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 the procedure, established by the legislation of the Republic of Belarus

from 16 _______________ 20 __ on 15 _______________ 20 __.

(month)

(month)

Respondents (selective state statistical observation) represent

Representation term

Form 12 of the price (wholesale)

legal entities, the separate divisions of legal entities performing wholesale trade

in the form of the electronic document

to the head statistical department of area (city of Minsk)

The 17th after the accounting period

Form code on OKUD

0649001

Monthly

Full name of the legal entity ______________________________________________________

___________________________________________________________________________________________

Full name of separate division 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, characteristic (brand, grade, size, weight, packaging, producer) of goods representative

Code of line, goods representative code

Unit of measure

Manufacturing country code
(1 – domestic,
2 – other country)

Average price for unit of goods representative, rubles

Change in price reason code (0–8, 11), replacements of goods representative (9), permanent lack of goods representative (10)

accounting period

previous period

And

B

In

1

2

3

4

Goods representatives

1000000

x

x

x

x

x

Name, characteristic (brand, grade, size, weight, packaging, producer), code of group of goods (products), goods representative unit of measure

Code of line *

Manufacturing country code
(1 – domestic,
2 – other country)

Average price for unit of goods representative, rubles

Change in price reason code (0–8, 11)

accounting period

previous period