1、Tax payers ID number Tax payers name (signature/stamp)税款所属期: 填表日期: 年 月 日 金额单位:元(列至角分)Income year Date of filing: date month year Monetary unit: RMB Yuan个人所得税纳税申报表(To be filled out for purpose of self-reporting income tax by the individual who receive income over 120,000 Yuan in one year)Tax payers f
2、ile number Tax payers name Date of filling: RMB Yuan纳税人姓名Tax payers name纳税人姓名Tax payers name国籍Nationality国籍Nationality身份证照类型ID Type身份证照类型ID style身份证照号码ID number身份证照号码ID nember抵华日期Date of arrival in China抵华日期Date arrived in China职业Profession职业Profession任职、受雇单位Employer任职、受雇单位Employer经常居住地Place of Resi
3、dence经常居住地中国境内有效联系地址Address in China中国境内有效联系地址Address in China邮编Post code邮编Post code联系电话Tel. number联系电话Tel. number所得项目Categaries of income所得项目Categaries of income年所得额 Annual Income年所得额 Annual Receipts应纳税额Tax payable应纳税额Income tax已缴(扣)税额Tax pre-paid and withheld已缴(扣)税额Self-reporting or withholding抵扣税
4、额Tax credit抵扣税额Foreign tax paid应补(退)税额Tax owed or overpaid应补(退)税额Amount of income tax due or over paid境内Income from within China境内Receipts in China境外Income from outside China境外Receipts outside China合计Total合计Total1、工资、薪金所得Wages and salaries1、工资、薪金所得Income from wages and salaries2、个体工商户的生产、经营所得Income
5、from production or business operation conducted by self-employed industrial and commercial households2、个体工商户的生产、经营所得Income form production or business operation conducted by self-employed industrial and commercial households3、对企事业单位的承包经营、承租经营所得Income from contracted or leased operation of enterprise
6、s or social service providers partly or wholly funded by state assets3、对企事业单位的承包经营、承租经营所得Income from contracted or leased operation of enterprises or institutions4、劳务报酬所得Remuneration for providing services4、劳务报酬所得Income form remuneration for personal services5、稿酬所得Authors remuneration5、稿酬所得 Income f
7、rom authors remuneration6、特许权使用费所得Royalties6、特许权使用费所得Income from royalties7、利息、股息、红利所得Interest, dividends and bonuses7、利息、股息、红利所得Income form interest, dividends and bonuses8、财产租赁所得 Income from lease of property8、财产租赁所得 Income form the lease of property9、财产转让所得Income from transfer of property9、财产转让所得
8、Income form the transfer of property10、偶然所得 Incidental income10、偶然所得 Incidental income11、其他所得 other income11、其他所得 Separate income合 计 Total合 计 Total我声明,此申报表是依据中华人民共和国个人所得税法及相关法律法规填报的,我保证它是真实、可靠和完整的。如有不实,我愿意承担相关法律责任。Under penalties of perjury, I declare that this return has been filed according to THE
9、 INDIVIDUAL INCOME TAX LAW OF THE PEOPLES REPUBLIC OF CHINA and other relevant laws and regulations, and to the best of my knowledge and belief, the information provided is true, correct and complete.I declare that this return has been completed according to INDIVIDUAL INCOME TAX LAW OF THE PEOPLES REPUBLIC OF CHINA. I believe that all statements contained in this return are true, correct and complete. 纳税人(签字)Taxpayers SignatureTax payer (Signature)Tax payer (Signature)代理人Agent代理人名称: (Agent name)
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