ALLEGATO 1
UFFICIO DEL TERRITORIO - SERVIZIO DI PUBBLICITA' IMMOBILIARE
DI .........................................................
CONSERVATORIA RR.II. DI ....................................
                            DATA __________________
                            N. DI PRESENTAZIONE DAL _______ AL ______
ELENCO DELLE NOTE O DELLE DOMANDE CHE SI PRESENTANO PER LA ESECUZIONE
DELLE RELATIVE FORMALITA' DA PARTE DI:
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|     |                  DATI RELATIVI AL TITOLO                    |
|     |_____________________________________________________________|
|Tipo |Pubblico ufficiale o autorita'|  Data  |  N. Rep. |     N.   |
|di F.|        emittente             |        |          |   Progr. |
|     |  Nominativo        Sede      |        |          |          |
|_____|______________|_______________|________|__________|__________|
|_____|______________|_______________|________|__________|__________|
|_____|______________|_______________|________|__________|__________|
|_____|______________|_______________|________|__________|__________|
|_____|______________|_______________|________|__________|__________|
|_____|______________|_______________|________|__________|__________|
|_____|______________|_______________|________|__________|__________|
                                                  Tot.   |          |
                                                         |__________|
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|   LIQUIDAZIONE DELLE IMPOSTE E DELLE TASSE IPOTECARIE      |      |
|____________________________________________________________|______|
|   Imposta  |  Sanzioni  |   Bollo    |    Tasse   | Totale | Esito|
| Ipotecaria | pecuniarie | (virtuale) | Ipotecarie |        |      |
|____________|____________|____________|____________|________|______|
|____________|____________|____________|____________|________|______|
|____________|____________|____________|____________|________|______|
|____________|____________|____________|____________|________|______|
|____________|____________|____________|____________|________|______|
|____________|____________|____________|____________|________|______|
|            |            |            |            |        |      |
|____________|____________|____________|____________|________|______|
ESTREMI DEL VERSAMENTO
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|    |              | Banca|   Concessionario       |Ufficio|       |
|    |              |      |                        |Postale|       |
|    |              |______|________________________|_______|______ |
|DATA|CODICE TRIBUTO|CODICE|CODICE|ESTREMI QUIETANZA|CODICE |IMPORTO|
|____|______________|______|______|_________________|_______|_______|
|____|______________|______|______|_________________|_______|_______|
|____|______________|______|______|_________________|_______|_______|
|____|______________|______|______|_________________|_______|_______|
|____|______________|______|______|_________________|_______|_______|
                                                     TOTALE |       |
                                                            |_______|
                                   FIRMA ____________________________