ࡱ> gjf_ Zabjbj 8tbb &(jj)))8a<L)0. $!!#>"(8Ж tB0$^"$$8$j! : MU BN K KHAI TI SN, THU NHP (Km theo Thng t s 08/2013/TT-TTCP ngy 31 thng 10 nm 2013 ca Thanh tra Chnh ph) BN K KHAI TI SN, THU NHP NM:................. I. THNG TIN CHUNG 1. Ngi k khai ti sn, thu nhp - H v tn:& & & & & & & & & & & & & & .Nm sinh:& & & & ..& & & & & . - Chc v/chc danh cng tc:& & & & & & & & & & & & & & & & ................... - C quan/n v cng tc:& & & & & & & & & & & & & & & & & ...... ................ - H khu thng tr:& & & & & & & & & & & & & & & & & & & & .. ................ - Ch  hin ti:& & & & & & & & & & & & & & & & & & & & & & ... ................ 2. V hoc chng ca ngi k khai ti sn, thu nhp - H v tn:& & & & & & & & & & & & & & & .Nm sinh:& & .& & .. ................ - Chc v/chc danh cng tc:& & & & & & & & & & & & & & & & ... ................ - C quan/n v cng tc:& & & & & & & & & & & & & & & & & & ................ - H khu thng tr:& & & & & & & & & & & & & & & & & & & & ................ - Ch  hin ti:& & & & & & & & & & & & & & & & & & & & & & ................ 3. Con cha thnh nin(con , con nui theo quy nh ca php lut) a) Con th nht: - H v tn:& & & & & & & & & & & & & & & & & & & & & & & ................& - Ngy, thng, nm sinh:& & & & & & & & & & & & & & & & & & ................ - H khu thng tr:& & & & & & & & & & & & & & & & & & & ................& - Ch  hin ti:& & & & & & & & & & & & & & & & & & & & & ................& b) Con th hai (tr ln): K khai nh con th nht. II. THNG TIN M T V TI SN 1. Nh , cng trnh xy dng: a) Nh : - Nh th nht: ...............& & & & & & & ..& & & & & & .& & & & & . ................ + Loi nh:& & & & & & & & Cp cng trnh& & & & & & ...& & & & ................ + Din tch xy dng: & & & & & & & & & & .& & & & & & ...& & ..................... + Gi tr: & & & & & & & & & & & & & & & & & & & .& & & & & & ................ + Giy chng nhn quyn s hu: & & & & & & & & & & .& & & & & ................ + Thng tin khc (nu c): & & & & & & & & & & & & & & & & .& ................& - Nh th hai (tr ln): K khai tng t nh nh th nht. b) Cng trnh xy dng khc: - Cng trnh th nht: ..................................................................& ...& ................ + Loi cng trnh & & & & & Cp cng trnh & & & & & & & & & ..................& + Din tch: & & & & & & & & & & & & & & & & & & & .& & & & & ............. + Gi tr: & & & & & & & & & & & & & & & & & & & & & .& & & ................ + Giy chng nhn quyn s hu: & & & & & & & & & & & .& & & ................ + Thng tin khc (nu c): & & & & & & & & & & & & .& & & & & ................& - Cng trnh th hai (Tr ln): K khai tng t nh cng trnh th nht. 2. Quyn s dng t: a) t : - Mnh th nht: ....................................................................................... ................. + a ch: & & & & & ...& & & & & & & & & .& & & & & & & & & & & & & & + Din tch: & & & & & & & ...& & & & & & & & & & & & & & & .................& + Gi tr: & & & & & & & & & & & ...& & & & & & & & & & & & .................& + Giy chng nhn quyn s dng: & & & & & & & ..& & & & ..& & & & & ..& + Thng tin khc (nu c): & & & & & & & & & & & & ...& & & ..& & & & & .. - Mnh th 2: (M t nh mnh th nht). b) Cc loi t khc: - Mnh th nht: ....................................................................................................... + a ch: & & & & & & & & & & & & & & & & & & & & & & & & & & ..& & + Din tch: & & & & & & & .& & & & & & & & & & & & & & & & & & & ..& + Gi tr: & & & & & & & & & & & ...& & & & & & & & & & & & .& & & & .& + Giy chng nhn quyn s dng: & & & & & & & ..& & & & & .& & & & & & + Thng tin khc (nu c): & & & & & & & & & & & & ...& & & & & & & ...& - Mnh th hai: (M t nh mnh th nht). 3.Tin(tin Vit Nam, ngoi t) gm tinmt, tin cho vay, tin gi c nhn, t chc trong nc,t chcnc ngoiti Vit Nammtnggi trquy it 50 triu ng tr ln. .................................................................................................................................... .................................................................................................................................... .................................................................................................................................... 4. t, m t,xe gn my,xe my (my i, my xc, cc loi xe my khc),tuthy,tu bay,thuyn v nhng ng sn khc m Nh nc qun l (theo quy nh ca php lut phi ng k s dng v c cp giy ng k) ctnggi trmi loit 50 triu ng tr ln. - t - M t - Xe gn my - Xe my(my i, my xc, cc loi xe my khc) - Tuthy - Tu bay - Thuyn - Nhng ng sn khc m Nh nc qun l (theo quy nh ca php lut phi ng k s dng v c cp giy ng k) .................................................................................................................................... .................................................................................................................................... ..................................................................................................................................... 5.Kim loi qu,  qu, c phiu, vn gp vo cc c s kinh doanh, cc loi giy t c gi tr chuyn nhng khc c tng gi tr quy i mi loi t 50 triu ng tr ln. - Kim loi qu -  qu - C phiu - Vn gp vo cc c s kinh doanh - Cc loi giy t c gi tr chuyn nhng khc .............................................................................................................................. ..............................................................................................F0 2 \ ^ * ,  2 4  $ & n  `"~ bdHJDZDZDZ%h"h"B*PJaJmH*phsH*h"B*PJaJmH phsH +h"h"5B*PJ\aJmH phsH h"h"B*PJaJph+h"h"6B*PJ]aJmH phsH %h"h"B*PJaJmH phsH 82 ^ , 4 & ndxx-DM gd"$dxx-DM a$gd"$d-DM a$gd"JjPPp@`>^Vv*J&Fbh.H"(v>F  p x *!!!%h"h"B*PJaJmH*phsH*h"B*PJaJph%h"h"B*PJaJmH phsH #h"h"5B*PJ\aJphh"h"B*PJaJphh"B*PJaJmH phsH =nRfrbbzLJ lN.dxx-DM gd".J ~ @"J#T$^%~''''(.(B(T(@)%**0++X-dxx-DM gd"!!!!!! ">":#H#D$R$N%\%d%~%%%%%%%%%& &&'('8'J'|'''''''($(H(R(Z(>)!*$***++/+0+++,V-0>>?@??????@ݿѳѤݢݳѤUh"hUrAB*PJaJphh"B*PJaJph#h"h"5B*PJ\aJphhUrAB*PJaJphh"h"B*PJaJph%h"h"B*PJaJmH*phsH*@X-v----F.D/B>@??@ABCDEFGHIJK$LjL(N0O8P.Qdxx-DM gd"................................ .............................................................................................................................. & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & 6.Cc loi ti snkhcm gi tr quy i mi loi t 50 triu ng tr ln(nh cy cnh, b bn gh, tranh, nh,  m ngh v cc loi ti sn khc). ................................................................................................................................ ................................................................................................................................ ................................................................................................................................ 7.Ti sn, ti khon nc ngoigm tt c ti sn quy nh t Khon 1 n Khon 6 ni trn nm ngoi lnh th Vit Nam. .................................................................................................................................. .................................................................................................................................. ........................................................................................................ ......................... & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & 8.Cc khon ngm: cc khonphi tr, gi tr cc ti sn qun l h, gi hctnggi trquy it 50 triu ng tr ln. .................................................................................................................................. .................................................................................................................................. ............................................................................................................................. .... & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & . 9. Tng thu nhp trong nm quy i thnh tin Vit Nam gm cc khon lng, ph cp, tr cp, thng, th lao, cho, tng, biu, tha k, thu nhp hng li t cc khon u t, pht minh, sng ch, cc khon thu nhp khc. ................................................................................................................................... ................................................................................................................................... ............................................................................................................... ... & & & & .. & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & .. III. GII TRNH S BIN NG CA TI SN, THU NHP (Bin ng v ti sn, thu nhp, gii trnh ngun gc ti sn tng thm) Loi ti sn, thu nhpTng/ gimNi dung gii trnh ngun gc ti sn, thu nhp tng thm1. Nh , cng trnh xy dng (tng, gim v s lng, din tch hoc thay i v cp nh, cng trnh so vi k k khai trc ): a) Nh : b) Cng trnh xy dng khc: 2. Quyn s dng t (tng, gim v s lng, din tch,thay iloi t so vi k k khai trc ): a) t : b) Cc loi t khc: 3.Tin(tin Vit Nam, ngoi t) gm tinmt, tin cho vay, tin gi c nhn, t chc trong nc,t chcnc ngoiti Vit Nammtnggi trquy it 50 triu ng tr ln. 4. Cc loi ng sn: - t - M t - Xe gn my - Xe my(my i, my xc, cc loi xe my khc) - Tuthy - Tu bay - Thuyn - Nhng ng sn khc m Nh nc qun l (theo quy nh ca php lut phi ng k s dng v c cp giy ng k) 5. Cc loi ti sn: -Kim loi qu -  qu - C phiu - Vn gp vo cc c s kinh doanh - Cc loi giy t c gi tr chuyn nhng khc ctnggi trquy i mi loit 50 triu ng tr ln. 6.Cc loi ti snkhc(nh cy cnh, b bn gh, tranh, nh,  m ngh v cc loi ti sn khc)m gi tr quy i mi loi t 50 triu ng tr ln. 7. Ti sn, ti khon nc ngoigm tt c ti sn quy nh t Khon 1 n Khon 6 ni trn nm ngoi lnh th Vit Nam. 8.Cc khon ngm: cc khonphi tr, gi tr cc ti sn qun l h, gi hctnggi tr quy i t 50 triu ng tr ln. 9. Tng thu nhp trong nm quy i thnh tin Vit Nam(Ngi k khai t xc nh cc loi ti sn tng, gim trong k k khai v gii trnh ngun gc ti sntng thm). 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