STATE STATISTICAL REPORTING

CONFIDENTIALITY IS GUARANTEED BY THE RECEIVER OF INFORMATION

Submission of the distorted data of the state statistical reporting, untimely submission or non-presentation of such reporting attract application of measures of administrative or criminal liability according to legal acts

Respondents represent

Representation term

Form 1-megapixel

legal entities – the commercial organizations with average number of workers for the calendar year preceding reporting,  from 16 to 100 people inclusive (except listed in Instructions on filling of this form)

 February 15

Form code on OKUD

0619016

in the form of the electronic document with use of the specialized software posted on the website http://www.belstat.gov.by

Annual

To the main statistical city department of Minsk; to department of statistics in the area (city) of the head statistical department oblasti1

Full name of the legal entity ___________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Postal address (actual) _____________________________________________________________
______________________________________________________________________________________
E-mail address (www, e-mail) ___________________________________________________________

Registration number of the respondent in the statistical register (RCBO)

Accounting Number of the Payer (ANP)

1

2

Name of indicator

Code of line

Code

And

B

1

Organization code of accounting of economic activities:

 1 – the organization applies simplified taxation system and keeps the book of accounting of the income and expenses of the organizations and individual entrepreneurs applying simplified taxation system;

 2 – the organization applies simplified taxation system and also the reporting and accounting of the income and expenses in accordance with general practice keeps financial accounting;

 3 – the organization applies general procedure for the taxation or other specific mode of the taxation ( unified imputed income tax, the single tax to producers of agricultural products) and also the reporting and accounting of the income and expenses in accordance with general practice keeps financial accounting … …...................................................................................................................

220

Name of indicator

Code of line

Unit of measure

For reporting
year

For December of accounting year

And

B

In

1

2

Average number rabotnikov2.....................................

1

people 3

from it average number of women............................

14

people 3

X

Payroll number of workers on average for god2....................

2

people 3

X

Average number of external part-time employees.................................

3

people 3

X

The average number of the citizens performing work on civil agreements..................................................

4

people 3

X

Salary fund of workers of list and not payroll and external part-time employees – all.........................................

5

one thousand rub 3

from it salary fund of women – workers of list and not payroll and external part-time employees...........................................................................

15

one thousand rub 3

X

From line 5 salary fund:

external part-time employees – all....................................................

6

one thousand rub 3

persons of not payroll, including the citizens performing work on civil agreements – all...................

7

one thousand rub 3

from line 7 salary fund of women – persons of not payroll …...........................................................

17

one thousand rub 3

X

Average monthly salary … … … … …...

11

rub 3

The number of the workers accepted on rabotu5................................

8

persons.

X

from them on in addition entered workplaces...................

9

persons.

X

from line 9 the number of the workers accepted on high-productive workers mesta6.........................

18

persons.

X

Number dismissed rabotnikov5.................................................

10

persons.

X

from them dismissed (translated, moved) workers from among earlier accepted in reporting year on in addition entered workplaces (line 9) in case of exception of the staff list of the corresponding established posts.............................................................................................

13

persons.

X

Name of the territory

Code of line,
territory code
on OKRB 003-2017

Payroll number of workers on average in year 2, persons.

And

B

1

On the territory (the amount of data in column 1 in the lines relating to line 19, shall be equal to data on line 2 in column 1 of the table 2):

19

X

Name of indicator

Code of line

Unit of measure

In total

And

B

In

1

Paid run of automobile cars taxi..........................

26

one thousand km7

List number of automobile cars taxi

for the beginning of accounting year..................................................................

27

piece.

for the end of accounting year....................................................................

28

piece.

Name of indicator

Code of line

For accounting year

And

B

1

 Proceeds from sales of products, goods, works, services................................................

70

The accrued tax on value added estimated from  proceeds from sales of products, goods, works, services................................................................

71

The other taxes and fees estimated from  proceeds from sales of products, goods, works, services............................................................................................................................

72

Cost of sales, goods, works, services....................................

73

Profit, loss (–) from sales of products, goods, works, services
(line 70 – line 71 – line 72 – line 73)..................................................................

74

Profit, loss (–) from the current activities … … … … … … … … …..............................

75

Profit, loss (–) from investing and financial activities............................

76

 Income tax...................................................................................................................

77

The other taxes and fees, payments estimated from profit (income).............................

80

Net profit, loss (-)..................................................................................................

81

Name of indicator

Code of line

Accounts receivable
(accounts 09, 60, 62, 68–71, 73, 75, 76)

Accounts payable
(accounts 60, 62, 65, 68–71, 73, 75, 76)

Overdue debt

 Credit debt and to loans
(accounts 66, 67)

in total

from it for goods, works, services

in total

from it for goods, works, services

debit
(from the column 1)

creditor
(from the column 3)

in total

from it prosro-
ceremonious

And

B

1

2

3

4

5

6

7

8

In total (amount of lines 86, 87, 93)...........................

85

including legal and (or) physical persons:

Republic of Belarus................

86

X

X

countries of the Commonwealth of Independent States............

87

X

X

from them:
Republic of Kazakhstan.........

88

X

X

Russian Federation........

90

X

X

Ukraine............

92

X

X

other countries...........

93

X

X

from them:
countries of the European Union.................

94

X

X

People's Republic of China …...

95

X

X