CONSllIUl CONCURENTEIDeclaratie de avere .:

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Subsemnatul M 19 ~;}s.~~.:-:~\?? , avand func~ia de.~ c.~~s~~~T~ , la..... ~~~.~~~~.h- ...~~.<;:.~~~.~~~~ ..... , declar pe propria raspundere, ca impreuna cu familial de~inurmatoarele active ~i datorii.

l.Terenurit!P.~~.~..~.~..·fP!..q~S!~r.i!.J(!E!.Y.~{'!S.~!~..~.(!'!.t~J(!..'!.r~~..t,~r.( :; : : ; ::! . * : Anul:: Cota: Valoarea de 1 Modul de : 2i: Adresa :: Categona i dobandirii: Suprafa~a. parte: impozitare I dobandire: Titularul ::;..0; , .;,;, ;; ; ;: :, ;; ;: :, .

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* Categoriile indicate sunt: (1) agricol; (2) forestier; (3) intravilan; (4) luciu apa; (5) alte categorii de terenuriextravilane, dacJ se aflJ in circuitul civil

Nota: se vor declara inclusiv cele aflate in alte tari

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..•.... .....~ ~.~...... L............ .................••....~ _.~ •...i. ••• ~ •• _...... ..........1* Categoriile indicate sunt: (1) apartament; (2) casJ de locuit; (3) casJ de vacantJ; (4) spatH comerciale/deproductie

1.Autovehicule/autoturisme, tractoare, ma~ini agricole, ~alupe, iahturi ~i alte mijloace de transport caresunt supuse inmatricularii, potrivit legii

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2.Bunuri sub form~ de metale pretioase, bijuterii, obiecte de art~ ~i de cult, colectii de art~ ~inumismatic~, obiecte care fac parte din patrimoniul cultural national sau universal sau altele asemenea, ac~ror valoare insumat~ dep~~e~te5.000 Euro

NoM: se vor mentiona toate bunurile aflate in proprietate, indiferent daea ele se afla sau nu pe teritoriulRomaniei la momentul deelarariir······· ······················6~;~~·i·~·~e··s~~~·~~······················································:An~i··do·b·andi"~i·i·r··············Vai·~a~e··esiimat~ ::r- ~ : : ,

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L.:~:~TIIII. BUNURI MOBILE, A CAROR VAlOARE DEPASESTE 1.000 EUR FIECARE, SI BUNURI

IMOBIlE INSTRAINATE IN UlTIMElE 12 lUNI

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l.Conturi Si depozite bancare, fonduri de investitii, forme echivalente de economisire Siinvestite, daca valoarea insumata a tuturor acestora depaseste 5.000 Euro

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2.Plasamente, investitii directe Si imprumuturi acordate, dad~ valoarea de piata insumata atuturor acestora depaseste 5.000 Euro~C!t~~.!f~.Y..C!r...qf!~!'!fi!.J'!.E!.'!~!.'(J'!.Y...f!~~{t!.(!.~i!P'!'.!J~!P!!E!.!.1]'!'~~'.~!.'!~~?~~ .................:

Emitent titlu/societatea in care persoana este:·:···N~;:;:;~r de!actionar sau asociat/beneficiar de imprumut Tipul*.~ titluri/cota de: Valoare totala la zi

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3.Alte active producatoare de venituri nete, care insumate depasesc echivalentul a 5.000 Europe an:Nota: se vor declara inclusiv cele at/ate In strainatate .

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v. DATORIIDebite (inclusiv taxe neachitate), ipoteci, garantii emise in beneficiul unui tert, bunuri achizitionatein sistem leasing Si alte asemenea bunuri, daca valoarea insumata a tuturor acestora depaseste5.000 Euro.Nota: se vor declara inclusiv pasivele financiare acumulate In strainatater···· ..················································ ·····················Tc~~t~~~t~t·i~·(················· ( :~I. .........cred"or ..•• ...........[ a.nUI.\ ..sc~~.ntlal.... Valoar•...... ; 1

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VI. Cadouri, servicii sau avantaje primite gratuit sau subventionate fata de valoarea de piata,din partea unor persoane, organizatii, societati comerciale, regii autonome, companii/societatinationale sau institutii publice romanesti sau straine, inclusiv burse, credite, garantii, decontari decheltuieli sau alte asemenea, a caror valoare individuala depaseste 300 Euro*[ !f ······························[t···················SERVIciuL···················!···························· )! CINE A REALIZAT~ SURSA VENllULUI: NUME, ADRESA: PRESTAT/OBIEcnvUL[ VENIT ANUAL iNCASAT!: VENITUL:: GENERATOR DE VENIT::FT~~~~I~~~~~:F"=~=~"~~~~=::::::··::"::f=::"·"":~":":="~:.J:~:=.~~~..::~~"~];:......; ::{i:'2':' 'soij~oii~ ~.............. .. : r····..·· . :~:[" •••••••••• , ••••• , ••••••••••••••••••••••••••• '•• ,", • ',' ••••••••••• ,", ••••••••••• ,', •• "0"' ••••••• ,', • , , ••••• ,", •••••••••••• ,", • • ••••••••••••••• ,' ••• ':' •••••••••••••••••••••••••••• ,', •.•.••••••••••••••••••••••••••• '•••• ':~ • • • • • • • • • • • • • ••.••• . • • • • • • • • • • • • • • • • • • • • • • • • • • •••••••...• ;~

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VII. Venituri ale declarantului Si ale membrilor sai de familie, realizate in uitimul an fiscalincheiat (potrivit art. 41 din Legea nr. 571/2003 - Codul fiscal, cu modificarile Si completarileulterioare)

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:3. Venituri din cedarea folosintei bunurilorri·:i:··Tit~i"~·~······································,: .

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If{f=:;~\ie:m:i,!.!~ ~.~ .l'Priri"fiim'iii'e"se"iriieieg'e"s'otLiVsoiiii"§I"copiii"afliiii' 'tn"iritreiiri~'re'a"a'cestora:"'" , .2 La "titular", se mentioneaz~, in cazul bunurilor proprii, numele proprietarului (titularul, sotul/sotia, copilul),iar in cazul bunurilor in coproprietate, cota-parte ~i numele coproprietarilor.Prezenta declaratie constituie act public ~i r~spund, potrivit legii penale, pentru inexactitatea sau caracterulincomplet al datelor mentionate.