Xxxxxxx xxxxx - xxxxxxxx xx 1.1.2004 xx 13.7.2005 (do xxxxxx x. 276/2005 Xx.)
Xxxxxxx x. 4 x xxxxxxxx č. 467/2003 Xx.
Xxxx xxxxxxxxx xxx evidenci xxxxxxxxxx xxxxxxx
XXXXX
x přijatých, xxxxxxx x vrácených tabákových xxxxxxxxx xx xxxxxxxx xxxxxxx
1. Výkaz xxxxxxxxx xxxxxxxxxx nálepek
a) xxx xxxxxxxx, xxxxxxxx a xxxxxxxxxx
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Xxxx Xxxxx Xxxx xxx xxxxxxxxx Xxxx xxx xxxxxxxxx Xxxxxxxx xxxxx Xxxxxxxx
xxxxxxxxxx xxxxxx (xx) xxxxxxxxxxxx xx xxxxxx xxxxxxxxxxxx xx xxx xxxxxxxxxx xxxxxxx
xxxxxxx
____________________________________________________________________________________________
____________________________________________________________________________________________
Xxxxx položek: XXXXXX:
____________________________________________________________________________________________
Xxxxxxxxxxx:
Xxxx xxx konečného xxxxxxxxxxxx za xxx xx xxxxx u xxxxxxxx x xxxxxxxxxx.
Xxxxx xxxxxxxx Xxxxxx zaměstnance xxxxxxxx xxxxxxx úřadu:
b) xxx xxxxx
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Xxxx Xxxx Obsah Cena xxx xxxxxxxxx Xxxxxxxx xxxxx Xxxxxxxx
xxxxxxxxxx xxxxx xxxxxx xxxxxxxxxxxx xx xxxxxx xxxxxxxxxx xxxxxxx
xxxxxxx (xx)
____________________________________________________________________________________________
____________________________________________________________________________________________
Xxxxx xxxxxxx: CELKEM:
____________________________________________________________________________________________
Datum xxxxxxxx: Xxxxxx xxxxxxxxxxx pověřeho xxxxxxx xxxxx:
2. Xxxxx xxxxx xxxxxxxxxx xxxxxxx xx xxxxxx na daňovém xxxxx ČR
____________________________________________________________________________________________
Datum xxxxxx Xxxxx Xxxx xxx Xxxx pro Xxxxx xxxxxxxxxx xxxxxxx x xxxxxx
xx xxxxxx xxxxxx xxxxxxxxx xxxxxxxxx __________________________________________
(xx, xx) xxxxxxxxxxxx xxxxxxxxxxxx xxxxxxxx xx xxxxxxxx xxxxxxxxxxx
xx xxxxxx xx xxx xxxxxx xxxxxxx
____________________________________________________________________________________________
____________________________________________________________________________________________
Xxxxx xxxxxxx: XXXXXX:
____________________________________________________________________________________________
Xxxxxxxxxxx:
Xxxx xxx xxxxxxxxx xxxxxxxxxxxx xx kus xx xxxxx x xxxxxxxx x xxxxxxxxxx.
3. Výkaz xxxxx tabákových xxxxxxx xxxx daňové xxxxx XX
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Xxxxx Obsah Xxxx pro Xxxx xxx Xxxxx xxxxxxxxxx xxxxxxx x xxxxxx
xxxxxxxx xxxxxx xxxxxxxxx xxxxxxxxx __________________________________________
(xx, xx) xxxxxxxxxxxx xxxxxxxxxxxx xxxxxxxxx mimo dovezených xxxxxxxxxxx
xx balení za xxx xxxxxx xxxxx XX xx daňové
území XX
____________________________________________________________________________________________
____________________________________________________________________________________________
Xxxxx položek: XXXXXX:
____________________________________________________________________________________________
Xxxxxxxxxxx:
Xxxx xxx xxxxxxxxx xxxxxxxxxxxx xx xxx xx xxxxx x xxxxxxxx x xxxxxxxxxx.
4. Výkaz xxxxxxxxx poškozených xxxxxxxxxx xxxxxxx
____________________________________________________________________________________________
Xxxxx Obsah Xxxx xxx Xxxx xxx Xxxxx xxxxxxxxxx xxxxxxx x xxxxxx
xxxxxxx xxxxxx xxxxxxxxx xxxxxxxxx __________________________________________
(xx, xx) xxxxxxxxxxxx xxxxxxxxxxxx xxxxxxxxx xxxxxx xxxxxx xxxxxxxx
xx xxxxxx xx xxx
____________________________________________________________________________________________
____________________________________________________________________________________________
Xxxxx xxxxxxx: CELKEM:
____________________________________________________________________________________________
Vysvětlivky:
Cena xxx xxxxxxxxx xxxxxxxxxxxx xx xxx xx xxxxx x xxxxxxxx a xxxxxxxxxx.
Xxxxx: Xxxxxxx a xxxxxx
xxxxxxxxxx