ORDER OF THE GOVERNMENT OF THE REPUBLIC OF MOLDOVA

of February 5, 2013 No. 101

About approval of the standard forms confirming residence and payment by nonresidents of the income tax in the Republic of Moldova

1. Approve:

Standard form - Form 1-DTA-13 "The certificate on residence" according to appendix No. 1;

Standard form - Form 2-DTA-13 "The statement for issue of the certificate on confirmation of the income tax paid in the Republic of Moldova" according to appendix No. 2;

Standard form - Form 3-DTA-13 "The certificate on confirmation of the income tax paid in the Republic of Moldova" according to appendix No. 3;

Standard form - Form 4-DTA-13 "The certificate on confirmation of the income tax paid in the Republic of Moldova by physical persons - foreign citizens or stateless persons which received resident status of the Republic of Moldova" according to appendix No. 4;

Standard form - Form 5-DTA-13 "The statement for compensation of the income tax withheld from the sources which are in the Republic of Moldova" according to appendix No. 5;

Standard form – The CCR-15 "Statement for Issue of the Certificate on Residence" Form according to appendix No. 5-1;

The instruction for filling of the standard forms confirming residence and payment by nonresidents of the income tax in the Republic of Moldova according to appendix No. 6.

2. Recognize invalid:

The order of the Government No. 837 of September 14, 2010. "About approval of changes and additions which are made to appendices No. 6, of 7, 8 and 9 to the Order of the Government No. 9 of January 19, 2010" (The official monitor of the Republic of Moldova, 2010, No. 172-178, of the Art. 925);

Item 36 of the Order of the Government No. 928 of December 12, 2012. "About approval of changes and additions which are made to some orders of the Government" (The official monitor of the Republic of Moldova, 2012, No. 263-269, of the Art. 1001).

Appendix No. 1

to the Order of the Government of the Republic of Moldova of February 5, 2013 No. 101

Standard form - Form 1-DTA-13 "Certificate on residence"

See. The standard form - the Form 1-DTA-13 "The certificate on residence" (5Kb In original language)

Appendix No. 2

to the Order of the Government of the Republic of Moldova of February 5, 2013 No. 101

Standard form - Form 2-DTA-13 "Statement for issue of the certificate on confirmation of the income tax paid in the Republic of Moldova"

See. The standard form - the Form 2-DTA-13 "The statement for issue of the certificate on confirmation of the income tax paid in the Republic of Moldova" (8Kb In original language)

Appendix No. 3

to the Order of the Government of the Republic of Moldova of February 5, 2013 No. 101

Standard form - Form 3-DTA-13 "Certificate on confirmation of the income tax paid in the Republic of Moldova"

See. The standard form - the Form 3-DTA-13 "The certificate on confirmation of the income tax paid in the Republic of Moldova" (8Kb In original language)

Appendix No. 4

to the Order of the Government of the Republic of Moldova of February 5, 2013 No. 101

Standard form - Form 4-DTA-13 "The certificate on confirmation of the income tax paid in the Republic of Moldova by physical persons - foreign citizens or stateless persons which received resident status of the Republic of Moldova"

See. The standard form - the Form 4-DTA-13 "The certificate on confirmation of the income tax paid in the Republic of Moldova by physical persons - foreign citizens or stateless persons which received resident status of the Republic of Moldova" (6Kb In original language)

Appendix No. 5

to the Order of the Government of the Republic of Moldova of February 5, 2013 No. 101

Standard form - Form 5-DTA-13 "Statement for compensation of the income tax withheld from the sources which are in the Republic of Moldova"

See. The standard form - the Form 5-DTA-13 "The statement for compensation of the income tax withheld from the sources which are in the Republic of Moldova" (10Kb In original language)

Appendix No. 5-1

to the Order of the Government of the Republic of Moldova of February 5, 2013 No. 101

Standard form – CCR-15 "Statement for Issue of the Certificate on Residence" Form

See. The standard form – the CCR-15 "Statement for Issue of the Certificate on Residence" Form (11Kb In original language)

Appendix No. 6

to the Order of the Government of the Republic of Moldova of February 5, 2013 No. 101

The instruction for filling of the standard forms confirming residence and payment by nonresidents of the income tax in the Republic of Moldova

1. The certificate according to form 1-DTA-13 is used for confirmation of residence in the territory of the Republic of Moldova for the purpose of use of provisions of international conventions (agreements) on avoidance of double taxation signed between the Republic of Moldova and other states. Confirmation of residence of the applicant is performed according to the certificate on rezidenstvo provided in appendix No. 1.

2. The statement according to form 2-DTA-13 is used by nonresidents in case of availability or lack of the international treaty for confirmation of the income tax paid (withheld) in the Republic of Moldova from income gained in this territory.

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