090

Fiscal registration statement /

Statement of Specifications for Non-Resident Taxpayers set
in the EU, who are registering directly

Statement type

1. Registration statement X

2. Specifications statement

Tax payer identification data

1.
2.
3.
4.
5.

Fiscal identification code

..............................................
Name / First and Last Name
..............................................
Legal Form
..............................................
Establishing date (yy/mm/dd) ..............................................
Domicile / Headquarters data
Residence country
..............................................
Full address in the country of residence ..............................................
Postal code .........................
Fax
...................................
Phone
..........................
E-mail ...................................

6. Romanian address where documents may be audited

County
District 1
Locality Bucharest
Street Mendeleev
No. 28-30
Building
Floor 2
Apt.
Postal Code 010365
Fax 021 404 3444
Phone 021 316 8075
E-mail office@soter.ro
7. Romanian address for correspondence (optional)
County
District
Locality
Street
No.
Building
Floor
Apt.
Postal Code
Fax
Phone
E-mail

C. Other information on tax payer

1. Represented by empowered person
No. power of attorney

X
Date

2. Empowered person identification data

First and Last Name / Name SOTER SRL
Address:
County
District
Street Turda
No. 129
Floor 6
Apt. 220
Fax 021 404 3444
E-mail office@soter.ro
Fiscal identification code
3. Banking institution

Locality Bucharest
Entrance
5
Postal Code 011326
Phone 021 316 8075
3273781

Account IBAN number

4. Registration in another EU member state

Country

........................

Fiscal identification code

Yes
No
........................

D. Tax vector data

I. VAT
1. Registered for VAT purposes according to art. 153 parag. (4) of Fiscal Code
2. Registered for VAT purposes according to art. 153 parag. (5) of Fiscal Code
3. Estimated turnover
4. Turnover realized in previous fiscal year
5. Fiscal period
5.1. Monthly payment
5.2. Quarterly payment
5.3. Half-yearly payment no. approval from relevant tax authorities
5.4. Annual payment
no. approval from relevant tax authorities
6. Cancelation of registration for VAT purposes
6.1. As a result of ending the activity starting with date //
6.2. As a result of ending the activities
with deduction right
starting with date //
6.3. As a result of ending the 2 year period,
in case of remote sales
starting with date //
II. Social security contributions
1. Registration as payer of social security contributions in Romania
1.1. Health insurance contribution
1.2. Unemployment contribution
1.3. Labor accidents and professional diseases contribution
1.4. Social security contribution pension contribution
2. Deregistration
starting with date //

X
X
X
X

Under sanctions applied in case of forgery in public documents, I declare on my own

account that:
- I will undertake in Romania taxable operations for which I have the obligation to
pay VAT under art. 150 parag. (1) of Fiscal Code
and/or
- I will undertake operations without right of deduction, with the exception of
transport services and other auxiliary services, exempt based on art. 143 par. (1),
let. c) f), h) m), art. 144 par. (1), let. c) and art. 144 1 of Fiscal Code for which
the registration is optional.
I have enclosed the following contracts / orders:

Under sanctions applied in case of forgery in public documents, I

declare that the information provided in this statement is correct and
complete.
Name of the person making the statement

to be filled in

Signature to be filled in
Date to be filled in

Stamp to be filled in

To be filled out by the fiscal authorities

Name fiscal authority
Registration number
Date of registration
First and last name of the reviewer
Number identification card