附件 2示范文本.docVIP

附件 ２示范文本Annex 2 非居民享受税收协定待遇审批申请表 Non-residents claim for treatment under Double Taxation Agreement(DTA) (for approval) 填报日期Date 年 月 日Y/ M/D 1纳税人名称Taxpayers name 　 2纳税人纳税识别号Taxpayers tax identification number 　 3纳税人类型Type of taxpayer □企业 Enterprise□个人 Individual 4纳税人境内地址Address in China 5境内联系电话Telephone number in China 　 6境内邮政编码Postal code in China 7纳税人境外地址Address in home country 　 8境外联系电话Telephone number in home country 　 9境外邮政编码Postal code in home country 　 11项目Item 12所得类型Type of income　　　 13纳税方式Approach of tax payment 14支付人或扣缴义务人名称Name of payer or withholding agent 15支付人或扣缴义务人纳税识别号Tax identification number of payer or witholding agent 16申请适用税收协定及条款Applicable DTA and articles 17是否属于关联交易An associated transactionor not 18收入额或应纳税所得额Amount of gross income or taxable income 19减免税额Tax deduction or exemption 20备注Additional information 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 符合享受税收协定待遇规定条件的理由 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 本次申请附报资料清单 ⑴ 　 ⑵ 　 ⑶ 　 　 　 　 　 　 　 　 ⑷ 　 　 　 　 　 　 　 　 ⑸ 　 与本次申请享受税收协定待遇有关但以前提交的资料清单 ⑴ 　 ⑵ 　 ⑶ 　 ⑷ 　 ⑸ 　 声　明 我谨声明以上呈报事项准确无误。纳税人印章或签字：年月日代理人印章或签字：年月日 25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） Applicants Certificate of Resident Status(to be filled out by the competent authority or its authorized representative of the other contracting party of which the applicant is a resident, or a separate certificate issued by such authority or representative could be attached) CertificationWe hereby certify that (applicants name) is a resident of (name of the other contracting party)according to the provisions of Paragraph ,of Article in the (name of law). Stamp or signature of