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28.09.2022, . 00:16


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Form N4

Regulations on the Procedures for Forming and Spending
Monetary Assets of Electoral funds of Candidates for Deputy,
Electoral associations, Election Blocs in Respect to Elections to
the State Duma of the Federal Assembly of the Russian
Federation Approved by Resolution of the Central Election
Commission of the Russian Federation Dated _______ ____,
1995, N___

On Details of the Special Temporary Account
with the Savings Bank Branch

To_________________________________________________________
(name of the election commission)

A candidate for deputy (name of the candidate, account details, number of the registration card, number of the election district to be indicated) _____________
or an electoral association (bloc) (name of the electoral association and account details to be indicated)___________________________________
state that in order to carry out an election campaign I (we) opened special temporary account N _______ with ____________________________
_______________________________________________
(name and details of the Savings Bank branch)

MFO ____________________.

Candidate for deputy or persons authorized to dispose of monetary assets of the election fund of the electoral association (bloc) (with the primary and secondary signature right)

_________________________
(signature)

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