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[{"$nulls":18},"ИНН1",{"$nulls":37},"Приложение N 3\nк приказу ФНС России\nот 10.01.2017 N ММВ-7-14/4@\n"]
[]
[]
[{"$nulls":42},"Стр.",null,null,null,"0",null,"0",null,"1"]
[]
[]
[]
["Форма по КНД 1112525 "]
["Заявление\nфизического лица о постановке на учет (снятии с учета) в налоговом органе в качестве плательщика страховых взносов (в качестве медиатора)"]
[]
[{"$nulls":54},"Код налогового органа "]
[{"$nulls":8},"1 - поставить на учет в качестве плательщика страховых взносов \n2 - снять с учета в качестве плательщика страховых взносов \n3 - поставить на учет в качестве медиатора \n4 - снять с учета в качестве медиатора "]
["Прошу "]
[]
[]
["Фамилия "]
[]
["Имя  "]
[]
["Отчество2 "]
[]
[]
[]
[]
[]
["Настоящее заявление составлено на ",{"$nulls":29},"страницах "]
[]
["с приложением копии документа3 на ",{"$nulls":29},"листах "]
[]
["Достоверность и полноту сведений, указанных \nв настоящем заявлении, подтверждаю:",{"$nulls":41},"Заполняется работником налогового органа"]
[{"$nulls":42},"Сведения о представлении заявления "]
[{"$nulls":5},"1 - физическое лицо \n2 - представитель физического лица3 ",{"$nulls":37},"Настоящее заявление представлено (код)"]
[]
[{"$nulls":43},"на",{"$nulls":10},"страницах"]
[]
[{"$nulls":43},"с приложением копии документа на ",{"$nulls":28},"листах"]
[]
[]
[null,"(фамилия, имя, отчество2 представителя полностью)"]
[{"$nulls":43},"Дата представления заявления "]
[null,"ИНН представителя1",{"$nulls":61},".",{"$nulls":5},"."]
[null,"Номер контактного телефона"]
[{"$nulls":43},"Зарегистрировано за N"]
[]
[]
[]
[null,"Подпись",{"$nulls":15},"Дата",{"$nulls":7},".",{"$nulls":5},".",{"$nulls":11},"Фамилия, И.О.2",{"$nulls":19},"Подпись"]
[]
[]
["Наименование документа, \nподтверждающего полномочия представителя "]
[]
[]
[]
[]
[]
["1 Указывается в отношении физических лиц, имеющих документ, подтверждающий присвоение ИНН (свидетельство о постановке на учет в налоговом органе), и использующих ИНН наряду с персональными данными.\n2 Отчество указывается при наличии.\n3 К заявлению прилагается копия документа, подтверждающего полномочия представителя."]

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[]
[]
[{"$nulls":42},"Стр.",null,null,null,"0",null,"0",null,"2"]
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[]
[]
[{"$nulls":4},"Фамилия",{"$nulls":57},"И.",{"$nulls":6},"О.2"]
[]
[]
[]
[]
["Пол",{"$nulls":6},"1 - мужской, 2 - женский",{"$nulls":19},"Дата рождения",{"$nulls":14},".",{"$nulls":5},"."]
[]
["Место рождения"]
[]
[]
[]
[]
[]
["Вид документа, удостоверяющего личность (код)"]
[]
["Серия и номер "]
[]
["Наименование органа, выдавшего документ"]
[]
[]
[]
[]
[]
["Код подразделения ",{"$nulls":21},"-",{"$nulls":11},"Дата выдачи",{"$nulls":15},".",{"$nulls":5},"."]
[]
["Наличие гражданства ",{"$nulls":18},"1 - гражданин, 2 - лицо без гражданства ",{"$nulls":29},"Код страны3"]
[]
["Адрес в Российской Федерации ",{"$nulls":26},"1 - место жительства, 2 - место пребывания (при отсутствии места жительства)"]
[]
["Почтовый индекс",{"$nulls":50},"Код региона"]
[]
["Район"]
[]
["Город"]
[]
["Населенный пункт \n(село, поселок)"]
[]
["Улица \n(проспект, \nпереулок)"]
[]
[]
["Номер дома\n(владения)",{"$nulls":28},"Номер корпуса \n(строения)",{"$nulls":26},"Номер квартиры"]
{"$rows_empty":14}
["1 Указывается в отношении физических лиц, имеющих документ, подтверждающий присвоение ИНН (свидетельство о постановке на учет в налоговом органе), и использующих ИНН наряду с персональными данными.\n2 Отчество указывается при наличии.\n3 Указывается числовой код страны согласно Общероссийскому классификатору стран мира (ОКСМ). При отсутствии у заявителя гражданства в поле \"Код страны\" указывается код страны, выдавшей документ, удостоверяющий его личность."]
{"$rows_empty":13}
["Достоверность и полноту сведений, указанных на настоящей странице, подтверждаю:"]
[{"$nulls":34}," (подпись)",{"$nulls":28}," (дата)"]

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[]
[]
[{"$nulls":42},"Стр.",null,null,null,"0",null,"0",null,"3"]
[]
[]
[]
[{"$nulls":4},"Фамилия",{"$nulls":57},"И.",{"$nulls":6},"О.2"]
[]
[]
[]
[]
["Сведения о документе, подтверждающем регистрацию по месту жительства в Российской Федерации (для иностранного гражданина или лица без гражданства; для гражданина России, представившего документ, удостоверяющий личность, отличный от паспорта гражданина Российской Федерации), или регистрации по месту пребывания (при отсутствии места жительства):"]
["Вид документа (код)"]
[]
["Серия и номер "]
[]
["Наименование органа, выдавшего документ"]
[]
[]
[]
[]
[]
["Дата выдачи",{"$nulls":15},".",{"$nulls":5},"."]
[]
["Дата регистрации по адресу места жительства (места пребывания)",{"$nulls":47},".",{"$nulls":5},"."]
[]
["Адрес для взаимодействия с физическим лицом, проживающим не по адресу места жительства (места пребывания), если заявление направлено по почте "]
[]
["Почтовый индекс",{"$nulls":50},"Код региона"]
[]
["Район"]
[]
["Город"]
[]
["Населенный пункт \n(село, поселок)"]
[]
["Улица \n(проспект, \nпереулок)"]
[]
[]
["Номер дома\n(владения)",{"$nulls":28},"Номер корпуса \n(строения)",{"$nulls":26},"Номер квартиры"]
{"$rows_empty":18}
["1 Указывается в отношении физических лиц, имеющих документ, подтверждающий присвоение ИНН (свидетельство о постановке на учет в налоговом органе), и использующих ИНН наряду с персональными данными.\n2 Отчество указывается при наличии."]
{"$rows_empty":15}
["Достоверность и полноту сведений, указанных на настоящей странице, подтверждаю:"]
[{"$nulls":34}," (подпись)",{"$nulls":28}," (дата)"]