Příloha č. 2
DŮVĚRNÉ!
BANKA Kód banky | | | | |
------------------------
IČO | | | | | | | | |
HLÁŠENÍ
O POHLEDÁVKÁCH NESPLACENÝCH VE LHŮTĚ
ke dni............
(v tis. Kč)
+---------------------------+----+-----------------------------------------------------+--------------------+----------+--------------+
| | | Počet dní po splatnosti |Celkem po splatnosti| Celkem do| Úhrn |
| Druh pohledávky |č.ř.+-----------+--------+--------+----------+------------+ (sl. 1 až sl. 5) |splatnosti|(sl. 6 + sl.7)|
| | |méně než 31| 31 - 90|91 - 180| 181 - 360|více než 360| | | |
+---------------------------+----+-----------+--------+--------+----------+------------+--------------------+----------+--------------+
| a | b | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 |
+---------------------------+----+-----------+--------+--------+----------+------------+--------------------+----------+--------------+
| I. Nebankovní subjekty |
+---------------------------+----+-----------+--------+--------+----------+------------+--------------------+----------+--------------+
| Standardní pohledávky | 11 | | | | | | | | |
+---------------------------+----+-----------+--------+--------+----------+------------+--------------------+----------+--------------+
| Sledované pohledávky | 12 | | | | | | | | |
+---------------------------+----+-----------+--------+--------+----------+------------+--------------------+----------+--------------+
| Nestandardní pohledávky | 13 | | | | | | | | |
+---------------------------+----+-----------+--------+--------+----------+------------+--------------------+----------+--------------+
| Pochybné pohledávky | 14 | | | | | | | | |
+---------------------------+----+-----------+--------+--------+----------+------------+--------------------+----------+--------------+
| Ztrátové pohledávky | 15 | | | | | | | | |
+---------------------------+----+-----------+--------+--------+----------+------------+--------------------+----------+--------------+
| Celkem (ř.11 až ř.15) | 16 | | | | | | | | |
+---------------------------+----+-----------+--------+--------+----------+------------+--------------------+----------+--------------+
| II. Banky |
+---------------------------+----+-----------+--------+--------+----------+------------+--------------------+----------+--------------+
| Standardní pohledávky | 17 | | | | | | | | |
+---------------------------+----+-----------+--------+--------+----------+------------+--------------------+----------+--------------+
| Sledované pohledávky | 18 | | | | | | | | |
+---------------------------+----+-----------+--------+--------+----------+------------+--------------------+----------+--------------+
| Nestandardní pohledávky | 19 | | | | | | | | |
+---------------------------+----+-----------+--------+--------+----------+------------+--------------------+----------+--------------+
| Pochybné pohledávky | 20 | | | | | | | | |
+---------------------------+----+-----------+--------+--------+----------+------------+--------------------+----------+--------------+
| Ztrátové pohledávky | 21 | | | | | | | | |
+---------------------------+----+-----------+--------+--------+----------+------------+--------------------+----------+--------------+
| Celkem (ř.17 až ř.21) | 22 | | | | | | | | |
+---------------------------+----+-----------+--------+--------+----------+------------+--------------------+----------+--------------+
| III. Správní úřady a jednotky územní samosprávy, vč. veřejných fondů |
+---------------------------+----+-----------+--------+--------+----------+------------+--------------------+----------+--------------+
| Standardní pohledávky | 23 | | | | | | | | |
+---------------------------+----+-----------+--------+--------+----------+------------+--------------------+----------+--------------+
| Sledované pohledávky | 24 | | | | | | | | |
+---------------------------+----+-----------+--------+--------+----------+------------+--------------------+----------+--------------+
| Nestandardní pohledávky | 25 | | | | | | | | |
+---------------------------+----+-----------+--------+--------+----------+------------+--------------------+----------+--------------+
| Pochybné pohledávky | 26 | | | | | | | | |
+---------------------------+----+-----------+--------+--------+----------+------------+--------------------+----------+--------------+
| Ztrátové pohledávky | 27 | | | | | | | | |
+---------------------------+----+-----------+--------+--------+----------+------------+--------------------+----------+--------------+
| Celkem (ř.23 až ř.27) | 28 | | | | | | | | |
+---------------------------+----+-----------+--------+--------+----------+------------+--------------------+----------+--------------+
| Úhrn (ř.16 + ř.22 + ř.28) | 29 | | | | | | | | |
+---------------------------+----+-----------+--------+--------+----------+------------+--------------------+----------+--------------+
| Kontrolní součet | 30 | | | | | | | | |
+---------------------------+----+-----------+--------+--------+----------+------------+--------------------+----------+--------------+
+----------------------------------------------------------------------------------------+--------------------------------------------+
| Odesláno dne: Razítko: Podpisy: | Zpracoval: |
| | |
| | Telefon: Linka: |
+----------------------------------------------------------------------------------------+--------------------------------------------+
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