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7/24/2019 Declaratia 4BASS1 Tab 1si 2
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Primit ________ Anexa nr.1 la Ordinul CNAS nr. 102-A
(data) 1 10
FORMA 4
tampila CTAS
Declaraie
privind calcularea i utilizarea contribu iilor de asigurri sociale de stat obligatorii
pentru perioada
_____________________________________________________________________________________(denumirea complet a pltitorului)
( )
_______________________________________________________________________________________________________________________
(adresa juridic)
( )
Codul fiscal________________________________________________________________________________________
!Nr. nregistrrii la CNAS_____________________________________________________________________________"# $ %
Codul statistic al localitii confor! C"A#$_______________________________________________________________
& ! $ " 'A()
%ru&a acti'itii &rinci&ale confor! CA($________________________________________________________________
* %" %! !+ " ,
!abelul nr" #" $alcularea contribuiilor de asigurri sociale de stat obligatorii
/# 1. & %% +" "!%" #" %+
1 2 3 4 5 6 !
1#1 112 01 $
1#2 112 01 $
$ $ $ $ $
1#2% 112 #1 $ $ & $
1#2' 112 #1 $ $ & $
1#3 112 01 $
1#4 112 01 & $
1# 112 02 & &
1#6 112 02 $ $ &
1# $ $
#i&ul declaraiei )*ifai+/ !# iniial ,%&+ corectat, 45+
Codrnd
Tariful contribuiilor
Numrul persoanelorasigurate conform
categoriilor de pltitori(!"#$)
% &
'
()
Baza de calcul acontribuiilor
corespunztortarifelor
* + &
,,,
Suma calculat- ,
de angajator(./0$1 "$2324234236 7
89":;< ./0$= "$23= > 89":; )
? +
($1$23242342367 89":;