Данные об остатках резервируемых обязательств
за ____________________ года
отчетный период)

Полное или сокращенное фирменное наименование кредитной организации 
_____________________________________________________________

тыс.руб.
+------+---------------------------+------------------------------------------------------------------------+
|Номер | Наименование показателя,  |Остаток по балансовому счету, по коду обозначения расшифровки на каждую |
|строки| номер балансового счета,  |                 календарную дату отчетного периода (1)                 |
|      |код обозначения расшифровки|                                                                        |
|      |                           +-----------------------+------------------------+-----------------------+
|      |                           |     на 01 ... (2)     |     на ... (дата)      |     на 01 ... (2)     |
|      |                           +---------+-------------+---------+--------------+---------+-------------+
|      |                           |в рублях | иностранная |в рублях | иностранная  |в рублях | иностранная |
|      |                           |         |  валюта в   |         |   валюта в   |         |  валюта в   |
|      |                           |         |  рублевом   |         |   рублевом   |         |  рублевом   |
|      |                           |         | эквиваленте |         | эквиваленте  |         | эквиваленте |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|  1   |             2             |    3    |      4      |    5    |      6       |    7    |      8      |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|  1.  |Балансовые счета  по  учету|                                                                        |
|      |обязательств          перед|                                                                        |
|      |банками-нерезидентами      |                                                                        |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           30111           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           30122           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           30123           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           30230           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           30231           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           31401           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           31402           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           31403           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           31404           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           31405           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           31406           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           31407           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           31408           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           31409           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           31410           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           31601           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           31602           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           31603           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           31604           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           31605           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           31606           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           31607           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           31608           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           31609           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           31703           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           31803           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |                     |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
| 1.1. |Итого    (сумма    остатков|         |             |         |              |         |             |
|      |балансовых счетов по строке|         |             |         |              |         |             |
|      |1)                         |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
| 1.2. |Вычитаются:                |                                                                        |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |          314316           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
| 1.3. |Итого  (сумма  остатков  по|         |             |         |              |         |             |
|      |кодам по строке 1.2)       |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
| 1.4. |Всего (строка 1.1 -  строка|         |             |         |              |         |             |
|      |1.3)                       |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
| 1.5. |Средняя     хронологическая|                                                                        |
|      |величина      резервируемых|                                                                        |
|      |обязательств          перед|                                                                        |
|      |банками-нерезидентами     в|                                                                        |
|      |валюте РФ (по данным строки|                                                                        |
|      |1.4 графы "в рублях") (3)  |                                                                        |
+------+---------------------------+------------------------------------------------------------------------+
| 1.6. |Средняя     хронологическая|                                                                        |
|      |величина      резервируемых|                                                                        |
|      |обязательств          перед|                                                                        |
|      |банками-нерезидентами     в|                                                                        |
|      |иностранной   валюте    (по|                                                                        |
|      |данным  строки  1.4   графы|                                                                        |
|      |"иностранная       валюта в|                                                                        |
|      |рублевом эквиваленте) (3)  |                                                                        |
+------+---------------------------+------------------------------------------------------------------------+
|  2.  |Балансовые счета  по  учету|                                                                        |
|      |обязательств          перед|                                                                        |
|      |физическими лицами         |                                                                        |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40803           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |                     |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |                     |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |                     |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40813           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |                     |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |                     |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40817           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |                     |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40820           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           42301           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           42302           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           42303           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           42304           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           42305           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           42306           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           42307           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           42309           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           42310           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           42311           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           42312           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           42313           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           42314           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           42315           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           42601           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           42602           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           42603           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           42604           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           42605           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           42606           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           42607           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           42609           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           42610           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           42611           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           42612           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           42613           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           42614           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           42615           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           47411           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           47603           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           47605           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           47608           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           47609           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           52201           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           52202           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           52203           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           52204           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           52205           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           52206           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           52404           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |                     |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |                     |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
| 2.1. |Итого    (сумма    остатков|         |             |         |              |         |             |
|      |балансовых счетов по строке|         |             |         |              |         |             |
|      |2)                         |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
| 2.2. |Средняя     хронологическая|                                                                        |
|      |величина      резервируемых|                                                                        |
|      |обязательств          перед|                                                                        |
|      |физическими лицами в валюте|                                                                        |
|      |РФ (по  данным  строки  2.1|                                                                        |
|      |графы "в рублях") (3)      |                                                                        |
+------+---------------------------+------------------------------------------------------------------------+
|  3.  |Балансовые счета  по  учету|                                                                        |
|      |иных обязательств          |                                                                        |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           30214           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           30220           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           30222*          |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           30223           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           30232           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           30601           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           30603           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           30604           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           30606           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40101           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40105           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40106           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40107           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |                     |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |                     |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40116           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40201           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40202           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40203           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40204           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40205           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40206           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40301           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40302           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |                     |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40307           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40312           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40314           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40401           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40402           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40403           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40404           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40406           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40409           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40410           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40501           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40502           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40503           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40504           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40505           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40601           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40602           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40603           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40701           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40702           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40703           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40704           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40802           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40804           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40805           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |                     |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40807           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |                     |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40810           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40811           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |                     |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |                     |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |                     |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |                     |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |          40819            |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40901           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40902           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40903           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40905           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40907           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40909           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40910           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40911           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40912           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           40913           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           41001           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           41002           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           41003           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           41004           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           41005           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           41006           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           41007           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           41101           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           41102           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
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|      |           42001           |         |             |         |              |         |             |
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|      |           42101           |         |             |         |              |         |             |
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|      |           42102           |         |             |         |              |         |             |
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|      |           42103           |         |             |         |              |         |             |
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|      |           42104           |         |             |         |              |         |             |
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|      |           42105           |         |             |         |              |         |             |
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|      |           42106           |         |             |         |              |         |             |
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|      |           43606           |         |             |         |              |         |             |
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|      |           43702           |         |             |         |              |         |             |
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|      |           43703           |         |             |         |              |         |             |
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|      |           43707           |         |             |         |              |         |             |
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|      |           43801           |         |             |         |              |         |             |
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|      |           43802           |         |             |         |              |         |             |
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|      |           43805           |         |             |         |              |         |             |
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|      |           43806           |         |             |         |              |         |             |
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|      |           43901           |         |             |         |              |         |             |
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|      |           43902           |         |             |         |              |         |             |
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|      |           43906           |         |             |         |              |         |             |
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|      |           43907           |         |             |         |              |         |             |
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|      |           44001           |         |             |         |              |         |             |
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|      |           44002           |         |             |         |              |         |             |
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|      |           44004           |         |             |         |              |         |             |
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|      |           44005           |         |             |         |              |         |             |
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|      |           44006           |         |             |         |              |         |             |
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|      |           44007           |         |             |         |              |         |             |
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|      |           47401           |         |             |         |              |         |             |
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|      |           47403           |         |             |         |              |         |             |
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|      |           47405           |         |             |         |              |         |             |
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|      |           47407           |         |             |         |              |         |             |
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|      |           47409           |         |             |         |              |         |             |
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|      |           47412           |         |             |         |              |         |             |
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|      |           47416           |         |             |         |              |         |             |
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|      |           47418           |         |             |         |              |         |             |
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|      |           47422           |         |             |         |              |         |             |
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|      |           47601           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           47602           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           47606           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           47607           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           52001           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           52002           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           52003           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           52004           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           52005           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           52101           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           52102           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           52103           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           52104           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           52105           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           52106           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           52301           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           52302           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           52303           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           52304           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           52305           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           52306           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           52307           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           52401           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           52402           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           52403           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |                     |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           52406           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |           52407           |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |                     |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |                     |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |                     |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |          *          |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
| 3.1. |Итого  (сумма  остатков    |         |             |         |              |         |             |
|      |балансовых счетов по строке|         |             |         |              |         |             |
|      |3)                         |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
| 3.2. |Вычитаются:                |                                                                        |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |      (исключен*)    |         |      X      |         |      X       |         |      Х      |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |                     |         |      X      |         |      X       |         |      X      |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |                     |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |                     |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |                     |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|      |                     |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
| 3.3. |Итого    (сумма    остатков|         |             |         |              |         |             |
|      |по кодам по строке 3.2)    |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
| 3.4. |Всего (строка 3.1 -  строка|         |             |         |              |         |             |
|      |3.3)                       |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
| 3.5. |Средняя     хронологическая|         |             |         |              |         |             |
|      |величина иных резервируемых|         |             |         |              |         |             |
|      |обязательств  в  валюте  РФ|         |             |         |              |         |             |
|      |(по данным строки 3.4 графы|         |             |         |              |         |             |
|      |"в рублях") (3)            |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
|  4.  |ВСЕГО иных обязательств в  |    Х    |             |    Х    |              |    Х    |             |
|      |иностранной валюте (строка |         |             |         |              |         |             |
|      |2.1 + строка 3.4),по данным|         |             |         |              |         |             |
|      |графы "иностранная валюта в|         |             |         |              |         |             |
|      |рублевом эквиваленте"      |         |             |         |              |         |             |
+------+---------------------------+---------+-------------+---------+--------------+---------+-------------+
| 4.1. |Средняя хронологическая    |                                                                        |
|      |величина иных              |                                                                        |
|      |резервируемых обязательств |                                                                        |
|      |в иностранной валюте (по   |                                                                        |
|      |данным строки 4 графы      |                                                                        |
|      |"иностранная валюта в      |                                                                        |
|      |рублевом эквиваленте") (3) |                                                                        |
+------+---------------------------+------------------------------------------------------------------------+

Уполномоченные лица
кредитной организации
                                    (Ф.И.О.)

М.П.
                                    (Ф.И.О.)