TRANSLATION FOR INFORMATION ONLY - PLEASE FILL ONLY THE HUNGARIAN FORM For assistance contact Nora Erdei (Development Office, ext. 3402, [email protected]) or Reka Herczeg (HRO, ext. 2163, OR write to [email protected]) 1453-EGYSZA DECLARATION FOR TRANSFERRING 1+1% OF PAID PERSONAL INCOME TAX Your Tax Number: Your Name: ______________________________________________________________________________________ Your Address: ____________________ ________________________ Country Check above if country is other that Hungary Street ______________________ Type (e.g. __________________utca, ter) City Floor No. ______ _______ Door _______ Your Electronic postal address (e-mail): __________________________________________________________ Hereby I allow NAV to provide my name and e-mail address to the recipient civil organization: Please Note: Leave the bottom beneficiary box blank if you do not wish to designate your 1% to a church/religious organization. Do not use this form if you wish to designate your 1% to a civil organization other than KEE/CEU. Do not cut this form even if you only offer one of your 1%s. Tax Number of the recipient organization: 1 8 1 1 8 4 6 3 – 2 – 4 4 Beneficiary: Közép-európai Egyetem (CEU) For the list of registered CIVIL organizations please see: http://www.nav.gov.hu/nav/szja1_1/regisztralt_civil_kedvezmenyezettek Technical number and name of the CHURCH OR RELIGIOUS recipient organization: _____________________________________________________________ THIS SECTION IS FOR CHURCHES AND RELIGIOUS ORGANIZATIONS, FILL IF YOU WANT TO DESIGNATE YOUR OTHER 1%
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