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[{"$nulls":18},"ИНН",{"$nulls":33},"Приложение N 4\nк приказу ФНС России\nот 10.08.2021 N ЕД-7-3/740@"]
[]
[]
[{"$nulls":18},"КПП",{"$nulls":23},"Стр.",null,null,null,"0",null,"0",null,"1"]
[]
[]
[]
["Форма  по КНД 1110007"]
[]
[]
["Заявление\nо регистрации изменений (уменьшения) количества объектов \nналогообложения налогом на игорный бизнес "]
[]
[]
[{"$nulls":70},"Код налогового органа "]
[]
["В соответствии с пунктом 3 статьи 366 Налогового кодекса Российской Федерации "]
{"$rows_empty":7}
["(полное наименование организации)"]
["просит зарегистрировать изменение (уменьшение) количества объектов налогообложения налогом на игорный бизнес согласно настоящему заявлению и внести изменения, связанные с выбытием (закрытием) объектов налогообложения, в ранее выданное "]
[]
["свидетельство от ",{"$nulls":15},".",{"$nulls":5},".",{"$nulls":9},"года  N "]
[]
[]
["Заявление составлено на ",{"$nulls":22},"страницах с приложением копий документов на ",{"$nulls":36},"листах"]
[]
["Достоверность и полноту сведений, указанных\nв настоящем заявлении, подтверждаю:",{"$nulls":41},"Заполняется работником налогового органа"]
[{"$nulls":42},"Сведения о представлении заявления "]
[null,null,null,"1 - руководитель организации\n2 - представитель организации",{"$nulls":39},"Данное заявление представлено (код)"]
[]
[{"$nulls":43},"с приложением на ",{"$nulls":20},"страницах"]
[]
[{"$nulls":43},"с приложением копий документов на ",{"$nulls":30},"листах"]
[]
[{"$nulls":43},"Дата представления заявления",{"$nulls":20},".",{"$nulls":5},"."]
[null,"(фамилия, имя, отчество1 полностью)"]
[null,"Номер контактного телефона "]
[]
[]
[null,"Подпись ",{"$nulls":17},"Дата",{"$nulls":5},".",{"$nulls":5},"."]
[]
["Наименование и реквизиты документа, \nподтверждающего полномочия представителя "]
[]
[]
[{"$nulls":43},"Фамилия И.О.1",{"$nulls":19},"Подпись "]
[]
["     1 Отчество указывается при наличии."]

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[{"$nulls":9},"ИНН",null,null,"","","","","","","","","",""]
[]
[]
[{"$nulls":9},"КПП",null,null,"","","","","","","","","","Стр."]
[]
[]
[]
["Лист А "]
[]
["1. Сведения об игровых столах:1"]
[]
["1.1. Адрес места установки игровых столов:"]
["Субъект Российской Федерации"]
[{"$nulls":4},"код"]
["Муниципальный район - 1 / городской округ - 2 / внутригородская территория города федерального значения - 3 / \nмуниципальный округ - 4"]
[{"$nulls":4},"вид",{"$nulls":12},"наименование"]
[]
[]
["Городское поселение - 1 / сельское поселение - 2 / межселенная территория в составе муниципального района - 3 / \nвнутригородской район городского округа - 4"]
[]
[]
[{"$nulls":4},"вид",{"$nulls":12},"наименование"]
[]
[]
[]
["Населенный пункт (город, деревня, село и прочее) ",{"$nulls":4},"тип",{"$nulls":11},"наименование"]
[]
[]
["Элемент планировочной структуры"]
[{"$nulls":5},"тип",{"$nulls":11},"наименование"]
[]
[]
[]
[]
["Элемент улично-дорожной сети"]
[{"$nulls":5},"тип",{"$nulls":11},"наименование"]
[]
[]
[]
[]
[]
["Здание / сооружение ",{"$nulls":6},"тип",{"$nulls":12},"номер"]
[]
[{"$nulls":7},"тип",{"$nulls":12},"номер"]
[]
[{"$nulls":7},"тип",{"$nulls":12},"номер"]
[]
["Помещение в пределах здания, сооружения",{"$nulls":6},"тип",{"$nulls":12},"номер"]
[{"$nulls":9},"(офис и прочее)"]
[]
[]
["Помещение в \nпределах офиса ",{"$nulls":6},"тип",{"$nulls":12},"номер"]
{"$rows_empty":10}
[null,"1 В случае, если количество адресов мест установки игровых столов составляет более одного, заполняется необходимое количество листов А."]
[]
["Достоверность и полноту сведений, указанных на данной странице, подтверждаю:"]
[{"$nulls":16},"(подпись)",{"$nulls":11},"(дата)"]

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["1.2.",{"$nulls":27},"Лист А (продолжение)"]
[null,null,null,"Идентификатор объекта \nналогообложения ",{"$nulls":14},"Количество имеющихся игровых полей на игровом столе",{"$nulls":10},"Дата выбытия объекта налогообложения "]
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["Достоверность и полноту сведений, указанных на данной странице, подтверждаю:"]
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["Лист Б "]
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["2. Сведения об игровых автоматах:1"]
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["2.1. Адрес места установки игровых автоматов"]
["Субъект Российской Федерации"]
[{"$nulls":4},"код"]
["Муниципальный район - 1 / городской округ - 2 / внутригородская территория города федерального значения - 3 / \nмуниципальный округ - 4"]
[{"$nulls":4},"вид",{"$nulls":12},"наименование"]
[]
[]
["Городское поселение - 1 / сельское поселение - 2 / межселенная территория в составе муниципального района - 3 / \nвнутригородской район городского округа - 4"]
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[]
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[]
[]
["Населенный пункт (город, деревня, село и прочее) ",{"$nulls":4},"тип",{"$nulls":11},"наименование"]
[]
[]
["Элемент планировочной структуры"]
[{"$nulls":5},"тип",{"$nulls":11},"наименование"]
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[]
[]
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["Элемент улично-дорожной сети"]
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[]
[]
[]
[]
["Здание / сооружение ",{"$nulls":6},"тип",{"$nulls":12},"номер"]
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[{"$nulls":7},"тип",{"$nulls":12},"номер"]
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[{"$nulls":7},"тип",{"$nulls":12},"номер"]
[]
["Помещение в пределах здания, сооружения",{"$nulls":6},"тип",{"$nulls":12},"номер"]
[{"$nulls":9},"(офис и прочее)"]
[]
[]
["Помещение в \nпределах офиса ",{"$nulls":6},"тип",{"$nulls":12},"номер"]
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[null,"1 В случае, если количество адресов мест установки игровых автоматов составляет более одного, заполняется необходимое количество листов Б."]
[]
["Достоверность и полноту сведений, указанных на данной странице, подтверждаю:"]
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["2.2.",{"$nulls":27},"Лист Б (продолжение)"]
[null,null,null,"Идентификатор объекта налогообложения/\nЗаводской номер ",{"$nulls":25},"Дата выбытия объекта налогообложения "]
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[{"$nulls":16},"(подпись)",{"$nulls":11},"(дата)"]

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["Лист В "]
["3. Сведения об объектах налогообложения: процессинговый центр тотализатора (букмекерской конторы), пункт приема ставок тотализатора (букмекерской конторы), процессинговый центр интерактивных ставок тотализатора (букмекерской конторы):1"]
[]
["3.1. Код вида объекта налогообложения2"]
[]
["3.2. Идентификатор объекта налогообложения "]
[]
["3.3. Дата выбытия объекта налогообложения ",{"$nulls":17},".",null,null,"."]
[]
["3.4. Адрес места нахождения объекта налогообложения "]
["Субъект Российской Федерации"]
[{"$nulls":4},"код"]
["Муниципальный район - 1 / городской округ - 2 / внутригородская территория города федерального значения - 3 / \nмуниципальный округ - 4"]
[{"$nulls":4},"вид",{"$nulls":12},"наименование"]
[]
[]
["Городское поселение - 1 / сельское поселение - 2 / межселенная территория в составе муниципального района - 3 / \nвнутригородской район городского округа - 4"]
[]
[]
[{"$nulls":4},"вид",{"$nulls":12},"наименование"]
[]
[]
[]
["Населенный пункт (город, деревня, село и прочее) ",{"$nulls":4},"тип",{"$nulls":11},"наименование"]
[]
[]
["Элемент планировочной структуры"]
[{"$nulls":5},"тип",{"$nulls":11},"наименование"]
[]
[]
[]
[]
["Элемент улично-дорожной сети"]
[{"$nulls":5},"тип",{"$nulls":11},"наименование"]
[]
[]
[]
[]
[]
["Здание / сооружение ",{"$nulls":6},"тип",{"$nulls":12},"номер"]
[]
[{"$nulls":7},"тип",{"$nulls":12},"номер"]
[]
[{"$nulls":7},"тип",{"$nulls":12},"номер"]
[]
["Помещение в пределах здания, сооружения",{"$nulls":6},"тип",{"$nulls":12},"номер"]
[{"$nulls":9},"(офис и прочее)"]
[]
[]
["Помещение в \nпределах офиса ",{"$nulls":6},"тип",{"$nulls":12},"номер"]
[]
[]
[null,"1 В случае, если количество снимаемых с регистрации видов налогообложения составляет более одного, заполняется необходимое количество листов В.\n2 Указывается: 1 - процессинговый центр тотализатора;\n                         2 - процессинговый центр букмекерской конторы;\n                         3 - пункт приема ставок тотализатора;\n                         4 - пункт приема ставок букмекерской конторы;\n                         5 - процессинговый центр интерактивных ставок тотализатора;\n                         6 - процессинговый центр интерактивных ставок букмекерской конторы."]
["Достоверность и полноту сведений, указанных на данной странице, подтверждаю:"]
[{"$nulls":16},"(подпись)",{"$nulls":11},"(дата)"]