БЛАНКИ АЛЛОНЖЕЙ К ДВОЙНЫМ СКЛАДСКИМ СВИДЕТЕЛЬСТВАМ (К ЧАСТИ А) (АНГЛОЯЗЫЧНЫЙ ВАРИАНТ)


Приложение 2
к Приказу Гохрана России
от 16 февраля 2000 г. No. 42
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¦ On cession of Dual Warehouse Warrant of the Gokhran of Russia¦
¦or Part A thereof, rights and obligations of the depositor under¦
¦the Valuables Storage Agreement with the Gokhran of Russia are¦
¦transferred to a new owner of Dual Warehouse Warrant of the¦
¦Gokhran of Russia or Part A thereof. Signature on the¦
¦endorsement of the person acquiring rights under Dual Warehouse¦
¦Warrant of the Gokhran of Russia or Part A thereof means the¦
¦agreement to the foreigoing statement. ¦
¦ Owner of Part A of Dual Warehouse Warrant of the Gokhran¦
¦of Russia, separated from Mortgage Deed (Waarant, Part B) is¦
¦entitled to dispose of the valuables deposited for storing, but¦
¦cannot withbraw them from the depository before redemption of¦
¦credit granted under Mortgage Deed. ¦
¦ ¦
¦-----------------------------¬ -----------------------------¬ ¦
¦¦ ENDORSEMENT No. ¦ ¦ ENDORSEMENT No. ¦ ¦
¦¦ ¦ ¦ ¦ ¦
¦¦Owner ______________________¦ ¦Owner ______________________¦ ¦
¦¦ Dual Warehouse Warrant¦ ¦ Dual Warehouse Warrant¦ ¦
¦¦ of the Gokhran ¦ ¦ of the Gokhran ¦ ¦
¦¦ of Russia, ¦ ¦ of Russia, ¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦of Part A of Dual Warehouse ¦ ¦of part A of Dual Warehouse ¦ ¦
¦¦ Warrant of the Gokhran ¦ ¦ Warrant of the Gokhran ¦ ¦
¦¦ of Russia, ¦ ¦ of Russia, ¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦ name, legal address, ¦ ¦ name, legal address, ¦ ¦
¦¦ location, codes ИНН, ОКПО ¦ ¦ location, codes ИНН, ОКПО ¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦ ¦ ¦ ¦ ¦
¦¦is making cession, and the ¦ ¦is making cession, and the ¦ ¦
¦¦new owner __________________¦ ¦new owner __________________¦ ¦
¦¦ Dual Warehouse ¦ ¦ Dual Warehouse ¦ ¦
¦¦ Warrant of the ¦ ¦ Warrant of the ¦ ¦
¦¦ Gokhran of Russia,¦ ¦ Gokhran of Russia,¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦of Part A of Dual Warehouse ¦ ¦of part A of Dual Warehouse ¦ ¦
¦¦ Warrant of the Gokhran ¦ ¦ Warrant of the Gokhran ¦ ¦
¦¦ of Russia, ¦ ¦ of Russia, ¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦ name, legal address, ¦ ¦ name, legal address, ¦ ¦
¦¦ location, codes ИНН, ОКПО ¦ ¦ location, codes ИНН, ОКПО ¦ ¦
¦¦ ¦ ¦ ¦ ¦
¦¦is acquiring rights for ____¦ ¦is acquiring rights for ____¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦ Dual Warehouse Warrant ¦ ¦ Dual Warehouse Warrant ¦ ¦
¦¦ of the Gokhran of Russia, ¦ ¦ of the Gokhran of Russia, ¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦of Part A of Dual Warehouse ¦ ¦of Part A of Dual Warehouse ¦ ¦
¦¦ Warrant of the Gokhran ¦ ¦ Warrant of the Gokhran ¦ ¦
¦¦ of Russia ¦ ¦ of Russia ¦ ¦
¦+----------------------------+ +----------------------------+ ¦
¦¦ Information obligatory ¦ ¦ Information obligatory ¦ ¦
¦¦ for being filled in by ¦ ¦ for being filled in by ¦ ¦
¦¦ the new owner of Warehouse ¦ ¦ the new owner of Warehouse ¦ ¦
¦¦ Certificate when valuables ¦ ¦ Certificate when valuables ¦ ¦
¦¦ are burdened with mortgage:¦ ¦ are burdened with mortgage:¦ ¦
¦¦ ¦ ¦ ¦ ¦
¦¦Mortgage Deed (Warrant, Part¦ ¦Mortgage Deed (Warrant, Part¦ ¦
¦¦B) No. _______ Series ______¦ ¦B) No. _______ Series ______¦ ¦
¦¦guarantees with mortgage of ¦ ¦guarantees with mortgage of ¦ ¦
¦¦valuables, accepted for kee-¦ ¦valuables, accepted for kee-¦ ¦
¦¦ping, liability under Agre- ¦ ¦ping, liability under Agre- ¦ ¦
¦¦ment No. _____________ dated¦ ¦ment No. _____________ dated¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦ name, legal address, ¦ ¦ name, legal address, ¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦ location of the owner of ¦ ¦ location of the owner of ¦ ¦
¦¦ Mortgage Deed, codes ¦ ¦ Mortgage Deed, codes ¦ ¦
¦¦ ИНН, ОКПО ¦ ¦ ИНН, ОКПО ¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦ value assessment of the ¦ ¦ value assessment of the ¦ ¦
¦¦ credit (sum in numbers and ¦ ¦ credit (sum in numbers and ¦ ¦
¦¦ in words in rubles) ¦ ¦ in words in rubles) ¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦ and respective interest ¦ ¦ and respective interest ¦ ¦
¦¦ (annual), initial and final¦ ¦ (annual), initial and final¦ ¦
¦¦ dates for mortgage burden ¦ ¦ dates for mortgage burden ¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦ name and requisites of ¦ ¦ name and requisites of ¦ ¦
¦¦ documents, informing the ¦ ¦ documents, informing the ¦ ¦
¦¦ Gokhran of Russia ¦ ¦ Gokhran of Russia ¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦ and the owner of Warehouse ¦ ¦ and the owner of Warehouse ¦ ¦
¦¦ Certificate of mortgage ¦ ¦ Certificate of mortgag ¦ ¦
¦¦ burden of the valuables ¦ ¦ burden of the valuables ¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦ actual date of fulfilment ¦ ¦ actual date of fulfilment ¦ ¦
¦¦ of the secured liability, ¦ ¦ of the secured liability, ¦ ¦
¦¦ name and requisites of the ¦ ¦ name and requisites of the ¦ ¦
¦¦ supporting document, other ¦ ¦ supporting document, other ¦ ¦
¦¦ necessary information ¦ ¦ necessary information ¦ ¦
¦+----------------------------+ +----------------------------+ ¦
¦¦Signature of person, making ¦ ¦Signature of person, making ¦ ¦
¦¦cession for ________________¦ ¦cession for ________________¦ ¦
¦¦ Dual Warehouse ¦ ¦ Dual Warehouse ¦ ¦
¦¦ Warrant of the ¦ ¦ Warrant of the ¦ ¦
¦¦ Gokhran of Russia,¦ ¦ Gokhran of Russia,¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦ Part A of Dual Warehouse ¦ ¦ Part A of Dual Warehouse ¦ ¦
¦¦ Warrant of the Gokhran ¦ ¦ Warrant of the Gokhran ¦ ¦
¦¦ of Russia ¦ ¦ of Russia ¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦position, surname, initials ¦ ¦position, surname, initials ¦ ¦
¦¦Date __________________ SEAL¦ ¦Date __________________ SEAL¦ ¦
¦¦Signature of person, acquir-¦ ¦Signature of person, acquir-¦ ¦
¦¦ing rights for _____________¦ ¦ing rights for _____________¦ ¦
¦¦ Dual Warehouse¦ ¦ Dual Warehouse¦ ¦
¦¦ Warrant of the¦ ¦ Warrant of the¦ ¦
¦¦ Gokhran ¦ ¦ Gokhran ¦ ¦
¦¦ of Russia, ¦ ¦ of Russia, ¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦ Part A of Dual Warehouse ¦ ¦ Part A of Dual Warehouse ¦ ¦
¦¦ Warrant of the Gokhran ¦ ¦ Warrant of the Gokhran ¦ ¦
¦¦ of Russia ¦ ¦ of Russia ¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦position, surname, initials ¦ ¦position, surname, initials ¦ ¦
¦¦Date __________________ SEAL¦ ¦Date __________________ SEAL¦ ¦
¦L----------------------------- L----------------------------- ¦
¦ ¦
¦ ALLONGE ¦
L-----------------------------------------------------------------
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¦ On cession of Dual Warehouse Warrant of the Gokhran of Russia¦
¦or Part A thereof, rights and obligations of the depositor under¦
¦the Valuables Storage Agreement with the Gokhran of Russia are¦
¦transferred to a new owner of Dual Warehouse Warrant of the¦
¦Gokhran of Russia or Part A thereof. Signature on the¦
¦endorsement of the person acquiring rights under Dual Warehouse¦
¦Warrant of the Gokhran of Russia of Part A thereof means the¦
¦agreement to the foreigoing statement. ¦
¦ Owner of Part A of Dual Warehouse Warrant of the Gokhran¦
¦of Russia, separated from the Mortgage Deed (Warrant, Part B) is¦
¦entitled to dispose of the valuables deposited for storing, but¦
¦cannot withbraw them from the depository before redemption of¦
¦credit granted under Mortgage Deed. ¦
¦ ¦
¦-----------------------------¬ -----------------------------¬ ¦
¦¦ ENDORSEMENT No. ¦ ¦ ENDORSEMENT No. ¦ ¦
¦¦ ¦ ¦ ¦ ¦
¦¦Owner ______________________¦ ¦Owner ______________________¦ ¦
¦¦ Dual Warehouse Warrant¦ ¦ Dual Warehouse Warrant¦ ¦
¦¦ of the Gokhran ¦ ¦ of the Gokhran ¦ ¦
¦¦ of Russia, ¦ ¦ of Russia, ¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦of Part A of Dual Warehouse ¦ ¦of part A of Dual Warehouse ¦ ¦
¦¦ Warrant of the Gokhran ¦ ¦ Warrant of the Gokhran ¦ ¦
¦¦ of Russia, ¦ ¦ of Russia, ¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦ name, legal address, ¦ ¦ name, legal address, ¦ ¦
¦¦ location, codes ИНН, ОКПО ¦ ¦ location, codes ИНН, ОКПО ¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦ ¦ ¦ ¦ ¦
¦¦is making cession, and the ¦ ¦is making cession, and the ¦ ¦
¦¦new owner __________________¦ ¦new owner __________________¦ ¦
¦¦ Dual Warehouse ¦ ¦ Dual Warehouse ¦ ¦
¦¦ Warrant of the ¦ ¦ Warrant of the ¦ ¦
¦¦ Gokhran of Russia,¦ ¦ Gokhran of Russia,¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦of Part A of Dual Warehouse ¦ ¦of part A of Dual Warehouse ¦ ¦
¦¦ Warrant of the Gokhran ¦ ¦ Warrant of the Gokhran ¦ ¦
¦¦ of Russia, ¦ ¦ of Russia, ¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦ name, legal address, ¦ ¦ name, legal address, ¦ ¦
¦¦ location, codes ИНН, ОКПО ¦ ¦ location, codes ИНН, ОКПО ¦ ¦
¦¦ ¦ ¦ ¦ ¦
¦¦is acquiring rights for ____¦ ¦is acquiring rights for ____¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦ Dual Warehouse Warrant ¦ ¦ Dual Warehouse Warrant ¦ ¦
¦¦ of the Gokhran of Russia, ¦ ¦ of the Gokhran of Russia, ¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦of Part A of Dual Warehouse ¦ ¦of Part A of Dual Warehouse ¦ ¦
¦¦ Warrant of the Gokhran ¦ ¦ Warrant of the Gokhran ¦ ¦
¦¦ of Russia ¦ ¦ of Russia ¦ ¦
¦+----------------------------+ +----------------------------+ ¦
¦¦ Information obligatory ¦ ¦ Information obligatory ¦ ¦
¦¦ for being filled in by ¦ ¦ or being filled in by ¦ ¦
¦¦ the new owner of Warehouse ¦ ¦ the new owner of Warehouse ¦ ¦
¦¦ Certificate when valuables ¦ ¦ Certificate when valuables ¦ ¦
¦¦ are burdened with mortgage:¦ ¦ are burdened with mortgage:¦ ¦
¦¦ ¦ ¦ ¦ ¦
¦¦Mortgage Deed (Warrant, Part¦ ¦Mortgage Deed (Warrant, Part¦ ¦
¦¦B) No. _______ Series ______¦ ¦B) No. _______ Series ______¦ ¦
¦¦guarantees with mortgage of ¦ ¦guarantees with mortgage of ¦ ¦
¦¦valuables, accepted for kee-¦ ¦valuables, accepted for kee-¦ ¦
¦¦ping, liability under Agre- ¦ ¦ping, liability under Agre- ¦ ¦
¦¦ment No. _____________ dated¦ ¦ment No. _____________ dated¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦ name, legal address, ¦ ¦ name, legal address, ¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦ location of the owner of ¦ ¦ location of the owner of ¦ ¦
¦¦ Mortgage Deed, codes ¦ ¦ Mortgage Deed, codes ¦ ¦
¦¦ ИНН, ОКПО ¦ ¦ ИНН, ОКПО ¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦____________________________¦ ¦____________________________¦ ¦
¦¦ value assessment of the ¦ ¦ value assessment of the

СВЕДЕНИЯ О ВЫДАННЫХ ИНДИВИДУАЛЬНЫМ ПРЕДПРИНИМАТЕЛЯМ ЛИЦЕНЗИЯХ (РАЗРЕШЕНИЯХ) НА ПОЛЬЗОВАНИЕ ОБЪЕКТАМИ ЖИВОТНОГО МИРА, СУММАХ И СРОКАХ УПЛАТЫ СБОРА ЗА ПОЛЬЗОВАНИЕ ОБЪЕКТАМИ ЖИВОТНОГО МИРА. ФОРМА no. 1114223СВЕДЕНИЯ О СУММАХ И СРОКЕ УПЛАТЫ СБОРА ПО КАЖДОМУ ОБЪЕКТУ ЖИВОТНОГО МИРА ПО ВЫДАННОЙ ЛИЦЕНЗИИ (РАЗРЕШЕНИЮ) (РАЗДЕЛ 2)  »
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