Původní xxxxx - xxxxxxxx xx 1.1.2004 xx 13.7.2005 (xx xxxxxx x. 276/2005 Xx.)
Xxxxxxx x. 4 x xxxxxxxx č. 467/2003 Xx.
Xxxx tiskopisu xxx xxxxxxxx xxxxxxxxxx xxxxxxx
XXXXX
x přijatých, xxxxxxx x xxxxxxxxx xxxxxxxxxx xxxxxxxxx xx xxxxxxxx xxxxxxx
1. Výkaz xxxxxxxxx xxxxxxxxxx xxxxxxx
x) xxx xxxxxxxx, doutníky x xxxxxxxxxx
____________________________________________________________________________________________
Xxxx Obsah Xxxx xxx xxxxxxxxx Xxxx xxx xxxxxxxxx Xxxxxxxx xxxxx Xxxxxxxx
xxxxxxxxxx xxxxxx (ks) spotřebitele xx balení spotřebitele xx xxx xxxxxxxxxx výrobku
výrobku
____________________________________________________________________________________________
____________________________________________________________________________________________
Počet položek: XXXXXX:
____________________________________________________________________________________________
Xxxxxxxxxxx:
Xxxx xxx xxxxxxxxx xxxxxxxxxxxx za xxx xx xxxxx x xxxxxxxx x xxxxxxxxxx.
Xxxxx xxxxxxxx Xxxxxx xxxxxxxxxxx xxxxxxxx xxxxxxx úřadu:
b) pro xxxxx
____________________________________________________________________________________________
Xxxx Xxxx Xxxxx Xxxx xxx xxxxxxxxx Xxxxxxxx xxxxx Xxxxxxxx
xxxxxxxxxx xxxxx xxxxxx xxxxxxxxxxxx xx balení tabákového xxxxxxx
xxxxxxx (xx)
____________________________________________________________________________________________
____________________________________________________________________________________________
Xxxxx xxxxxxx: XXXXXX:
____________________________________________________________________________________________
Xxxxx xxxxxxxx: Xxxxxx xxxxxxxxxxx xxxxxxxx xxxxxxx xxxxx:
2. Xxxxx xxxxx xxxxxxxxxx xxxxxxx xx xxxxxx na xxxxxxx xxxxx XX
____________________________________________________________________________________________
Xxxxx xxxxxx Xxxxx Xxxx xxx Xxxx pro Počet 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 xxx xx xxxxx x xxxxxxxx x cigarillos.
3. Výkaz xxxxx xxxxxxxxxx xxxxxxx xxxx xxxxxx xxxxx XX
____________________________________________________________________________________________
Xxxxx Xxxxx Xxxx pro Xxxx xxx Počet xxxxxxxxxx xxxxxxx v xxxxxx
xxxxxxxx xxxxxx xxxxxxxxx xxxxxxxxx __________________________________________
(xx, xx) xxxxxxxxxxxx xxxxxxxxxxxx xxxxxxxxx xxxx xxxxxxxxxx xxxxxxxxxxx
xx xxxxxx xx kus daňové xxxxx XX xx daňové
území XX
____________________________________________________________________________________________
____________________________________________________________________________________________
Xxxxx položek: CELKEM:
____________________________________________________________________________________________
Vysvětlivky:
Cena xxx konečného xxxxxxxxxxxx xx xxx se xxxxx x doutníků x cigarillos.
4. Xxxxx xxxxxxxxx xxxxxxxxxxx xxxxxxxxxx xxxxxxx
____________________________________________________________________________________________
Xxxxx Xxxxx Xxxx xxx Cena xxx Xxxxx xxxxxxxxxx xxxxxxx x xxxxxx
xxxxxxx xxxxxx xxxxxxxxx xxxxxxxxx __________________________________________
(xx, xx) xxxxxxxxxxxx xxxxxxxxxxxx xxxxxxxxx xxxxxx xxxxxx xxxxxxxx
xx xxxxxx xx xxx
____________________________________________________________________________________________
____________________________________________________________________________________________
Xxxxx xxxxxxx: XXXXXX:
____________________________________________________________________________________________
Xxxxxxxxxxx:
Xxxx xxx xxxxxxxxx xxxxxxxxxxxx xx xxx xx xxxxx x xxxxxxxx a xxxxxxxxxx.
Xxxxx: Xxxxxxx x xxxxxx
xxxxxxxxxx