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Form

  No. Р60009

Entry sheet

of the Unified State Register of Individual Entrepreneurs

To the Unified State Register of Individual Entrepreneurs in respect of

individual entrepreneur

IVANOV IVAN IVANOVICH

surname, name and (if any) patronymic

Primary State Registration Number (OGRNIP)

an entry was made on the state registration of an individual as an individual entrepreneur

“10”

December

2020

day

month (in words)

year

under the state registration number (GRNIP)

The entry contains the following details:

No.

Parameter name

Parameter value

1

2

3

Details of the registration authority servicing the place of residence of individual entrepreneur, entered in the Unified State Register of Individual Entrepreneurs

1

Name of the registration authority

Moscow Interdistrict Inspectorate No. 46 of the Federal Tax Service

2

Address of the registration authority

125373, Moscow, Pokhodny Driveway, household 3, building 2

Details identifying the individual and entered in the Unified State Register of Individual Entrepreneurs

3

Surname

Name

Patronymic

IVANOV

IVAN

IVANOVICH

4

Sex

Male

Details of nationality entered in the Unified State Register of Individual Entrepreneurs

5

Nationality

Citizen of the Russian Federation

Details of the place of residence in the Russian Federation, which are entered in the Unified State Register of Individual Entrepreneurs

6

Place of residence (stay) in the Russian Federation

111111

MOSCOW

STREET, HOUSE, APARTMENT

Details of economic activity types entered in the Unified State Register of Individual Entrepreneurs

7

Number of economic activity types

5

1

8

Code according to the OKVED (Russian Classification of Economic Activities)

64.99

9

Type of details

Primary type of activity

10

Name of activity type

Other financial service activities, except insurance and pension funding n.e.c.

11

Reason for entering the details

Entering in the register

2

12

Code according to the OKVED

74.90

13

Type of details

Additional type of activity

14

Name of activity type

Other professional, scientific and technical activities n.e.c.

15

Reason for entering the details

Entering in the register

3

16

Code according to the OKVED

70.22

17

Type of details

Additional type of activity

18

Name of activity type

Business and other management consultancy activities

19

Reason for entering the details

Entering in the register

4

20

Code according to the OKVED

66.19

21

Type of details

Additional type of activity

22

Name of activity type

Other activities auxiliary to financial services, except insurance and pension funding

23

Reason for entering the details

Entering in the register

5

24

Code according to the OKVED

63.99.1

25

Type of details

Additional type of activity

26

Name of activity type

Consulting and information service activities

27

Reason for entering the details

Entering in the register

Details of documents submitted for making this entry in the Unified State Register of Individual Entrepreneurs

1

28

Title of document

Р21001 Application for the registration of individual as an individual entrepreneur

29

Documents submitted

in electronic form

2

30

Title of document

DOCUMENT ON PAYMENT OF THE STATE DUTY

31

Number of document

39

32

Date of document

14.12.2020

33

Documents submitted

on paper

3

34

Title of document

IDENTITY DOCUMENT OF A CITIZEN OF THE RUSSIAN FEDERATION

35

Documents submitted

on paper

4

36

Title of document

26.2-1 NOTIFICATION OF TRANSITION TO THE SIMPLIFIED TAXATION SYSTEM

37

Documents submitted

on paper

The entry sheet has been issued by the tax authority

Moscow Interdistrict Inspectorate No. 46 of the Federal Tax Service

full name of the registration authority

“10”

December

2020

day

month (in words)

year

State Tax Inspector

Sergeev Sergei Sergeevich

Signature, Surname, initials

/Coat of Arms of the Russian Federation/

THE DOCUMENT IS SIGNED BY THE ENHANCED QUALIFIED ELECTRONIC SIGNATURE

details of the electronic signature certificate

Certificate: 1111111111111111111

Holder: Sergeev Sergei Sergeevich

Moscow Interdistrict inspectorate No. 46, Federal Tax Service

Validity period: from 01.01.2020 to 01.01.2021