Plné znění - 343/2004 Sb.

Xxxx xxxxxxxxx pro xxxxxx xxxxxxxxxx xxxxxxxxxx xxxxxxx xxxxx v xxxxxx xxxxxx, xxxxxxxxx a xxxxxx:

XXXXXXXX

Xxxxx oznamuji, že xxxxxxx/xxxxxxx xxxxxx xxxxxxxx x české xxxx xxxx měně, xxxxxxxx xxxx xxxx peněžní xxxxxxxx xxxxxxxxxx xx xxxxxx xxxxxx, cenné xxxxxx na xxxxxxxxxx xxxx xx xxx xxxxx xxxxxx xxxxxxxx xxxxxxxx, jako xxxx xxxxxxxxx drahé xxxx xxxx drahé kameny (xxxx jen "věc"), x úhrnné xxxxxxx xxxxxxxxxxx 15&xxxx;000 EUR, xxx xx uvedeno xxxx.

Tiskopis xx vyplňuje čitelně, xxx vyplňování rukou XXXXXXX XXXXXXXXX XXXXXXX, x v xxxxxxxx x xxxxxxxxxxx jazyků Xxxxxxxxxx xxxxxxxxxxxx nebo x xxxxxxx.

X případě xxxxxxxxxx, xxxxxxxxxxx či xxxxxxxxx xxxxxxxxx xx xx xx xx, xx xxxxxxxxx xxxxxxxx xxxxxxxxxx xxxxxxxxx.

Xxxxx: Xxxxxx: Xxxxxx datové razítko xxxxxxx:

Xxxxx x xxxxxxx xxxxx xxxxxxxxxxx informací xxxxxxxxxxx kolonka xxxxxxx xx xxxxxx xxxxxx, xx xxxxx xxxxx xxxxxxx xxx:

XXXXXXX

Xxxxxxx osoba xxxxxxxxxx xx Xxxxx republiky x xxxxxxx mimo xxxxx území Evropských xxxxxxxxxxxx xxxx xxxxxxxxxxx x Xxxxx xxxxxxxxx xx takové xxxxxxx xx povinna písemně xxxxxxx celnímu xxxxx xxxxx nebo vývoz

- xxxxxxxx xxxxxxxx v xxxxx xxxx cizí xxxx,

- cestovních xxxx,

- xxxxxxxxx xxxxxxxx xxxxxxxxxxxx xx xxxxxx xxxxxx,

- xxxxxxx xxxxxx na xxxxxxxxxx nebo na xxx, xxxxx

- xxxxxx xxxxxxxxxx xxxxxxx, xxxx xxxx xxxxxxxxx xxxxx xxxx xxxx drahé xxxxxx

(xxxx jen "xxxx") x xxxxxx xxxxxxx xxxxxxxxxxx 15.000 E xxx xxxxxxxxxxx dovozu xxxx vývozu, anebo x součtu xxxxxx xxxx xxxxxx x xxxxxxx xxxxxxxx xx xxxx jdoucích xxxxxx.

Xxx xxxxxxxx xxxx měny xx měnu euro xx po xxxx xxxxxxxxxxxx xxxxx xxxxxxx xxxx vyhlášený xxx xxxxxxxxxx měnu Xxxxxx xxxxxxx xxxxxx x xxxxx xxxxxxxxxxx xxxxxxxxxxxx xxxxx. Xxxxx xxxx xxxxx osobám xx xxxxxxxx xxxx xxxxx x xxxxxxxxxxxxx xxxxxx xxx xxxxx xxxxxx xxxxxxxxxx xxxxxxxxxx. Hodnotou xxxxxxx papírů x xxxxxx xxxxxxxxxx xxxxxxx xx xxxxxx xxxxxx xxxxxxxx xxxxx xxxx, xxxxxxxx cena xxxxxxxxx xxxxx xxxxx xx xxxxxxxxxxx xxxxxx.

Xxxxxxxxxx xxxxxxxxx xxxx xxxxxx xxxxxx xxxxxxxxx xxxxx, xxxxx xxxxxxx xxxx xxxxxx xxxx xxxxxx, x xx xxxxxxxxxxxxxxx xxxxxxxxx xxxxxxx xxxxx, xxxxx xx xxxx xxxx xxx xxxx xxx xxxxxxxxxx xxxxxxx xxxxxxx xxxxx Xxxxxxxxxx společenství.

Za xxxxxxxxx xxxxxxxxxx xxxxxxxxxx xx xxxxxxxx x xxxxxxx xxxxxxxxxxx xxxx xxxxxxxxx xxxxx xx xxxxx tiskopisu. Není-li xxxxxx xxxxxxx xxxxx xxxxxxxx xxxxxxxx, xxxx xxx xxxxxxx i xxxxxxxxx xxxxx xx xxxxxxxxx xxxxxxxxxx xxxxxxxxxx xxxxxxxxx xxxxxxx, jejíž xxxx xxxx xxxxxxxxx xxxxxxx xxxxxxxxxxxx xxxx. Xxxxx úřad může xxx xxxxxxxx xxxxxxxx xxxxxxxxxx xxxxxxxxxx xxxxxxxx xxxx, kterých xx xxxxxxxx tyká. Není-li xxxxxxx pokuta xx xxxxx splatnosti xxxxxxxxxx xxxxxxxxx, xxxxx xxxx xx xxxx xxxxxx xxxxxxx xxxxxxxxx xxxx.

Xxxxxxx xxxxxxxxxx xxxx xxxxxxxxx xxxxxxx č. 61/1996 Sb., x xxxxxxxxx xxxxxxxxxx xxxxx xxxxxxxxxx xxxxxx x xxxxxxx xxxxxxxx, ve xxxxx pozdějších předpisů, x vyhláškou xxxxx 343/2004 Xx.

Xxxxx: Podpis: Xxxxxx xxxxxx xxxxxxx xxxxxxx:

XXXXXXXXXXX

X xxxxxx xxxxxxx xxxx I am xxxxxxxxx/xxxxxxxxx, xxxxx Xxxxx xx xxxxxxx currency, xxxxxxxxx'x xxxxxxx or xxxxx xxxxxx exchangeable xxx xxxx, xxx xxxxx anonymous xx xxxxxx certificates xx x xxxxxxxxx xx xxxxxxxx character xxxx xx negotiabie xxxxxxxxxx xxx xxxxx xxxxx, xx xxxxx commodities xx xxxxxxxxxxx xxxxx xxxx xx, xxxxxxxx xxxxxx xx xxxxxxxx xxxxxx, (xxxxxxxxxxx xxxx "xxxx"), with a xxxxx xxxxx xx xxxxxx of 15, 000 XXX, xxx xx xxx xxx xxxxx.

Xxx xxxx xxxx be xxxxxxxxx xxxxxxx, xx hand xxxxxxx xx XXXXXXX XXXXXXX, xx xxx xx xxx xxxxxxxx xxxxxxxxx xx the Xxxxxxxx Xxxxxxxxxxx xx xx the Xxxxxxx xxxxxxxx.

Xx xxx xxxxx xx xxxxxxxxxx, xxxxxxxxx xx incomplete xxxxxxxxxxx, xxx xxxxxxxxx will xx xxxxxxxxxx xxx xx xxxx xxxxxxxxx xxx reporting obligation.

Date: Xxxxxxxxx: Xxxxxxxx xxxx xxxxx of xxx Xxxxxxx xxxxxxxx:

Xx xxxxx xx xxx enough xxxxx xx xxxxx xxx xxx xxxxxxxx xxxxxxxxxxx xx xxx xxxxxxxxxxx column xx xxx xxxxx on xxxx 1, then xxxxxx xxxxxxxx the xxxxxxx xx xxx xxxxxxxxx table:

XXXXXXXXXXXX

Xxx xxxxxxxxxx xxx is entering xxx Xxxxx Xxxxxxxx xxxx an xxxx xxxxxxx xxx Xxxxxxxxx Xxxxxxx Xxxxxxxxx xx xx leaving xxx Xxxxx Republic to xxxxx such a xxxxxxxxx xx obliged xx declare to xxx Xxxxxxx Office, xx xxxxxxx, the xxxxxx xxx xxxxxx xx

- xxxxx Xxxxx xx xxxxxxx xxxxxxxx,

- Xxxxxxxxx'x xxxxxxx,

- Xxxxx xxxxxx exchangeable xxx xxxx,

- Xxx xxxxx xxxxxx xx xxxxxxxxx xxxxxxxxxxxx xx a xxxxxxxxx xx xxxxxxxx xxxxxxxxx, xxxx xx xxxxxxxxxx securities and xxxxx xxxxx, xx

- Xxxxxxxxxxx of exceptional xxxxx xxxx as xxxxxxxx metals or xxxxxxxx stones

(hereinafter only "xxxxx") xxxx a xxxxx value in xxxxxx xx 15,000 X xx a xxxxxx xxxxxx or xxxxxx or xx x total xx xxxxxxx or xxxxxxx xx xxx xxxxxx xx xxxxxx xxxxxxxxxx xxxxxx.

Xxxx xxxxxxxxxxx xxx xxxxxxxxxx xx xxxxxxxxx xxxxxxxx xx Euro, xxx xxxxxxxx xxxx xxxxxxxxx xx the Xxxxx Xxxxxxxx Xxxx xxx xxx xxxxxxxx xxxxxxxx, on Xxxxxx xx xxx xxxxxxxx xxxx, is xxxx xxx x period xx one xxxx. Xxxx request, xxx Xxxxxxx xxxxxx xxxxx xxxxxx xxxxxxxxxxx of xxx xxxx xx xxxxxxxx xxx xxxxxxxxxxx xxxxxxxxxx for xxx xxxxxxxx of xxxxxxxxxx xxxxx xxxxxxxxxx to xxxxxxx. Xxx value xx securities and xxxxxxxxxxx xx an xxxxxxxxxxx value xxx xxxxxxxxxx xx xx xxxxx xxxxxxx xxxxxx xxxxx or xxxxxxxx xxx xxxxx set xxxx xxxxxxxxx to xxx xxxxxxxx xxxx xx xxx official xxxxxxx.

Xxxxx entities, xxxxx xxxxxx xx export xxx xxxxxx xxxxx, xxxx also fulfil xxxxxxxxx xxxxxxxxxxx. This xx xxxx through xxx actual xxxxxxxxxx xxx is xx xxxxxxxxxx xx xxxxx xxxxx xxxx crossing xxx border of xxx Xxxxxxxxx Xxxxxxx Xxxxxxxxx.

Xxx declaration of xxxxxxxxx xx incomplete xxxxxxxxxxx xx xxxx xxxx is also xxxxxxxxxx xx be x xxxxxx xx xxx reporting xxxxxxxxxx. Xx xxxx xxxxxxx xx xxx xx xxx xxxx xx xxxx xxxxxxxx xxxxxxxxxx, xxx xxxxxxxxxx xxx xxxx xxx legal xxxxxx xxx xx xxxxx xx amount xx to, xx xxxxx xx, xxx xxxxx xx xxx xxxxxxxxxx xxxxx for xxxxxxxxx xxx xxxxxxxxx xxxxxxxxxx. Xxxx xxxxxxxxx xx a xxxxxxxxx xx reporting obligation, xxx Xxxxxxx Xxxxxx xxx xxxxx xxx xxxxx xxxxxxxx xx xxx xxxxxxxxx. Xx xxx xxxxxxx fine xx xxx paid xxxxxxxxxxx in xxx xxxxxxxx xxxxxx, xxx Xxxxxxx Xxxxxx xxxx xxx the xxxxxx xxxxx xxxxxxx the xxxxxxx xx the xxxx.

Xxx xxxxx-xxxxxxxxx xxxxxxxxxxx xxx xxx xxxx xx the Xxx xx. 61/1996 Xxxx., Xx Xxxxxxxx Measures xxxxxxx Legitimization xx Xxxxxxxx xxxx Xxxxxxxx Xxxxxxxxxx and xx xxx Xxxxxxxxx of Xxxxxxx Xxxxxxxxxxx, xx xxxxxxx xx xxx Xxxxxx xx 343/2004 Xxxx.

Xxxx: Signature: Xxxxxxxx xxxx stamp of xxx Customs xxxxxxxx: