中华人民共和国国家税务局
State Tax Bureau, The People’s Republic of China
扣缴所得税报告表
Income Tax Withholding Return
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扣缴义务人编码： Withholding agent’s file number |
填表日期 年 月 日
Date of filling:__________date
month year
金额单位：人民币元
Monetary Unit: RMB Yuan
根据《中华人民共和国外商投资企业和外国企业所得税法》第19条第2款及其实施细则第67条的规定，特制定本表。扣缴义务人应将扣缴的税款在规定的期限内缴入国库，并向当地税务机关报送本表。
This return is designed in accordance with the provisions of Article 19, Paragraph 2 of the Income Tax Law of the People’s Republic of China for Enterprises with Foreign Investment and Foreign Enterprises and Article 67 of the Detailed Rules and Regulations for the Implementation of the Income Tax Law of the People’s Republic of China for Enterprises with Foreign Investment and Foreign Enterprises. Withholding agent should turn the tax withheld over to the State Treasury within the prescribed time limit and file this return with the local tax authorities.
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扣缴义务人名称 Name of withholding agent |
地址 Address |
电话号码 Tel.number |
邮政编码： Post code | ||||||||||||||||
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纳税人 名称 Name Of tax payer |
纳税人 编码 Tax payer’s number |
所得项目 Categories Of income |
合同号 File Number Of contract |
合同名称 Name of the contract |
取得所得 的日期 Date the Income derived |
收入额 Amount of income |
减：扣除额 Less: deductions |
应纳税 所得额 Amount Of Taxable income |
税率 Tax rate |
扣缴所 得税额 Amount of withholding tax |
完税证字号 Tax Certificate number |
纳税日期 Date Of payment | |||||||
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人民币 RMB |
外币 Foreign currency | ||||||||||||||||||
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名称 Name |
金额 Amount |
汇率 Exchange rate |
人民币 RMB |
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合计 Total |
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如果由扣缴义务人填写完税证，应在报送此表时附完税证副联 份。
In case the tax certificate is filled out by withholding agent, this return should be submitted together with copies of the tax certificate.
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扣缴义务人声明 Declaration by Withholding agent
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我声明：此扣缴秘得税报告表是根据《中华人民共和国外商投资企业和外国企业所得税法》的规定填报的，我确信它是真实的，可靠的、完整的。 声明人签字： I declare that the return is filled out in accordance with the Income Tax Law of China for the Enterprises with foreign Investment and Foreign Enterprises, and I believe that the statements contained in this return are true, correct and complete. (Signature) __
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会计主管人签字： 负责人签字： 扣缴单位(或个人)盖章： 扣缴单位(或个人)盖章：
Accountant General (Signature) Responsible officer (Signature) Withholding agent (Seal)
