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[]
[]
[]
[]
[null,"Versión 2007"]
[]
[null,"I. ","DATOS GENERALES DEL CONTRIBUYENTE"]
[]
[null," PERIODO",{"$nulls":6},"FECHA LIMITE DE PAGO",{"$nulls":14},"FECHA  NOTIFICACION"]
[null,null,null,"    MES",null,"AÑO"]
[null,"TIPO DE DECLARACION",{"$nulls":4},"NORMAL",null,null,null,"RECTIFICATIVA",null,null,null,"C",null,"D",null,"AJUSTE /ESTIMACION",{"$nulls":5},"RECURSO DE RECONSIDERACION",null,null,null,"RECURSO JERARQUICO"]
[]
[null,"RNC/CEDULA",{"$nulls":11},"NOMBRE /RAZON SOCIAL"]
[]
[null,"NOMBRE COMERCIAL",{"$nulls":23},"TELEFONO"]
[]
[null,"CELULAR",{"$nulls":8},"FAX",{"$nulls":6},"CORREO ELECTRONICO"]
[]
[]
[null,"II.","CONCEPTOS",{"$nulls":21},"CANTIDAD",null,null,"VALOR TOTAL"]
[null,1,"VIDA COLECTIVO"]
[null,2,"VIDA INDIVIDUAL"]
[null,3,"SALUD"]
[null,4,"ACCIDENTES PERSONALES Y SALUD"]
[null,5,"INCENDIOS Y ALIADOS"]
[null,6,"NAVES MARITIMAS Y AEREAS"]
[null,7,"TRANSPORTE DE CARGA"]
[null,8,"VEHICULO DE MOTOR"]
[null,9,"AGRICOLAS PECUARIAS"]
[null,10,"FIANZAS"]
[null,11,"OTROS SEGUROS"]
[null,12,"TOTAL OPERACIONES (Sumar casillas 1 a 11)  ",{"$nulls":24},0]
[]
[null,"III.","LIQUIDACION",{"$nulls":24},"MONTO"]
[null,13,"OPERACIONES EXENTAS",{"$nulls":23},"="]
[null,14,"OPERACIONES GRAVADAS ",{"$nulls":23},"=",0]
[null,15,"IMPUESTO A PAGAR (Aplicar tasa del 16% a la casilla 14 )",{"$nulls":23},"=",0]
[null,16,"SALDO A FAVOR ANTERIOR",{"$nulls":23},"-"]
[null,17,"SALDOS COMPENSABLES AUTORIZADOS (Otros impuestos)",{"$nulls":23},"-"]
[null,18,"PAGOS COMPUTABLES A CUENTA",{"$nulls":23},"-"]
[null,19,"DIFERENCIA A PAGAR (Si el valor de la casilla 15-16-17-18 es positivo)",{"$nulls":23},"=",0]
[null,20,"NUEVO SALDO A FAVOR (Si el valor de las casillas 15-16-17-18 es negativo)",{"$nulls":23},"=",0]
[]
[null,"IV.","PENALIDADES"]
[null,21,"RECARGOS ",{"$nulls":23},"+"]
[null,22,"INTERES INDEMNIZATORIO",{"$nulls":23},"+"]
[null,23,"SANCIONES",{"$nulls":23},"+"]
[null,24," TOTAL A PAGAR  (Sumar casillas 19+21+22+23)",{"$nulls":23},"=",0]
[]
[null,"V","JURAMENTO",{"$nulls":13},"VI","PARA USO DE LA DGII"]
[null,"YO_________________________________________EN MI CALIDAD DE _________________________ DECLARO BAJO  JURAMENTO,  QUE LOS DATOS CONSIGNADOS EN LA PRESENTE DECLARACION SON CORRECTOS Y COMPLETOS Y QUE NO HE OMITIDO NI FALSEADO DATO ALGUNO QUE LA MISMA DEBA CONTENER, SIENDO TODO SU CONTENIDO LA FIEL EXPRESION DE LA VERDAD."]
[{"$nulls":16},"FECHA DE PAGO",{"$nulls":4},"No. RECIBO DE PAGO",{"$nulls":5},"FECHA LIMITE DE PAGO"]
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[{"$nulls":5},"Firma",{"$nulls":14},"FIRMA DEL CAJERO Y SELLO"]
[{"$nulls":16},"LA FIRMA Y EL SELLO DE LA DGII DAN CONSTANCIA DE RECIBIDO"]