Reference of the natural person income in 2011 of January 10.2012

In the Inspection of the Federal Tax Service 2301

1   Data about Fiscal Agent

1.1 INN/KPP 230108309768/-

1.2 Name of the organization Sergeeva Irina Sergeevna

1.3 OKATO code 03403000000

1.4 Telephone ( 918)3195408  

2 Data about the natural person – income recipient

2.1 INN 234105303967

2.2 Surname, Name:Seregina Irina Sergeevna

2.3 Status (1 – resident, 2- non resident) 1

2.4 Date of birth 02/06/1980

2.5 Nationality (country code) 643

2.6 Code of the document identifying the person 21

2.7 Series, number of the document 0304 780159

2.8 Address of the permanent residence

Postal code 353440 Region code 23 City Anapa Street Krestyanskaya House 34 Flat 8

2 Income which is taxed on at rate of 6 %

___________868276___________________________

5  Total amount of income and tax income in the tax period

5.1 Total amount of income 868276

5.2 Amount of income which is taxed on 868276

5.3 Calculated amount of income 26048

5.4 Deducted amount of income 26048

 

 

Fiscal agent Deputy chief accountant _______________ Novashina N.M