Постановление правительства Воронежской области от 15.02.2017 № 117

Платежные реквизиты получателя целевых средств                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         

Получатель:                                                                                                                                                                                                                                                                                                                                                                                                                                  

ИНН/КПП:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 

р/с:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            

к/с:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            

БИК                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          

Руководитель сельскохозяйственной организации                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    

(Глава крестьянского (фермерского) хозяйства)                                                                                                                                                                                         ____________________ /_________________/                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                

                                                                                                                                                                                                          Подпись            Расшифровка подписи                                                                                                                                                                                                                      

Главный бухгалтер                                                                                                                                                                                         ____________________ /_________________/                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                

                                                                                                                                                                                                          Подпись            Расшифровка подписи                                                                                                                                                                                                                                       

Дата   «     »________  2017 г.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   

                            (м.п.)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             

Руководитель департамента                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          

аграрной политики Воронежской области                                                                                                                                                                                                                                                                            ____________________ /_________________/                                                                                                                                                                                                                                                                                                                                                                                                                              

(или лицо, им уполномоченное)                                                                                                                                                                                                           Подпись            Расшифровка подписи                                                                                                                                                                                                                                                                                                                                                                                                 

Приложение № 5

к Порядку предоставления в 2017 году субсидий из областного бюджета сельскохозяйственным товаропроизводителям (кроме граждан, ведущих личное подсобное хозяйство) на возмещение части затрат на уплату страховых премий, начисленных по договорам сельскохозяйственного страхования в области растениеводства и животноводства

Справка

о размере целевых средств

Страхование однолетних сельскохозяйственных культур урожая ______ года

(сельскохозяйственный товаропроизводитель-получатель субсидии )

Наименование страховой организации, с которой заключен договор сельскохозяйственного страхования с государственной поддержкой:

Номер договора страхования:

Дата заключения

Сельскохозяйственные культуры (яровые) согласно Плану сельскохозяйственного страхования на 2017 год,                                                                                                                                                 при проведении страхования которых предоставляются субсидии

№ строки

Наименование показателя

Яровые

Зернобобовые

Масличные

Технические

Овощи

Бахчевые

Кормовые (включая многолетние травы)

Картофель

всего

Наименование культуры

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

1

Общая посевная площадь, га

2

Посевная площадь по договорам страхования, осуществляемого с государственной поддержкой, га

3

Страховая стоимость, рублей

4

Страховая сумма, рублей

5

Страховой тариф, %

X

6

Участие страхователя в страховании рисков, %

Х

7

Начисленная страховая премия, рублей (стр. 4 х стр. 5/100)

8

Сумма уплаченной  страховой премии (страхового  взноса), рублей

9

Предельный размер ставки для расчета размера субсидий, %

X

10

Размер страховой премии, подлежащей субсидированию,  рублей:

Х

X

Х

X

Х

X

Х

X

10а

при условии, что страховой тариф не превышает или равен предельному размеру ставки для расчета размера субсидий (стр. 7)

10б

при условии, что страховой тариф превышает предельный размер ставки для расчета размера субсидий (стр. 4 х стр. 9/100)

11

Размер субсидий за счет средств федерального бюджета или областного бюджета, рублей

Платежные реквизиты получателя целевых средств

Получатель:

ИНН/КПП:

р/с:

к/с:

БИК

Руководитель сельскохозяйственной организации

(Глава крестьянского (фермерского) хозяйства)

____________________ /_________________/

Подпись            Расшифровка подписи

Главный бухгалтер

____________________ /_________________/

Подпись            Расшифровка подписи

Дата   «     »________  2017_ г.

(м.п.)

Руководитель департамента

аграрной политики Воронежской области

____________________ /_________________/

(или лицо, им уполномоченное)

Подпись            Расшифровка подписи