# "a, şi liga*iile $i%"ale pentr! "are ladata dep!nerii "ererii n! %a î&plinit %"aden*a %a! ter&en!l de plat# prev#!t de lege.JJJJJJJJJJ

lei JJJJMJJJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJNO O O 6liga*ia $i%"al# OO O PJJJJJJJJJJJJJJJJJMJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJQO+r. Oen!&irea liga*ieiO O O 6liga*ii $i%"ale a""e%rii OO"rt.O $i%"ale O@tal, din "are- O6liga*ie PJJJJJJJJJJJMJJJJJJJJJJMJJJJJJJJJJJQO O O O $i%"al# Oar#ri deOenalit#*iOenalit#*i OO O O Oprin"ipal#Oîntâriere/O de O de OO O O O O âni OîntâriereOnede"larareOPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJQO 0 O 1 O2 S 3 T < T 5 T =O 3 O < O 5 O = OPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJQO 1. O O O O O O OPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJQO 2. O O O O O O OPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJQO 3. O O O O O O O

PJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJQO


18/40

PJJJJUJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJQO@tal general O O O O O OVJJJJJJJJJJJJJJJJJJJJJJJJJUJJJJJJJJJJJJJJJJJUJJJJJJJJJJUJJJJJJJJJJJUJJJJJJJJJJUJJJJJJJJJJJW

;. 6liga*ii de plat# "are n! pt $a"e ie"t!l eşaln#rii la plat#- a) 6liga*ii $i%"ale r#&a%e ne%tin%e din înle%nirile la plat# a"rdate prin e"iia de eşalnare laplat# nr. ..... din data de ............ şi e"iia de a&ânare la plat# nr. ........... din data

de ........., e&i%e în te&ei!l titl!l!i G "ap. G Fnle%niri la plat#F din Legea nr. 207/2015 privindCd!l de pr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare-

lei JJJJMJJJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJNO O O 6liga*ia $i%"al# OO O PJJJJJJJJJJJJJJJJJMJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJQO+r. Oen!&irea liga*ieiO O O 6liga*ii $i%"ale a""e%rii OO"rt.O $i%"ale O@tal, din "are- O6liga*ie PJJJJJJJJJJJMJJJJJJJJJJMJJJJJJJJJJJQO O O O $i%"al# Oar#ri deOenalit#*iOenalit#*i OO O O Oprin"ipal#Oîntâriere/O de O de OO O O O O âni OîntâriereOnede"larareOPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJQO 0 O 1 O2 S 3 T < T 5 T =O 3 O < O 5 O = OPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJQO 1. O O O O O O O

PJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJQO 2. O O O O O O OPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJQO 3. O O O O O O OPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJQO


19/40

JJJJMJJJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJNO O O 6liga*ia $i%"al# OO O PJJJJJJJJJJJJJJJJJMJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJQO+r. Oen!&irea liga*ieiO O O 6liga*ii $i%"ale a""e%rii OO"rt.O $i%"ale O@tal, din "are- O6liga*ie PJJJJJJJJJJJMJJJJJJJJJJMJJJJJJJJJJJQO O O O $i%"al# Oar#ri deOenalit#*iOenalit#*i OO O O Oprin"ipal#Oîntâriere/O de O de OO O O O O âni OîntâriereOnede"larareOPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJQ

O 0 O 1 O2 S 3 T < T 5 T =O 3 O < O 5 O = OPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJQO 1. O O O O O O OPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJQO 2. O O O O O O OPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJQO 3. O O O O O O OPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJQO


20/40

O ...O O O O O O O O OPJJJJUJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJJRJJJJJJJJJJJJRJJJJJJJJJJJJRJJJJJJJJJJJJRJJJJJJJJJJJJJQO@tal general O O O O O O O OVJJJJJJJJJJJJJJJJJJJJJJJJJUJJJJJJJJJJJJJJJJJUJJJJJJJJJJUJJJJJJJJJJJUJJJJJJJJJJJJUJJJJJJJJJJJJUJJJJJJJJJJJJUJJJJJJJJJJJJJW

reent!l "erti$i"at de ate%tare $i%"al# %e elierea# pentr! a"rdarea înle%nirilr la plat# a liga*iilr $i%"ale în "n$r&itate "! prevederiletitl!l!i G "ap. G Fnle%niri la plat#F din Legea nr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare, şi %epate !tilia 90 de ile de la data elier#rii. lierarea preent!l!i "erti$i"at de ate%tare $i%"al# n! e%te %!p!%# taei etra!di"iare de ti&r!.

Cnd!"#tr!l !nit#*ii $i%"ale

+!&ele şi pren!&ele ...................... e&n#t!ra şi şta&pila !nit#*ii ...........

ANEXA 9 la pr"ed!r#

+@?L +A+>L6 ?;LC A+>A +A>6+ALD A+@A CALD

?nitatea $i%"al#I1) ........................... ervi"i!l/;ir!l/C&parti&ent!l ................... +r. ....../........JJJJJJJJJJ I1) e &en*inea# den!&irea rgan!l!i $i%"al e&itent.JJJJJJJJJJ

C@CA@ A@@A CALD pentr! "ntri!ailii "are a! în$iin*ate %edii %e"!ndare înregi%trate $i%"al, ptrivit legii

Ca !r&are a Cererii nr. ..... din data de .......I2), %e "erti$i"# prin preenta "#-JJJJJJJJJJ I2) n "a!l e&iterii din $i"i! n! %e "&pletea# in$r&a*iile re$eritare la "erere.JJJJJJJJJJ

en!&irea/+!&ele şi pren!&ele.............. Adre%#- ...................................... nregi%trat la regi%tr!l "&er*!l!i la nr. ....... Cd!l de identi$i"are $i%"al# .................

A. 6liga*ii $i%"ale ei%tente în eviden*a rgan!l!i $i%"al "entral ig!rea# în eviden*a $i%"al# "! !rtarele liga*ii $i%"ale re%tante, pre"!& şi alte "rean*e !getareindivid!aliate în titl!ri ee"!trii e&i%e ptrivit legii şi ei%tente în eviden*a rgan!l!i $i%"al"&petent în vederea re"!per#rii, ei%tente în %ld la data elier#rii preent!l!i "erti$i"at de ate%tare$i%"al#I3)-JJJJJJJJJJ I3) n %it!a*ia apli"#rii art. 20= din Legea nr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, "!

&di$i"#rile şi "&plet#rile !lteriare, %e &en*inea#, d!p# "a, şi liga*iile $i%"ale pentr! "are ladata dep!nerii "ererii n! %a î&plinit %"aden*a %a! ter&en!l de plat# prev#!t de lege.JJJJJJJJJJ

A1. edi! prin"ipal-

lei JJJJMJJJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJNO+r. Oen!&irea liga*ieiO 6liga*ia $i%"al# OO"rt.O $i%"ale PJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJQO O O@tal, din "are-O6liga*ie $i%"al#O 6liga*ii $i%"ale a""e%rii OO O O O prin"ipal# PJJJJJJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJMJJJJJJJJJJJJJQO O O O Oar#ri de întâriere/Oenalit#*i deOenalit#*i deOO O O O O âni O întâriere O nede"larare OPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJRJJJJJJJJJJJJJQO 0 O 1 O 2 S 3T


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;. 6liga*ii de plat# "are n! pt $a"e ie"t!l eşaln#rii la plat#-

a) 6liga*ii $i%"ale r#&a%e ne%tin%e din înle%nirile la plat# a"rdate prin e"iia de eşalnare la plat# nr. ..... din datade ....... şi e"iia de a&ânare la plat# nr. .... din data de ......, e&i%e în te&ei!l titl!l!i G "ap. GFnle%niri la plat#F din Legea nr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, "! &di$i"#rile şi"&plet#rile !lteriare- a.1) edi! prin"ipal-

lei JJJJMJJJJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJNO+r. Oen!&irea liga*iei O 6liga*ia $i%"al# OO"rt.O $i%"ale PJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJQO O O@tal, din "are-O6liga*ie $i%"al#O 6liga*ii $i%"ale a""e%rii OO O O O prin"ipal# PJJJJJJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJMJJJJJJJJJJJJJQO O O O Oar#ri de întâriere/Oenalit#*i deOenalit#*i deOO O O O O âni O întâriere O nede"larare OPJJJJRJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJRJJJJJJJJJJJJJQO 0 O 1 O 2 S 3T


22/40

JJJJJJJJJJ

".1) edi! prin"ipal-

lei JJJJMJJJJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJNO+r. Oen!&irea liga*iei O 6liga*ia $i%"al# OO"rt.O $i%"ale PJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJQ

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JJJJJJJJJJ I1) e &en*inea# den!&irea rgan!l!i $i%"al e&itent.JJJJJJJJJJ

6CG;AL ?+ AC6 în"4eiat a%t#i, ...../.../...., la %edi!l !nit#*ii $i%"ale

!%e&nat!l(a), ......, având $!n"*ia de ...... în "adr!l ervi"i!l!i/;ir!l!i/C&parti&ent!l!i ......, a& pr"edat la"lari$i"area ne"n"rdan*elr ei%tente între %!&ele în%"ri%e în Cererea de a"rdare a eşaln#rilr la plat# nr. ...... dindata de ......, înregi%trat# la rgan!l $i%"al "! nr. ...... din data de ......, dep!%# de "ntri!ail!l ......, şi %!&ele

în%"ri%e în Certi$i"at!l de ate%tare $i%"al# nr. ....... din data de ....... . rept !r&are, a& "n%tatat "# ......I2)$ig!rea# în eviden*a $i%"al# "! !rtarele liga*ii $i%"ale "!prin%e în Certi$i"at!l de ate%tare $i%"al# nr. ...... dindata de .......,I3) "are vr $a"e ie"t!l înle%nirilr la plat#-JJJJJJJJJJ I2) e &en*inea# den!&irea/n!&ele şi pren!&ele "ntri!ail!l!i. I3) e &en*inea# n!r!l şi data "erti$i"at!l!i de ate%tare $i%"al# elierat d!p# p!nerea de a"rd a %!&elr.JJJJJJJJJJ

lei JJJJMJJJJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJNO+r. Oen!&irea liga*iei O 6liga*ia $i%"al# OO"rt.O $i%"ale PJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJQO O O@tal, din "are-O6liga*ie $i%"al#O 6liga*ii $i%"ale a""e%rii OO O O O prin"ipal# PJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJQO O O O Oar#ri deO enalit#*i de O enalit#*i de OO O O O Oîntâriere/O întâriere O nede"larare, OO O O O O âni O din "are- O din "are- OO O O O O PJJJJJJJJJMJJJJJJJJRJJJJJJJJJJMJJJJJJJJJQO O O O O OeşalnareOa&ânare O eşalnareO a&ânare OO O O O O Ola plat# Ola plat#O la plat# O la plat#OPJJJJRJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJJRJJJJJJJJJRJJJJJJJJRJJJJJJJJJJRJJJJJJJJJQ

O 0 O 1 O 2 S 3TL6 ?;LC A+>A +A>6+ALD A+@A CALD ?nitatea $i%"al#I1) ............... ervi"i!l/;ir!l/C&parti&ent!l ............ +r. ....../....... Aprat/data ............ Cnd!"#tr!l !nit#*ii $i%"ale, e&n#t!ra


A@ FAF

!%e&nat!l(a), ......., având $!n"*ia de ...... în "adr!l ervi"i!l!i/;ir!l!i/C&parti&ent!l!i ......., "a !r&are a Cererii nr. ....... din datade ......., dep!%# de "ntri!ail!l ........, "d de identi$i"are $i%"al# ......., înregi%trat# la rgan!l $i%"al "! nr. ...... din data de.......,I2), pre"!& şi a Certi$i"at!l!i de ate%tare $i%"al# nr. ...... din data de ......., a& pr"edat la veri$i"area îndeplinirii "ndi*iilrprev#!te de titl!l G "ap. G Fnle%niri la plat#F din Legea nr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile

!lteriare, şi de 6rdin!l preşedintel!i Agen*iei +a*inale de Ad&ini%trare i%"al# nr. 90/201= pentr! aprarea "n*in!t!l!i "ererii de a"rdare aeşaln#rii la plat# şi a d"!&entelr !%ti$i"ative aneate a"e%teia, pre"!& şi a r"ed!rii de apli"are a a"rd#rii eşaln#rii la plat# de "#trergan!l $i%"al "entral şi a& "n%tatat !rtarele-JJJJJJJJJJ I2) n "a!l e&iterii din $i"i! n! %e "&pletea# in$r&a*iile re$eritare la "erere.JJJJJJJJJJ

e"*i!nea A Cndi*ii de a"rdare a înle%nirilr la plat#

JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJNO Cndi*ii de a"rdare a înle%nirilr la plat# O d!l de re%pe"tare OO O a "ndi*iilr OPJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJMJJJJJJJJJJQOa) Are dep!%e tate de"lara*iile $i%"ale, "n$r& ve"tr!l!i $i%"al, la O \] O \] OOdata elier#rii "erti$i"at!l!i de ate%tare $i%"al#. O a O +! OPJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJQO) e a$l# în di$i"!ltate generat# de lip%a te&prar# de di%pniilit#*i O \] O \] OO#neşti. O a O +! OPJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJQO") Are "apa"itate $inan"iar# de plat# pe periada de eşalnare. O \] O \] OO O a O +! OPJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJQOd) +! %e a$l# în pr"ed!ra in%lven*ei. O \] O \] O

O O a O +! OPJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJQOe) +! %e a$l# în dilvare ptrivit prevederilr legale în vigare. O \] O \] OO O a O +! OPJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJQ


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O$) +! %a %tailit r#%p!nderea ptrivit legi%la*iei privind in%lven*a O \] O \] OOşi/%a! r#%p!nderea %lidar# ptrivit prevederilr art. 25 şi 2= din Legea O a O +! OOnr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, "! &di$i"#rile şi O O OO"&plet#rile !lteriare. rin e"ep*ie, da"# a"tele prin "are %a %tailitO O OOr#%p!nderea %!nt de$initive în %i%te&!l "#ilr ad&ini%trative şi !di"iareO O OOde ata", iar %!&a pentr! "are a $%t atra%# r#%p!nderea a $%t a"4itat#, O O OO"ndi*ia %e "n%ider# îndeplinit#. O O OPJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJQOg) A! $%t dep!%e d"!&entele !%ti$i"ative ne"e%are %l!*in#rii "ererii.O \] O \] OO O a O +! OPJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJQO4) Cererea de a"rdare a eşaln#rilr la plat# n! "n*ine liga*iile O \] O \] OO$i%"ale prev#!te la art. 18< alin. (=) şi (7) din Legea nr. 207/2015 O a O +! O

Oprivind Cd!l de pr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile O O OO!lteriare. O O OPJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJRJJJJJJJJJJQOi) Cererea şi d"!&entele a$erente n! preint# ni"i &di$i"are $a*# de O \] O \] OO"ndi*iile de a"rdare a înle%nirilr la plat# dintr "erere anteriar# O a O +! OO"are a $%t re%pin%#. O O OVJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJUJJJJJJJJJJUJJJJJJJJJJW

e"*i!nea ; ate de anali# e &en*inea# în "e "n%t# di$i"!ltatea generat# de lip%a te&prar# de di%pniilit#*i #neşti a "ntri!ail!l!i şi "apa"itatea $inan"iar# deplat# a a"e%t!ia pe periada de eşalnare.

e"*i!nea C Alte &en*i!ni ............................................

e"*i!nea Cn"l!ii a) e prp!ne re%pingerea pentr! neîndeplinirea "ndi*iilr prev#!te la %e"*i!nea A lit. ....... . ) e prp!ne re%pingerea ptrivit art. 18< alin. (=) lit. ...... şi/%a! alin. (7) din Legea nr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, "!&di$i"#rile şi "&plet#rile !lteriare, pentr! !rtarele liga*ii- ......... . ") e prp!ne aprarea eşaln#rii la plat# pe periad# de ........ l!ni, pentr! !rtarele liga*ii $i%"ale-

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O+r. Oen!&irea liga*iei O 6liga*ia $i%"al# OO"rt.O $i%"ale PJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJQO O O@tal, din "are-O6liga*ie $i%"al#O 6liga*ii $i%"ale a""e%rii OO O O O prin"ipal# PJJJJJJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJMJJJJJJJJJJJJJQO O O O Oar#ri de întâriere/Oenalit#*i deOenalit#*i deOO O O O O âni O întâriere O nede"larare OPJJJJRJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJRJJJJJJJJJJJJJQO 0 O 1 O 2 S 3T


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Adre%a- ............................................... Adre%a- ................................Cd!l de identi$i"are $i%"al# ......................... Cd!l de identi$i"are $i%"al# ..............

n te&ei!l prevederilr art. 192 alin. (L6 ?;LC A+>A +A>6+ALD A+@A CALD

?nitatea $i%"al#I1) ................. ervi"i!l/;ir!l/C&parti&ent!l ........... +r. ......../............JJJJJJJJJJ I1) e &en*inea# den!&irea rgan!l!i $i%"al e&itent.


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JJJJJJJJJJ

+:@+>A privind %tailirea valrii garan*iei în vederea înl"!irii %a! redi&en%in#rii a"e%teia

atele de identi$i"are a "ntri!ail!l!i atele de identi$i"are a î&p!terni"it!l!ien!&irea/+!&ele şi pren!&ele ......................... en!&irea/+!&ele şi pren!&ele ................

Adre%a- ............................................... Adre%a- ................................Cd!l de identi$i"are $i%"al# ......................... Cd!l de identi$i"are $i%"al# ..............

n te&ei!l prevederilr art. 193 alin. (18) din Legea nr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare,şi ale 6rdin!l!i preşedintel!i Agen*iei +a*inale de Ad&ini%trare i%"al# nr. 90/201= pentr! aprarea "n*in!t!l!i "ererii de a"rdare a eşaln#rii laplat# şi a d"!&entelr !%ti$i"ative aneate a"e%teia, pre"!& şi a r"ed!rii de apli"are a a"rd#rii eşaln#rii la plat# de "#tre rgan!l $i%"al"entral, având în vedere Cererea d!&neava%tr# nr. ...... din data de ......, înregi%trat# la rgan!l $i%"al "! nr. ...... din data de ......., v# "&!ni"#& !rtarele- 1. !&ele r#&a%e de plat# din înle%nirile la plat# a"rdate %!nt !rtarele- a)%!&e r#&a%e din eşalnarea la plat# a liga*iilr $i%"ale, în %! ttal# de ......, repreentând-

lei JJJJMJJJJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJNO+r. Oen!&irea liga*iei O 6liga*ia $i%"al# OO"rt.O $i%"ale PJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJQO O O@tal, din "are-O6liga*ie $i%"al#O 6liga*ii $i%"ale a""e%rii OO O O O prin"ipal# PJJJJJJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJMJJJJJJJJJJJJJQO O O O Oar#ri de întâriere/Oenalit#*i deOenalit#*i deOO O O O O âni O întâriere O nede"larare OPJJJJRJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJRJJJJJJJJJJJJJQO 0 O 1 O 2 S 3T


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la pr"ed!r#

+@?L +A+>L6 ?;LC A+>A +A>6+ALD A+@A CALD ?nitatea $i%"al#I1) ................................ ervi"i!l/;ir!l/C&parti&ent!l .................... +r. .........../...............

Aprat/data ............

Cnd!"#tr!l !nit#*ii $i%"ale, e&n#t!ra

A@ F;F

!%e&nat!l (a), ..................., având $!n"*ia de ................. în "adr!l ervi"i!l!i/;ir!l!i/C&parti&ent!l!i .........................., "a !r&are a Cererii nr. ............. din data de .............., dep!%# de "ntri!ail!l .................., "d de identi$i"are $i%"al# ......................, înregi%trat# la rgan!l $i%"al "! nr. ............. din data de ..................I2), pre"!& şi a Certi$i"at!l!i de ate%tare $i%"al# nr. ............... din data de ............., a& pr"edat la veri$i"area îndeplinirii "ndi*iilr prev#!te de titl!l G "ap. G Fnle%niri la plat#F din Legea nr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare, şi de 6rdin!l preşedintel!i Agen*iei +a*inale de Ad&ini%trare i%"al# nr. 90/201= pentr! aprarea "n*in!t!l!i "ererii de a"rdare a eşaln#rii la plat# şi a d"!&entelr !%ti$i"ative aneate a"e%teia, pre"!& şi a r"ed!rii de apli"are a a"rd#rii eşaln#rii la plat# de "#tre rgan!l $i%"al "entral şi a& "n%tatat !rtarele- e"*i!nea A Cndi*ii de a"rdare a înle%nirilr la plat#/&en*inere a valailit#*ii eşaln#rii la plat#/&di$i"are a de"iiei de eşalnare la plat# a liga*iilr $i%"ale-

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Oa) Are dep!%e tate de"lara*iile $i%"ale, "n$r& ve"tr!l!i $i%"al,O \] O \] O Ola data elier#rii "erti$i"at!l!i de ate%tare $i%"al#. O a O +! OPJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJRJJJJJJJJJQ

O) e a$l# în di$i"!ltate generat# de lip%a te&prar# de O \] O \] O Odi%pniilit#*i #neşti. O a O +! OPJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJRJJJJJJJJJQ

O") Are "apa"itate $inan"iar# de plat# pe periada de eşalnare. O \] O \] O O O a O +! OPJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJRJJJJJJJJJQ

Od) A "n%tit!it garan*ia "n$r& prevederilr legaleI3). O \] O \] O O O a O +! OPJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJRJJJJJJJJJQ

Oe) +! %e a$l# în pr"ed!ra in%lven*ei. O \] O \] O O O a O +! OPJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJRJJJJJJJJJQ

O$) +! %e a$l# în dilvare ptrivit prevederilr legale în vigare. O \] O \] O O O a O +! OPJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJRJJJJJJJJJQ

Og) +! %a %tailit r#%p!nderea ptrivit legi%la*iei privind O \] O \] O Oin%lven*a şi/%a! r#%p!nderea %lidar# ptrivit prevederilr art. 25O a O +! O Oşi 2= din Legea nr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, O O O O"! &di$i"#rile şi "&plet#rile !lteriare. rin e"ep*ie, da"# O O O Oa"tele prin "are %a %tailit r#%p!nderea %!nt de$initive în O O O O%i%te&!l "#ilr ad&ini%trative şi !di"iare de ata", iar %!&a pentr!O O O O"are a $%t atra%# r#%p!nderea a $%t a"4itat#, "ndi*ia %e O O O O"n%ider# îndeplinit#. O O O

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Oi) Cererea de a"rdare a eşaln#rilr la plat# n! "n*ine O \] O \] O Oliga*iile $i%"ale prev#!te la art. 18< alin. (=) şi (7) din O a O +! O OLegea nr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, O O O O"! &di$i"#rile şi "&plet#rile !lteriare. O O OPJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJRJJJJJJJJJQ

O) Cererea şi d"!&entele a$erente n! preint# ni"i &di$i"are $a*#O \] O \] O Ode "ndi*iile de a"rdare a înle%nirilr la plat# dintr "erere O a O +! O Oanteriar# "are a $%t re%pin%#. O O OPJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJRJJJJJJJJJQ

OH) şalnarea la plat# şia pierd!t valailitatea %ing!r# dat#I


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$i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare, în ter&en!l prev#!t de art. 270 al a"el!iaşi a"t nr&ativ, %! %an"*i!nea de"#derii. Cnte%ta*ia%e dep!ne la rgan!l $i%"al e&itent al de"iiei. etaliile re$eritare la &d!l de "al"!l al %!&elr repreentând liga*ii $i%"ale a""e%rii %e a$l# în ane#.

Cnd!"#tr!l !nit#*ii $i%"ale .............................

+!r de peratr de date "! "ara"ter per%nal .....................................

A+^D la anea nr. 15 la pr"ed!r#

Anea la e"iia nr. ....... din data de .........

lei JJJJMJJJJJJJJJJJJJJJJJJJJMJJJJJJJJJMJJJJJJJJMJJJJJJJJJJJMJJJJMJJJJMJJJJJJJJJJJJJJN OCd O"!&ent!l prin "areOCategriaOeriadaO!&a r#&a%#OKileOCtaO!&a liga*ieO O O%a individ!aliat Ode %! O Ode plat#I1)O OI2) O $i%"al# O O O%!&a de plat# O O O O O O a""e%rie O PJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJRJJJJJJJJRJJJJJJJJJJJRJJJJRJJJJRJJJJJJJJJJJJJJQ O O O O O O O O O PJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJRJJJJJJJJRJJJJJJJJJJJRJJJJRJJJJRJJJJJJJJJJJJJJQ O O O O O O O O O PJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJRJJJJJJJJRJJJJJJJJJJJRJJJJRJJJJRJJJJJJJJJJJJJJQ O O O O O O O O O VJJJJUJJJJJJJJJJJJJJJJJJJJUJJJJJJJJJUJJJJJJJJUJJJJJJJJJJJUJJJJUJJJJUJJJJJJJJJJJJJJW

JJJJJJJJJJ I1) e vr &en*ina %!&ele din rata de eşalnare a"4itat# "! întâriere/%!&ele din înştiin*area de plat#/%!&ele r#&a%e de plat# din eşalnareaa"rdat# în "a!l pierderii valailit#*ii a"e%teia. I2) +ivel!l penalit#*ii %e %taileşte "n$r& art. 198 alin. (2) %a! art. 199 alin. (3), d!p# "a, din Legea nr. 207/2015 privind Cd!l depr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare, iar nivel!l dânii %e %taileşte ptrivit art. 15< din a"elaşi a"t nr&ativ.JJJJJJJJJJ

ANEXA 16 la pr"ed!r#

+@?L +A+>L6 ?;LC

A+>A +A>6+ALD A+@A CALD ?nitatea $i%"al#I1) ........................... ervi"i!l/;ir!l/C&parti&ent!l ............... +r. .........../...............JJJJJJJJJJ I1) e &en*inea# den!&irea rgan!l!i $i%"al e&itent.JJJJJJJJJJ

CK de $inaliare a eşaln#rii la plat# a liga*iilr $i%"ale

atele de identi$i"are a "ntri!ail!l!i atele de identi$i"are a î&p!terni"it!l!i en!&irea/+!&ele şi pren!&ele ........... en!&irea/+!&ele şi pren!&ele .......... Adre%a- ................................. Adre%a- ................................ Cd!l de identi$i"are $i%"al# ........... Cd!l de identi$i"are $i%"al# ..........

n te&ei!l prevederilr art. 19< alin. (3) din Legea nr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare,şi ale 6rdin!l!i preşedintel!i Agen*iei +a*inale de Ad&ini%trare i%"al# nr. 90/201= pentr! aprarea "n*in!t!l!i "ererii de a"rdare a eşaln#rii laplat# şi a d"!&entelr !%ti$i"ative aneate a"e%teia, pre"!& şi a r"ed!rii de apli"are a a"rd#rii eşaln#rii la plat# de "#tre rgan!l $i%"al"entral, v# "&!ni"#& "# eşalnarea la plat#, aprat# prin e"iia de eşalnare la plat# a liga*iilr $i%"ale nr. .............. din datade ............., a $%t $inaliat# la data de ..................., într!"ât %!&ele eşalnate la plat# a! $%t %tin%e în ttalitate şi a! $%t

re%pe"tate "ndi*iile de &en*inere a valailit#*ii eşaln#rii la plat# prev#!te la art. 19< alin. (1) din Legea nr. 207/2015 privind Cd!l depr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare. Cn%e"in*ele $inali#rii eşaln#rii la plat#- .............................................................. en*i!ni privind a!dierea "ntri!ail!l!i- .............................................................. &ptriva preentei de"iii %e pate $r&!la "nte%ta*ie, ptrivit prevederilr art. 2=8 şi 2=9 din Legea nr. 207/2015 privind Cd!l de pr"ed!r#$i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare, în ter&en!l prev#!t de art. 270 al a"el!iaşi a"t nr&ativ, %! %an"*i!nea de"#derii. Cnte%ta*ia%e dep!ne la rgan!l $i%"al e&itent al de"iiei.

Cnd!"#tr!l !nit#*ii $i%"ale +!&ele şi pren!&ele ........................ e&n#t!ra şi şta&pila !nit#*ii .............



+@?L +A+>L6 ?;LC A+>A +A>6+ALD A+@A CALD ?nitatea $i%"al#I1) ......................... ervi"i!l/;ir!l/C&parti&ent!l ............. +r. .........../...............JJJJJJJJJJ I1) e &en*inea# den!&irea rgan!l!i $i%"al e&itent.

JJJJJJJJJJ

CK de an!lare a penalit#*ilr de întâriere a&ânate la plat#


n te&ei!l prevederilr art. 208 alin. (3) din Legea nr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare,şi ale 6rdin!l!i preşedintel!i Agen*iei +a*inale de Ad&ini%trare i%"al# nr. 90/201= pentr! aprarea "n*in!t!l!i "ererii de a"rdare a eşaln#rii laplat# şi a d"!&entelr !%ti$i"ative aneate a"e%teia, pre"!& şi a r"ed!rii de apli"are a a"rd#rii eşaln#rii la plat# de "#tre rgan!l $i%"al"entral, v# "&!ni"#& "# %!&a de ....................lei, repreentând penalit#*i de întâriere şi, d!p# "a, 50E din &ar#ri de întâriere, a$erenteliga*iilr $i%"ale prin"ipale eşalnate la plat#, a&ânat# la plat# prin e"iia nr. .............. din data de ............., %e an!lea# la datade ............, într!"ât a! $%t re%pe"tate "ndi*iile de &en*inere a valailit#*ii eşaln#rii la plat# prev#!te de titl!l G "ap. G Fnle%niri laplat#F din Legea nr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare. en*i!ni privind a!dierea "ntri!ail!l!i- ...................................................... &ptriva preentei de"iii %e pate $r&!la "nte%ta*ie, ptrivit prevederilr art. 2=8 şi 2=9 din Legea nr. 207/2015 privind Cd!l de pr"ed!r#$i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare, în ter&en!l prev#!t de art. 270 al a"el!iaşi a"t nr&ativ, %! %an"*i!nea de"#derii. Cnte%ta*ia%e dep!ne la rgan!l $i%"al e&itent al de"iiei.

Cnd!"#tr!l !nit#*ii $i%"ale +!&ele şi pren!&ele ............................ e&n#t!ra şi şta&pila !nit#*ii ...............

+!r de peratr de date "! "ara"ter per%nal .........................................


31/40


+@?L +A+>L6 ?;LC A+>A +A>6+ALD A+@A CALD ?nitatea $i%"al#1 ....................... ervi"i!l/;ir!l/C&parti&ent!l ......... +r. .........../...............JJJJJJJJJJ I1) e &en*inea# den!&irea rgan!l!i $i%"al e&itent.JJJJJJJJJJ

CK de red!"ere a penalit#*ilr de nede"larare a&ânate la plat#

atele de identi$i"are a "ntri!ail!l!i atele de identi$i"are a î&p!terni"it!l!i en!&irea/+!&ele şi pren!&ele ........... en!&irea/+!&ele şi pren!&ele .......... Adre%a- ................................ Adre%a- ................................ Cd!l de identi$i"are $i%"al# ........... Cd!l de identi$i"are $i%"al# ..........

n te&ei!l prevederilr art. 181 alin. (2) lit. ) din Legea nr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile!lteriare, şi ale 6rdin!l!i preşedintel!i Agen*iei +a*inale de Ad&ini%trare i%"al# nr. 90/201= pentr! aprarea "n*in!t!l!i "ererii de a"rdare aeşaln#rii la plat# şi a d"!&entelr !%ti$i"ative aneate a"e%teia, pre"!& şi a r"ed!rii de apli"are a a"rd#rii eşaln#rii la plat# de "#trergan!l $i%"al "entral şi ale Cererii d!&neava%tr# nr. ..................... din datade .............................................................., v# "&!ni"#& "# %!&a de .................... lei, repreentând penalit#*i de nede"larare, a$erente liga*iilr $i%"ale prin"ipale eşalnate laplat#, a&ânat# la plat# prin e"iia nr. .............. din data de ............., %e red!"e "! 75E, re%pe"tiv %!&a de ................, la datade ............, într!"ât a! $%t re%pe"tate "ndi*iile de &en*inere a valailit#*ii eşaln#rii la plat# prev#!te de titl!l G "ap. G Fnle%niri laplat#F din Legea nr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare. i$eren*a de penalit#*i de nede"larare în "t# de 25E %e a"4it# în ter&en!l prev#!t la art. 15= alin. (1) din Legea nr. 207/2015, "! &di$i"#rileşi "&plet#rile !lteriare, re%pe"tiv- pân# la data de 5 a l!nii !rtare in"l!%iv, da"# data "&!ni"#rii preentei de"iii e%te "!prin%# în interval!l 115 din l!n#B pân# la data de 20 a l!nii !rtare in"l!%iv, da"# data "&!ni"#rii preentei de"iii e%te "!prin%# în interval!l 1=31 din l!n#. en*i!ni privind a!dierea "ntri!ail!l!i- ................................................................. &ptriva preentei de"iii %e pate $r&!la "nte%ta*ie, ptrivit prevederilr art. 2=8 şi 2=9 din Legea nr. 207/2015 privind Cd!l de pr"ed!r#

$i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare, în ter&en!l prev#!t de art. 270 al a"el!iaşi a"t nr&ativ, %! %an"*i!nea de"#derii. Cnte%ta*ia%e dep!ne la rgan!l $i%"al e&itent al de"iiei.

Cnd!"#tr!l !nit#*ii $i%"ale +!&ele şi pren!&ele .............................. e&n#t!ra şi şta&pila !nit#*ii .................

+!r de peratr de date "! "ara"ter per%nal ...................


+@?L +A+>L6 ?;LC A+>A +A>6+ALD A+@A CALD ?nitatea $i%"al#I1) ...................... ervi"i!l/;ir!l/C&parti&ent!l .......... +r. .........../...............JJJJJJJJJJ I1) e &en*inea# den!&irea rgan!l!i $i%"al e&itent.JJJJJJJJJJ

CK de "n%tatare a pierderii valailit#*ii eşaln#rii la plat# a liga*iilr $i%"ale


n te&ei!l prevederilr art. 199 alin. (1) din Legea nr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare,şi ale 6rdin!l!i preşedintel!i Agen*iei +a*inale de Ad&ini%trare i%"al# nr. 90/201= pentr! aprarea "n*in!t!l!i "ererii de a"rdare a eşaln#rii laplat# şi a d"!&entelr !%ti$i"ative aneate a"e%teia, pre"!& şi a r"ed!rii de apli"are a a"rd#rii eşaln#rii la plat# de "#tre rgan!l $i%"al"entral, v# "&!ni"#& "# eşalnarea la plat#, aprat# prin e"iia de eşalnare la plat# a liga*iilr $i%"ale nr. ................... din datade ....................., şia pierd!t valailitatea în"epând "! data de ............... . !&a r#&a%# de plat# din eşalnare e%te în "!ant!& de .................... . tivele de $apt pentr! "are %a "n%tatat pierderea valailit#*ii eşaln#rii la plat# a liga*iilr $i%"ale- ................................................................... @e&ei!l de drept- ................................................................... Cn%e"in*ele pierderii valailit#*ii eşaln#rii la plat# a liga*iilr $i%"ale- ................................................................... en*i!ni privind a!dierea "ntri!ail!l!i- ................................................................... &ptriva preentei de"iii %e pate $r&!la "nte%ta*ie, ptrivit prevederilr art. 2=8 şi 2=9 din Legea nr. 207/2015 privind Cd!l de pr"ed!r#$i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare, în ter&en!l prev#!t de art. 270 al a"el!iaşi a"t nr&ativ, %! %an"*i!nea de"#derii. Cnte%ta*ia%e dep!ne la rgan!l $i%"al e&itent al de"iiei.




+@?L +A+>L6 ?;LC A+>A +A>6+ALD A+@A CALD ?nitatea $i%"al#I1) ...................... ervi"i!l/;ir!l/C&parti&ent!l .......... +r. .........../...............JJJJJJJJJJ I1) e &en*inea# den!&irea rgan!l!i $i%"al e&itent.JJJJJJJJJJ

CK de pierdere a valailit#*ii a&ân#rii la plat# a penalit#*ilr de întâriere şi a penalit#*ilr de nede"larare

atele de identi$i"are a "ntri!ail!l!i atele de identi$i"are a î&p!terni"it!l!i en!&irea/+!&ele şi pren!&ele ........... en!&irea/+!&ele şi pren!&ele ............. Adre%a- ................................. Adre%a- ................................... Cd!l de identi$i"are $i%"al# ........... Cd!l de identi$i"are $i%"al# .............


32/40

n te&ei!l prevederilr art. 208 alin. (L6 ?;LC A+>A +A>6+ALD A+@A CALD ?nitatea $i%"al#I1) ..................... ervi"i!l/;ir!l/C&parti&ent!l ......... +r. .........../...............JJJJJJJJJJ I1) e &en*inea# den!&irea rgan!l!i $i%"al e&itent.JJJJJJJJJJ

CK de &en*inere a valailit#*ii eşaln#rii la plat# a liga*iilr $i%"ale

atele de identi$i"are a "ntri!ail!l!i atele de identi$i"are a î&p!terni"it!l!i en!&irea/+!&ele şi pren!&ele ........... en!&irea/+!&ele şi pren!&ele ........... Adre%a- ................................. Adre%a- ................................. Cd!l de identi$i"are $i%"al# ........... Cd!l de identi$i"are $i%"al# ...........

n te&ei!l prevederilr art. 200 alin. (1) din Legea nr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare, având în vedere Cererea d!&neava%tr# nr. ......... din data de ............, înregi%trat# la rgan!l $i%"al "! nr. ................... din data de.........................., Certi$i"at!l de ate%tare $i%"al# nr. ........... din data de ...................., pre"!& şi e"iia de eşalnare la plat#nr. ................ din data de ............., l!ând în "n%iderare "# %!nt îndeplinite "ndi*iile prev#!te de titl!l G "ap. G Fnle%niri la plat#F din Legea nr. 207/2015 privind Cd!l depr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare, şi *inând "nt de prevederile art. 50 din Legea nr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare,

%e e&ite !rtarea de"iie-

1. e &en*ine valailitatea eşaln#rii la plat# a"rdate prin e"iia de eşalnare la plat# nr. ................ din data de ............. pe periad# de ....... l!ni a liga*iilr $i%"ale ei%tente în %ld la data elier#rii "erti$i"at!l!i de ate%tare $i%"al#, în %! ttal#

de ..................., repreentând-

lei JJJJMJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJN

O+r. Oen!&irea O 6liga*ia $i%"al# O O"rt.Oliga*ieiO O O O$i%"ale PJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJQ O O O @tal, O6liga*ie $i%"al#O 6liga*ii $i%"ale a""e%rii O O O O din "are- O prin"ipal# PJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJMJJJJJJJJJJJJJQ O O O O O ar#ri de Oenalit#*i deOenalit#*i deO O O O O Oîntâriere/âniO întâriere O nede"larare O PJJJJRJJJJJJJJJJRJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJRJJJJJJJJJJJJJQ O 0 O 1 O 2 S 3 T < T 5 T =O 3 O < O 5 O = O PJJJJRJJJJJJJJJJRJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJRJJJJJJJJJJJJJQ O 1.O O O O O O O PJJJJRJJJJJJJJJJRJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJRJJJJJJJJJJJJJQ O 2.O O O O O O O

PJJJJRJJJJJJJJJJRJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJRJJJJJJJJJJJJJQ O 3.O O O O O O O PJJJJRJJJJJJJJJJRJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJRJJJJJJJJJJJJJQ O


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e&n#t!ra şi şta&pila !nit#*ii ...........




?nitatea $i%"al#I1) ...................... ervi"i!l/;ir!l/C&parti&ent!l .......... +r. .........../...............JJJJJJJJJJ I1) e &en*inea# den!&irea rgan!l!i $i%"al e&itent.JJJJJJJJJJ

CK de &en*inere a valailit#*ii a&ân#rii la plat# a penalit#*ilr de întâriere şi a penalit#*ilr de nede"larare

atele de identi$i"are a "ntri!ail!l!i atele de identi$i"are a î&p!terni"it!l!i en!&irea/+!&ele şi pren!&ele ........... en!&irea/+!&ele şi pren!&ele ........... Adre%a- ................................. Adre%a- ................................. Cd!l de identi$i"are $i%"al# ........... Cd!l de identi$i"are $i%"al# ...........

n te&ei!l prevederilr titl!l!i G "ap. G Fnle%niri la plat#F din Legea nr. 207/2015 privind Cd!lde pr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare, având în vedere Cererea nr. ................ din data de .................., înregi%trat# la rgan!l$i%"al "! nr. ........................ din data de .........................., pre"!& şi Certi$i"at!l deate%tare $i%"al# nr. ..................... din data de ........................., pre"!& şi e"iia dea&ânare la plat# a penalit#*ilr de întâriere şi a penalit#*ilr de nede"larare nr. ................. dindata de .........................., l!ând în "n%iderare "# %!nt îndeplinite "ndi*iile prev#!te de titl!l G "ap. G Fnle%niri la plat#Fdin Legea nr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare,

%e e&ite !rtarea de"iie-

e &en*ine valailitatea a&ân#rii la plat#, a"rdat# prin e"iia de a&ânare la plat# a penalit#*ilr deîntâriere şi a penalit#*ilr de nede"larare nr. ........... din data de ............., pân# la data$inali#rii eşaln#rii la plat# a liga*iilr $i%"ale a""e%rii a$erente liga*iilr $i%"ale prin"ipaleeşalnate la plat#, în %! ttal# de ................. lei, repreentând-

lei JJJJMJJJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJMJJJJJJJJJJJJJN O+r. Oen!&irea liga*ieiOar#ri de întâriereOenalit#*i deOenalit#*i deO O"rt.O $i%"ale O (50E) Oîntâriere O nede"larare O PJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJRJJJJJJJJJJJJJQ O 0 O 1 O 2 O 3 O < O PJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJRJJJJJJJJJJJJJQ O 1.O O O O O PJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJRJJJJJJJJJJJJJQ O 2.O O O O O PJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJRJJJJJJJJJJJJJQ O....O O O O O PJJJJUJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJRJJJJJJJJJJJJJQ O@tal general O O O O VJJJJJJJJJJJJJJJJJJJJJJJJJUJJJJJJJJJJJJJJJJJJJJJJUJJJJJJJJJJJJJUJJJJJJJJJJJJJW

&ptriva preentei de"iii %e pate $r&!la "nte%ta*ie, ptrivit prevederilr art. 2=8 şi 2=9 dinLegea nr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare, înter&en!l prev#!t de art. 270 al a"el!iaşi a"t nr&ativ, %! %an"*i!nea de"#derii. Cnte%ta*ia %e dep!ne largan!l $i%"al e&itent al de"iiei.

Cnd!"#tr!l !nit#*ii $i%"ale +!&ele şi pren!&ele ...................... e&n#t!ra şi şta&pila !nit#*ii ...........




?nitatea $i%"al#I1) ..................................... ervi"i!l/;ir!l/C&parti&ent!l ......................... +r. .........../...............


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+:@+>A LA@D

atele de identi$i"are a "ntri!ail!l!i atele de identi$i"are a î&p!terni"it!l!ien!&irea/+!&ele şi pren!&ele .................... en!&irea/+!&ele şi pren!&ele ....................Adre%a- .......................................... Adre%a- ..........................................Cd!l de identi$i"are $i%"al# .................... Cd!l de identi$i"are $i%"al# ....................

n te&ei!l prevederilr art. .....I2) din Legea nr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, "!&di$i"#rile şi "&plet#rile !lteriare, d!p# "a,

v# înştiin*#& "# $ig!ra*i în eviden*ele in%tit!*iei na%tre "! liga*ii $i%"ale repreentând- lei JJJJMJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJNO+r. O en!&irea O 6liga*ia $i%"al# OO"rt.Oliga*iei $i%"alePJJJJJJJJJMJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJQO O O @tal, O 6liga*ie O 6liga*ii $i%"ale a""e%rii OO O Odin "are-O$i%"al# prin"ipal#PJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJMJJJJJJJJJJJJJQO O O O O ar#ri de Oenalit#*i deOenalit#*i deOO O O O Oîntâriere/âniO întâriere O nede"larare OPJJJJRJJJJJJJJJJJJJJJJJJRJJJJJJJJJRJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJRJJJJJJJJJJJJJQO 0 O 1 O2S3T


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O O O O O ar#ri de Oenalit#*i deOenalit#*i deOO O O O Oîntâriere/âniO întâriere O nede"larare OPJJJJRJJJJJJJJJJJJJJJJJJRJJJJJJJJJRJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJRJJJJJJJJJJJJJQO 0 O 1 O2S3TL6 ?;LC A+>A +A>6+ALD A+@A CALD ?nitatea $i%"al#I1) ..................................... ervi"i!l/;ir!l/C&parti&ent!l ......................... +r. .........../...............

CK de de%$iin*are a de"iiei de a&ânare la plat# a penalit#*ilr de întâriere şi a penalit#*ilr de nede"larare


n te&ei!l art. 50 din Legea nr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, "! &di$i"#rile şi"&plet#rile !lteriare, şi având în vedere di%pi*iile ...............I2) nr. .......... din data de........................, pre"!& şi Cererea d!&neava%tr# nr. ......... din data de ..........., înregi%trat# la rgan!l$i%"al "! nr. .............. din data de .........................., v# "&!ni"#& "# a&ânarea la plat#, aprat# prin e"iia de a&ânare la plat# a penalit#*ilr deîntâriere şi a penalit#*ilr de nede"larare nr. ................... din data de .....................,%e de%$iin*ea# pentr! %!&a de ............................................, repreentând-

lei JJJJMJJJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJJJJNO+r. Oen!&irea liga*ieiOar#ri de întâriereOenalit#*i de întâriereO enalit#*i de nede"larare OO"rt.O $i%"ale O (50E) O O OPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJJJJJQO 0 O 1 O 2 O 3 O < OPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJJJJJQO 1. O O O O OPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJJJJJQO 2. O O O O OPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJJJJJQO... O O O O OPJJJJUJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJJJJJQO@tal general O O O OVJJJJJJJJJJJJJJJJJJJJJJJJJUJJJJJJJJJJJJJJJJJJJJJJUJJJJJJJJJJJJJJJJJJJJJJJJUJJJJJJJJJJJJJJJJJJJJJJJJJJJW

&ptriva preentei de"iii %e pate $r&!la "nte%ta*ie, ptrivit prevederilr art. 2=8 şi 2=9din Legea nr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare,

în ter&en!l prev#!t de art. 270 al a"el!iaşi a"t nr&ativ, %! %an"*i!nea de"#derii. Cnte%ta*ia %edep!ne la rgan!l $i%"al e&itent al de"iiei.

Cnd!"#tr!l !nit#*ii $i%"ale


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+!&ele şi pren!&ele ........................ e&n#t!ra şi şta&pila !nit#*ii .............

+!r de peratr de date "! "ara"ter per%nal............

JJJJJJJJJJ I1) e &en*inea# den!&irea rgan!l!i $i%"al "&petent. I2) e &en*inea# n!r!l şi data %entin*ei "ivile prin "are %a di%p!% %!%pendarea a"t!l!iad&ini%trativ $i%"al de "#tre in%tan*#/n!r!l şi data prie"t!l!i de $!i!ne/diviare.

JJJJJJJJJJ


+@?L +A+>L6 ?;LC A+>A +A>6+ALD A+@A CALD ?nitatea $i%"al#I1) ..................................... ervi"i!l/;ir!l/C&parti&ent!l ......................... +r. .........../...............

+:@+>A privind di&in!area %!&elr eşalnate la plat#

atele de identi$i"are a "ntri!ail!l!i atele de identi$i"are a î&p!terni"it!l!i

en!&irea/+!&ele şi pren!&ele .................... en!&irea/+!&ele şi pren!&ele ....................Adre%a- .......................................... Adre%a- ..........................................Cd!l de identi$i"are $i%"al# .................... Cd!l de identi$i"are $i%"al# ....................

Având în vedere Cererea d!&neava%tr# nr. ......... din data de ..........., înregi%trat# la rgan!l$i%"al "! nr. .............. din data de .........................., pre"!& şi di%pi*iile entin*ei"ivile nr. ........... din data de ........................, v# "&!ni"#& "# %!&ele eşalnate la plat#în aa e"iiei de eşalnare la plat# a liga*iilr $i%"ale nr. .............. din data de....................., %e di&in!ea# "! %!&a de ........................................... lei,repreentând- lei JJJJMJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJNO+r. O en!&irea O 6liga*ia $i%"al# OO"rt.Oliga*iei $i%"alePJJJJJJJJJMJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJQO O O @tal, O 6liga*ie O 6liga*ii $i%"ale a""e%rii OO O Odin "are-O$i%"al# prin"ipal#PJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJMJJJJJJJJJJJJJQO O O O O ar#ri de Oenalit#*i deOenalit#*i deOO O O O Oîntâriere/âniO întâriere O nede"larare OPJJJJRJJJJJJJJJJJJJJJJJJRJJJJJJJJJRJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJRJJJJJJJJJJJJJQ

O 0 O 1 O2S3T


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Având în vedere Cererea d!&neava%tr# nr. ........ din data de ..........., înregi%trat# la rgan!l$i%"al "! nr. .............. din data de .........................., pre"!& şi di%pi*iile entin*ei"ivile nr. ........... din data de ........................, v# "&!ni"#& "# %!&ele a&ânate la plat# în

aa e"iiei de a&ânare la plat# a penalit#*ilr de întâriere şi a penalit#*ilr de nede"larare nr................... din data de ....................., %e di&in!ea# "! %!&a de ................... lei,repreentând- lei JJJJMJJJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJJJJNO+r. Oen!&irea liga*ieiOar#ri de întâriereOenalit#*i de întâriereO enalit#*i de nede"larare OO"rt.O $i%"ale O (50E) O O OPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJJJJJQO 0 O 1 O 2 O 3 O < OPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJJJJJQO 1. O O O O OPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJJJJJQO 2. O O O O OPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJJJJJQO... O O O O OPJJJJUJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJJJJJQO@tal general O O O OVJJJJJJJJJJJJJJJJJJJJJJJJJUJJJJJJJJJJJJJJJJJJJJJJUJJJJJJJJJJJJJJJJJJJJJJJJUJJJJJJJJJJJJJJJJJJJJJJJJJJJW





+@?L +A+>L6 ?;LC

A+>A +A>6+ALD A+@A CALD ?nitatea $i%"al#I1) ..................................... ervi"i!l/;ir!l/C&parti&ent!l ......................... +r. .........../...............

CK de &di$i"are a de"iiei de eşalnare la plat# a liga*iilr $i%"ale


n te&ei!l prevederilr ......................I2), v# "&!ni"#& "# e"iia de eşalnare la plat# a liga*iilr $i%"ale nr. ...................din data de ..................... %e &di$i"# d!p# "!& !r&ea#- 1. e a"rd# eşalnarea la plat# pe periad# de ....... l!ni a liga*iilr $i%"ale ei%tente în%ld la data elier#rii "erti$i"at!l!i de ate%tare $i%"al#, în %! ttal# de ...............,repreentând- lei JJJJMJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJNO+r. O en!&irea O 6liga*ia $i%"al# OO"rt.Oliga*iei $i%"alePJJJJJJJJJMJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJQO O O @tal, O 6liga*ie O 6liga*ii $i%"ale a""e%rii OO O Odin "are-O$i%"al# prin"ipal#PJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJMJJJJJJJJJJJJJQO O O O O ar#ri de Oenalit#*i deOenalit#*i deOO O O O Oîntâriere/âniO întâriere O nede"larare OPJJJJRJJJJJJJJJJJJJJJJJJRJJJJJJJJJRJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJRJJJJJJJJJJJJJQO 0 O 1 O2S3T


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VJJJJJJJJJJJJJJJJJJJJJJJUJJJJJJJJJUJJJJJJJJJJJJJJJJJJUJJJJJJJJJJJJJJJJJJUJJJJJJJJJJJJJUJJJJJJJJJJJJJW

ra$i"!l de eşalnare la plat# "are $a"e parte integrant# din e"iia de eşalnare la plat# aliga*iilr $i%"ale nr. ........ din data de ............. %e înl"!ieşte "! n!l gra$i" prev#!t înanea la preenta de"iie. 2. e%t!l "ndi*iilr de &en*inere a valailit#*ii eşaln#rii la plat# a"rdate prin e"iia deeşalnare la plat# a liga*iilr $i%"ale nr. .................. din data de .....................r#&ân ne%"4i&ate, in"l!%iv rata din data de ....................., &en*inat# şi în n!l gra$i", "aretre!ie a"4itat# ptrivit prevederilr art. 19< alin. (1) lit. d) din Legea nr. 207/2015 privind Cd!l

de pr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare. &ptriva preentei de"iii %e pate $r&!la "nte%ta*ie, ptrivit prevederilr art. 2=8 şi 2=9 dinLegea nr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare, înter&en!l prev#!t de art. 270 al a"el!iaşi a"t nr&ativ, %! %an"*i!nea de"#derii. Cnte%ta*ia %e dep!nela rgan!l $i%"al e&itent al de"iiei.



JJJJJJJJJJ I1) e &en*inea# den!&irea rgan!l!i $i%"al e&itent. I2) e &en*inea# prevederile legale apli"aile în a"e%t %en%, "!& ar $i- art. 207 alin. (1) şi (5) riart. 195 %a! alte prevederi, d!p# "a, din Legea nr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, "!&di$i"#rile şi "&plet#rile !lteriare, şi ale 6rdin!l!i preşedintel!i Agen*iei +a*inale de Ad&ini%trarei%"al# nr. 90/201= pentr! aprarea "n*in!t!l!i "ererii de a"rdare a eşaln#rii la plat# şi ad"!&entelr !%ti$i"ative aneate a"e%teia, pre"!& şi a r"ed!rii de apli"are a a"rd#rii eşaln#rii la

plat# de "#tre rgan!l $i%"al "entral. n %it!a*ia în "are in%tan*a di%p!ne %!%pendarea a"t!l!iad&ini%trativ$i%"al, %e &en*inea# prevederile art. 50 din Legea nr. 207/2015 privind Cd!l de pr"ed!r#$i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare, pre"!& şi entin*a "ivil# nr. ................. dindata de ..................... .JJJJJJJJJJ


+@?L +A+>L6 ?;LC A+>A +A>6+ALD A+@A CALD ?nitatea $i%"al#I1) ..................................... ervi"i!l/;ir!l/C&parti&ent!l ......................... +r. .........../...............

CK de &di$i"are a de"iiei de a&ânare la plat# a penalit#*ilr de întâriere şi a penalit#*ilr de nede"larare


n te&ei!l prevederilr art. ....................I2), v# "&!ni"#& "# e"iia de a&ânare la plat# a penalit#*ilr de întâriere şi a penalit#*ilr denede"larare nr. ................... din data de..................... %e &di$i"# d!p# "!& !r&ea#- e a"rd# a&ânarea la plat# a penalit#*ilr de întâriere şi a penalit#*ilr de nede"larare pân# ladata $inali#rii eşaln#rii la plat# a liga*iilr $i%"ale a""e%rii a$erente liga*iilr $i%"aleprin"ipale eşalnate la plat#, în %! ttal# de ............... lei, repreentând- lei JJJJMJJJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJMJJJJJJJJJJJJJJJJJJJJJJJJJJJNO+r. Oen!&irea liga*ieiOar#ri de întâriereOenalit#*i de întâriereO enalit#*i de nede"larare OO"rt.O $i%"ale O (50E) O O OPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJJJJJQ

O 0 O 1 O 2 O 3 O < OPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJJJJJQO 1. O O O O OPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJJJJJQO 2. O O O O OPJJJJRJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJJJJJQO... O O O O OPJJJJUJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJJRJJJJJJJJJJJJJJJJJJJJJJJJJJJQO@tal general O O O OVJJJJJJJJJJJJJJJJJJJJJJJJJUJJJJJJJJJJJJJJJJJJJJJJUJJJJJJJJJJJJJJJJJJJJJJJJUJJJJJJJJJJJJJJJJJJJJJJJJJJJW

&ptriva preentei de"iii %e pate $r&!la "nte%ta*ie, ptrivit prevederilr art. 2=8 şi 2=9 dinLegea nr. 207/2015 privind Cd!l de pr"ed!r# $i%"al#, "! &di$i"#rile şi "&plet#rile !lteriare, înter&en!l prev#!t de art. 270 al a"el!iaşi a"t nr&ativ, %! %an"*i!nea d

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ORDIN Nr. 90 Esalonare 2018 Doc