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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"BR-3-567-0"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ENTIDAD RECEPTORA"]
[null,null,null,null,null,"                         FORMULARIO UNICO"]
[null,null,null,null,null,"                               DECLARACIÓN JURAMENTADA DE BIENES Y RENTAS"]
[null,null,null,null,null,"                                   Y ACTIVIDAD ECONOMICA PRIVADA"]
[null,null,null,null,null,"                    PERSONA NATURAL"]
[null,null,null,null,null,"                             (LEY 190 DE 1995)"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,"Fecha de Corte de la Información:"]
[]
[null,"1. DECLARACION JURAMENTADA"]
[null,"1.1. DE BIENES Y RENTAS"]
[null,"YO,"]
[null,"IDENTIFICADO CON:",null,null,null,null,null,null,null,null,"N°",null,null,null,null,null,"CON DOMICILIO PRINCIPAL EN:"]
[]
[null,"País:",null,null,null,null,null,"Departamento:",null,null,null,null,null,null,null,"Municipio:"]
[null,"Dirección:",null,null,null,null,null,null,null,null,null,null,null,"Teléfonos:"]
[null,"Y TENIENDO COMO PARIENTES DE PRIMER GRADO DE CONSANGUINIDAD A:"]
[null,null,"NOMBRES Y APELLIDOS",null,null,null,null,null,null,null,null,null,"DOCUMENTO DE IDENTIDAD",null,null,null,null,null,null,null,"PARENTESCO"]
[]
[]
[]
[]
[]
[]
[]
[]
["a","a ","a"]
[null,"DECLARO, EN CUMPLIMIENTO DE LO DISPUESTO EN EL ARTICULO 122, INCISO 3°, DE LA CONSTITUCIÓN POLITICA DE COLOMBIA Y EN LOS ARTICULOS 13 Y 14 DE LA LEY 190 DE 1995,  "]
[null,null,null,null,null,null,null,null,null,null,null,",QUE LOS UNICOS BIENES Y RENTAS QUE POSEO A LA FECHA, EN FORMA PERSONAL O "]
[null,"POR INTERPUESTA PERSONA, SON LOS QUE RELACIONO A CONTINUACION:"]
[null,null,null,"a) Los ingresos y rentas que obtuve en el \"último\" año gravable fueron:"]
[null,null,null,"CONCEPTO",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"VALOR"]
[null,null,null,"SALARIOS Y DEMÁS INGRESOS LABORALES"]
[null,null,null,"CESANTIAS E INTERESES DE CESANTIAS"]
[null,null,null,"GASTOS DE REPRESENTACION"]
[null,null,null,"ARRIENDOS"]
[null,null,null,"HONORARIOS"]
[null,null,null,"OTROS INGRESOS Y RENTAS"]
[null,null,null,null,null,"TOTAL",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(S35:U40)","v":0}]
[null,null,null,"b) Las cuentas corrientes y de ahorro que poseo en Colombia y en el exterior son:"]
[null,null,null,"ENTIDAD FINANCIERA",null,null,null,null,"TIPO DE       CUENTA",null,null,"NUMERO DE             LA CUENTA",null,null,"SEDE DE LA                CUENTA",null,null,null,null,"SALDO DE LA CUENTA"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"c) Mis bienes patrimoniales son los siguientes:"]
[null,null,null,"TIPO DE BIEN",null,null,null,"IDENTIFICACION DEL BIEN",null,null,null,null,null,null,null,null,null,null,"VALOR"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"a"]
[null,null,null,"a"]
[null,"EMPLEADOR O CONTRATANTE "]
[]
[null,"1.1 DE BIENES Y RENTAS (CONTINUACION)"]
[null,null,null,"d) Las acreencias y obligaciones vigentes a la fecha son:"]
[null,null,null,"ENTIDAD O PERSONA",null,null,null,null,null,null,"CONCEPTO",null,null,null,null,null,null,null,"VALOR"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"a"]
[null,null,null,"a "]
[null,"1.2. DE PARTICIPACION EN JUNTAS, CONSEJOS, CORPORACIONES, SOCIEDADES Y ASOCIACIONES"]
[null,null,null,"a) En la actualidad participo como miembro de las siguientes juntas y consejos directivos:"]
[null,null,null,"ENTIDAD O INSTITUCION",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"CALIDAD DE MIEMBRO"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"  "]
[]
[]
[]
[]
[]
[null,null,null,"b) A la fecha soy socio de las siguientes corporaciones, sociedades y/o asociaciones:"]
[null,null,null,"CORPORACION, SOCIEDAD O ASOCIACION",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"CALIDAD DE SOCIO"]
[]
[]
[]
[]
[null,null,null,"c) En la actualidad:",null,null,null,null,"tengo sociedad conyugal o de hecho vigente, con:"]
[null,null,null,"NOMBRES Y APELLIDOS DEL CONYUGE",null,null,null,null,"OCUPACIÓN",null,null,null,null,"DOCUMENTO DE IDENTIFICACION",null,null,null,null,"N°"]
[]
[]
[]
[]
[null,"2. ACTIVIDAD ECONOMICA PRIVADA"]
[]
[null,null,null,"Las actividades económicas de carácter privado, adicionales a las declaradas anteriormente, que he venido desarrollando de "]
[null,null,null,"forma acasional o permanente son las siguientes:"]
[null,null,null,"DETALLE DE LAS ACTIVIDADES",null,null,null,null,null,null,null,null,null,null,"FORMA DE PARTICIPACION"]
[]
[]
[]
[]
[]
[]
[null,null,null,"a"]
[null,null,null,"a"]
[null,"3. FIRMA"]
[]
[null,null,"Autorizo a que se verifique la información contenida en el presente formulario a través de cualquier medio, incluida la consulta de información personal,  comercial y financiera a disposición del Banco de la República o de entidades públicas y privadas.  \nEn el marco de lo dispuesto en los art. 7, 8 y 9 de la Ley 527 de 1999, la firma mecánica es sustituida por un mensaje de datos que contiene un usuario único de red/Password/Token; el envío y recepción a través del buzón corporativo DPGA-Bienesyrentas@banrep.gov.co y almacenado en Enterprise Connect - iConecta."]
[]
[]
[]
[]
[null,null,null,{"$f":"D14","v":0},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"R17","v":0},null,null,null,{"$f":"TODAY()","v":"2021-12-21"}]
[null,null,"FIRMA DEL FUNCIONARIO O CONTRATISTA",null,null,null,null,null,null,null,null,null,null,null,null,"CIUDAD Y FECHA"]

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["Tipo Documento"]
[null,"C.C."]
[null,"C.E."]
[null,"NIUP."]
[null,"T.I."]
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["Parentesco"]
[null,"Padre"]
[null,"Madre"]
[null,"Hijo"]
[null,"Hija"]
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["Otros Ingresos"]
[null,"Actividad económica privada"]
[null,"Ganancias ocacionales: loteria y juegos de azar"]
[null,"Otros ingresos"]
[null,"Rendimientos financieros"]
[null,"Sucesiones"]
[null,"Venta de Bienes"]
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[null,"Cesantías "]
[null,"Fondo voluntario"]
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["Entidad"]
[null,"Anebre"]
[null,"Banco de la República"]
[null,"Febor"]
[null,"Fimbra"]
[null,"Persona"]
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["Concepto"]
[null,"Educacional / Vivienda / Apolo / Médico"]
[null,"Deudas con terceros"]
[null,"Libre destinación"]
[null,"Obligaciones hipotecarias"]
[null,"Préstamo vehículo"]
[null,"Tarjeta de crédito"]
[null,"Otros"]
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["Miembro"]
[null,"Presidente"]
[null,"Delegado"]
[null,"Miembro activo"]
[null,"Suplente"]
[]
["Tipo de bien"]
[null,"Muebles"]
[null,"Enseres"]
[null,"Apartamento"]
[null,"Casa"]
[null,"Lote"]
[null,"Acciones"]
[null,"Vehículo"]
[null,"Semovientes"]
[]
["Tipo de documento"]
[null,"C.C."]
[null,"C.E."]
[null,"T.I."]
[]
["Declaración"]
[null,"PARA TOMAR POSESION "]
[null,"PARA RETIRARME"]
[null,"PARA ACTUALIZACION"]
[null,"PARA MODIFICAR LOS DATOS CONSIGNADOS PREVIAMENTE                "]
[]
["Sociedad conyugal"]
[null,"SI"]
[null,"NO"]