ࡱ> _ bjbj AbbOS%SSSSS. . . #######$[' *N#. . . . . #SSu%""". SS#". #"""S@K. "#%0%"[*. [*"[*"". . . ##". . . %. . . . [*. . . . . . . . . ! : S Y T LM NG TRUNG TM Y T LM H -------CNG HA X HI CH NGH(A VIT NAM c lp - T do - Hnh phc --------------- BN K KHAI TI SN, THU NHP LN U (NM 2020) (Ngy thng nm )(2) I. THNG TIN CHUNG 1. Ngi k khai ti sn, thu nhp - H v tn:........................................................ Ngy thng nm sinh: ............................... - Chc v/chc danh cng tc: ............................................................................................. - C quan/n v cng tc: .................................................................................................... - Ni thng tr: ................................................................................................................... - S cn cc cng dn hoc giy chng minh nhn dn(3): ..........................................ngy cp.............................. ni cp .......................................... 2. V hoc chng ca ngi k khai ti sn, thu nhp - H v tn:...................................................................... Ngy thng nm sinh: ................. - Ngh nghip: ....................................................................................................................... - Ni lm vic(4): ................................................................................................................... - Ni thng tr: ................................................................................................................... - S cn cc cng dn hoc giy chng minh nhn dn: .................................................... ngy cp................................... ni cp ............................ 3. Con cha thnh nin (con , con nui theo quy nh ca php lut) 3.1. Con th nht: - H v tn:.............................................................. Ngy thng nm sinh: ......................... - Ni thng tr: .................................................................................................................. - S cn cc cng dn hoc giy chng minh nhn dn: ............................................ngy cp..............................................ni cp ........... 3.2. Con th hai (tr ln): K khai tng t nh con th nht. II. THNG TIN M T V TI SN(5) 1. Quyn s dng thc t i vi t(6): 1.1. t (7): 1.1.1. Tha th nht: - a ch(8): ........................................................................................................................ - Din tch(9): ...................................................................................................................... - Gi tr(10): ............................................................................................................................ - Giy chng nhn quyn s dng(11): .................................................................................. - Thng tin khc (nu c)(12): .............................................................................................. 1.1.2. Tha th 2 (tr ln): K khai tng t nh tha th nht. 1.2. Cc loi t khc(13): 1.2.1. Tha th nht: - Loi t:................................ a ch: ................................................................................ - Din tch: ........................................................................................................................... - Gi tr(10): ........................................................................................................................... - Giy chng nhn quyn s dng: ...................................................................................... - Thng tin khc (nu c): .................................................................................................... 1.2.2. Tha th 2 (tr ln): K khai tng t nh tha th nht. 2. Nh , cng trnh xy dng: 2.1. Nh : 2.1.1. Nh th nht: ............................................................................................................ - a ch: ............................................................................................................................... - Loi nh(14): ....................................................................................................................... - Din tch s dng (15): ......................................................................................................... - Gi tr(10): ............................................................................................................................ - Giy chng nhn quyn s hu: ........................................................................................ - Thng tin khc (nu c): ..................................................................................................... 2.1.2. Nh th 2 (tr ln): K khai tng t nh nh th nht. 2.2. Cng trnh xy dng khc(16): 2.2.1. Cng trnh th nht: - Tn cng trnh:........................................ a ch: .............................................................. - Loi cng trnh:............................................ Cp cng trnh: ............................................. - Din tch: ......................................................................................................................... - Gi tr (10): ....................................................................................................................... - Giy chng nhn quyn s hu: ....................................................................................... - Thng tin khc (nu c): .................................................................................................... 2.2.2. Cng trnh th 2 (tr ln): K khai tng t nh cng trnh th nht. 3. Ti sn khc gn lin vi t(17): 3.1. Cy lu nm(18): - Loi cy:.................................. S lng:........................... Gi tr(10): .............................. - Loi cy:.................................. S lng:........................... Gi tr(10): ............................... 3.2. Rng sn xut(19): - Loi rng:.......................................... Din tch:................................. Gi tr(10): .............. - Loi rng:......................................... Din tch:................................. Gi tr(10): ............... 3.3. Vt kin trc khc gn lin vi t: - Tn gi:.................................... S lng:............................. Gi tr(10): ........................ - Tn gi:.................................... S lng:............................. Gi tr(10): ........................... 4. Vng, kim cng, bch kim v cc kim loi qu,  qu khc c tng gi tr t 50 triu ng tr ln(20). 5. Tin (tin Vit Nam, ngoi t) gm tin mt, tin cho vay, tin tr trc, tin gi c nhn, t chc trong nc, t chc nc ngoi ti Vit Nam m tng gi tr quy i t 50 triu ng tr ln(21). 6. C phiu, tri phiu, vn gp, cc loi giy t c gi khc m tng gi tr t 50 triu ng tr ln (khai theo tng loi): 6.1. C phiu: - Tn c phiu:............................................ S lng:.......................... Gi tr: ................... - Tn c phiu:............................................ S lng:.......................... Gi tr: .................. 6.2. Tri phiu: - Tn tri phiu:........................................... S lng:........................... Gi tr: ................ - Tn tri phiu:........................................... S lng:........................... Gi tr: ................. 6.3. Vn gp(22): - Hnh thc gp vn:......................................................... Gi tr:........................................ - Hnh thc gp vn:......................................................... Gi tr:........................................ 6.4. Cc loi giy t c gi khc(23): - Tn giy t c gi: ............................................................ Gi tr:..................................... - Tn giy t c gi:............................................................. Gi tr:...................................... 7. Ti sn khc m mi ti sn c gi tr t 50 triu ng tr ln, bao gm: 7.1. Ti sn theo quy nh ca php lut phi ng k s dng v c cp giy ng k (tu bay, tu thy, thuyn, my i, my xc, t, m t, xe gn my...)(24): - Tn ti sn:................................... S ng k:................................ Gi tr: ..................... - Tn ti sn:................................... S ng k:................................ Gi tr: ...................... 7.2. Ti sn khc ( m ngh,  th cng, bn gh, cy cnh, tranh, nh, cc loi ti sn khc)(25): - Tn ti sn:................................. Nm bt u s hu:.......................... Gi tr: ................ - Tn ti sn:................................. Nm bt u s hu:.......................... Gi tr: ............... 8. Ti sn  nc ngoi(26). 9. Ti khon  nc ngoi(27): - Tn ch ti khon: ....................................................., s ti khon: ................................ - Tn ngn hng, chi nhnh ngn hng, t chc ni m ti khon: ...................................... 10. Tng thu nhp nm 2020(28): - Tng thu nhp ca ngi k khai: ...................................................................................... - Tng thu nhp ca v (hoc chng): .................................................................................. - Tng thu nhp ca con cha thnh nin: ............................................................................ - Tng cc khon thu nhp chung: ........................................................................................ III. BIN NG TI SN, THU NHP; GII TRNH NGUN GC CA TI SN, THU NHP TNG THM (29) (nu l k khai ti sn, thu nhp ln u th khng phi k khai Mc ny): .......... Loi ti sn, thu nhpTng (30)/gim (31)Ni dung gii trnh ngun gc ca ti sn tng thm v tng thu nhpS lng ti snGi tr ti sn, thu nhp1. Quyn s dng thc t i vi t 1.1. t  1.2. Cc loi t khc 2. Nh , cng trnh xy dng 2.1. Nh  2.2. Cng trnh xy dng khc 3. Ti sn khc gn lin vi t 3.1. Cy lu nm, rng sn xut 3.2. Vt kin trc gn lin vi t 4. Vng, kim cng, bch kim v cc kim loi qu,  qu khc c tng gi tr t 50 triu ng tr ln 5. 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