Uploaded by LegaleFiscale.it Reserved for the Italian Post Office No.

Protocol Date of submission MINI Agency 2009 INDIVIDUALS LAST NAME UNI ntrate Tax year 2008 FISCAL DOMICILE Common TAX CODE Mod N. Province (abbreviation) Common Code Not changed since the date of submission 01/11/2007 Dependents Free models Tick the box: C = F1 = FIRST SPOUSE SON SON F = A = OTHER FAMILY Kinship Tax Code (Enter the tax code even if the spouse is not tax-dependent) 4 5 No months against Percentage Less than deduct three years SPECIAL BONUS FOR FAMILY Total income 8 1 2 3 4 7 8 1 C SPOUSE 6 3 7 , 00 D

FIRST CHILD F1 2 , 00, 00, 00 9 days 4 F A D F A D PERCENTAGE FURTHER DEDUCTION FOR FAMILIES WITH CHILDREN NUMBER AT LEAST 4 CHILDR EN RESIDING ABROAD FROM THE TAXPAYERS OF TOTAL FAMILY INCOME Continuation (*) 9 8 , 00 Agricultural income tax 10 FRAMEWORK RA INCOME OF LAND RA1 RA2 RA3 Income dominicale 1 Title 3 2 Agricultural income Possession % Income tax dominicale , 00, 00, 00 , 00, 00, 00 5 , 00, 00, 00 TOTAL, 00 , 00, 00, 00, 00 ICI due for 2008 10 RA11 Sum of columns 9 and 10 rows from RA1 to RA3, bring the total in row RN1

FRAMEWORK RB INCOME OF BUILDINGS RB1 RB2 RB3 Revalued cadastral income of 5% 1 Utilization 2 3 days Possession % 5 Rent (see instructions) Continuation (*) 8 7 Taxable 9 City Code , 00, 00, 00 4 , 00, 00, 00 , 00, 00, 00 TOTAL, 00 , 00, 00, 00 RB11 Sum amounts col. 8 rows of RB1 to RB3, bring the total in row RN1 FRAMEWORK RC INCOME OF EMPLOYEES AND SIMILAR RC1 RC2 CODE 1. Pension 1 CODE 1. Indeterminate 2 3 2. Employees 2. Determined Income (CUD Section 1 of 2009) 3 , 00, 00

CODE 1 CODE 2 Overtime and productivity bonuses (to be completed only in cases provided in the instructions) Extraordinary already taxed ordinary (point 77 CUD 2009) Extraordinary already s ubject to substitute tax (Point 77 CUD 2009) 2 Substitute tax (Point 78 CUD 2009) 3 Option or correction Taxation Ordinary Set Substitute Option or correction 5 RC4 1 , 00, 00 , 00, 00 , 00 Set replacement debt 4 Extraordinary subject to substitute tax to be subjected to ordinary taxation 6 Extraordinary Ordinary taxed by taxing replacement 7 8 Surplus substitute tax deduction and / or paid , 00 9 , 00 TOTAL, 00 Pension 2 2 RC5 Sum (RC1 + RC2 RC4 + col. 6 - RC4 with. 7), back in row RN1 RC6 RC7 RC10 RC1 1 RC12 RC13 rc14 Working period (days for which the incumbent deductions) Other income assimilate d (back in row RN1) Additional regional IRPEF withholdings withheld by the emplo yer (paragraph 6 of the CUD 2009) Advance additional municipal IRPEF 2008 retain ed by employer work (paragraph 10 of the CUD 2009) Net additional municipal IRPE F 2008 retained by the employer (section 11 of the CUD 2009) Prepayment Addition al municipal IRPEF 2009 retained by the employer (section 13 of the CUD 2009) sp ouse's allowance 1

Employees 1 Income (CUD paragraph 2 of 2009) , 00, 00, 00, 00, 00, 00 1 TAX CODE Model No. Income Expenditure FRAMEWORK RL OTHER INCOME RL14 RL15 RL16 RL18 Fees from commercial activities not usually pursued fees arising from self-emplo yment is not usually pursued Compensation under the assumption of obligations do not do or permit (total amounts from line RL14 to RL16) , 00, 00, 00, 00, 00, 00 , 00, 00, 00, 00 RL19 Net income (col. 1 line RL18 - col. 2 line RL18. Record the total in row RN 1) RL20 Withholding FRAMEWORK RP Section I CHARGES AND EXPENSES tax deduction of 19% RP1 RP4 RP3 RP5 RP7 Spending on health care expenses for disabled 00 charges for disabled vehicle pu rchase costs of guide dogs for mortgage interest for the purchase of the main in come for mortgages to purchase other property interests for loans contracted in 1997 building restoration, 00, 00, 00, 00 Interest for loans or mortgages RP11 RP12 agrarian Life Insurance and Accident R P13 RP14 Education Expenditure Expenditure RP15 funeral expenses, personal care workers , 00, 00, 00, 00, 00, 00, 00, 00 2 1 Free models RP8 RP9 Expenditure on sports RP16 practiced by boys, 00, 00 RP17 expenses, real estate brokerage Interest on mortgages for primary residences RP10 construction Expenditure for rents paid by students RP18 offsite, 00 RP19

Other charges 2 1 Code (charge) , 00 RP20 Other charges 2 1 Code (charge) , 00 RP21 Other charges Code (charge) , 00, 00 RP22 TOTAL CHARGES Section II Deductible expenses RP23 social security contributions Periodic checks payable to the spouse Spouse's tax code , 00 RP26 donations to religious institutions RP27 medical expenses and assistance fo r disabled , 00, 00 2 RP24 1 2 , 00 RP28 Other deductible expenses Charge code 1 , 00, 00 Installment amount

RP25 Contributions domestic and family service workers , 00 (See instructions) 3 RP34 TOTAL EXPENSES (sum of line to RP28 RP23) Restates tion rate 6 Section III Tax deduction of 41% RP35 RP36 1 Year 2 Tax Code Code Year 5 4 Number 3 rate 7 7 5 10 7 8 , 00, 00, 00 Installment amount 8 2 1 RP38 TOTAL CHARGES ON WHICH DETERMINE THE DEDUCTION OF 41% (sum of the amounts s taves RP35 and RP36) tax deduction of 36% RP39 RP40 1 2 1 Year 2 Tax Code (See instructions) 3 Year Code restates tion rate 6 5 4 Number 3 rate 7 7 5 10 7 , 00, 00, 00 3 RP42 TOTAL CHARGES ON WHICH DETERMINE THE DEDUCTION OF 36% (sum of the amounts s taves RP39 and RP40) Section IV

Tax deduction of 20% RP43 Replacement Type action 1 refrigerators and freezers Year 2 , 00 Continuation 3 Purchase high-efficiency motors Division into installments 4 2 , 00 Number installment 6 5 Purchase variable speed drives Total expenditure 7 , 00 Installment amount Section V Tax deduction of 55% RP44 RP45 1 , 00, 00 , 00, 00, 00 3 RP48 TOTAL CHARGES ON WHICH DETERMINE THE DEDUCTION OF 55% (sum of the amounts s taves RP44 and RP45) Section VII 2 Other deductions RP51 Other deductions Deduction code 1

, 00 Maintenance of guide dogs (Bararre box) 2 TAX CODE FRAMEWORK RN IRPEF 3 RN1 TOTAL INCOME (RA11 col. 9 + RA11 col. RB11 10 + + + RC5 RC7 + RL19) RN2 RN3 Deduction for principal residence deductible expenses (specify the amount of sta ff RP34) RN4 TAXABLE INCOME (RN1 - RN2 - RN3; indicate zero if the result is neg ative) RN5 RN6 GROSS TAX Deduction for dependent spouse RN7 Deduction for depend ent children RN8 Additional allowance for dependent children RN9 deduction for d ependent care deduction for income RN10 RN11 Deduction for employee retirement i ncome Income treated RN12 Detrazionelavoro employee and those of other income 2 , 00, 00, 00, 00, 00, 00, 00, 00, 00, 00, 00 Allowance of the spouse 1 , 00, 00, 00, 00, 00, 00, 00, 00, 00, 00, 00 3 Free models RN13 TOTAL DEDUCTION FOR LOADS OF WORK AND FAMILY (sum of rows to RN6 RN12) RN15 deduction for expenses listed in Sec. The framework of the RP (19% of the staff RP22) RN16 deduction for expenses listed in Sec. Framework III RP (41% of the s taff RP38) RN17 deduction for expenses listed in Sec. Framework III RP (36% of t he staff RP42) RN18 Deduction for expenses in Section IV of the framework RP (20 % of the staff RP43) RN19 Deduction for expenses in Section V of the framework R P (55% of the staff RP48) RN20 Deduction for expenses in Section VII under RP RN 21 TOTAL tax deduction (line RN13 + sum of rows in RN15 RN20) RN26 Net taxes (RN 5 - RN21; indicate zero if the result is negative) RN27 credits to deductions in capienti (additional allowance for dependent children) RN30 HELD TOTAL (RC10 + R L20) RN31 DIFFERENCE (RN26 - RN27 - RN30) if this amount is negative, see instru ctions RN33 excess tax RESULTING FROM PREVIOUS STATEMENT in credit ICI 730 2008 1 , 00, 00 2 , 00 3 , 00, 00, 00 RN34 excess tax RESULTING FROM PREVIOUS STATEMENT offset MOD. F24 RN35 RN36 Rest itution Payments on account bonus Bonus incapienti

1 Special bonus for families, 00 2 , 00 3 RN37 Amounts repaid by deductions substitute for incapienti (additional allowanc e for dependent children) RN39 SPECIAL BONUS FOR FAMILY , 00, 00, 00 Determination of RV FRAMEWORK Section I Additional regional RN40 RN41 TAX DUE A TAX CREDIT RV1 A TAXABLE INCOME (specify the amount of staff RN4) ADDITIONAL REGIONAL RV2 IRPEF DUE Bonus extraordinary family 1 , 00 2 , 00, 00 REGIONAL AND MUNICIPAL ADDITIONAL IRPEF Special cases additional regional 1 2 , 00, 00 RV3 ADDITIONAL REGIONAL HOLDING IRPEF O to (indicate the amount of line RC11) RV 4 SURPLUS FOR ADDITIONAL REGIONAL IRPEF RESULTING FROM PREVIOUS STATEMENT Cod Regi on (with the RX2. Unico 4 2008) 1 credit in ICI 730 2008 2 3 , 00 , 00, 00, 00, 00 2 RV5 SURPLUS FOR ADDITIONAL REGIONAL IRPEF RESULTING FROM PREVIOUS STATEMENT offs et MOD. F24 RV7 RV8 additional regional IRPEF A DEBT additional regional IRPEF t o believe (back in row RX2 Col.1) Section II-A Additional Municipal RV9 RATE additionality approved by the TOWN HALL (see instructions) Exemption 1 RV10 MUNICIPAL ADDITIONAL IRPEF DUE ADDITIONAL LOCAL RV11 IRPEF HOLDING OR PAID

RC12 + RC13 1 , 00, 00, 00, 00, 00, 00 Advance payment 730/2008 F24 , 00 2 , 00 2 3 , 00, 00 6 3 SURPLUS OF ADDITIONAL LOCAL IRPEF RESULTING FROM PREVIOUS STATEMENT Cod City RV1 2 (RX3 col. Unico 4 2008) 1 in credit ICI 730 2008 RV13 SURPLUS OF ADDITIONAL LOCAL IRPEF RESULTING FROM PREVIOUS STATEMENT offset MOD. ADDITIONAL LOCAL F24 RV15 RV16 IRPEF A DEBT ADDITIONAL IRPEF A LOCAL CREDIT (back in row with the RX3. 1) Section II-B Additional municipal deposit for 2009 RV17 Exemption 1 2 Taxable Rate Deposit due 4 , 00 3 , 00 5 Additional Municipal 2009 deduction (rc14) , 00

7 FRAMEWORK RX COMPENSATION REFUNDS RX1 RX2 RX3 RX5 RX14 Additional regional municipal income tax income tax income tax Additional Bonus extraordinary family replacement Set out in row RC4 Credit amount resulting from this statement 1 Surplus in balance of payment 2 Credit applied for reimbursement 3 , 00 credit to be used in compensation and / or deduction 4 , 00, 00, 00, 00 , 00, 00, 00, 00 , 00, 00, 00, 00, 00 , 00, 00, 00, 00, 00 3 TAX CODE SPECIAL BONUS FOR FAMILY DECLARATION SUBSTITUITING under Article. 47, D.P.R. No 445/2000 The undersigned requests to receive the bonus Special Article. 1 of Decree 29 No vember 2008, No 185, ratified by Law 28 January 2009, No 2, and for this purpose under Article. 1, paragraph 1, of Decree STATES â ¢ be resident in Italy and that family members have achieved in 2008 only the following incomes: - employment, pension and similar - land for a total reported to the core family up to 2.500,0 0 euros - from commercial activities and self-employment activities usually not perceived by those charged to the applicant or the spouse is not charged; â ¢ that the household consists of myself and the family named in the prospectus "depend ents"; â ¢ the total household income is equal to â ¬ â ¢ that the following condition s: a) one member of the family owner of the retirement income with total income not exceeding EUR 15,000.00 b) family consists of two components with total househo ld income not exceeding EUR 17,000.00 c) family consists of three components wit h total household income not exceeding EUR 17,000.00 d) family consists of four components with total household income not exceeding EUR 20,000.00 e) family con sists of five components with total household income not exceeding EUR 20,000 , 00, f) family consists of five components with total household income not exceed ing EUR 22,000.00 g) with family members with disabilities for whom the conditio ns of Article. 12, paragraph 1, of Tuir with total household income does not exc eed EUR 35,000.00. , 00 Free models â ¢ the benefit is required depending on the number of household members and total household income refers to the year 2008. I declare to be aware of including cr

iminal responsibility arising from the release of false statements and the conse quent loss of the benefit granted on the basis of false declarations under Artic les. 75 and 76, D.P.R. December 28, 2000, No 445. SIGNATURE SELECTION FOR THE DESTINATION FOR EIGHTH THOUSAND IRPEF to choose, signed only one of the boxes State Catholic Church Union Adventist Church Day 7 Assemblies of God in Italy Union of Methodist and Waldensian Churches Evangelical Lutheran Church in Italy Union of Italian Jewish Communities IN CASE OF CHOICE NOT EXPRESS BY TAXPAYERS, THE BREAKDOWN OF TAX RATE OF NOT PRO VIDING allocation is in proportion to the expressed choice. RATES Unallocated BE LONGING TO ASSEMBLIES OF GOD IN ITALY AND THE UNION OF CHURCH VALDESE Methodist and Waldensian Churches, revert to the state-run. In addition, as explained in the information about data, it is stated that the t axpayer's personal information will only be used by the Revenue to implement the choice. FOR THE DESTINATION OF CHOICE FOR FIVE THOUSAND IRPEF to choose, signed only one of the panes. For certain purposes is also possible t o indicate the tax code of a beneficiary Support for voluntary and other non-profit organizations of social utility, of s ocial promotion associations and associations and foundations that are operating in areas under Article. 10, c. 1, bed) of Legislative Decree no. 460 of 1997 Financing of scientific research and university SIGNATURE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tax code of the beneficiary (if any) SIGNATURE .................................................. ................... Tax code of the beneficiary (if any) Financing of health research Support of social activities undertaken by the municipality of residence of the taxpayer SIGNATURE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tax code of the beneficiary (if any) SIGNATURE

.................................................. ................... Support for amateur sports associations recognized by CONI sporting purposes by law SIGNATURE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tax code of the beneficiary (if any) In addition to what has been explained in the information about data, it is stated that the taxpayer's personal information will only be u sed by the Revenue to implement the choice. SIGNATURE OF COMMITMENT STATEMENT PRESENTATION TELEMATICS Sending electronic notice to the intermediary WITH THE SIGNATURE IS ALSO EXPRESSES THE CONSENT TO PROCESS SENSITIVE DATA ALSO INDICATED IN STATEMENT SIGNATURE taxpayers Tax code broker Commitment to submit the statement electronically day month year No registration as C.A.F. Receiving electronic notice Date confidential intermediary commitment SIGNATURE intermediary 4