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Annex II

Annex II

ANNEX II

CALCULATION OF FEES

Reference date

NAME

TOTAL ASSETS

Submission date

MFI Code

LEI code

Item

Type of institution

Confirmation of auditor’s verification or of management letter for fee-paying branches (Yes/No)

Total assets

Comments

010

020

030

040

010

TOTAL ASSETS in accordance with Article 51(2) or (4) of Regulation (EU) No 468/2014 (ECB/2014/17)

(3)

020

TOTAL ASSETS in accordance with Article 2, point (12)(b) or (c) of Regulation (EU) No 1163/2014 (ECB/2014/41)

(4)

(Yes)/(No)

030

TOTAL ASSETS in accordance with Article 3(2)(b) of this Decision: Item 030 is equal to 031 minus 032 plus 033 minus 034

(2) or (5)

(Yes)/(No)

031

Total assets of all group entities established in participating Member States —obligatory

032

Intragroup positions among supervised entities established in participating Member States (from reporting packages used for the elimination of balances for group reporting purposes) —optional

033

Goodwill included in the consolidated financial statements of the parent undertaking of a supervised group —obligatory

034

Goodwill allocated to subsidiaries established in non-participating Member States and third countries —optional

Please ensure that this template is completed in accordance with the instructions provided separately.

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