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Substitute Declaration of Certification of Pending Charges and Criminal Record (Art. 47 of Presidential Decree No. 445 of 28.12.2000 as amended by Law No. 183 of 12.11.2011) The undersigned ____________________________________ Tax Code _______________________________ born in _______________ Province ____ on
resident in _____________ street/square/avenue ___________________ No. ____ aware that, pursuant to Art. 76 of Presidential Decree No. 445/2000 as amended by Law No. 183/2011, false declarations, falsification of documents, and the use of false documents or documents containing untruthful data are punishable under the Penal Code and special laws on the matter DECLARES Not to have any criminal convictions and not to be subject to measures regarding the application of preventive measures, civil decisions, or administrative measures registered in the criminal record in accordance with current regulations; Not to be aware of being subject to any pending criminal proceedings. The undersigned also declares to be informed, pursuant to Legislative Decree No. 101/2018 (Code on Personal Data Protection), that the personal data collected will be processed, including through electronic means, exclusively for the purpose of the procedure for which this declaration is made.
Legible signature of the declarant N.B.: This declaration does not require signature authentication and fully replaces the standard certifications requested or intended for public administration, as well as for public service providers and private entities that accept it. The Administration reserves the right to carry out checks, including random checks, on the truthfulness of the declarations (Art. 71, paragraph 1, Presidential Decree No. 445/2000). In the event of a false declaration, the citizen will be reported to the judicial authority.