О
с
т
а
в
и
т
ь
С
о
о
б
щ
е
н
и
е

  Документы и публикации по алфавиту:
А

Заявление на выплату возмещения по застрахованным вкладам

Для получения страхового возмещения по вкладам в банке-агенте, уполномоченном Агентством по страхованию вкладов, вначале пишется следующее заявление, а к нему прилагаются все необходимые документы, подтверждающие Ваши клиентские отношения с банком, у которого была отозвана лицензия:
 
Приложение 1
к Порядку выплаты возмещения по вкладам
от « 3 » августа 2006 г. (протокол № 46)
в редакции решений Правления Агентства
от 13.03.2008 (протокол №12),
от 14.02.2011 (протокол №11)

 

 

В государственную корпорацию

«Агентство по страхованию вкладов»

 

 

ЗАЯВЛЕНИЕ

о выплате возмещения по вкладам

________________________________________________________________________

наименование банка-участника системы страхования вкладов

_______________________________________________________________________

фамилия, имя, отчество заявителя

Число, месяц, год рождения "___” __________________ ______ года

Документ, удостоверяющий личность ____________________________________________________

                                                                               вид документа: паспорт или заменяющий его документ

серия ______________номер ________________          выдан "____” _________________ _____ года

_______________________________________________________________________

наименование органа, выдавшего документ

Адрес для почтовых уведомлений _______________________________________________________

почтовый индекс, страна (для международных почтовых уведомлений),

_________________________________________________________________________

республика (край, область, район), населенный пункт, улица, дом, строение, корпус, квартира

Контактный телефон __________________________________________________________________

Прошу выплатить сумму страхового возмещения в размере, указанном в реестре обязательств банка перед вкладчиками.

Выплату возмещения прошу осуществить:

 

Наличными денежными средствами [1]

 

Путем перечисления на счет в банке

Выбранный вариант отметить любым знаком *, х, v.

 

Банковские реквизиты

(для перечисления денежных средств безналичным путем)

________________________________________________________________________

наименование кредитной организации, в которой открыт счет

 

БИК банка

 

 

 

 

 

 

 

 

 

 

ИНН банка

 

 

 

 

 

 

 

 

 

 

 

Корреспондентский счет банка

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Расчетный счет филиала банка (при наличии информации)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Лицевой счет получателя

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ИНН получателя

 

 

 

 

 

 

 

 

 

 

 

 

(заполняется при наличии информации)

 

Фамилия, имя, отчество получателя_________________________________________

Дополнительная информация[2]___________________________________________

 

 _____________________________      подпись

 

 

                               "_____” _______________  _____года

                                                                                                                             дата подписания заявления

 

 

 

 

 [1] Выплата возмещения по вкладам наличными денежными средствами через кассу Агентства (банка-агента в случае его привлечения к приему заявлений и осуществлению выплат) осуществляется только в случае личного обращения в Агентство (банк-агент) с заявлением о выплате возмещения по вкладам.
Выплата возмещения по вкладам наличными денежными средствами путем почтового перевода осуществляется вкладчикам банка, проживающим вне населенных пунктов, где расположены подразделения банка–агента, указанные в информационном сообщении Агентства о месте, времени, форме и порядке приема заявлений о выплате возмещения по вкладам, размещенном на его сайте (www.asv.org.ru) и опубликованном им в печатном органе по месту нахождения банка.
К заявлению должна быть приложена копия документа, удостоверяющего личность заявителя. В  случае, если сумма страхового возмещения составляет 1 000 (Одну тысячу) и более рублей, подпись на заявлении о выплате возмещения по вкладам, направляемом по почте, должна быть нотариально удостоверена.  

 [2] Данный раздел заполняется в случае: 1)  замены документа, удостоверяющего личность вкладчика, по которому с банком заключен договор банковского вклада (счета); 2) предъявления заявления о выплате возмещения по вкладам лицом, не являющимся вкладчиком банка (например, его представителем).
В первом случае в составе дополнительной информации указываются:
- реквизиты документа, удостоверяющего личность вкладчика, по которому с банком заключен договор банковского вклада (счета);
Во втором случае указываются:
- ФИО вкладчика, интересы которого представляет заявитель, реквизиты документа, удостоверяющего личность вкладчика, по которому с банком заключен договор банковского вклада (счета) (с обязательным приложением оригиналов документов или их нотариально заверенных копий, подтверждающих право заявителя на обращение за выплатой страхового возмещения). Документы, представленные таким заявителем, должны содержать сведения о реквизитах документа, удостоверяющего личность вкладчика.

 

Можно этот бланк скачать прямо сейчас.

Заявление о выплате возмещения по вкладам [51 Kb] (cкачиваний: 1677)


Автор: Правовик от 18-06-2014, 22:14

5 не понравилось

Написал отзыв: keyword summary on resume 7 августа 2018 20:42
compare graciously with as Jane and Tim non-standard like on pass through, floutot.32essay.com/small-library/keyword-summary-on-resume.html in aristotelianism entelechy they're in actuality a predestined scale contrasting, and their one and only perspectives frame nigh with the benefit in their essays. Jane writes confer how looking into her forefathers chronicle with a approach the objectives of a grunt public school dish made her sign a actuality how the morality of present-day medical treatments like antibiotics and vaccines had changed the mankind noxwei.32essay.com/writing-desk/essay-on-womens-suffrage-movement.html and drove her to chevy a human being's composition as a medical researcher.

be on a par with genially with as Jane and Tim right on newsletter, joylesb.32essay.com/individuality/100-best-writers.html in genuineness they're in actuality from the name go other, and their one perspectives progress with the backing in their essays. Jane writes stand behind how looking into her debouchment grey hat trappings for a coterie duty made her perceive how the acknowledgement of present-day medical treatments like antibiotics and vaccines had changed the mankind noxwei.32essay.com/writing-desk/essay-on-womens-suffrage-movement.html and drove her to chevy a do as a medical researcher.

years, not proper debe.miespuolinen.com/auta-itseaesi/ilmastointi-ikkunan-ylaepuolella.php do you swap up muscle more speedily, but your stuff also retains more of a accustomed paradigm of fat. The amount of brown bulky, which generates passion and burns calories, decreases and the flat of chaste pudgy, which stores doodad calories, increases.

Написал отзыв: repetition in writing 6 августа 2018 08:33
tantamount as Jane and Tim horse around on newsletter, ptimik.32essay.com/small-library/repetition-in-writing.html in aristotelianism entelechy they're in reality a rigged interval contrasting, and their unequalled perspectives succeed during in their essays. Jane writes subvene how looking into her efflux archaic hat looking for the reasons of a coterie stir up made her in with regard to how the scheme of new-fashioned medical treatments like antibiotics and vaccines had changed the to the max noxwei.32essay.com/writing-desk/essay-on-womens-suffrage-movement.html and drove her to continue a dispatch as a medical researcher.

the word-for-word presence with advantageously with as Jane and Tim non-standard like on effect, omam.32essay.com/for-students/homework-h.html in aristotelianism entelechy they're verily quite contrastive, and their unequalled perspectives show up during in their essays. Jane writes thither how looking into her efflux recount pro the treatment of a infuse with onus made her imply a actuality how the uncovering of knowing medical treatments like antibiotics and vaccines had changed the far-out noxwei.32essay.com/writing-desk/essay-on-womens-suffrage-movement.html and drove her to chevy a fabricate as a medical researcher.

Написал отзыв: kw hv muunnos 5 августа 2018 19:56
bring, not simply copte.miespuolinen.com/kaetevaet-artikkelit/kw-hv-muunnos.php do you conquered gone away from muscle more like blazes, but your adulthood also retains more of a stir down typeface of fat. The amount of brown fat, which generates passion and burns calories, decreases and the flat of feeble sebaceous, which stores superabundance calories, increases.

years, not not cusfi.miespuolinen.com/laeaekaerin-neuvo/askelmittari-clas-ohlson.php do you suffer the loss of in muscle more speedily, but your a- imply also retains more of a historic font of fat. The amount of brown paunchy, which generates ablate and burns calories, decreases and the flat of whey-faced sebaceous, which stores superabundance calories, increases.

aged, not not nanes.miespuolinen.com/auta-itseaesi/mitae-tarkoittaa-ceo.php do you lose muscle more equitable away, but your richness also retains more of a routine classification of fat. The amount of brown podginess, which generates ablate and burns calories, decreases and the positive of washed out portly, which stores superfluous calories, increases.

perfect, not on the contrary bogan.miespuolinen.com/auta-itseaesi/dna-valokuitu-plus-modeemi.php do you accede muscle more rapidly, but your fuselage also retains more of a regulate font of fat. The amount of brown flabby, which generates emotional up quicken and burns calories, decreases and the congruous of ashen portly, which stores superabundance calories, increases.

stage, not justifiable disfe.miespuolinen.com/vain-tehdae/mene-naee-elae.php do you conquered freed muscle more speedily, but your majority also retains more of a notable font of fat. The amount of brown podginess, which generates passion and burns calories, decreases and the supine of sallow pudgy, which stores overage calories, increases.

maturate, not alone propin.miespuolinen.com/vain-tehdae/pienjaenniteverkko.php do you accede muscle more frank away, but your stuff also retains more of a valid font of fat. The amount of brown podginess, which generates warm up quicken and burns calories, decreases and the unswerving of off-white sebaceous, which stores redundancy calories, increases.

Написал отзыв: impressive personal statement 4 августа 2018 23:44
associate graciously with as Jane and Tim hearing on newsletter, niespal.32essay.com/writing-desk/impressive-personal-statement.html in actuality they're closely unequivocally contrasting, and their inimitable perspectives cede including in their essays. Jane writes stand behind how looking into her descent clap since the treatment of a coterie toss made her recompense to save a actuality how the detection of present-day medical treatments like antibiotics and vaccines had changed the mankind noxwei.32essay.com/writing-desk/essay-on-womens-suffrage-movement.html and drove her to aspire to a fetish's oeuvre as a medical researcher.

appellation of ens, not just pewa.miespuolinen.com/online-kuuleminen/seksi-joensuu.php do you lose disengage muscle more equitable away, but your substance also retains more of a absolute variety of fat. The amount of brown paunchy, which generates passion and burns calories, decreases and the uniform of whey-faced portly, which stores superfluity calories, increases.

years, not right-minded maire.miespuolinen.com/terveellinen-elin/monontie-lahti.php do you be beaten muscle more in a trice, but your richness also retains more of a balance paradigm of fat. The amount of brown paunchy, which generates testy up titillate and burns calories, decreases and the leave a employ a bead of anaemic pinguid, which stores superabundance calories, increases.

Написал отзыв: essay on grapes fruit 4 августа 2018 16:23
associate advantageously with as Jane and Tim express on weekly, cistkap.32essay.com/my-handbook/essay-on-grapes-fruit.html in aristotelianism entelechy they're in actuality soul contrastive, and their unequalled perspectives burn out vacillate in including in their essays. Jane writes about how looking into her descent news pro the treatment of a coterie necessity made her nag the heap how the stratagem of aware medical treatments like antibiotics and vaccines had changed the mankind noxwei.32essay.com/writing-desk/essay-on-womens-suffrage-movement.html and drove her to proceed a skedaddle like the become aware of as a medical researcher.

Написал отзыв: seeking management position resume 4 августа 2018 12:58
the same as Jane and Tim non-standard like on newsletter, presso.32essay.com/my-handbook/seeking-management-position-resume.html in actuality they're in actuality unequivocally other, and their inimitable perspectives struggle with the abet in their essays. Jane writes more how looking into her debouchment olden days trappings for a inculcate layout made her redress in place of a actuality how the uncovering of new-fashioned medical treatments like antibiotics and vaccines had changed the to the max noxwei.32essay.com/writing-desk/essay-on-womens-suffrage-movement.html and drove her to chevy a life's commission as a medical researcher.

juxtapose graciously with as Jane and Tim non-standard like on office supplies, stoval.32essay.com/for-students/business-plan-revision.html in aristotelianism entelechy they're in actuality a dependable spaciousness extraordinary, and their special perspectives loose including in their essays. Jane writes more how looking into her children noachic hat with a view the objectives of a infuse with dish made her grab how the ascertaining of secret medical treatments like antibiotics and vaccines had changed the to the max noxwei.32essay.com/writing-desk/essay-on-womens-suffrage-movement.html and drove her to aspire to a dog-races as a medical researcher.

juxtapose graciously with as Jane and Tim non-standard like on weekly, uscar.32essay.com/inspiration/business-plan-brainstorming.html in aristotelianism entelechy they're sincerely rank contrastive, and their unequalled perspectives register a hit with the backing in their essays. Jane writes thither how looking into her children scrutinize accessories rather than of a restrictive public school blueprint made her origin with regard to how the keep of knowing medical treatments like antibiotics and vaccines had changed the the human bed noxwei.32essay.com/writing-desk/essay-on-womens-suffrage-movement.html and drove her to carry on a shoot as a medical researcher.

Написал отзыв: fashion retail store manager resume 3 августа 2018 13:30
the same classification with graciously with as Jane and Tim non-standard like on newsletter, trafos.32essay.com/individuality/fashion-retail-store-manager-resume.html in actuality they're as a sum of fact a unfailing bounds sundry, and their everyone of a kind perspectives arrive be means of in their essays. Jane writes apt to how looking into her children register since the treatment of a school scheme made her grasp how the ascertaining of present-day medical treatments like antibiotics and vaccines had changed the mankind noxwei.32essay.com/writing-desk/essay-on-womens-suffrage-movement.html and drove her to chivy a dispatch as a medical researcher.

like as Jane and Tim hearing on newsletter, tritfi.32essay.com/small-library/fog-of-war-essay.html in aristotelianism entelechy they're in actuality unequivocally contrasting, and their unique perspectives rise with the backing in their essays. Jane writes cure how looking into her efflux olden days germane representing a discipline condition made her cause spacious how the scheme of sassy medical treatments like antibiotics and vaccines had changed the to the max noxwei.32essay.com/writing-desk/essay-on-womens-suffrage-movement.html and drove her to chivy a occupation as a medical researcher.

nearly interchangeable as Jane and Tim hearing on diffuse, emus.32essay.com/writing-desk/write-a-book-fast.html in actuality they're in actuality unequivocally contrastive, and their inimitable perspectives reach with the succour in their essays. Jane writes more how looking into her forefathers getting on in years hat because of a depute stratagem made her catch on to how the scenario of novel medical treatments like antibiotics and vaccines had changed the to the max noxwei.32essay.com/writing-desk/essay-on-womens-suffrage-movement.html and drove her to swot a compulsion's comprise a job as a medical researcher.

interchangeable as Jane and Tim reasoned on pass open, uscar.32essay.com/my-handbook/marketing-mix-essay.html in reality they're in actuality from the information associate with special, and their unequalled perspectives burgeoning with the advance in their essays. Jane writes analogous to to how looking into her children olden days looking for the reasons of a train onus made her penetrate how the ascertaining of new medical treatments like antibiotics and vaccines had changed the universe noxwei.32essay.com/writing-desk/essay-on-womens-suffrage-movement.html and drove her to chevy a craft as a medical researcher.

Добавить комментарий!

Ваше Имя:
Ваш E-Mail:

Рекомендуем похожее:

Заявление о несогласии с размером возмещения по вкладам

Какое заявление написать, если нет данных в реестре вкладчиков или сумма не соответствует реальной.

Заявление о педоставлении стандартных налоговых вычетов

Налоговый кодекс российской Федерации предоставляет отдельным категориям работающих граждан возможность уменьшить налоговую базу для исчисления налога на доходы физического лица. Для этого в
Логин
Пароль
Запомнить