Input no.:……………………..date:………………………. Annex no.2

Regarding the foreign investment, for statistical evidence, I state the following*:

1. Foreign investment in total capital:
total……………………………..equivalent in Lei; of which: …………………………………, ….……………………………….
(the value and the subscribed currency) (the value and the subscribed currency)
……………………………………………….., representing: ……………………………………………EUR equivalent.
(the value and the subscribed currency)
2. Subscribed by the following partners/shareholders (only for partners/shareholders with the domicile/registered office abroad):
2.1. ……………………………………………………………………………………, ……………………………………………..
(last name and first name) (country)
total……………………………..equivalent in Lei; of which: …………………………………, ….……………………………….
(the value and the subscribed currency) (the value and the subscribed currency)
……………………………………………….., representing: ……………………………………………EUR equivalent.
(the value and the subscribed currency)
2.2. ……………………………………………………………………………………, ……………………………………………..
(last name and first name) (country)
total……………………………..equivalent in Lei; of which: …………………………………, ….……………………………….
(the value and the subscribed currency) (the value and the subscribed currency)
……………………………………………….., representing: ……………………………………………EUR equivalent.
(the value and the subscribed currency)
2.3. ……………………………………………………………………………………, ……………………………………………..
(last name and first name) (country)
total……………………………..equivalent in Lei; of which: …………………………………, ….……………………………….
(the value and the subscribed currency) (the value and the subscribed currency)
……………………………………………….., representing: ……………………………………………EUR equivalent.
(the value and the subscribed currency)
2.4. ……………………………………………………………………………………, ……………………………………………..
(last name and first name) (country)
total……………………………..equivalent in Lei; of which: …………………………………, ….……………………………….
(the value and the subscribed currency) (the value and the subscribed currency)
……………………………………………….., representing: ……………………………………………EUR equivalent.
(the value and the subscribed currency)
2.5. ……………………………………………………………………………………, ……………………………………………..
(last name and first name) (country)
total……………………………..equivalent in Lei; of which: …………………………………, ….……………………………….
(the value and the subscribed currency) (the value and the subscribed currency)
……………………………………………….., representing: ……………………………………………EUR equivalent.
(the value and the subscribed currency)
2.6. ……………………………………………………………………………………, ……………………………………………..
(last name and first name) (country)
total……………………………..equivalent in Lei; of which: …………………………………, ….……………………………….
(the value and the subscribed currency) (the value and the subscribed currency)
……………………………………………….., representing: ……………………………………………EUR equivalent.
(the value and the subscribed currency)
2.7. ……………………………………………………………………………………, ……………………………………………..
(last name and first name) (country)
total……………………………..equivalent in Lei; of which: …………………………………, ….……………………………….
(the value and the subscribed currency) (the value and the subscribed currency)
……………………………………………….., representing: ……………………………………………EUR equivalent.
(the value and the subscribed currency)

Date:…………………………………………. Signature:………………………………….

*Shall be filled in for companies with partners/shareholders with the domicile/registered office abroad, and provide information regarding the situation of foreign investment at: formation, increasing/decreasing capital, transmission of parts of share capital/shareholders.

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