税务局 外国居民享受避免双重征税协定待遇申请表
To Tax Bureau Application for Treatment Under Double Taxation Agreement
一、申请人事项 Details of Claimant: ,19
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个 人 Individual |
姓名 Full name |
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国籍 Ｎationality |
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住所或居所 Domicile or residence |
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邮政编码 Postcode |
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公司或团体 Corporation Or other entity |
名称 Ｎame |
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总机构所在地 Place of Head Office |
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邮政编码 Postcode |
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实际管理机构所在地 Place of effective management |
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邮政编码 Postcode |
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注册所在地 Place of registrartion |
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邮政编码 Postcode |
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二、所得事项 Details of Income:
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股息 Dividends |
支付人名称 Payer`s name |
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地址 Address |
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邮编 Postcode |
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支付金额 Amount of payment |
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支付日期 Date of payment |
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利息 Interest |
支付人名称 Payer`s name |
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地址 Address |
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邮编 Postcode |
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支付金额 Amount of payment |
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合同签字日期 Date of contract |
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合同有效期 Period of contract |
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支付日期 Date of payment |
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特许权使用费 Royalties |
支付人名称 Payer`s name |
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地址 Address |
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邮编 Postcode |
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支付金额 Amount of payment |
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合同签字日期 Date of contract |
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合同有效期 Period of contract |
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支付日期 Date of payment |
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个人劳务所得 Income of personal service |
职业 Occupation |
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