Приложение 12
к Указанию Банка России
от 31.08.98 N 331-У
Банковская отчетность
Код формы документа по ОКУД 0409904
+--------------------------------------------------------+
¦Код территории ¦ Код кредитной организации ¦
¦по СОАТО +----------------------------------------¦
¦ ¦ по ОКПО ¦ Регистрационный номер ¦ БИК ¦
+---------------+---------+-----------------------+------¦
¦ ¦ ¦ ¦ ¦
+--------------------------------------------------------+
ОТЧЕТ ОБ ОСТАТКАХ СРЕДСТВ НА СЧЕТАХ ОРГАНОВ ВЛАСТИ СУБЪЕКТОВ
РОССИЙСКОЙ ФЕДЕРАЦИИ, МЕСТНЫХ ОРГАНОВ ВЛАСТИ И
ГОСУДАРСТВЕННЫХ ВНЕБЮДЖЕТНЫХ ФОНДОВ
РОССИЙСКОЙ ФЕДЕРАЦИИ
по состоянию на "---"----------------- 19---года
Наименование кредитной организации (филиала)------------------------
Почтовый адрес------------------------------------------------------
Форма N 904
Ежемесячная
руб.
+-------------------------------------------------------------------+
¦NN ¦ N балансового счета ¦ Актив ¦ Пассив ¦
¦п/п ¦ ¦ ¦ ¦
+-----+--------------------------+-------------+--------------------¦
¦ 1 ¦ 2 ¦ 3 ¦ 4 ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦1 ¦ 40110 ¦ Х ¦ ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦2 ¦ 40111 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦3 ¦ 40201 ¦ Х ¦ ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦4 ¦ 40202 ¦ Х ¦ ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦5 ¦ 40203 ¦ Х ¦ ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦6 ¦ 40204 ¦ Х ¦ ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦7 ¦ 40205 ¦ Х ¦ ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦8 ¦ 40206 ¦ Х ¦ ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦9 ¦ 40309 ¦ Х ¦ ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦10 ¦ 40401 ¦ Х ¦ ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦11 ¦ 40402 ¦ Х ¦ ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦12 ¦ 40403 ¦ Х ¦ ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦13 ¦ 40404 ¦ Х ¦ ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦14 ¦ 40405 ¦ Х ¦ ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦15 ¦ 40406 ¦ Х ¦ ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦16 ¦ 40407 ¦ Х ¦ ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦17 ¦ 40408 ¦ Х ¦ ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦18 ¦ 40409 ¦ Х ¦ ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦19 ¦ 40410 ¦ Х ¦ ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦20 ¦ 50101 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦21 ¦ 50102 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦22 ¦ 50103 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦23 ¦ 51201* ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦24 ¦ 51202* ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦25 ¦ 51203* ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦26 ¦ 51204* ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦27 ¦ 51205* ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦28 ¦ 51206* ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦29 ¦ 51207* ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦30 ¦ 51208* ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦31 ¦ 51209* ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦32 ¦ 44101 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦33 ¦ 44102 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦34 ¦ 44103 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦35 ¦ 44104 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦36 ¦ 44105 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦37 ¦ 44106 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦38 ¦ 44107 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦39 ¦ 44108 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦40 ¦ 44201 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦41 ¦ 44202 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦42 ¦ 44203 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦43 ¦ 44204 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦44 ¦ 44205 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦45 ¦ 44206 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦46 ¦ 44207 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦47 ¦ 44208 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦48 ¦ 44209 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦49 ¦ 44301 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦50 ¦ 44302 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦51 ¦ 44303 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦52 ¦ 44304 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦53 ¦ 44305 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦54 ¦ 44306 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦55 ¦ 44307 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦56 ¦ 44308 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦57 ¦ 44309 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦58 ¦ 44401 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦59 ¦ 44402 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦60 ¦ 44403 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦61 ¦ 44404 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦62 ¦ 44405 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦63 ¦ 44406 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦64 ¦ 44407 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦65 ¦ 44408 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦66 ¦ 44409 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦67 ¦ 45801 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦68 ¦ 45802 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦69 ¦ 45803 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦70 ¦ 45804 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦71 ¦ 50201 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦72 ¦ 50202 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦73 ¦ 50203 ¦ ¦ Х ¦
+-----+--------------------------+-------------+--------------------¦
¦ ¦ ¦ ¦ ¦
¦74 ¦ ИТОГО: ¦ ¦ ¦
+-------------------------------------------------------------------+
__________________
* По балансовым счетам второго порядка балансового счета N 512 включаются данные только по векселям, выпущенным Министерством финансов Российской Федерации.
Руководитель (Ф.И.О.)
Главный бухгалтер (Ф.И.О.)
Исполнитель (Ф.И.О.)
Телефон:
Текст документа сверен по:
"Вестник Банка России",
N 65(320), 09.09.98