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["附件1"]
["青岛市支持化工企业搬迁入园奖补资金申请表"]
[{"$nulls":4},"单位：万元"]
["一、搬迁进入省级化工园区前企业基本情况","企业名称",null,"统一社会信用代码"]
[null,"注册地址",null,"注册年月"]
[null,"企业是否已关停",null,"法定代表人"]
[null,"企业主营业务","（主营业务填写\n三项以内）","评级评价情况","评级机构"]
[]
[{"$nulls":4},"评级报告日期"]
[null,"行业代码"]
[{"$nulls":4},"评级结果"]
[]
["二、搬迁进入省级化工园区后企业基本情况","企业名称",null,"统一社会信用代码"]
[null,"注册地址",null,"注册年月"]
[null,"竣工时间",null,"法定代表人"]
[null,"企业主营业务","（主营业务填写三项以内）","申报企业及其出资人在新注册企业持股比例"]
[null,"行业代码"]
["三、申请化工产业转型升级政策项目情况","奖励（补助）方式",null,"化工装置和设施\n投资原值","（不含增值税的进项税额）"]
[]
["四、信用承诺书","我公司承诺本表填报内容及提供的其他申请材料真实、合法、完整,并积极配合第三方机构做好审核工作，全面如实提供设备采购合同、付款凭证、发票、记账凭证、会计账目等资料;如获得化工企业搬迁入园奖补政策扶持，自觉接受工业和信息化、财政、审计等部门的监督检查,并积极配合有关部门做好绩效评价工作;承诺未列入青岛市安全生产黑名单、青岛市环境信用黑名单等失信惩戒对象目录；符合“绿色门槛”制度要求。如违背上述承诺，我公司愿承担全部责任并按规定接受相关处罚。  "]
[]
[]
[{"$nulls":4}," 法定代表人（签字）："]
[null,"                                    ",null,null,"       企业（公章）："]
[{"$nulls":4},"  2024年   月   日"]