Annex IV: Model for the communication from the Member States to the Commission referred to in Article 49(3) of Regulation (EU) No 904/2010 - Commission Implementing Regulation (EU) No 79/2012 of 31 January 2012 laying down detailed rules for implementing certain provisions of Council Regulation (EU) No 904/2010 concerning administrative cooperation and combating fraud in the field of value added tax (recast)