MIME-Version: 1.0 X-Document-Type: Worksheet Content-Type: multipart/related; boundary="----=_NextPart_01C36BE1.6BD83150" This document is a Web archive file. If you are seeing this message, this means your browser or editor doesn't support Web archive files. For more information on the Web archive format, go to http://officeupdate.microsoft.com/office/webarchive.htm ------=_NextPart_01C36BE1.6BD83150 Content-Location: file:///C:/655861E1/formula.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii"

FORMULA= RIO RADICACIÓN DE INCONFORMIDAD, RECLAMACIÓN Y SUGERENCIAS

DATOS G= ENERALES:

FECHA _______________________________________

CIUDAD ______________

MUNICIPIO ______________________

DIRECCI&O= acute;N ___________________________________

TELÉFONO _____________

FAX ___________________________

NOMBRE O = RAZON SOCIAL _________________________________________________________________________= _____________

NIT O CÉDULA __________________________

E MAIL __________________________________________________________

PROPIETAR= IO O REPRESENTANTE LEGAL _________________________________________________________________________=

PERSONA N= ATURAL _____

PERSONA JURÍDICA _________

PYMES _____

SIA ______= _____

GRAN CONT= RIBUYENTE _____

UAP _____

ALTEX _____

1. EXPO= SICION DEL PROBLEMA O ASUNTO A TRATAR

Por favor exponga los motivos de = la inconformidad, reclamación o sugerencia:

_______= ___________________________________________________________________________= ________

_______= ___________________________________________________________________________= ___________________________________________________________________________= _______________________

_______= ___________________________________________________________________________= ________

_______= _______________________________________________________________contin&uacut= e;e en hoja anexa

2. NORM= AS INFRINGIDAS

Si conoce que el problema o asunto a tratar está regulado por algunas normas, por favor relacionarlas a continuación:

________= ___________________________________________________________________________= ___________________________________________________________________________= ______________________

_______= ___________________________________________________________________________= ___________________________________________________________________________= _______________________

3. REQU= ERIMIENTO O SOLICITUD

Describa la petición, requerimiento o solicitud que d= esea sea llevada a cabo por la Defensoría del Contribuyente y del Usuar= io Aduanero.

_______= ___________________________________________________________________________= ___________________________________________________________________________= _______________________

_____________________________________

FIRMA Y= DOCUMENTO DE IDENTIDAD

PARA USO EXCLUSIVO DE LA DEFENSORIA DEL CONTRIBUYENTE Y D= EL USUARIO ADUANERO

No. de Radicación ______________

Fecha ______________

Reg= ional _______________________

TEMA:

Aduanero __________ Tributario _________ Cambiario _________ Servicios _______= ____

TIPO DE CASO: Inconformidad _____ Reclamación _____ Sugerencia _____ Derecho de Petición _____

TEMA ESPECÍFICO ________________________________________________________________________<= /td>

ASIGNADO A

ASIGNADO POR:

✄

&nbs= p; No. de Radicación ______________ Fecha __________ Recibido ___________= _____

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