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ID:17704622
大小:250.50 KB
页数:23页
时间:2018-09-04
《非居民享受税收协定待遇备案报告表》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、附件1Annex1非居民享受税收协定待遇备案报告表Non-resident'sclaimfortreatmentunderDoubleTaxationAgreement(DTA)(forrecord)填报日期Date 年 月 日Y/M/D1纳税人名称Taxpayer'sname 2纳税人纳税识别号Taxpayer'staxidentificationnumber 3纳税人类型Typeoftaxpayer□企业Enterprise□个人Individual4纳税人境内地址AddressinChina 5境内联系电话TelephonenumberinChina6境内邮政编码Postalcodei
2、nChina 7纳税人境外地址Addressinhomecountry8境外联系电话Telephonenumberinhomecountry 9境外邮政编码Postalcodeinhomecountry 10纳税人是否构成任何第三方税收居民IsthetaxpayerafiscalresidentofajurisdictionotherthanChina&theothercontractingparty?□是Yes□否No11如10栏选是,请列示第三方名称If"yes"isinBlank10,pleasespecify 2312序号No.13项目Item14所得类型Typeofincome15
3、纳税方式Approachoftaxpayment16支付人或扣缴义务人名称Nameofpayerorwithholdingagent17支付人或扣缴义务人纳税识别号Taxidentificationnumberofpayerorwithholdingagent18适用的税收协定及条款ApplicableDTAandarticles19是否属于关联交易Anassociatedtransactionornot20收入额或应纳税所得额Amountofgrossincomeortaxableincome21减免税额Taxdeductionorexemption22备注Additionalinform
4、ation 23符合享受税收协定待遇规定条件的理由ReasonsforenjoyingtreatmentunderDTA 24本次备案附报资料清单Listofdocumentsattachedtothisform⑴ ⑵ ⑶ ⑷ ⑸ 25与本次备案有关但以前已提交的资料清单Listofdocumentsthathavebeensubmittedbefore⑴ ⑵ ⑶ ⑷ 23⑸ 26声 明Decla
5、ration我谨声明以上呈报事项准确无误。 Iherebydeclarethattheaboveinformationistrueandcorrect.纳税人印章或签字Stamporsignatureoftaxpayer:年月日Y/M/D代理人印章或签字Stamporsignatureofattorney:年月日Y/M/D27纳税人居民身份证明(由纳税人为其居民的缔约对方税务主管当局或其授权代表填写,或另附由该税务主管当局或其授权代表出具的专用证明)Applicant'sCertificateofResidentStatus(tobefilledoutbythecompetentauthor
6、ityoritsauthorizedrepresentativeoftheothercontractingpartyofwhichtheapplicantisaresident,oraseparatecertificateissuedbysuchauthorityorrepresentativecouldbeattached)23CertificationWeherebycertifythat(applicant'sname)isaresidentof(nameoftheothercontractingparty)accordingtotheprovisionsofParagraph,ofA
7、rticleinthe(nameoflaw).Stamporsignatureofthecompetentauthorityoritsauthorizedrepresentative:Date(y/m/d)28主管税务机关或其授权人印章或签字:Stamporsignatureoftheresponsibletaxofficeoritsauthorizedrepresentative年月日Y/M/D填表说明:N
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