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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,"4-063",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 ÚNICO"]
[null,null,null,null,null,"DECLARACIÓN JURAMENTADA DE BIENES Y RENTAS"]
[null,null,null,null,null,"Y ACTIVIDAD ECONÓMICA 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,"C.C.","C.E.",null,"T.I.",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,"NOMBRES Y APELLIDOS",null,null,null,null,null,null,null,null,null,null,"DOCUMENTO DE IDENTIDAD",null,null,null,null,null,null,null,"PARENTESCO"]
[]
[]
[]
[]
[]
[]
[]
[]
[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,"PARA TOMAR POSESIÓN ",null,null,null,"PARA RETIRARME",null,null,null,"PARA ACTUALIZACIÓN",null,null,"PARA MODIFICAR LOS DATOS CONSIGNADOS PREVIAMENTE ",null,null,null,null,null,null,null,", QUE LOS UNICOS "]
[null,"BIENES Y RENTAS QUE POSEO A LA FECHA, EN FORMA PERSONAL O POR INTERPUESTA PERSONA,  SON LOS QUE RELACIONO A CONTINUACIÓN:"]
[null,"a) Los ingresos y rentas que obtuve en el \"último\" año gravable fueron:"]
[null,"CONCEPTO",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"VALOR"]
[null,"SALARIOS Y DEMÁS INGRESOS LABORALES"]
[null,"CESANTIAS E INTERESES DE CESANTIAS"]
[null,"GASTOS DE REPRESENTACION"]
[null,"ARRIENDOS"]
[null,"HONORARIOS"]
[null,"OTROS INGRESOS Y RENTAS"]
[null,"TOTAL",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(S33:V38)","v":0}]
[null,"b) Las cuentas corrientes y de ahorro que poseo en Colombia y en el exterior son:"]
[null,"ENTIDAD FINANCIERA",null,null,null,null,null,null,"TIPO DE CUENTA",null,null,"NÚMERO DE CUENTA",null,null,"SEDE DE LA CUENTA",null,null,null,null,"SALDO DE LA CUENTA"]
[]
[]
[]
[]
[]
[null,"c) Mis bienes patrimoniales son los siguientes:"]
[null,"TIPO DE BIEN",null,null,null,null,null,"IDENTIFICACION DEL BIEN",null,null,null,null,null,null,null,null,null,null,"VALOR"]
[]
[]
[]
[]
[]
[]
[]
[null,"EMPLEADOR O CONTRATANTE "]
[]
[]
[null,"1.1 DE BIENES Y RENTAS (CONTINUACIÓN)"]
[null,"d) Las acreencias y obligaciones vigentes a la fecha son:"]
[null,"ENTIDAD O PERSONA",null,null,null,null,null,null,"CONCEPTO",null,null,null,null,null,"VALOR"]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"1.2. DE PARTICIPACION EN JUNTAS, CONSEJOS, CORPORACIONES, SOCIEDADES Y ASOCIACIONES"]
[null,"a) En la actualidad participo como miembro de las siguientes juntas y consejos directivos:"]
[null,"ENTIDAD O INSTITUCIÓN",null,null,null,null,null,null,null,null,null,null,null,null,"CALIDAD DE MIEMBRO"]
[]
[]
[]
[]
[]
[]
[null,"b) A la fecha soy socio de las siguientes corporaciones, sociedades y/o asociaciones:"]
[null,"CORPORACION, SOCIEDAD O ASOCIACION",null,null,null,null,null,null,null,null,null,null,null,null,"CALIDAD DE SOCIO"]
[]
[]
[]
[]
[]
[]
[null,"c)En la actualidad:",null,null,null,"SI","NO",null,"tengo sociedad conyugal o de hecho vigente, con:"]
[null,"NOMBRES Y APELLIDOS DEL CONYUGE ó COMPAÑERO (A) PERMANENTE",null,null,null,null,null,null,"OCUPACIÓN",null,null,null,"DOCUMENTO DE IDENTIFICACIÓN",null,null,null,null,null,"NÚMERO"]
[null,null,null,null,null,null,null,null,null,null,null,null,"C.C. ",null,"C.E.",null,"T.I."]
[]
[null,"2. ACTIVIDAD ECONÓMICA PRIVADA"]
[null,"Las actividades económicas de carácter privado, adicionales a las declaradas anteriormente, que he venido desarrollando de forma ocasional o permanente son las siguientes:"]
[null,"DETALLE DE LAS ACTIVIDADES",null,null,null,null,null,null,null,null,null,null,"FORMA DE PARTICIPACIÓN"]
[]
[]
[]
[]
[]
[]
[null,"3. FIRMA"]
[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,"FIRMA DEL FUNCIONARIO O CONTRATISTA",null,null,null,null,null,null,null,null,null,null,"CIUDAD Y FECHA"]
[null,"TRD-24.01.08.001"]

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["Madre"]
["Hijo"]
["Hija"]

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["Tipo Documento"]
[null,"C.C."]
[null,"C.E."]
[null,"NIUP."]
[null,"T.I."]
[]
[]
["Parentesco"]
[null,"Padre"]
[null,"Madre"]
[null,"Hijo"]
[null,"Hija"]
[]
["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"]
[]
["TipoCuenta"]
[null,"Cuenta corriente"]
[null,"Cuentas AFC"]
[null,"Cuenta de ahorros"]
[null,"Cuentas en fondos voluntarios"]
[]
["Entidad"]
[null,"Anebre"]
[null,"BR Educacional"]
[null,"BR Gestión de Portafolios y Cartera (Total créditos)"]
[null,"BR Servicio médico"]
[null,"Febor"]
[null,"Fimbra"]
[]
["Concepto"]
[null,"Deudas con terceros"]
[null,"Libre destinación"]
[null,"Obligaciones hipotecarias"]
[null,"Préstamo"]
[null,"Préstamo vehículo"]
[null,"Tarjetas de crédito"]
[]
["Miembro"]
[null,"Presidente"]
[null,"Delegado"]
[null,"Miembro activo"]
[null,"Suplente"]
[]
["Tipo de bien"]
[null,"Muebles"]
[null,"Enseres"]
[null,"Inmuebles"]