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1 CONSIUUL CONCURENTEIf) Dedaratie de avere ~"

, !.~~9~~ata ~<?4~...~.DECLARATIE DE AVERE

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cunoscand prevederile art. 292 din Codul penal privind falsul in declaratii declar peproprie raspundere ca impreuna cu familia1)detin urmatoarele:

'1)Prin familie se intelege sotul/sotia ~i copiii aflati in intretinerea acestora.

I. Bunuri imobile1. TerenuriNOTA:Se vor declara inclusiv cele aflate in alte tari.

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-_. ---~_._. r .. J__.~-- -c~· __ ._ ,. ._J_._ .._ ._J_~~~~~=_.._• Categoriile indicate sunt: (1) agricol; (2) forestier; (3) intravilan; (4) luciu de apa; (5) alte categorii de terenuri

extravilane, dad! se afla in circuitul civil.

I)La "Titular" se mentioneaza, in cazul bunurilor proprii, numele proprietarului (titularul, sotul/sotia, copilul), iar incazul bunurilor in coproprietate, cota-parte ~i numele coproprietarilor,

2. CladiriNOTA:Se vor declara inclusiv cele aflate in alte tari.

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• Categoriile indicate sunt: (1) apartament; (2) casa de locuit; (3) casa de vacanta; (4) spatii comercialejdeproduqie,-----------2)La "Titular" se mentioneaza, in cazul bunurilor proprii, numele proprietarului (titularul, sotul/sotia, copilul), iar incazul bunurilor in coproprietate, cota-parte $i numele coproprietarilor.

II. Bunuri mobile1. Autovehiculefautoturisme, tractoare, ma,ini agricole, ,alupe, iahturi ,i alte

mijloace de transport care sunt supuse inmatricularii, potrivit legii.... _. N·.tura.__.. ···..·Marca-·--·_····· N~.debl.c1ti-r -Anul'de"abricai!e-T'-MOduiCi'e-dobAndlre'-j

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2. Bunuri sub formi de metale pretioase, bijuterii, obiecte de arti ,i de cult,colectii de arti ,i numismatici, obiecte care fac parte din patrimoniul cultural nationalsau universal, a ciror valoare insumati depi,e,te 5.000 de euro

NOTA:Se vor mentiona toate bunurile aflate In proprietate, indiferent daca ele se afla sau nu pe

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III. Bunuri mobile, a ciror valoare depi,e,te 3.000 de euro fiecare, ,i bunuriimobile instriinate in ultimele 12 luni

Natura bunUI~-1Data instrllnlrl~rsoa!"a -cltre care s-a I Forma instrlinlri~ Valoarea - ---I

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IV. Active financiare1. Conturi ,i depozite bancare, fonduri de investi'ii, forme echivalente de

economisire ,i investire, inclusiv cardurile de credit, daci valoarea insumati a tuturoracestora depi,e,te 5.000 de euro

NOTA:Se vor declara inclusiv cele aflate In banci sau institutii financiare din strainatate.

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• Categoriile indicate sunt: (1) cont curent sau echivalente (inclusiv card); (2) depozit bancar sau echivalente; (3)fonduri de investitii sau echivalente, inclusiv fonduri private de pensii sau alte sisteme cu acumulare (se vor declara celeaferente anului fiscal anterior).

2. Piasa mente, investi'ii directe ,i imprumuturi acordate, daci valoarea de pia,iinsumati a tuturor acestoradepi,e,te 5.000 de euro

NOTA:Se vor declara inclusiv investitiile §i participarile In strainatate.

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ol ,~%+ 50 ole?

___ .__...._~~__.==_____ I=~~..-._~~=-T=~..~~=~===-_~~~~_:• categoriile indicate sunt: (1) hartii de valoare detinute (titluri de stat, certificate, obligatiuni); (2) actiuni sau parti

sociale in societati comercialei (3) imprumuturi acordate in nume personal.

3. Alte active producitoare de venituri nete, care insumate depi,escechivalentul a 5.000 de euro pe an:

NOTA:Se vor declara inclusiv cele aflate in std~inatate.

V.DatoriiDebite, ipoteci, garantii emise in beneficiulunui tert, bunuri achizitionate in sistem

leasing ,i alte asemenea bunuri, daci valoarea insumati a tuturor acestora depi,e,te5.000 de euro

NOTA:Se vor declara inclusiv pasivele financiare acumulate in strainatate.

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VI. Cadouri, servicii sau avantaje primite gratuit sau subventionate fati devaloarea de piati, din partea unor persoane, organizatii, societiti comerciale, regiiautonome, companii/societiti nationale sau institutii publice romane,ti sau striine,inclusiv burse, credite, garantii, decontiri de cheltuieli, altele dedIt cele aleangajatorului, a ciror valoare individuali depi,e,te 500 de euro*

~Ine II reallzat venltul 't' Sursa venltul~li: Ii. -S;rviciul preStatiOblect~-;:~ al incasat I

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• Se excepteaza de la dec/arare cadourile $i tratatiile uzuale primite din partea rudelor de gradul I $i al II-lea.

VII. Venituri ale declarantului ,i ale membrilor sii de familie, realizate in ultimul anfiscal incheiat (potrivit art. 41 din Legea nr. 571/2003 privind Codulfiscal, cu modificirile,i completirile ulterioare)

NOTA:Se vor declara inclusiv veniturile provenite din strainatate.

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Prezenta declaratie constituie act public ,i rispund potrivit legii penale pentruinexactitatea sau caracterul incomplet al datelor mentionate.

Data completarii.J.f ../1.0...J!?/!?