中国居民身份证明申请审批表

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1、中国居民身份证明申请审批表编号：申请人（个人）姓名申请人（公司或团体）名称经办人审批人审批日期备注编号：No.中华人民共和国国家税务总局中国居民身份证明StateAdministrationofTaxationCertificateofChineseResidentStatusThePeople’sRepublicofChina(ApplicationfortheDoubleTaxationAvoidenceAgreement)兹证明：Thisistocertifythat:1、个人姓名Name_____________职业Occupation____

2、______________Individual在华居所或住所___________________________________________DemicileorResidenceinChina公司或团体名称____________________________________________________Corporation总机构所在地OrotherentityPlaceofheadoffice_______________________________________2、在________________取得（或将取得）下列所得has

3、derivedorwillderivethefollowingincomein_______________________________________所得项目Itemsofincome支付人名称Payer’sname支付金额Amountofpayment支付日期Dateofpayment3、根据中华人民共和国同___________________国签订的避免双重征税协定第条的规定，是中国居民。IsaChineseresident,accordingtotheprovisionsofArticle_______intheAvoidenceofDo

4、ubleTaxationAgreementBetweenthePeople’sTepublicofChinaand_____________.签署人：签署日期年月日ApprovedbyDateYMD主管税务机关（公章）OfficialSeal中国居民身份证明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）；或另附对方管税务机关出具的专用证明。CertificateofResidentStatusofClaimant(FortheuseofresponsibletaxofficeoftheContractingStateinwhichthe

5、claimant)orattachthespecialcertificateofresidentissuedbyresponsibletaxofficeoftheContractingStateinwhichtheclaimantisaresident.CertificationWecertifythat__________(claimant’sname)isaresidentofof_________accordingtotheprovisionofparagraph__________,ofparagraph________,ofArticle__

6、______intheDoubleTaxationAgreementBetweenandthePeople’sRepublicofChina.Claimant’sserialnumber:Date:SignatureorStampoftaxoffice以下由中国主管税务机关填写(ThefollowingfortheuseofresponsibletaxofficeofChinaonly):编号（No.）收到申请表日期审核日期DateofreceiptofDateofexaminationApplication审核意见Examinationreport主

7、办人签字Responsibleofficer(Signature)负责人（签字）ChiefofficeSignature中华人民共和国国家税务总局主管税务机关盖章StateAdministrationofTaxationStampoftaxofficeThePeople’sRepublicofChina本表为16开竖式