Постановление Правительства Ярославской области от 09.07.2009 № 659-п

|   |спирта до   |     |        |   |    |    |    |      |     |       |    |   |          |
|   |25%         |     |        |   |    |    |    |      |     |       |    |   |          |
|   |включительн |     |        |   |    |    |    |      |     |       |    |   |          |
|   |о           |     |        |   |    |    |    |      |     |       |    |   |          |
|---+------------+-----+--------+---+----+----+----+------+-----+-------+----+---+----------|
|11.|Другие      |280  |        |   |    |    |    |      |     |       |    |   |          |
|   |спиртные    |     |        |   |    |    |    |      |     |       |    |   |          |
|   |напитки с   |     |        |   |    |    |    |      |     |       |    |   |          |
|   |содержанием |     |        |   |    |    |    |      |     |       |    |   |          |
|   |этилового   |     |        |   |    |    |    |      |     |       |    |   |          |
|   |спирта      |     |        |   |    |    |    |      |     |       |    |   |          |
|   |свыше 25%   |     |        |   |    |    |    |      |     |       |    |   |          |
|---+------------+-----+--------+---+----+----+----+------+-----+-------+----+---+----------|
|12.|Вина        |400  |        |   |    |    |    |      |     |       |    |   |          |
|   |натуральные |     |        |   |    |    |    |      |     |       |    |   |          |
|---+------------+-----+--------+---+----+----+----+------+-----+-------+----+---+----------|
|13.|Вина (за    |410  |        |   |    |    |    |      |     |       |    |   |          |
|   |исключением |     |        |   |    |    |    |      |     |       |    |   |          |
|   |натуральных,|     |        |   |    |    |    |      |     |       |    |   |          |
|   |игристых,   |     |        |   |    |    |    |      |     |       |    |   |          |
|   |шампанских) |     |        |   |    |    |    |      |     |       |    |   |          |
|---+------------+-----+--------+---+----+----+----+------+-----+-------+----+---+----------|
|14.|Вина        |420  |        |   |    |    |    |      |     |       |    |   |          |
|   |плодовые    |     |        |   |    |    |    |      |     |       |    |   |          |
|---+------------+-----+--------+---+----+----+----+------+-----+-------+----+---+----------|
|15.|Вина        |440  |        |   |    |    |    |      |     |       |    |   |          |
|   |игристые    |     |        |   |    |    |    |      |     |       |    |   |          |
|---+------------+-----+--------+---+----+----+----+------+-----+-------+----+---+----------|
|16.|Вина        |450  |        |   |    |    |    |      |     |       |    |   |          |
|   |шампанские  |     |        |   |    |    |    |      |     |       |    |   |          |
|---+------------+-----+--------+---+----+----+----+------+-----+-------+----+---+----------|
|17.|Другие вина |460  |        |   |    |    |    |      |     |       |    |   |          |
|---+------------+-----+--------+---+----+----+----+------+-----+-------+----+---+----------|
|   |Итого       |     |        |   |    |    |    |      |     |       |    |   |          |
---------------------------------------------------------------------------------------------



                                    --          
 Руководитель организации                       
                         -----------------------
                          (Ф. И. О.)  (подпись) 
                                    --          
 Главный бухгалтер                              
                         -----------------------
                          (Ф. И. О.)  (подпись) 
                                    --          
                                                
                                    --          
 Исполнитель, телефон, дата            М. П.    
                                                
                                    --          

            2. Форма декларации от объекта лицензирования

                              Декларация
              о розничной продаже алкогольной продукции
                     за _______ квартал 20___ г.


-----------------------------------------------------------------------
|    Данные об организации:    |                                      |
|                              |                                      |
|------------------------------+--------------------------------------|
|Наименование организации,     |                                      |
|осуществляющей розничную      |                                      |
|продажу алкогольной продукции |                                      |
|------------------------------+--------------------------------------|
|ОГРН                          |                                      |
|------------------------------+--------------------------------------|
|ИНН/КПП                       |                                      |
|------------------------------+--------------------------------------|
|Местонахождение организации   |                                      |
|(адрес государственной        |                                      |
|регистрации), код ОКАТО,      |                                      |
|телефон                       |                                      |
|------------------------------+--------------------------------------|
|Фактический почтовый адрес    |                                      |
|организации, код ОКАТО,       |                                      |
|телефон                       |                                      |
|------------------------------+--------------------------------------|
|Регистрационный номер         |                                      |
|лицензии, дата выдачи, кем    |                                      |
|выдана, срок действия лицензии|                                      |
|------------------------------+--------------------------------------|
|Количество объектов           |                                      |
|лицензирования                |                                      |
|------------------------------+--------------------------------------|
|Объект лицензирования:        |                                      |
|                              |                                      |
|------------------------------+--------------------------------------|
|адрес, код ОКАТО, телефон     |                                      |
|------------------------------+--------------------------------------|
|код объекта лицензирования    |                                      |
|------------------------------+--------------------------------------|
|вид объекта лицензирования    |                                      |
-----------------------------------------------------------------------

        Раздел 1. Сведения о реализации алкогольной продукции


--------------------------------------------------------------------------------------
| N |        Наименование        |  Код  |                  Расход                   |
|п/п|         продукции          | вида  |-------------------------------------------|
|   |                            |продук-|всего|             в том числе             |
|   |                            |  ции  |     |-------------------------------------|
|   |                            |       |     |реализовано|возврат поставщику|прочий|
|   |                            |       |     | населению |                  |расход|
|   |                            |       |-----+-----------+------------------+------|
|   |                            |       | дал |    дал    |       дал        | дал  |
|---+----------------------------+-------+-----+-----------+------------------+------|
| 1 |             2              |   3   |  4  |     5     |        6         |  7   |
|---+----------------------------+-------+-----+-----------+------------------+------|
|1. |Водка                       |  200  |     |           |                  |      |
|   |                            |       |     |           |                  |      |
|---+----------------------------+-------+-----+-----------+------------------+------|
|2. |Ликеро-водочные изделия с   |  211  |     |           |                  |      |
|   |содержанием этилового       |       |     |           |                  |      |
|   |спирта до 25%               |       |     |           |                  |      |
|---+----------------------------+-------+-----+-----------+------------------+------|
|3. |Ликеро-водочные изделия с   |  212  |     |           |                  |      |
|   |содержанием этилового       |       |     |           |                  |      |
|   |спирта свыше 25%            |       |     |           |                  |      |
|---+----------------------------+-------+-----+-----------+------------------+------|
|4. |Коньяки                     |  230  |     |           |                  |      |
|   |                            |       |     |           |                  |      |
|---+----------------------------+-------+-----+-----------+------------------+------|
|5. |Коньячные напитки, бренди, с|  241  |     |           |                  |      |
|   |содержанием этилового       |       |     |           |                  |      |
|   |спирта до 25% включительно  |       |     |           |                  |      |
|---+----------------------------+-------+-----+-----------+------------------+------|
|6. |Коньячные напитки, бренди, с|  242  |     |           |                  |      |
|   |содержанием этилового       |       |     |           |                  |      |
|   |спирта свыше 25%            |       |     |           |                  |      |
|---+----------------------------+-------+-----+-----------+------------------+------|
|7. |Напитки винные с            |  250  |     |           |                  |      |
|   |содержанием этилового       |       |     |           |                  |      |
|   |спирта до 25% включительно  |       |     |           |                  |      |
|   |                            |       |     |           |                  |      |
|---+----------------------------+-------+-----+-----------+------------------+------|
|8. |Напитки винные с            |  251  |     |           |                  |      |
|   |содержанием этилового       |       |     |           |                  |      |
|   |спирта свыше 25%            |       |     |           |                  |      |
|---+----------------------------+-------+-----+-----------+------------------+------|
|9. |Слабоалкогольная продукция  |  260  |     |           |                  |      |
|   |                            |       |     |           |                  |      |
|---+----------------------------+-------+-----+-----------+------------------+------|
|10.|Другие спиртные напитки с   |  270  |     |           |                  |      |
|   |содержанием этилового       |       |     |           |                  |      |
|   |спирта до 25% включительно  |       |     |           |                  |      |
|---+----------------------------+-------+-----+-----------+------------------+------|
|11.|Другие спиртные напитки с   |  280  |     |           |                  |      |
|   |содержанием этилового       |       |     |           |                  |      |
|   |спирта свыше 25%            |       |     |           |                  |      |
|---+----------------------------+-------+-----+-----------+------------------+------|
|12.|Вина натуральные            |  400  |     |           |                  |      |
|   |                            |       |     |           |                  |      |
|---+----------------------------+-------+-----+-----------+------------------+------|
|13.|Вина (за исключением        |  410  |     |           |                  |      |
|   |натуральных, игристых,      |       |     |           |                  |      |
|   |шампанских)                 |       |     |           |                  |      |
|---+----------------------------+-------+-----+-----------+------------------+------|
|14.|Вина плодовые               |  420  |     |           |                  |      |
|   |                            |       |     |           |                  |      |
|---+----------------------------+-------+-----+-----------+------------------+------|
|15.|Вина игристые               |  440  |     |           |                  |      |
|   |                            |       |     |           |                  |      |
|---+----------------------------+-------+-----+-----------+------------------+------|
|16.|Вина шампанские             |  450  |     |           |                  |      |
|   |                            |       |     |           |                  |      |
|---+----------------------------+-------+-----+-----------+------------------+------|
|17.|Другие вина                 |  460  |     |           |                  |      |
|   |                            |       |     |           |                  |      |
|---+----------------------------+-------+-----+-----------+------------------+------|
|   |Итого                       |       |     |           |                  |      |
--------------------------------------------------------------------------------------


                                         
 Руководитель организации                       
                         -----------------------
                          (Ф. И. О.)  (подпись) 
                                   
 Главный бухгалтер                              
                         -----------------------
                          (Ф. И. О.)  (подпись) 
                                             
                                                
                                   
 Исполнитель, телефон, дата            М. П.