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Anexa 4. Persoane fizice 
Declaratie privind cazierul fiscal 
Subsemnatul ______________________ (nume / prenume), domiciliat in localitatea 
_________________________, str. ______________________, nr _____, ap. _______, 
posesor al CI seria ____ nr. __________, eliberat de ____________, la data de 
____________ avand CNP ____________________________, cunoscand prevederile art. 
326 Cod Penal cu privire la declaratiile nesincere, prin prezenta declar pe proprie raspundere 
ca nu am fapte inscrise in cazierul fiscal si de asemenea ca nu am savarsit fapte de natura a fi 
inscrise in cazierul fiscal . 
Totodata , imi asum intreaga responsabilitate in cazul in care eventualele fapte inscrise 
in cazierul meu fiscal vor constitui un impediment in selectia mea ca si membru fondator al 
structurii de economie sociala pentru care am candidat . 
Nume/ prenume 
Semnatura
Anexa 4. Persoane juridice 
Declaratie privind cazierul fiscal 
Subsemnatul(a) _________________________________reprezentant împuternicit al 
(denumirea, numele operatorului economic)___________________________________, cu 
sediul social în______________________________________, înregistrat în Registrul 
Comerţului__________________________, cod unic de înregistrare 
_________________________ 
cunoscand prevederile art. 326 Cod Penal cu privire la declaratiile nesincere , prin prezenta 
declar pe proprie raspundere ca nu am fapte inscrise in cazierul fiscal si de asemenea ca nu 
am savarsit fapte de natura a fi inscrise in cazierul fiscal . 
Totodata , imi asum intreaga responsabilitate in cazul in care eventualele fapte inscrise 
in cazierul meu fiscal vor constitui un impediment in selectia mea ca si membru fondator al 
structurii de economie sociala pentru care am candidat. 
Nume/ prenume 
Semnatura

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Anexa 4 ses coltau

  • 1. Anexa 4. Persoane fizice Declaratie privind cazierul fiscal Subsemnatul ______________________ (nume / prenume), domiciliat in localitatea _________________________, str. ______________________, nr _____, ap. _______, posesor al CI seria ____ nr. __________, eliberat de ____________, la data de ____________ avand CNP ____________________________, cunoscand prevederile art. 326 Cod Penal cu privire la declaratiile nesincere, prin prezenta declar pe proprie raspundere ca nu am fapte inscrise in cazierul fiscal si de asemenea ca nu am savarsit fapte de natura a fi inscrise in cazierul fiscal . Totodata , imi asum intreaga responsabilitate in cazul in care eventualele fapte inscrise in cazierul meu fiscal vor constitui un impediment in selectia mea ca si membru fondator al structurii de economie sociala pentru care am candidat . Nume/ prenume Semnatura
  • 2. Anexa 4. Persoane juridice Declaratie privind cazierul fiscal Subsemnatul(a) _________________________________reprezentant împuternicit al (denumirea, numele operatorului economic)___________________________________, cu sediul social în______________________________________, înregistrat în Registrul Comerţului__________________________, cod unic de înregistrare _________________________ cunoscand prevederile art. 326 Cod Penal cu privire la declaratiile nesincere , prin prezenta declar pe proprie raspundere ca nu am fapte inscrise in cazierul fiscal si de asemenea ca nu am savarsit fapte de natura a fi inscrise in cazierul fiscal . Totodata , imi asum intreaga responsabilitate in cazul in care eventualele fapte inscrise in cazierul meu fiscal vor constitui un impediment in selectia mea ca si membru fondator al structurii de economie sociala pentru care am candidat. Nume/ prenume Semnatura