Razlika. Razlika. nove i stare MPC za Razlika nove i stare MPC po paketiću (u kn) Ukupna zaliha (u 1000 komada) obračunate trošarine za 1000

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1 Prilog 33 Obrazac Z-ORT Zapisnik o popisu zaliha cigareta sa obračunom razlike trošarine na dan ** Trošarinski obveznik: Anto Antić Carinski ured: CU ZAGREB I* Sjedište: Zagreb Datum prijama: OIB: Trošarinski broj: upisuje samo trošarinski obveznik u sustavu odgode plaćanja trošarine (članak 21. stavak 1.točka 1. ZOT-a) Red.br. Marka cigareta Broj cigareta u paketiću (kom) MPC Razlika nove i stare MPC po paketiću Razlika nove i stare MPC za 1000 komada Ukupna zaliha (u 1000 komada) Razlika obračunate trošarine za 1000 komada Obračunata razlika trošarine na ukupnu količinu ( 7x 8 ) 1 LARGO 25 17, ,50 2 FILTER 160 (meko pakiranje) 20 21, BENSTON (meko pakiranje) 20 19, ,50 4 YORK (meko pakiranje) 20 19, ,50 5 KOLUMBO (meko pakiranje) 20 17, ,50 6 LARGO 25 BLUE 25 18, ,50 7 LARGO 25 RED ,50 8 LARGO RED (24 KOM) ,50 9 RESPECT MENTHOL 20 18, ,50 10 YORK 20 19, ,50 11 YORK (24 KOM) 24 22, ,50 12 YORK SILVER 20 19, ,50 13 YORK 100`S 20 19, ,50 14 YORK GOLD 20 19, ,50 15 YORK GOLD (24 kom) 24 22, ,50 16 YORK GOLD 100`S 20 19, ,50 17 YORK NEO RED 20 18, ,50 18 YORK NEO BLUE 20 18, ,50 19 BENSTON WHITE 20 19, ,50 20 BENSTON WHITE 100`S 20 19, ,50 21 BENSTON BLUE 20 19, ,50 22 BENSTON BLUE 100`S 20 19, ,50 23 BENSTON SILVER 20 19, ,50 24 BENSTON SLIMS LILA 20 19, ,50 25 BENSTON SLIMS BLUE 20 19, ,50 26 MC 20 17, ,50 27 MC ,50 28 MC ,50 29 MC ,50 30 MC 5 100` S ,50 31 MC 9 100` S ,50 32 MC 4 SLIMS ,50 33 MC 6 SLIMS ,50 34 FILTER 160 WHITE 20 21, FILTER 160 WHITE 100`S 20 21, FILTER 160 GOLD 20 21, FILTER 160 GOLD (24 kom) 24 24, ,50 38 FILTER 160 GOLD 100`S 20 21, WALTER WOLF (meki) ,50 40 WALTER WOLF 20 22, WALTER WOLF WHITE 20 22, WALTER WOLF SILVER 20 21, WALTER WOLF PURE FLAVOUR NO , WALTER WOLF PURE FLAVOUR NO , WALTER WOLF WHITE 100`S 20 22, WALTER WOLF GOLD 100 `S 20 22, RONHILL ADRIATIC BLUE 20 23, RONHILL MEDITERRANEAN RICH 20 23, RONHILL SHELL WHITE 20 23, RONHILL STONE WHITE 20 23, RONHILL STONE WHITE 100 `S 20 23,00 0

2 52 RONHILL AQUAMARINE ULTIMA 20 23, RONHILL MENTHOL FRESH 20 23, RONHILL SPLASH BLUE 20 19, ,50 55 RONHILL SPLASH WHITE 20 19, ,50 56 RONHILL SHELL WHITE 100` S 20 23, RONHILL UNLIMITED BLUE 20 21, RONHILL UNLIMITED WHITE 20 21, RONHILL SLIMS VELVET 20 23, RONHILL SLIMS AZURE 20 23, RONHILL HERITAGE 20 25, RONHILL BLACK WAVE 20 22, RONHILL GOLD WAVE 20 22, AVANGARD NO , AVANGARD NO , AVANGARD NO , AVANGARD NO , PARTNER SPECIAL RED 20 17, ,50 69 PARTNER SPECIAL BLUE 20 17, ,50 70 PARTNER SPECIAL RED 100`S 20 17, ,50 71 PARTNER SPECIAL BLUE 100`S 20 17, ,50 72 VIRGINA SLIMS WHITE 20 26, VIRGINIA SLIMS BLACK 20 26, MARLBORO 20 25, MARLBORO BEYOND 20 25, MARLBORO GOLD BEYOND 20 25, MARLBORO SILVER 20 22, MARLBORO GOLD 20 22, MARLBORO GOLD 100 `s 20 22, MARLBORO GOLD ORIGINAL 20 25, MARLBORO GOLD ORIGINAL 100'S 20 25, MARLBORO CORE FLAVOR 20 24, MARLBORO GOLD TOUCH 20 24, MARLBORO TOUCH , MARLBORO TOUCH , MARLBORO GOLD ACCENT 20 25, MARLBORO FLAVOR PLUS 20 25, PHILIP MORRIS SUPREME 20 21, PHILIP MORRIS BLUE 20 21, PHILIP MORRIS RED 20 21, L&M BLUE LABEL 20 18, ,50 92 L&M RED LABEL 20 18, ,50 93 MURATTI AMBASSADOR RED 20 23, MURATTI AMASSADOR BLUE 20 23, PHILIP MORRIS BLUE 100 SSL 20 21, PHILIP MORRIS RED 100 SSL 20 21, CHESTERFIELD RED 20 19, ,50 98 CHESTERFIELD BLUE 20 19, ,50 99 CHESTERFIELD SILVER 20 19, , CHESTERFIELD RED 100`s 20 19, , CHESTERFIELD BLUE 100`s 20 19, , CHESTERFIELD PURPLE ON 100 SSL 20 19, , CHESTERFIELD BLUE ON 100 SSL 20 19, , ROTHMANS BLUE 20 16, , ROTHMANS SILVER 20 16, , KENT BLUE FUTURA 20 26, KENT SILVER NEO 20 26, KENT WHITE INFINA 20 26, DUNHILL INTERNATIONAL 20 28, LUCKY STRIKE BLUE (stari naziv marke cigareta LUCKY STRIKE ORIGINAL SILVER) 20 22, LUCKY STRIKE ORIGINAL RED 20 22, LUCKY STRIKE CLICK & ROLL 20 23, LUCKY STRIKE TEPIC 20 23, LUCKY STRIKE TEPIC BLUE 20 23, PALL MALL SUPERSLIM BLUE , PALL MALL SUPERSLIM AMBER , VOGUE BLEUE 20 27, VOGUE LILAS 20 27, PALL MALL CLICK ON , PALL MALL AMBER 20 19, , PALL MALL RED 20 19, , PALL MALL BLUE 20 19, , PALL MALL SILVER 20 19, , PALL MALL SILVER 100`S 20 19, , PALL MALL RED 100`S 20 19, , PALL MALL BLUE 100`S 20 19, , ROTHMANS SILVER 100`S 20 16, , ROTHMANS BLUE 100`S 20 16, , ROTHMANS SKY BLUE 20 16, , SPECIAL FLAVOUR 20 24, FINEST FLAVOUR 20 24, KARELIA KING SIZE 20 17, , KARELIA BLUE 20 17, , KARELIA SLIMS , KARELIA SLIMS BLUE , KARELIA SLIMS CREM , KARELIA SLIMS MENTHOL , GEORG KARELIAS AND SONS SUPERIOR VIRGINIA 20 23, SONS SMOOTHER TASTE VIRGINIA 20 23, SONS EXCELLENCE 20 35,00 0

3 141 LEADER BLUE 20 16, , LEADER RED 20 16, , LEADER CIEL 20 16, , KARELIA SUPERSLIMS OME 20 22, KARELIA SUPERSLIMS OME YELLOW 20 22, ESSE BLUE 20 19, , ESSE CLASSIC 20 19, , CIMA CLASSIC 20 19, , BOHEM CIGAR No , BOHEM CIGAR No , TONINO LAMBORGHINI L , TONINO LAMBORGHINI L , GOLDFIELD FULL FLAVOUR 20 17, , GOLDFIELD FINE FLAVOUR 20 17, , TEMPLETON FINE FLAVOUR , TEMPLETON FULL FLAVOUR , DAVIDOFF GOLD SLIMS 20 25, DAVIDOFF GOLD 20 25, DAVIDOFF CLASSIC 20 25, DAVIDOFF ID IVORY 20 19, , DAVIDOFF ID ORANGE 20 19, , DAVIDOFF ID BLUE 20 19, , DAVIDOFF MAGNUM GOLD DAVIDOFF MAGNUM CLASSIC WEST SILVER 20 18, , WEST RED 20 18, , WEST RED GT 20 19, , WEST SILVER GT 20 19, , WEST WHITE 20 18, , WEST RED 100`S 20 18, , WEST SILVER 100`S 20 18, , PARAMOUNT GOLD 100`S 20 17, , PARMOUNT RED 100`S 20 17, , (Nikotin 0,9 mg, Katran 10 mg 20 23, (Nikotin 0,7 mg, Katran 8 mg) 20 23, PARAMOUNT GOLD 20 17, , PARAMOUNT RED 20 17, , STYLE SLIMS ROSE 20 18, , STYLE SLIMS BLUE 20 18, , FILTER 57 SNOW 20 17, , FILTER 57 INDIGO 20 17, , FILTER 57 REGULAR 20 17, , FILTER 57 INDIGO 100'S 20 17, , FILTER 57 REGULAR 100'S 20 17, , FORTUNA 20 17, , SOBRANIE WHITE RUSSIAN 20 37, SOBRANIE BLACK RUSSIAN 20 37, WINSTON SILVER SUPER SLIMS , WINSTON BLUE SUPER SLIMS , CAMEL FILTERS 20 23, CAMEL BLUE 20 23, CAMEL BLACK 20 24, CAMEL FILTERS (Metal Pack) 20 25, CAMEL BLUE(Metal Pack) 20 25, CAMEL WHITE 20 24, CAMEL SILVER 20 23, WINSTON BLUE , WINSTON BLUE (Metal Pack) 20 21, WINSTON CLASSIC , WINSTON SILVER , WINSTON 100 `S RED , WINSTON 100` BLUE , WINSTON XSTYLE BLUE 20 21, WINSTON XSTYLE SILVER 20 21, WINSTON CLASSIC CHROMO , WINSTON BLUE CHROMO , WINSTON COOL XSPRESSION 20 21, LD VIOLET SUPER SLIMS 20 19, , LD PINK SUPER SLIMS 20 19, , LD VIOLET SUPER SLIMS (PURSE BOX) 20 19, , LD PINK SUPER SLIMS (PURSE BOX) 20 19, , LD SILVER 20 18, , LD RED 20 18, , LD RED 100`S 20 18, , LD BLUE 20 18, , LD BLUE 100`S 20 18, ,50 UKUPNO Potvrđujem da su iskazani podaci potpuni i točni. Datum: Ime i prezime ovlaštene osobe trošarinskog obveznika: Potpis ovlaštene osobe trošarinskog obveznika: M.P. Popunjava nadležni carinski ured Carinski ured Datum unosa: Ime i prezime ovlaštenog carinskog službenika: Potpis: M.P. Uputa za popunjavanje zapisnika: *Upisuje se nadležan carinski ured prema sjedištu odnosno prebivalištu podnositelja zapisnika **Zapisnik se dostavlja najkasnije u roku od 8 dana od dana popisa isključivo u elektroničkom obliku putem aplikativnog podsustava "e-trošarine"

4 Red. br Marka cigareta Unesi broj paketića na zalihi 1 LARGO 2 FILTER 160 (meko pakiranje) 3 BENSTON (meko pakiranje) 4 YORK (meko pakiranje) 5 KOLUMBO (meko pakiranje) 6 LARGO 25 BLUE 7 LARGO 25 RED 8 LARGO RED (24 KOM) 9 RESPECT MENTHOL 10 YORK 11 YORK (24 KOM) 12 YORK SILVER 13 YORK 100`S 14 YORK GOLD 15 YORK GOLD (24 kom) 16 YORK GOLD 100`S 17 YORK NEO RED 18 YORK NEO BLUE 19 BENSTON WHITE 20 BENSTON WHITE 100`S 21 BENSTON BLUE 22 BENSTON BLUE 100`S 23 BENSTON SILVER 24 BENSTON SLIMS LILA 25 BENSTON SLIMS BLUE 26 MC 27 MC 4 28 MC 6 29 MC 9 30 MC 5 100` S 31 MC 9 100` S 32 MC 4 SLIMS 33 MC 6 SLIMS 34 FILTER 160 WHITE 35 FILTER 160 WHITE 100`S 36 FILTER 160 GOLD 37 FILTER 160 GOLD (24 kom) 38 FILTER 160 GOLD 100`S 39 WALTER WOLF (meki) 40 WALTER WOLF 41 WALTER WOLF WHITE 42 WALTER WOLF SILVER 43 WALTER WOLF PURE FLAVOUR NO WALTER WOLF PURE FLAVOUR NO 6 45 WALTER WOLF WHITE 100`S 46 WALTER WOLF GOLD 100 `S 47 RONHILL ADRIATIC BLUE 48 RONHILL MEDITERRANEAN RICH 49 RONHILL SHELL WHITE 50 RONHILL STONE WHITE 51 RONHILL STONE WHITE 100 `S 52 RONHILL AQUAMARINE ULTIMA 53 RONHILL MENTHOL FRESH 54 RONHILL SPLASH BLUE 55 RONHILL SPLASH WHITE 56 RONHILL SHELL WHITE 100` S 57 RONHILL UNLIMITED BLUE

5 58 RONHILL UNLIMITED WHITE 59 RONHILL SLIMS VELVET 60 RONHILL SLIMS AZURE 61 RONHILL HERITAGE 62 RONHILL BLACK WAVE 63 RONHILL GOLD WAVE 64 AVANGARD NO AVANGARD NO AVANGARD NO AVANGARD NO PARTNER SPECIAL RED 69 PARTNER SPECIAL BLUE 70 PARTNER SPECIAL RED 100`S 71 PARTNER SPECIAL BLUE 100`S 72 VIRGINA SLIMS WHITE 73 VIRGINIA SLIMS BLACK 74 MARLBORO 75 MARLBORO BEYOND 76 MARLBORO GOLD BEYOND 77 MARLBORO SILVER 78 MARLBORO GOLD 79 MARLBORO GOLD 100 `s 80 MARLBORO GOLD ORIGINAL MARLBORO GOLD ORIGINAL 'S 82 MARLBORO CORE FLAVOR 83 MARLBORO GOLD TOUCH 84 MARLBORO TOUCH 4 85 MARLBORO TOUCH 6 86 MARLBORO GOLD ACCENT 87 MARLBORO FLAVOR PLUS 88 PHILIP MORRIS SUPREME 89 PHILIP MORRIS BLUE 90 PHILIP MORRIS RED 91 L&M BLUE LABEL 92 L&M RED LABEL 93 MURATTI AMBASSADOR RED 94 MURATTI AMASSADOR BLUE 95 PHILIP MORRIS BLUE 100 SSL 96 PHILIP MORRIS RED 100 SSL 97 CHESTERFIELD RED 98 CHESTERFIELD BLUE 99 CHESTERFIELD SILVER 100 CHESTERFIELD RED 100`s 101 CHESTERFIELD BLUE 100`s 102 CHESTERFIELD PURPLE ON 100 SSL 103 CHESTERFIELD BLUE ON 100 SSL 104 ROTHMANS BLUE 105 ROTHMANS SILVER 106 KENT BLUE FUTURA 107 KENT SILVER NEO

6 108 KENT WHITE INFINA 109 DUNHILL INTERNATIONAL 110 LUCKY STRIKE BLUE (stari naziv marke cigareta LUCKY STRIKE ORIGINAL SILVER) 111 LUCKY STRIKE ORIGINAL RED 112 LUCKY STRIKE CLICK & ROLL 113 LUCKY STRIKE TEPIC 114 LUCKY STRIKE TEPIC BLUE 115 PALL MALL SUPERSLIM BLUE 116 PALL MALL SUPERSLIM AMBER 117 VOGUE BLEUE 118 VOGUE LILAS 119 PALL MALL CLICK ON 120 PALL MALL AMBER 121 PALL MALL RED 122 PALL MALL BLUE 123 PALL MALL SILVER 124 PALL MALL SILVER 100`S 125 PALL MALL RED 100`S 126 PALL MALL BLUE 100`S 127 ROTHMANS SILVER 100`S 128 ROTHMANS BLUE 100`S 129 ROTHMANS SKY BLUE 130 SPECIAL FLAVOUR 131 FINEST FLAVOUR 132 KARELIA KING SIZE 133 KARELIA BLUE 134 KARELIA SLIMS 135 KARELIA SLIMS BLUE 136 KARELIA SLIMS CREM 137 KARELIA SLIMS MENTHOL GEORG KARELIAS AND 138 SONS SUPERIOR VIRGINIA SONS SMOOTHER TASTE 139 VIRGINIA 140 SONS EXCELLENCE 141 LEADER BLUE 142 LEADER RED 143 LEADER CIEL 144 KARELIA SUPERSLIMS OME KARELIA SUPERSLIMS OME 145 YELLOW 146 ESSE BLUE 147 ESSE CLASSIC 148 CIMA CLASSIC 149 BOHEM CIGAR No BOHEM CIGAR No TONINO LAMBORGHINI L6 152 TONINO LAMBORGHINI L8 153 GOLDFIELD FULL FLAVOUR 154 GOLDFIELD FINE FLAVOUR 155 TEMPLETON FINE FLAVOUR 156 TEMPLETON FULL FLAVOUR 157 DAVIDOFF GOLD SLIMS 158 DAVIDOFF GOLD 159 DAVIDOFF CLASSIC 160 DAVIDOFF ID IVORY 161 DAVIDOFF ID ORANGE 162 DAVIDOFF ID BLUE 163 DAVIDOFF MAGNUM GOLD

7 164 DAVIDOFF MAGNUM CLASSIC 165 WEST SILVER 166 WEST RED 167 WEST RED GT 168 WEST SILVER GT 169 WEST WHITE 170 WEST RED 100`S 171 WEST SILVER 100`S 172 PARAMOUNT GOLD 100`S 173 PARMOUNT RED 100`S 174 (Nikotin 0,9 mg, Katran 10 mg 175 (Nikotin 0,7 mg, Katran 8 mg) 176 PARAMOUNT GOLD 177 PARAMOUNT RED 178 STYLE SLIMS ROSE 179 STYLE SLIMS BLUE 180 FILTER 57 SNOW 181 FILTER 57 INDIGO 182 FILTER 57 REGULAR 183 FILTER 57 INDIGO 100'S 184 FILTER 57 REGULAR 100'S 185 FORTUNA 186 SOBRANIE WHITE RUSSIAN 187 SOBRANIE BLACK RUSSIAN 188 WINSTON SILVER SUPER SLIMS 189 WINSTON BLUE SUPER SLIMS 190 CAMEL FILTERS 191 CAMEL BLUE 192 CAMEL BLACK 193 CAMEL FILTERS (Metal Pack) 194 CAMEL BLUE(Metal Pack) 195 CAMEL WHITE 196 CAMEL SILVER 197 WINSTON BLUE 198 WINSTON BLUE (Metal Pack) 199 WINSTON CLASSIC 200 WINSTON SILVER 201 WINSTON 100 `S RED 202 WINSTON 100` BLUE 203 WINSTON XSTYLE BLUE 204 WINSTON XSTYLE SILVER 205 WINSTON CLASSIC CHROMO 206 WINSTON BLUE CHROMO 207 WINSTON COOL XSPRESSION 208 LD VIOLET SUPER SLIMS 209 LD PINK SUPER SLIMS LD VIOLET SUPER SLIMS 210 (PURSE BOX) LD PINK SUPER SLIMS 211 (PURSE BOX) 212 LD SILVER 213 LD RED 214 LD RED 100`S 215 LD BLUE 216 LD BLUE 100`S

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