DIAN Formulario del Ress Unico Tibutro
72 conapo[ 0 [2] Actalzaion
{Niner de muro 14695696931
er atari Toa er = i bainaoae
11433702540 »)\_ 22
IDENTFICAGION TINS
a cco Ria kine ar, E fi reas oaain
[persona naturale sues ques 2 |csaincecudscana 13 1443320 20120406
Lugarde xediion 8 a as paramere ws
Icotows 1.6 8 [pow 15 oot
Pima ei [Sapna [x panwcaroe 77
(GABARCAS VARGAS [oRISTIAN
bare Sa-bepwanan re oan
Icovowwn 1.6 9 Jecivae coragene oot
\URB HORIZONTE MZ_14ETSLTS VIA TURBACO
[a.com secnnce —_ visbagoGhormal com 7
[Scesmrm 130007 [teed J) 5313462117 state
7 GiASiFCAGION
‘etn conde —— ‘Saisie
‘espns acta snr ‘scans —
ss.ciaye 7 Facainoscinied \ : 2 si cites ABs
[a2 20][201 4,031 alle 29-2 04.a09; 8] | | I] fp 224] [4
~osponsbildades, Cadades y Abus
seme
49. Norespansatie VA
Sales oo
|] sree sete see tk
en jee |
| | [moe I
[MPORTANTE: Sin gece rs stn zones # que yap oinsergion on epi Unc Tobe AUT end vend nino oneeseninne sagan aren
arn uso excunvo dela DIAN
somaroee [0] eae [00-06-8722 08)
nee
‘eoresoco et Rage Unica Ttoe RUTI dobar pay seen ocr caaoa| rye amense
2enctson smn Sn nts suman Sr ssaran be pnosrons smesatot
‘argos an rio 101250 Duc 25 a 2056
Poms score ans nantze CABARCAS VARGAS CRISTIAN ARNOLD
escape CONTRBUYENTE