ࡱ> k bjbj88 .xRbxRb2|$4lXXXXXXXX$%<XXXXXXXsxxxXXXxXxxxX0ahx0xxxx(XXxXXXXXxXXXXXXXXXXXXXXXX Z: PH LC I-2 CNG HA X HI CH NGH(A VIT NAM c lp - T do - Hnh phc ---------------- & & , ngy & & thng & & nm & & GIY  NGH NG K DOANH NGHIP CNG TY TNHH MT THNH VIN Knh gi: Phng ng k kinh doanh tnh, thnh ph & & & Ti l(ghi h tn bng ch in hoa): ................................................. ng k cng ty trch nhim hu hn mt thnh vin do ti l ngi i din theo php lut vi cc ni dung sau: 1. Tnh trng thnh lp(nh du X vo thch hp) Thnh lp mi%Thnh lp trn c s tch doanh nghip%Thnh lp trn c s chia doanh nghip%Thnh lp trn c s hp nht doanh nghip%Thnh lp trn c s chuyn i loi hnh doanh nghip%Thnh lp trn c s chuyn i t h kinh doanh%2. Tn cng ty: Tn cng ty vit bng ting Vit(ghi bng ch in hoa): .......... Tn cng ty vit bng ting nc ngoi (nu c): ................... Tn cng ty vit tt (nu c): ................................................... 3. a ch tr s chnh: S nh, ngch, hm, ng, ng ph/t/xm/p/thn: ........... X/Phng/Th trn: ................................................................ Qun/Huyn/Th x/Thnh ph thuc tnh: .............................. Tnh/Thnh ph: ....................................................................... in thoi(nu c)............................. Fax(nu c): ............... Email(nu c): ............................. Website(nu c): ............. % Doanh nghip nm trong khu cng nghip, khu ch xut, khu kinh t, khu cng ngh cao.(nh du X vo vung nu doanh nghip ng k a ch tr s chnh nm trong khu cng nghip, khu ch xut, khu kinh t, khu cng ngh cao). 4. Ngnh, ngh kinh doanh1(ghi tn v m theo ngnh cp 4 trong H thng ngnh kinh t ca Vit Nam): STTTn ngnhM ngnhNgnh, ngh kinh doanh chnh(nh du X  chn mt trong cc ngnh, ngh  k khai)5. Ch s hu: a) i vi ch s hu l c nhn: H tn ch s hu(ghi bng ch in hoa): ............. Gii tnh: Sinh ngy: & ../& ../& & ..Dn tc: ........ Quc tch: Loi giy t chng thc c nhn: % Chng minh nhn dn % Cn cc cng dn % H chiu % Loi khc(ghi r):.......& & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & . S giy t chng thc c nhn: ............& & & & & & & & & & & & & & & & & .& & & & & & & & & & Ngy cp: & ../& ../& ..Ni cp: ...... Ngy ht hn(nu c):& ../& ../& & ..& & & & & & & & & & & & & & & & & .& & & & & & & & & & & & & & & & & & & .. Ni ng k h khu thng tr: S nh, ngch, hm, ng, ng ph/t/xm/p/thn: ...........& & & & & & & & & & & & & & & & & ... X/Phng/Th trn: ................................................................& & & & & & & & & & & & & & & & & ... Qun/Huyn/Th x/Thnh ph thuc tnh: ...........................& & & & & & & & & & & & & & & & & .& . Tnh/Thnh ph: .....................................................................& & & & & & & & & & & & & & & & & ..& Quc gia: .................................................................................& & & & & & & & & & & & & & & & & .& Ch  hin ti: S nh, ngch, hm, ng, ng ph/t/xm/p/thn: ...........& & & & & & & & & & & & & & & & & .& X/Phng/Th trn: ..............................................................& & & & & & & & & & & & & & & & & & .. Qun/Huyn/Th x/Thnh ph thuc tnh: ..............................& & & & & & & & & & & & & & & & & ... Tnh/Thnh ph: .......................................................................& & & & & & & & & & & & & & & & & ... Quc gia: .................................................................................& & & & & & & & & & & & & & & & & ... in thoi(nu c)............................. Fax(nu c): ...............& & & & & & & & & & & & & & & & & ... Email(nu c): ................................ Website(nu c): ..........& & & & & & & & & & & & & & & & & ... - Thng tin v Giy chng nhn ng k u t(ch k khai nu ch s hu l nh u t nc ngoi): M s d n:& & & & & & & & & & & & & & & ........................& & & & & & & & & & & & & & & & & ... Ngy cp: & ../& ../& & .. Ni cp: .............................................& & & & & & & & & & & & & & & & & ... b) i vi ch s hu l t chc: Tn t chc(ghi bng ch in hoa): .........................................& & & & & & & & & & & & & & & & & .& M s doanh nghip/S Quyt nh thnh lp: ......................& & & & & & & & & & & & & & & & & .& .. Ngy cp: & ../& ../& & .. Ni cp: ..........................................& & & & & & & & & & & & & & & & & .& . a ch tr s chnh: S nh, ngch, hm, ng, ng ph/t/xm/p/thn: ...........& & & & & & & & & & & & & & & & & .& X/Phng/Th trn: .................................................................& & & & & & & & & & & & & & & & & ... Qun/Huyn/Th x/Thnh ph thuc tnh: ............................& & & & & & & & & & & & & & & & & .& .. Tnh/Thnh ph: ........................... .........................................& & & & & & & & & & & & & & & & & .& .. Quc gia: .................................................................................& & & & & & & & & & & & & & & & & .& .. in thoi(nu c)............................. Fax(nu c): ...............& & & & & & & & & & & & & & & & & .& .. Email(nu c): ................................. Website(nu c): ........& & & & & & & & & & & & & & & & & .& & Danh sch ngi i din theo y quyn(k khai theo mu, nu c): Gi km -Thng tin v Giy chng nhn ng k u t(ch k khai nu ch s hu l nh u t nc ngoi): M s d n:& & & & & & & & & & & & & & & ...............& & & & & & & & & & & & & & & & & .& & & .. Ngy cp: & ../& ../& & .. Ni cp: .................................& & & & & & & & & & & & & & & & & .& & & & . 6. 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Gii tnh:...... Chc danh: ........................................................................ Sinh ngy: & ../& ../& & .. Dn tc: ......... Quc tch:....... Loi giy t chng thc c nhn: % Chng minh nhn dn % Cn cc cng dn % H chiu % Loi khc(ghi r):....... S giy t chng thc c nhn: ................... Ngy cp: & ../& ../& & ..Ni cp: Ngy ht hn(nu c):& ../& ../& & .. Ni ng k h khu thng tr: S nh, ngch, hm, ng, ng ph/t/xm/p/thn: ......... X/Phng/Th trn: .............................................................. Qun/Huyn/Th x/Thnh ph thuc tnh: ........................... Tnh/Thnh ph: .................................................................... Quc gia: & & & & & & & & & & & & & & & & & & & & & & Ch  hin ti: S nh, ngch, hm, ng, ng ph/t/xm/p/thn: ......... X/Phng/Th trn: ............................................................... Qun/Huyn/Th x/Thnh ph thuc tnh: ............................. Tnh/Thnh ph: ...................................................................... Quc gia: ................................................................................. in thoi(nu c)............................. Fax(nu c): .............. Email(nu c): ................................. Website(nu c): ......... 11. Thng tin ng k thu: STTCc ch tiu thng tin ng k thu11.1Thng tin v Gim c (Tng gim c) (nu c): H v tn Gim c (Tng gim c): & & & & & & & in thoi: & & & & & & & & & & & & & & & & & & & 11.2Thng tin v K ton trng/Ph trch k ton (nu c)3: H v tn K ton trng/Ph trch k ton: & & & & in thoi: & & & & & & & & & & & & & & & & & & & 11.3a ch nhn thng bo thu (ch k khai nu a ch nhn thng bo thu khc a ch tr s chnh): S nh, ngch, hm, ng, ng ph/t/xm/p/thn: & & & X/Phng/Th trn: & & & & & & & & & & & & & & & & & Qun/Huyn/Th x/Thnh ph thuc tnh: & & & & & & & & Tnh/Thnh ph: & & & & & & & & & & & & & & & & & & .... in thoi(nu c)........................Fax(nu c): .................. Email(nu c): .......................................................................11.4Ngy bt u hot ng4(trng hp doanh nghip d kin bt u hot ng k t ngy c cp Giy chng nhn ng k doanh nghip th khng cn k khai ni dung ny): & ../& ../& & .11.5Hnh thc hch ton (nh du X vo thch hp): Hch ton c lp % Hch ton ph thuc % 11.6Nm ti chnh: p dng t ngy & ../& ..n ngy & ../& ..5 (ghi ngy, thng bt u v kt thc nin  k ton)11.7Tng s lao ng(d kin): ............................11.8Hot ng theo d n BOT/BTO/BT/BOO, BLT, BTL, O&M: % C % Khng11.9Phng php tnh thu GTGT(chn 1 trong 4 phng php)6: Khu tr % Trc tip trn GTGT % Trc tip trn doanh s % Khng phi np thu GTGT %11.10Thng tin v Ti khon ngn hng(nu c ti thi im k khai): Tn ngn hng S ti khon ngn hng & & & & & & .& & .. & & & & & & .& & & & & & & & & & .. & & & & & & .& ... 12. Thng tin v cc doanh nghip b chia, b tch, b hp nht, c chuyn i(ch k khai trong trng hp thnh lp cng ty trn c s chia, tch, hp nht, chuyn i loi hnh doanh nghip): a) Tn doanh nghip(ghi bng ch in hoa): .................................. M s doanh nghip/M s thu: .................................................... S Giy chng nhn ng k kinh doanh (ch k khai nu khng c m s doanh nghip/m s thu): .......................................................................... Ngy cp: & & ./ & & & / & & .. Ni cp: & & & & & & & & & & & & & & & & & & & & & & & b) Tn doanh nghip(ghi bng ch in hoa): .................................. M s doanh nghip/M s thu: .................................................... S Giy chng nhn ng k kinh doanh (ch k khai nu khng c m s doanh nghip/m s thu): .......................................................................... Ngy cp: & & ./ & & & / & & .. Ni cp: & & & & & & & & & & & & & & & & & & & & & & &  ngh Phng ng k kinh doanh thc hin chm dt tn ti i vi doanh nghip b chia, b hp nht v cc chi nhnh, vn phng i din, a im kinh doanh ca doanh nghip b chia, b hp nht. 13. Thng tin v h kinh doanh c chuyn i(ch k khai trong trng hp thnh lp doanh nghip trn c s chuyn i h kinh doanh): Tn h kinh doanh(ghi bng ch in hoa): ...................................... S Giy chng nhn ng k h kinh doanh: ................................ Ngy cp: & ../& ../& & .. Ni cp: ................................................... M s thu ca h kinh doanh(ch k khai MST 10 s):.............. a im kinh doanh: ........................................................................ Tn ngi i din h kinh doanh: ................................................. Loi giy t chng thc c nhn(k khai theo giy t chng thc c nhn c ghi trn Giy chng nhn ng k thu ca h kinh doanh): % Chng minh nhn dn % Cn cc cng dn % H chiu % Loi khc(ghi r):................ 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