税务局外国居民享受避免双重征税协定待遇申请表

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1、税务局外国居民享受避免双重征税协定待遇申请表TOTaxBureauApplicationforTreatmentUnderDoubleTaxationAgreement一．申请人事项DetailsofClaimant:个人Individual姓名Fullname国籍Nationality住所或居所Domicileorresidence邮政编码Postcode公司或团体Corporationorotherentity名称Name总机构所在地PlaceofHeadOffice邮政编码Postcode实际管理机构所在地Placeofeffectivemanagement邮政编码Pos

2、tcode注册所在地Placeofregistration邮政编码Postcode二．所得事项DetailsofIncome:股息Dividends支付人名称Payer’sname地址Address邮编Postcode支付金额Amountofpayment支付日期Dateofpayment利息Interest支付人名称Payer’sname地址Address邮编Postcode支付金额Amountofpayment合同签字日期Dateofcontract合同有效期Periodofcontract支付日期Dateofpayment特许权使用费Royalties支付人名称Payer

3、’sname地址Address邮编Postcode支付金额Amountofpayment合同签字日期Dateofcontract合同有效期Periodofcontract支付日期Dateofpayment个人劳务所得Incomeofpersonalservice职业Occupation支付人名称Payer’sname地址Address邮编Postcode支付金额Amountofpayment所得项目Itemofincome支付日期Dateofpayment三．适用的避免双重征税协定ApplicableDoubleTaxationAgreement:中华人民共和国同国签订的避免双

4、重征税协定第条第款。Paragraph,ArticleoftheTaxAgreementbetweenthepeople’sRepublicofChinaand.四．声明Declaration:我仅在此声明以上呈报事项准确无误。Iherebydeclarethattheabovestatementiscorrectandcompletetothebestofmyknowledgeandbelief.申请人签名或盖章：Claimant(SignatureorSeal)：五．he"governingforthepeople","Nomattertheinterestsofthema

5、sses"conceptunderstandingisnotinplace.Thespecificworktreatswiththedeployment,afewleadingcadrescomplainthatworkistoocomplicated,toomuchresponsibility,thepressureistoolarge,toomuchemphasisonthedifficultyofthework.Forexample,noncoalmine申请人居民身份证明（由申请人为其居民的缔约国主管税务机关填写）；或另附对方主管税务机关出具的专用证明。Certific

6、ateofResidentStatusofClaimant(FortheuseofresponsibletaxofficeoftheContractingStateinwhichtheclaimantisaresident)orattachthespecialcertificateofresidentissuedbyresponsibletaxofficeoftheContractingStateinwhichtheclaimantisaresident.CertificationWecertifythat(claimant’sname)isaresidentofaccordi

7、ngtotheprovisionofparagraph,ofArticleintheDoubleTaxationAgreementbetweenandthePeople’sRepublicofChina.Claimant’sserialnumber:Date:SignatureorStampoftaxoffice以下由中国主管税务机关填写（ThefollowingfortheuseofresponsibletaxofficeofChinaonly）:编号（No.）:第号收到申请表日期Date