Translation of certificate about consolidated tax payment

Свидетельство об оплате единого налога

State emblem

APPROVED

Order of the state tax

administration of Ukraine

—, # —

STATE TAX ADMINISTRATION OF UKRAINE

CERTIFICATE

Consolidated tax payment

Series — # —-

—

1. Issued to a subject of entrepreneurial activities – natural person (identification number —) —-

2. The certificate is valid in —

3. Types of activities: 52.63.0 retail trading outside shops which is not related to other groupings; 74.13.0 investigation of situation on the market and determination of public opinion.

4. Place of entrepreneurial activities: —-.

5. Name of state tax authority that issued the Certificate: State Tax Inspection in the town of —.

Head of the State Tax Inspection                     Signature —-

Round seal

Tax Administration of Ukraine

Tax Inspection in —-

THE CERTIFICATE IS VALID WITH PERSON’S IDENTITY CARD