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\fs24\lang1038\langfe1038\cgrid\langnp1038\langfenp1038 {\b\f1 Igazol\'e1s mag\'e1nszem\'e9lyek (egy\'e9ni v\'e1llalkoz\'f3k) r\'e9sz\'e9re
\par }\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1038\langfe1038\cgrid\langnp1038\langfenp1038 {\f1 \line Adom\'e1nyozott megnevez\'e9se:..................................................................
\line Adom\'e1nyozott ad\'f3sz\'e1ma: .......................................................................\line Adom\'e1nyozott sz\'e9khelye: .......................................................................\line K\'f6zhaszn\'fa min\'f5s\'edt\'e9
s fokozata: ...............................................................\line  \line Adom\'e1nyoz\'f3 neve: ..................................................................................\line Adom\'e1nyoz\'f3 ad\'f3azonos\'edt\'f3
 jele: .............................................................
\par Adom\'e1nyoz\'f3 ad\'f3sz\'e1ma (egy\'e9ni v\'e1llalkoz\'f3 eset\'e9n ez is kell): ...............................\line Adom\'e1nyoz\'f3 lakhelye: ..........................................................................\line Adom\'e1nyozott \'f6
sszeg: ...................Ft, azaz ............................................ forint\line Tart\'f3s adom\'e1ny eset\'e9n (1+3 \'e9v) a szerz\'f5d\'e9s kelte: .....................\line Adom\'e1ny \'e9rt\'e9ke 2005
-ben : ............................................................................Ft\line \'c9rt\'e9kpap\'edr n\'e9v\'e9rt\'e9ke 2005-ben: .....................................................Ft\line T\'e1mogatott c\'e9l  .....
......................................................................\line ..................................................................................................................
\par ..................................................................szervezet igazolja, hogy\line ..................................................................2005 \'e9v sor\'e1n a ......................\line 
..................................................................szervezet r\'e9sz\'e9re\line ..................................................................Ft, azaz ....................................\line 
.................................................................. forint \'e9rt\'e9kben adom\'e1nyt ny\'fajtott.\line \line Jelen igazol\'e1s a szem\'e9lyi j\'f6vedelemad\'f3r\'f3l sz\'f3l\'f3 1995 \'e9vi CXVII. tv. alapj\'e1n \line ker\'fclt ki\'e1ll
\'edt\'e1sra, melyet a ...........................................................................\line mag\'e1nszem\'e9ly 2005. \'e9vre vonatkoz\'f3 SZJA-bevall\'e1s\'e1n\'e1l figyelembe vehet.\line \line \line 
.........................................., 200.. .................... .......\line \line .....................................................
\par }}