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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 20, 2011

No. 86/18824

ORDER OF STATE TAX ADMINISTRATION OF UKRAINE

of December 24, 2010 No. 1030

About approval of form of the Declaration of the excise tax, Procedure for filling and submission of the Declaration of the excise tax

According to Article 46 of the Section II and Item 223.2 of Article 223 of the Section VI of the Tax code of Ukraine, article 8 of the Law of Ukraine "About the State Tax Service in Ukraine" PRIKAZYVAYU:

1. Approve form of the Declaration of the excise tax which is applied.

2. Approve the Procedure for filling and submission of the Declaration of the excise tax which is applied.

3. To management of administration of the excise duty (Marchenko Yu. V.) in accordance with the established procedure:

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

3.2 provide promulgation of this order;

3.3 in three-day time of day of state registration of this order to provide provision to Department of information and analytical ensuring processes of the taxation of algorithms of control for acceptance and the automated processing of the Declaration of the excise tax.

4. To department of information and analytical ensuring processes of the taxation (Laba M.S.) in a month of day of registration of the order in the Ministry of Justice of Ukraine to make corresponding changes to the software for carrying out processing of the Declaration of the excise tax by the state tax authorities.

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

6. Recognize invalid orders of State Tax Administration of Ukraine:

of 19.03.2001 N 111 "About approval of the Regulations on procedure for charge, payment due dates and provisions of calculation of the excise duty and changes in orders GNA of Ukraine", registered in the Ministry of Justice of Ukraine 02.04.2001 for N 295/5486;

of 14.08.2001 N 325 "About changes in the order GNA of Ukraine", registered in the Ministry of Justice of Ukraine 31.08.2001 for N 768/5959;

of 29.05.2003 N 252 "About approval of Changes in Regulations on procedure for charge, payment due dates and provisions of calculation of the excise duty", registered in the Ministry of Justice of Ukraine 17.06.2003 for N 489/7810;

of 24.11.2003 N 557 "About approval of Changes in Regulations on procedure for charge, payment due dates and provisions of calculation of the excise duty", registered in the Ministry of Justice of Ukraine 04.12.2003 for N 1116/8437;

of 07.06.2004 N 316 "About approval of Changes in Regulations on procedure for charge, payment due dates and provisions of calculation of the excise duty", registered in the Ministry of Justice of Ukraine 30.06.2004 for N 800/9399;

of 25.01.2005 N 39 "About approval of Changes in Regulations on procedure for charge, payment due dates and provisions of calculation of the excise duty", registered in the Ministry of Justice of Ukraine 02.02.2005 for N 151/10431;

of 19.04.2005 N 144 "About approval of Changes in Regulations on procedure for charge, payment due dates and provisions of calculation of the excise duty", registered in the Ministry of Justice of Ukraine 06.05.2005 for N 475/10755;

of 14.06.2005 N 210 "About approval of Changes in Regulations on procedure for charge, payment due dates and provisions of calculation of the excise duty", registered in the Ministry of Justice of Ukraine 06.07.2005 for N 720/11000;

of 08.09.2005 N 390 "About approval of Changes and amendments in Regulations on procedure for charge, payment due dates and provisions of calculation of the excise duty", registered in the Ministry of Justice of Ukraine 05.10.2005 for N 1156/11436;

of 19.04.2007 N 241 "About approval of Changes in Regulations on procedure for charge, payment due dates and provisions of calculation of the excise duty", registered in the Ministry of Justice of Ukraine 07.05.2007 for N 460/13727;

of 20.02.2008 N 101 "About approval of Changes in Regulations on procedure for charge, payment due dates and provisions of calculation of the excise duty", registered in the Ministry of Justice of Ukraine 06.03.2008 for N 185/14876.

7. To impose control over the implementation of the order on the vice-chairman Matveev O. V.

Chairman

O. O. Papaika

Approved by the Order of State Tax Administration of Ukraine of December 24, 2010 No. 1030

Form of the Declaration of the excise tax

     Отметка о получении (штамп органа государственной налоговой
службы, дата, входящий номер)
-----------------------------------------------------------------------
|01 |ДЕКЛАРАЦИЯ                                    |011|  |Отчетная   |
|   |акцизного налога                              |---+--+-----------|
|   |                                              |012|  |Отчетная   |
|   |                                              |   |  |новая      |
|   |----------------------------------------------+---+--+-----------|
|   |                                              |013|  |Уточняющая |
-----------------------------------------------------------------------
-----------------------------------------------------------------------
|02 |Отчетный                    |                  |  |  |  |  |  |  |
|   |(налоговый) период          |                  |-----------------|
|   |                            |                  |  (месяц, год)   |
-----------------------------------------------------------------------
-----------------------------------------------------------------------
|03 |Отчетный (налоговый) период,|                  |  |  |  |  |  |  |
|   |что уточняется              |                  |-----------------|
|   |                            |                  |  (месяц, год)   |
-----------------------------------------------------------------------
-----------------------------------------------------------------------
|04 |Плательщик налога           |                                    |
-----------------------------------------------------------------------
-----------------------------------------------------------------------
|   |(наименование - для юридического лица; фамилия, имя,             |
|   |отчество - для физического лица)                                 |
-----------------------------------------------------------------------
-----------------------------------------------------------------------
|041|юридическое  |  |  |  |  |  |  |  |  |Код согласно ЕГРПОУ        |
|   |лицо         |  |  |  |  |  |  |  |  |                           |
|---+-------------+--+--+--+--+--+--+--+--+---------------------------|
|042|физиче-|  |  |  |  |  |  |  |  |  |  |Регистрационный номер      |
|   |ское   |  |  |  |  |  |  |  |  |  |  |учетной карточки           |
|   |лицо   |  |  |  |  |  |  |  |  |  |  |плательщика налога или     |
|   |       |  |  |  |  |  |  |  |  |  |  |серия и номер паспорта*    |
-----------------------------------------------------------------------
-----------------------------------------------------------------------
|05 |Вид пла- | в соответствии с пунктом 212.1 статьи 212 раздела VI  |
|   |тельщика |      Налогового кодекса Украины (далее - Кодекс)      |
|   |акцизного|-------------------------------------------------------|
|   |налога   |212.1.1|212.1.2|212.1.4|212.1.5|212.1.6|212.1.7|212.1.8|
|   |         |-------+-------+-------+-------+-------+-------+-------|
|   |         |       |       |       |       |       |       |       |
-----------------------------------------------------------------------
-----------------------------------------------------------------------
|06 |Местонахождение плательщика налога       |Почтовый|  |  |  |  |  |
|   |(место жительства)                       |индекс  |  |  |  |  |  |
|   |________________________________________ |--------+--------------|
|   |________________________________________ |Телефон |              |
|   |________________________________________ |--------+--------------|
|   |________________________________________ |Факс    |              |
|   |________________________________________ |--------+--------------|
|   |                                         |E-mail  |              |
-----------------------------------------------------------------------
-----------------------------------------------------------------------
|Декларация акцизного налога подается в орган государственной         |
|налоговой службы в                                                   |
-----------------------------------------------------------------------
-----------------------------------------------------------------------
|                                             |    (район, город)     |
-----------------------------------------------------------------------

_______________

* For physical persons which owing to the religious beliefs refuse adoption of registration number of accounting card of the taxpayer and reported about it to relevant organ of the State Tax Service and have mark in the passport.

(UAH)

+--------------------------------------------------------------------+
¦Код  ¦  Раздел А. Налоговые обязательства  ¦Код           ¦Сумма    ¦
¦опер-¦  по спирту    этиловому  и  другим  ¦показателя    ¦акцизного¦
¦ации ¦  спиртным             дистиллятам,  ¦приложения    ¦налога   ¦
¦     ¦  алкогольным   напиткам   и   пиву  ¦              ¦         ¦
+-----+-------------------------------------+--------------+---------¦
¦А1   ¦Операции по  реализации произведенных¦Д.1 (к.13)    ¦         ¦
¦     ¦в Украине спирта этилового  и  других¦Д.3 (к.16)    ¦         ¦
¦     ¦спиртных   дистиллятов,   алкогольных¦              ¦         ¦
¦     ¦напитков, в том числе:               ¦              ¦         ¦
+-----+-------------------------------------+--------------+---------¦
¦А1.1 ¦по выданным    налоговым    векселям,¦ Д.3 (к.10)   ¦         ¦
¦     ¦которые подлежат погашению в отчетном¦              ¦         ¦
¦     ¦(налоговом)   периоде   (статья   225¦              ¦         ¦
¦     ¦раздела    VI    Кодекса)   (добавить¦              ¦         ¦
¦     ¦перечень налоговых векселей)         ¦              ¦         ¦
+-----+-------------------------------------+--------------+---------¦
¦А2   ¦Операции по реализации произведенного¦Д.1 (к.13)    ¦         ¦
¦     ¦в Украине пива                       ¦              ¦         ¦
+-----+-------------------------------------+--------------+---------¦
¦А3   ¦Операции по     ввозу     алкогольных¦Д.1 (к.13)    ¦         ¦
¦     ¦напитков  на  таможенную   территорию¦Д.3 (к.16)    ¦         ¦
¦     ¦Украины                              ¦              ¦         ¦
+-----+-------------------------------------+--------------+---------¦
¦А4   ¦Другие операции     по     реализации¦Д.1 (к.13)    ¦         ¦
¦     ¦(передачи) спирта этилового и  других¦Д.3 (к.16)    ¦         ¦
¦     ¦спиртных   дистиллятов,   алкогольных¦              ¦         ¦
¦     ¦напитков и пива, в том числе:        ¦              ¦         ¦
+-----+-------------------------------------+--------------+---------¦
¦А4.1 ¦с целью собственного потребления     ¦   х          ¦         ¦
+-----+-------------------------------------+--------------+---------¦
¦А4.2 ¦для промышленной переработки         ¦   х          ¦         ¦
+-----+-------------------------------------+--------------+---------¦
¦А4.3 ¦реализации (передаче)           своим¦   х          ¦         ¦
¦     ¦работникам                           ¦              ¦         ¦
+-----+-------------------------------------+--------------+---------¦
¦А5   ¦Операции по     реализации     спирта¦Д.1 (к.13)    ¦         ¦
¦     ¦этилового    и    других     спиртных¦Д.3 (к.16)    ¦         ¦
¦     ¦дистиллятов,  алкогольных  напитков и¦              ¦         ¦
¦     ¦пива, в том числе:                   ¦              ¦         ¦
+-----+-------------------------------------+--------------+---------¦
¦А5.1 ¦ Конфискованных                      ¦  х           ¦         ¦
+-----+-------------------------------------+--------------+---------¦
¦А5.2 ¦таких, за   которыми   не   обратился¦  х           ¦         ¦
¦     ¦владелец до конца срока хранения     ¦              ¦         ¦
+-----+-------------------------------------+--------------+---------¦
¦А5.3 ¦которые по  праву наследования или по¦  х           ¦         ¦
¦     ¦другим    причинам    переходят     в¦              ¦         ¦
¦     ¦собственность государства            ¦              ¦         ¦
+-----+-------------------------------------+--------------+---------¦
¦А6   ¦Объемы потерянных  спирта этилового и¦ Д.1 (к.13)   ¦         ¦
¦     ¦других     спиртных      дистиллятов,¦ Д.3 (к.16)   ¦         ¦
¦     ¦алкогольных    напитков    и    пива,¦              ¦         ¦
¦     ¦превышающие    установленные    нормы¦              ¦         ¦
¦     ¦потерь                               ¦              ¦         ¦
¦     ¦                                     ¦              ¦         ¦
+-----+-------------------------------------+--------------+---------¦
¦А7   ¦Объемы спирта  этилового   и   других¦Д.1 (к.13)    ¦         ¦
¦     ¦спиртных   дистиллятов,   алкогольных¦Д.3 (к.16)    ¦         ¦
¦     ¦напитков и пива,  которые  ввезены  с¦              ¦         ¦
¦     ¦освобождением    от   налогообложения¦              ¦         ¦
¦     ¦согласно подпунктам  213.3.3  213.3.8¦              ¦         ¦
¦     ¦пункта  213.3  статьи  213 раздела VI¦              ¦         ¦
¦     ¦Кодекса,   в   случае    несоблюдения¦              ¦         ¦
¦     ¦требований таможенных режимов        ¦              ¦         ¦
+-----+-------------------------------------+--------------+---------¦
¦А8   ¦Объемы спирта, на которые установлена¦ Д.1 (к.13)   ¦         ¦
¦     ¦ставка налога 0  гривень  за  1  литр¦              ¦         ¦
¦     ¦100-процентного   спирта,   в  случае¦              ¦         ¦
¦     ¦нарушения   условий    их    целевого¦              ¦         ¦
¦     ¦использования                        ¦              ¦         ¦
+-----+-------------------------------------+--------------+---------¦
¦А9   ¦Объемы спирта   этилового   и  других¦Д.1 (к.13)    ¦         ¦
¦     ¦спиртных   дистиллятов,   алкогольных¦Д.3 (к.16)    ¦         ¦
¦     ¦напитков,    которые   получены   или¦              ¦         ¦
¦    

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