A03057《非居民纳税人享受.docVIP

A03057 《非居民纳税人享受税收协定待遇情况报告表（个人所得税B表）》 非居民纳税人享受税收协定待遇情况报告表（个人所得税B表） Reporting Form for Non-resident Taxpayer Claiming Tax Treaty Benefits (Form B for Individual Income Tax) （享受税收协定常设机构和营业利润、独立个人劳务条款待遇适用） (Applicable to Tax Treaty Benefits under the Articles of Permanent Establishment and Business Profits, or Independent Personal Services) 填表日期： 年 月 日 Fillig date: Y M D 货币单位 ：元人民币 Currency unit: RMB ○自行申报 ○扣缴申报 ○退税  Self-declaration Withholding Declaration Tax Refund 一、扣缴义务人基本信息 I.Basic Information of Withholding Agent 扣缴义务人名称Name of withholding agent 　 扣缴义务人纳税人识别号Tax identification number of withholding agent 　 二、非居民纳税人基本信息II. Basic Information of Non-resident Taxpayer 非居民纳税人中文名称Chinese name of non-resident taxpayer 　Name of non-resident taxpayer in resident state (region) 　 非居民纳税人身份证件类型Type of ID certificate 　Number of ID certificate 　 非居民纳税人享受税收协定名称Name of the applicable tax treaty 　 享受税收协定待遇条款Applicable articles of tax treaty ○ 常设机构和营业利润条款 Permanent Establishment and Business Profits ○ 独立个人劳务条款 Independent Personal Services 三、非居民纳税人在中国从事专业性劳务或其他独立性活动情况 III. Professional Services or Other Independent Activities by Non-resident Taxpayer in China 1．请简要说明非居民纳税人所从事专业性劳务或者其他独立性活动的类型与性质（可另附职业资格证明）。 Please briefly explain the type and nature of the professional services or other independent activities conducted by the non-resident taxpayer (professional qualification certificate could be attached). 2．非居民纳税人在中国境内从事专业性劳务或者其他独立性活动，是否设有经常使用的常设机构或固定基地？ Does the non-resident taxpayer have a frequently-used permanent establishment or fixed base for conducting professional services or other independent activities in China? □ 是 请在下一题中说明 Yes. Please answer the next question □ 否 No *3．非居民纳税人设在中国境内的常设机构或固定基地地址 Address of the non-resident taxpayers permanent establishment or fixed base in C