O WIADCZENIE CZŕONKA RODZINY ROZLICZAJ CEGO SI NA

Transkrypt

O WIADCZENIE CZŕONKA RODZINY ROZLICZAJ CEGO SI NA
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
"#$#% # &'()#*+, -(.,&+' /,0(#&12
!"#$%&'()#(*&'+ ),$*- %'#).*- '/#&'$01&(2 *3#4*)$*5 %36$"#(*
5-'(5#37" *'-.&'$+6 "$).8*5 %$6,9*% &: % ".8* %*)#(,67-.&:*
5-'.&: %7" 3#12$).&:*5-'('* 3 ;.*<#'.&')(** *% &: %'#(*
3#12)#46.8*"*- ,9 ,$/()%$-' ".8*5 5-'(%'$01&.8* ,-(3=*)$*
,67-.*936$/$)(*0(36*5-$" *% *!"#$%&'()#$*".&: "$"&'(2 3*
45)#'0-('$6 78 ) /,+9 +':8&0'/(,)1$33 !!!!!!!!!!! 9(1*+'.'$;9(1*+'.8$ 0,-<=0 ( 0(#'.':&,5-#
,>,0'?+,)'&8@ ) A,/$#8B "('+/85:#C ,0>,)#80&# +)'0/'?2
D /1-('.?9 8)#08&-@,&,)'&8E,6
D +'/?1 >,0'?+,)8@!
F! G,-<=0 >, ,0:#-(8&#9 +),? ( >,(1-@# H I )1&#=*. !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! (. !!!!!!!! E/!
H! J':87&8 *+.'0+# &' 9K8(>#8-(8&#' *>,.8-(&8 )1&#,*.1 !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! (. !!!!!!!! E/!
L! J':87&8 *+.'0+# &' 9K8(>#8-(8&#8 (0/,),?&8 )1&#,*.1 !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! (. !!!!!!!! E/!
I! J':87&1 (/1-('.?,)'&1 >,0'?8+ 0,-<,0,)1 )1&#=*. !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! (. !!!!!!!! E/!
45)#'0-('$6 78 @8*?8$ 5)#'0,$1;5)#'0,$' ,0>,)#80(#':&,5-# +'/&8@ (' (.,78&#8 A'.*(1)8E,
,5)#'0-(8&#'!
32 45)#'0-(8&#8 )1>8.&#' # >,0>#*9@8 +'701 -(.,&8+ /,0(#&1 +?=/1 >,*#'0' E,*>,0'/*?), /,:&8!
332 M>#*'C /,+ +':8&0'/(,)16 ( +?=/8E, 0,-<=0 *?'&,)# >,0*?')% 9*?':8&#' 0,-<,09 /,0(#&1
") >/(1>'0+9 9K#8E'&#' *#% , 5)#'0-(8&#8 )1-<,)')-(8 &' ,+/8* ?/)'@N-1 ,0 F +)#8?&#' HOFP /!
0, LO )/(85&#' HOFQ /!6 &':871 )>#*'C /,+ HOFI2!
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
"$#8@*-,),5C6 0'?'2
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
">,0>#* -(.,&+' /,0(#&1 *+.'0'@N-8E, ,5)#'0-(8&#82
*
*
*
*
*
*
*
*
*
*
*
*
*