<?xml version="1.0" encoding="UTF-8"?><ns1:AKC4 xmlns:ns1="http://www.e-clo.pl/ZEFIR2/eZefir2/xsd/v4_2/AKC_4.xsd" xmlns:ns10="http://www.e-clo.pl/ZEFIR2/eZefir2/xsd/v5_0/AKC_4E.xsd" xmlns:ns11="http://www.e-clo.pl/ZEFIR2/eZefir2/xsd/v4_0/AKC_4F.xsd" xmlns:ns12="http://www.e-clo.pl/ZEFIR2/eZefir2/xsd/v4_1/AKC_4H.xsd" xmlns:ns13="http://www.e-clo.pl/ZEFIR2/eZefir2/xsd/v4_0/AKC_4I.xsd" xmlns:ns14="http://www.e-clo.pl/ZEFIR2/eZefir2/xsd/v4_0/AKC_4J.xsd" xmlns:ns15="http://www.e-clo.pl/ZEFIR2/eZefir2/xsd/v5_0/AKC_4K.xsd" xmlns:ns16="http://www.e-clo.pl/ZEFIR2/eZefir2/xsd/v4_0/AKC_4L.xsd" xmlns:ns17="http://www.e-clo.pl/ZEFIR2/eZefir2/xsd/v2_0/AKC_4M.xsd" xmlns:ns18="http://www.e-clo.pl/ZEFIR2/eZefir2/xsd/v2_0/AKC_4N.xsd" xmlns:ns2="http://www.w3.org/2000/09/xmldsig#" xmlns:ns3="http://www.e-clo.pl/ZEFIR2/eZefir2/xsd/v3_0/Types.xsd" xmlns:ns4="http://www.e-clo.pl/ZEFIR2/eZefir2/xsd/v3_0/Trader.xsd" xmlns:ns5="http://www.e-clo.pl/ZEFIR2/eZefir2/xsd/v2_0/Authentication.xsd" xmlns:ns6="http://www.e-clo.pl/ZEFIR2/eZefir2/xsd/v4_0/AKC_4A.xsd" xmlns:ns7="http://www.e-clo.pl/ZEFIR2/eZefir2/xsd/v4_0/AKC_4B.xsd" xmlns:ns8="http://www.e-clo.pl/ZEFIR2/eZefir2/xsd/v4_0/AKC_4C.xsd" xmlns:ns9="http://www.e-clo.pl/ZEFIR2/eZefir2/xsd/v4_0/AKC_4D.xsd" version="4_2">
<ns1:Header formKind="AKC-4" identifier="1111111111" period="2021-06" selfRef="11111111110202106AKC420240116T080625" submissionAim="Deklaracja" taxOffice="1209">
<ns1:Trader typeOfTaxpayer="N">
<ns4:Corporate>
<ns4:TaxpayerData fullName="Firma"/>
<ns4:Residence city="Kraków" commune="1261011" communeName="Kraków" country="PL" district="61" districtName="Kraków" email="op@op.pl" houseNumber="1" localNumber="2" postalCode="31-111" province="12" provinceName="MAŁOPOLSKIE" street="Ulica"/>
</ns4:Corporate>
</ns1:Trader>
<ns1:Attachment>
<ns11:AKC4F version="4_0">
<ns11:Header formNo="1" identifier="1111111111" period="2021-06">
<ns11:Warehouse address="Adres" oneTime="false" operatorNo="PL34567890123"/>
<ns11:ExciseDutyInformation>
<ns11:CalculOfAmountOfExciseDuty reductions="0" totalAmountOfTax="2546" totalOfTax="2546"/>
<ns11:CleareanceExciseDuty amountOfExciseStamps="0" amountOfPrePayment="0" surplusExcessPayment="0" taxChargeable="2546"/>
<ns11:Items exportNumberOfGoods="5.550" exportTaxRate="2.22" exportTaxRatePercentage="0.0200" exportTotalAmountOfTax="12" exportValueOfGoods="6.66" totalAmountOfTax="2546" totalValueofGoods="456">
<ns11:Item amountOfTax="2546" codeCN="27010000" groupOfGoodsName="Węgiel; brykiety, brykietki i podobne paliwa stałe wytwarzane z węgla" id="1" numberOfGoods="45.460" shortages="UB" taxMin="56.00" taxMinFromIsztar="false" taxRate="45.00" taxRateFromIsztar="false" taxRatePercentage="0.0500" taxRatePercentageFromIsztar="false" valueOfGoods="456"/>
</ns11:Items>
</ns11:ExciseDutyInformation>
<ns11:DailyPaymentInformation totalAmountOfDailyPaym="0" totalAmountOfExcessDailyPaymPrevDecl="0" totalDueAmountOfDailyPaym="12">
<ns11:DailyAmount amountOfDailyPaym="0" amountOfExcessDailyPaymPrevDecl="0" dueAmount="12" taxObligationCreationDate="2021-06-16"/>
</ns11:DailyPaymentInformation>
</ns11:Header>
</ns11:AKC4F>
</ns1:Attachment>
<ns1:statementOfExciseDutyProductGroups exciseDutyBeer="0" exciseDutyCar="0" exciseDutyElectricity="0" exciseDutyEthylAlcohol="0" exciseDutyFuel="0" exciseDutyGas="0" exciseDutyGasEngine="0" exciseDutyHeatingFuel="0" exciseDutyOil="0" exciseDutyTobacco="2546" exciseDutyWine="0" exciseInnovativeProducts="0" exciseLiquidECigarettes="0" totalExciseDuties="2546"/>
<ns1:AmountPayable totalAmountOfExciseStamps="0" totalAmountOfPaymentsDaily="0" totalAmountOfPrePayment="0"/>
<ns1:amountOfExciseDuty amountOfSurpPrevDecl="0" excessContributSettlement="0" excessContributSurplusPaymExcise="0" surplusOfAdvanPaymExcise="0" toPay="2546"/>
<ns1:Statement affirmation="Oświadczam, że są mi znane przepisy Kodeksu karnego skarbowego o odpowiedzialności za podanie danych niezgodnych z rzeczywistością." declarationDate="2024-01-16">
<ns3:representative email="piotr@op.pl" phone="124567788" repFirstName="Piotr" repSurname="Kolano"/>
</ns1:Statement>
</ns1:Header>
</ns1:AKC4>
