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The document ceased to be valid since  January 30, 2015 according to Item 2 of the Order of the Ministry of Finance of Ukraine of  January 23, 2015 No. 14

Registered by

Ministry of Justice of Ukraine

January 12, 2011

No. 29/18767

ORDER OF STATE TAX ADMINISTRATION OF UKRAINE

of December 24, 2010 No. 1026

About approval of form of the Tax declaration on collection in the form of the target allowance to applicable fare on electrical and heat energy, except the electric power developed by qualified cogeneration installations

1. Approve form of the Tax declaration on collection in the form of the target allowance to applicable fare on electrical and heat energy, except the electric power developed by qualified cogeneration installations which is applied.

2. Recognize invalid orders of State Tax Administration of Ukraine of 10.02.2004 No. 84 "About approval of forms of calculation of collection in the form of the target allowance to applicable fare on electrical and heat energy", registered in the Ministry of Justice of Ukraine 24.02.2004 for No. 245/8844, of 07.10.2005 No. 435 "About introduction of amendments to the order GNA of Ukraine of 10.02.2004 No. 84" registered in the Ministry of Justice of Ukraine 17.10.2005 for No. 1201/11481.

3. To department of administration of the income tax and other taxes and fees (obligatory payments) (Hotsyanivskaya N. V.):

3.1 submit this order on state registration to the Ministry of Justice of Ukraine;

3.2 in three-day time of day of registration of this order in the Ministry of Justice of Ukraine to provide provision to Department of information and analytical ensuring processes of the taxation (Laba M.S.) control algorithms for acceptance and the automated processing of the declaration on collection in the form of the target allowance to applicable fare on electrical and heat energy, except the electric power developed by qualified cogeneration installations;

3.3 provide promulgation of the order in accordance with the established procedure.

4. This order becomes effective from the date of its official publication.

5. To impose control over the implementation of this order on the vice-chairman Lyubchenko O. M.

Chairman

O. O. Papaika

Form of the Tax declaration on collection in the form of the target allowance to applicable fare on electrical and heat energy, except the electric power developed by qualified cogeneration installations

 -----------------------------        УТВЕ ЖДЕНО
| Отметка о получении | Приказ Государственной налоговой
| (штамп государственной | администрации Украины
| налоговой службы) | 24.12.2010 N 1026
-----------------------------
+--------------------------------------------------------------------+
¦1 НАЛОГОВАЯ ДЕКЛА АЦИЯ ¦ Отчетная ¦
¦ по сбору в виде целевой ¦ ¦
¦ надбавки к действующему ¦ Отчетная новая ¦
¦ тарифу на электрическую ¦ ¦
¦ и тепловую энергию, ¦ Уточняющая ¦
¦ кроме электроэнергии, ¦ ¦
¦ выработанной ¦ ¦
¦ квалифицированными ¦ ¦
¦ когенерационными ¦ ¦
¦ установками ¦ ¦
+----------------------------+---------------------------------------¦
¦2 Отчетный (налоговый) ¦ +-----------+ +-----+ ¦
¦ период ¦ +-----------+ +-----+ ¦
¦ ¦ год месяц ¦
+----------------------------+---------------------------------------¦
¦3 Отчетный (налоговый) ¦ +-----------+ +-----+ ¦
¦ период, который уточняется¦ +-----------+ +-----+ ¦
¦ (для уточняющего расчета) ¦ год месяц ¦
+----------------------------+---------------------------------------¦
¦4 Полное наименование ¦ ______________________________________¦
¦ плательщика сбора согласно¦ ______________________________________¦
¦ регистрационным документам¦ ______________________________________¦
+----------------------------+---------------------------------------¦
¦5 Код согласно ЕГ ПОУ ¦ ¦
+----------------------------+---------------------------------------¦
¦6 Местонахождение ¦ Почтовый индекс ¦
¦плательщика сбора: ¦ ¦
¦____________________ ¦ Телефон(1) ¦
¦____________________ ¦ ¦
¦____________________ ¦ Моб.тел.(1) ¦
¦____________________ ¦ ¦
¦ ¦ Факс(1) ¦
¦ ¦ ¦
¦ ¦ E-mail(1) ¦
+--------------------------------------------------------------------¦
¦7 К органу государственной налоговой службы в ¦
¦ ____________________________________ ¦
+--------------------------------------------------------------------+
                                                                (грн.)
+--------------------------------------------------------------------+
¦ ПОКАЗАТЕЛИ ¦Код строки¦Сумма¦
+---------------------------------------------------+----------+-----¦
¦ 1 ¦ 2 ¦ 3 ¦
+---------------------------------------------------+----------+-----¦
¦Стоимость (без налога на добавленную стоимость) ¦ 01 ¦ ¦
¦отпущенной электрической энергии (для оптового ¦ ¦ ¦
¦поставщика электрической энергии) ¦ ¦ ¦
+---------------------------------------------------+----------+-----¦
¦Стоимость (без налога на добавленную стоимость) ¦ 02 ¦ ¦
¦отпущенной эл

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