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["附件："]
["“小金库”自查自纠情况报告表"]
[]
["单位名称(盖章)："]
["行次","项目","个数（人数、案件数）","金额","备注"]
[1,"一、2013年初“小金库”资金滚存余额和资产原值"]
[2,"二、自查发现“小金库”个数和金额总数"]
[3,"其中：违规收费、罚款及摊派设立“小金库”"]
[4,"      用资产处置、出租收入设立“小金库”"]
[5,"      以会议费、劳务费、培训费和咨询费等名义套取资金设立“小金库”"]
[6,"      经营收入未纳入规定账簿核算设立“小金库”"]
[7,"      虚列支出转出资金设立“小金库”"]
[8,"      以假发票等非法票据骗取资金设立“小金库”"]
[9,"      上下级单位之间相互转移资金设立“小金库”"]
[10,"      其他"]
[11,"三、自查发现小金库纠正处理情况"]
[12,"纠正处理“小金库”个数"]
[13,"其中：已撤销小金库账户个数"]
[14,"应上缴财政金额"]
[15,"已上缴财政金额"]
[16,"应补缴税款金额"]
[17,"已补缴税款金额"]
[18,"应退还违规违纪金额"]
[19,"已退还违规违纪金额"]
[20,"个人应退还违规所得金额"]
[21,"个人已退还违规所得金额"]
[22,"其他应追回违规支出金额"]
[23,"其他已追回违规支出金额"]
[24,"应调账处理金额"]
[25,"已调账处理金额"]
[26,"四、处理责任人和通报公告情况"]
[27,"受行政处罚人数"]
[28,"受组织处理人数"]
[29,"受党纪政纪处理人数"]
[30,"移交司法机关处理人数"]
[31,"通报的案件数"]
[32,"公告的案件数"]
[]
[null,"单位负责人：                             财务负责人：","    填表人：","电话："]

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