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DECT,ARA'I'IE DI] AVERH

, :rvir(l fuleli3
(le
1Nt__ ,
(Nf -
-=:-_i-:- , ,rionriciliul '
__-r.t_4
riurr(,scdnrl prcrcderilt urt. 292 dio Codul peral privind lhllrl|[ in rirctalatii, dcekr p( proprio rispundcr{
c{ inrpreur{ cu falrilirr" dclin xrnttrloltt.€lcl

' l) Prir firnrilic sr: iniclegc rolul/soliir ii coliii ailili itr iItr.:lrncre:r accslorn.

[. I]u nuri inobilt.

l. 'l crtr uri


Nlt l A:
Sc vor dcclara inclusiv cele oflltc il &lte liri.

I Crtegrtriilc itldicat(- sunlr ( l) lgricol: 12) ibrestier: (,i) inrravihn: {4) htcir (lc apil: (5) altc catcgorii de tcr*ruli
rxlrflvilan., daci se allir in cife ilul civil.
*2) l-a "'l'itrrlar" sc lrgnlioneazi. r'n cazul bunurilor proprii. nunrele pnrplictarului (titullrul. solul*o1ia. copilull,
iar in cazul bunuli&:r in cofri:prielnte. cotl.plrtc gi rtutncle cr4rroprietari[rr.

Z. (ilituliri

N(),f A:
Sc vor rjcclara inclusiv r:e|l.'allltc in ulte liri.

L\lilr-\},. hir.lel irclPft


g, r'rhoure rs I lgc\ 5*\ Gp ar7- ioN0tlgoitf tiirt& uirrr*
cltl\ili*-f *!qs$u.'s t hJe€ rq\6-Jr$ tor|. +\ rooi"
hlrH hi cge*
ooNlfaiF5 .rll!*du rnt.
-o *tin?<.it.lh l h\$aA H elg
I Hrb-1r.\A. l|.IEXE I ol5 t064 bo7" l^\r.lu &
r6f,lc{iPr r'rQi:-

fNk NJ(lr.fi- ,lNFr€ tot\ to{ 1oo?


NNAA }
3c$gf&\rQI H\\\E.I It tij ,
frg
i.Catcgoriilc in<iicair: sutrt:
{l) apartautcnt; (2) casi de locuil: (:J) cirsh iic vocanli; (4) spalri sofllcrcialgldc
DrooucltL.
'2iI,a',.|itu|;rr,'scnlg|lli0ncazi.incazLr|butturi|orproprii,nunlclcprrrprielaru}tti(litUlorti|'s0lu|/s
ur i{ cazul bulurilol in coproprietatc, cota-parte nuinclc coproprielarilor.
{i
ll. lluluri nroLrilr
l.Aulovchicrtlc/,|lrlofutrist|lc, tractoare, nlashi agricr}ls, ,rlupe, i{hturi
!i Nlte mijlo&cc dc tr.!|tspor.l
fnrc su'|l sollx:ic innlslriculirii, potriyit lcgii

2. Ilrtu||ri suh fornr{ de mctalc prclfua$c, bijulcrii, obic.:te dc arti $i dc cult, coleclii dc rrti ti
nunli$ttr|lici, ohicclc crrc fac parlc dir patfinroniul c|lltuml nllional rau univcrsll. r clror laloare
insu[rsti depisclts 5.001] dc our.o

N ()',t-t :
5c vor nrenlionn tuatq hunurilc allllc irr proprietate, indif'ererrt dac2t ch sc aflii snu nu pc ie.itofiul Ronlilli.i
la nrtrrxentul dcclaririi.

Ill. llulrtri rnohile, n ciror yrloare deplScglc 3.000 de errro liecare, $i buntrr'i imobilc instriinalc in
uttimclc 12 loni
lV. r\ctive finalciarc

. I c{'rtttrt'i $i dtp(rtite lxncarc, ftrnrlul,i dr iuvestifii, fonre cchiyal$utc tlc ecunomisirc


inclusir crrdrrrik <lc ct.*dit, (lact valoarca i.'sumati it tul;ror
1i iuvcstirr,
ec€storu (tcpigr(Tte 5.1)0{, {lc curo

NOl'A:
Sc vor clcclara iD0luiiv cclc aflatr irr lrtnci snu i|lsfirulii firrancinre
rlir) stfarnilits.

$c-a. -_src- 6 Qop .2oa* r50. m0


_ qc_e *c. g J arR0 l0tl }}.S0
?ta 5 ?-oH ,cs1 f. ?,b0.+8{ ,'b
\rll( b Qr'r{ tor6 Z. S0. o0o
,/

-.--*-<
'('tttegoriiieinlignt'sunt.'ii)L.l)'|!..t!t.|,|]|.\.|u.\'l'i|..'i|:|e|i,lduri|'en1|}.
...'1i\1|l||1tt.,.i3).|anlut.it[in*,'rti7iis4||t€hi\\1i.'$tt,ilclu.tit'./onthti
aue t dt? Ltt vrtr dcclttnt ci:ie oJerente awlui fi:saul anleitt i.

2. Ililil|ln{nlt'. ittvtslilii dirc(a( 1i r"nrprunrultlr'i rcofiltrlr, d',rri yalorrea dc pi{lt iflsu[raltl l| tutrr.,r
$crslorr deDtrioiite 5,000 tlc crrro

N(.)t ,{.
Se vor dcclara irchrs'v invcsliliilc li parlicip?t.ile i!r r,triinllatc.

*(..tttegatiiitll,htk|cI(.\unl'.||ih|il.t|itkvoot.t,de{in!i|iu|'||f.\to!'(:t,|1i/it.|ti,.
o.:{iwi s$u p1t lt sociqk, i toriLmI nnrcn:iul,:: (J) iupnnuturi ocoulat( h nxn( lrer.to L .
si|lrm lensing $i alle

Vl. Csdouri. scn'icii s:rr aval|l'tje ll.inritc grstuil $ar sul,yclliolirac fali dc y&l{,arcil ilc l)inlil, dill
pitrlfir unor pttsoorr, orgrnizolii, socieftrti conrrrcialc, rrBii sutonornc, co|n pa n ii/socielili turliortrla sall
inslitulii !ublicc rout6n.lti s^u sariixc, inclusiv bursc, crctlite, garrnlii, drrottili (le ehalt(|idi' {ltelo (lccat
celc rlc !rIg$jNlonrlui, a cr]ror valoare iudivid||,|l{ ddpffefl{l 500 dr eoro'

I 2. Sullsolic

L l. t o|ii

"'|LLxrptett;iidl,lu.|cc|uru.t<.uthluti|e5itt'ttttt1ii|eruu|c1ttittli|cdinpattcrtrrtt|e|tn.tglltll
\/lI. Vcnituli {lc dccLrrartului gi alc lnenrbrilor stri de fanilie, rurlizate in ullirnul an tistal ilchoitll
(Potlivit ,u1, 4l ditt Lcgca nr. 571/200J privind Codul fiscnl, cu nodificlrilc Si cornplcttrrile ultcrioarc)

NGI'A:
5e vor rbclara inclrr rir. veniturilc lavctlite di|t stfilinlllat(:,

l.l. I'itular
}NIEflM|JtIIE
flingl ni1roF* ?eittl*l* ar.i*''|i[ <16r^r, flt'Pr b6. 53F
1.2. S0l/solic

l4ir.ie*- cLQ..r,R 9t - ArPnHorrTr it.{b( qA gkJelu lQ g+t


1.3, (ipii
(

2.1. l itulur

2.?. sol/solic

i*i,{*if;iffi fi*1}kd9hr$ii}.bF; ?., :,.i


'l
i.l. itula.

.1.2- Sot,isolic

4.1.'lirulnr
ry@ld*
___/
4.2. Sollsolic

j,:
;:.;r#-t'-ffi ,:**iiiAlfr iffi #*rl,rliffi-fi *iljjl;.i:#t
-(.l. f ilrrliir
/'
5.1. So1/s.r1ic

,"
6,l. l'itular

6.2. So(solie
7.1. I'itular

7.2. So/solie

7..1. Copii

8. | . l'itLrlar

8.1. \r'1/1()1ig

E.i. tiopii

Itrczqrtu declarr{ir c{rt|sliluir ael public ti rtspulld lollivit lrgii lltnde pctttru incxactitateit sau
crllclclul incornlllct ll d:rtclor rtren(ionrtc,
\t
Drlit c,)tnplotlrii scr$r'iitlnr

.1.9..si,,.1$.1.€..., \ \\
NECLAIIA'| IE DE INTERESE

aviind funclirt
S uhscrn ttaiu l/su bse ttt n' trr. -.U]NE*r&
,

de a ln {)tr*T** -*
C]NP ,do itili l
propria risptndetc:
;,tt.t.ffi;il";il1 il;;ilul pttral privintl tulsul irr rlcclarrlii' declar pc

V lo:rfc4 tolalii it
li0italea pirrlilol socialc
'dc utllircil rr ililresa -

{nEilL4ir
ffitirit trl rr'.r r rtrt'r r I u rrlc.
car{lir'$llf!
.tr{r.x.luhi

k11{)lX

i tixte retraiut try;**r,iut,n,fr;

$dd4i iiziil
rutorviuV,{soci;4ii iirnil jabr(rbin&
iaiivii,uhurbirxtcirrdae. sricf{i
civib poli:;icnrlcsLr so:irrfii r ivih
lroi:;ixlr]e cu rdlrrurJi .' limfu rti rde
rlesff pmrn gibi;xle aru:U0rpruta4ji
llg,!.grtluB!1d91!:l!Ir4i! lrpn4irl

'"'.|\'irt nuk de gradt / / sc illelegc pirinli p( linir rscandqn(i ropii pe linic ticscendcntl.
Si
-
Se vrrr tleclara nunrclc, dcrumircr rii adrcsa huneficiartilui dc contrnat urtdc. priu calitatt'a delinule. litrrl!ntl.
solul/solril 9i tudclc dc gl dul I oblin 0r)nlraolc. ala eun] sl t d$firritc la purctLrl 5. Nu riu dcclari r:ontrarlcla
socieliliilor conletcialc pe.rctiurri la carc dccinranlul iruprcona cu soluusolia;i rudele clc gnulul I delin ntai pLrgin cle
59'i din capitrlrrl social ll ri)cirlilii, indil'crent <jr,' rncrilLrl dc dobdndire a acqiurriklr'.

l\'tzenla decl ralir colstituic tr{l publie ;i r{spund potrilit lcgii peralc penlru in€ractilrlqr srul
calirctrrul iltc{rnrplul al tlutelor ntrtlionalc.

D,lfa cl,lltpletirii

.1.9.,.ah.^.*,o 1. 6... ,

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