非居民企業(yè)承包工程作業(yè)和提供勞務(wù)享受稅收協(xié)定待遇報(bào)告表

1、非居民企非居民企業(yè)承包工程作承包工程作業(yè)和提供和提供勞務(wù)勞務(wù)享受稅收享受稅收協(xié)定待遇定待遇報(bào)告表告表NonresidentEnterprises’ClaimfTreatmentunderDoubleTaxationAgreement(Contractedconstructionserviceprojects)編號(hào)SerialNumber：一、申一、申請(qǐng)人事人事項(xiàng)Detailsofapplicant:名稱Name總機(jī)構(gòu)所在地Placeof

2、headoffice郵政編碼Postcode實(shí)際管理機(jī)構(gòu)所在地Placeofeffectivemanagement郵政編碼Postcode公司或團(tuán)體Cpationotherentity注冊(cè)所在地Placeofregistration郵政編碼Postcode二、所得事二、所得事項(xiàng)Detailsofincome:支付人名稱Payer’sname地址Address郵編Postcode合同名稱Nameofcontract合同字號(hào)Contract

3、number項(xiàng)目地點(diǎn)Placeofproject項(xiàng)目持續(xù)時(shí)間(年月日年月日)Durationofproject(ymdymd)勞務(wù)人數(shù)Numberofwkers支付金額及幣種Amountofpayment（unit）支付日期Dateofpayment所得項(xiàng)目Itemofincome□承包工程□其他(請(qǐng)注明)ContractedconstructionOthers（pleasespecify）承包工程Contractedconstruct

4、ion納稅方式Methodoftaxpayment□指定扣繳Designatedwithholding□自行申報(bào)Selffiling支付人名稱Payer’sname地址Address郵編Postcode合同名稱Nameofcontract合同字號(hào)Contractnumber勞務(wù)地點(diǎn)Placeofservice勞務(wù)持續(xù)時(shí)間(年月日年月日)Durationofservice(ymdymd)勞務(wù)人數(shù)Numberofwkers支付金額及幣種Am

5、ountofpayment（unit）支付日期(年月日)Dateofpayment(ymd)提供勞務(wù)Perfmanceofservice勞務(wù)項(xiàng)目Itemofservice□設(shè)計(jì)勞務(wù)Designing□咨詢勞務(wù)Consultancy□管理勞務(wù)Management□培訓(xùn)服務(wù)Training□技術(shù)服務(wù)Technicalservice□銷售設(shè)備同時(shí)提供勞務(wù)Providingserviceinconnectionwithequipmentssol

6、d□其它(請(qǐng)注明)Others（pleasespecify）納稅方式Methodoftaxpayment□指定扣繳Designatedwithholding□自行申報(bào)Selffiling非居民名稱Name支付人名稱Payer’sname所得項(xiàng)目Itemofincome地址Address郵編Postcode其他項(xiàng)目Otheritems支付金額及幣種Amountofpayment（unit）支付日期（年月日）Dateofpayment(ym

7、d)三、申三、申請(qǐng)適用避免雙重征稅適用避免雙重征稅協(xié)定ApplicationfTreatmentunderDoubleTaxationAgreement:我謹(jǐn)在此申請(qǐng)依據(jù)中華人民共和國(guó)與簽訂的避免雙重征稅協(xié)定第條第款，因承包工程作業(yè)或提供勞務(wù)項(xiàng)目不構(gòu)成在中國(guó)境內(nèi)設(shè)有常設(shè)機(jī)構(gòu)，享受不予征稅待遇。Iherebyapplytobenonliablefenterpriseincometaxasthecontractedconstructions

8、erviceprojectdoesnotconstituteapermanentestablishmentinChinainaccdancewithParagraphArticleoftheTaxAgreementbetweenthePeople’sRepublicofChina.四、聲明四、聲明Declaration:我謹(jǐn)在此聲明以上呈報(bào)事項(xiàng)準(zhǔn)確無(wú)誤。Iherebydeclarethattheabovestatementiscrect

9、completetothebestofmyknowledgebelief.申請(qǐng)人（簽章）：________________Applicant(Signatureseal)：________________五、申五、申請(qǐng)人居民身份人居民身份證明（由申明（由申請(qǐng)人為其居民的其居民的締約締約國(guó)主管稅國(guó)主管稅務(wù)機(jī)關(guān)填寫機(jī)關(guān)填寫或另附或另附對(duì)方主管稅方主管稅務(wù)機(jī)關(guān)出具的機(jī)關(guān)出具的專用證明）。明）。Applicant’sCertificateofR

10、esidentStatus(TobefilledoutbytheresponsibletaxofficeoftheStateinwhichtheapplicantisaresidenttoattachthecertificateprovidedbytheresponsibletaxofficeoftheStateinwhichtheapplicantisaresident).CertificationWeherebycertifytha

11、t(applicant’sname)isaresidentof(nameofState)accdingtotheprovisionsofParagraphofArticleinthe__________________(nameoflaw).Applicant’sserialnumber:Date(ymd):Signaturestampoftaxoffice以下由中國(guó)主管稅以下由中國(guó)主管稅務(wù)機(jī)關(guān)填寫（機(jī)關(guān)填寫（Thefollowingf

12、theuseoftheresponsibletaxofficeofChinaonly）:收到報(bào)告表日期（年月日）Dateofreceipt(ymd)受理人（簽章）Receiver(signature)備注（Note）：稅務(wù)機(jī)關(guān)（蓋章）StampofTaxOffice注：本表一式兩份，一份退申請(qǐng)人，一份由稅務(wù)機(jī)關(guān)留存歸檔。Note:ThisFmisinduplicate.Theapplicantthetaxauthityconcerned