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The income categorization is made in accordance with the applicable articles of DTA. Business profit includes the business profit stipulated both in the Business Profit Article and other articles such as Artistes and Sportsmen. Independent personal service income includes the service income stipulated both in the Independent Personal Services Article and other articles such as Artistes and Sportsmen. Dependent personal service income includes the service income stipulated both in the Dependent Personal Services Articles or income from Employment and other articles such as Artistes and Sportsmen. 75.,gh?{15h-N硚z筫_ c{|媁鉔鱏kX橯 {|媁鉔鱏:N陙L?u恘蒷cb40 Choose from following codes for Blank 15 (Approach of tax payment): 1 Self-declaration; 2 Withholding at source. 7m1.,gh?u嶯梺壂N譙YHh{|z6eOS歔卂G悇v^桬\l0 This form is required for non-residnets claiming for treatment under DTA by record.m 7 G2.,gh?{10h-N 鸑UO,{ N筫z6eE\l /fc(W鸑UO,{ N筫d柵N郪eg恘嶯鍕筫剉@b梍bPW=剮N鍕筫剉"崸N €(W鍕筫 g硚zINY 貜 gvQ諲硚zIN剉篘0 "Fiscal resident in a jurisdiction other than China & the other contracting party" in Blank 10 refers to a taxpayer that has tax payment obligations in that jurisdiction not only for income arising therefrom or for ownership of property situated therein.  I 7 6.,gh?{20h擽OHQ c擽硚z@b梍潣kXN齹芉nxkX擽硚z@b梍潣剉  c6eeQ潣kX0 Fill in the amount of taxable income in Blank 20. If unable to fill in the amount of taxable income precisely, fill in the amount of gross income.  7L7.,gh?{20h c6eeQ潣kX剉 ,gh?{21h-N剉螿MQz潣 cgq1u6eeQ潣╟梴剉擽硚z@b梍潣梴 v^擽(WY鑜h-N魦f╟梴菑 z0 If the amount of gross income is filled out in Blank 20, the amount of tax deduction or exemption in Blank 21 is calculated on the basis of taxable income inferred from the amount of gross income. The process of calculation shall be specified in "Additional information".=L  7v$^桬\l玁譙z6eOS歔卂GYHhJTh   7y橆v 7cb4IN篘 T饄 7x$ 7UNon-resident's claim for treatment under Double Taxation Agreement (DTA) (for record) 7  7@b梍{|媁 74硚z篘僗匭0W@W Address in China   7 !5僗匭T€鹼5u輯 Telephone number in China 7 12 廭鱏 No.  7 13 y橆v Item  714 @b梍{|媁 Type of income  715 硚z筫_ Approach of tax payment 7216 /e豊篘bcb4IN篘T饄 Name of payer or withholding agent  7J17 /e豊篘bcb4IN篘硚z茓+R鱏 Tax identification number of payer or withholding agent  7)18 ?u剉z6eOS歔蔛ag>k Applicable DTA and articles 7-19 /f&T^\嶯sQT€f An associated transaction or not   7720 6eeQ潣b擽硚z@b梍潣 Amount of gross income or taxable income  722 Y鑜 Additional information  7u$ 7v$ 7w$ 71硚z篘T饄 Taxpayer's name 7/2硚z篘硚z茓+R鱏 Taxpayer's tax identification number  73硚z篘{|媁 Type of taxpayer 7?ON Enterprise ?*N篘 Individual 76僗匭異?ex Postal code in China  7 kX錯gDate0 t^ 0g0 錯 Y/M/D  7 7硚z篘僗Y0W@W Address in home country  7)8僗YT€鹼5u輯 Telephone number in home country  7$9僗Y異?ex Postal code in home country  7w10硚z篘/f&T刧b鸑UO,{ N筫z6eE\l Is the taxpayer a fiscal resident of a jurisdiction other than China & the other contracting party?  7?/f Yes ?&T No  7:11俌10h ?f 鲖R:y,{ N筫T饄 If "yes" is in Blank 10, please specify  7=23&{T玁譙z6eOS歔卂G惸墯[ag鯪剉t1u Reasons for enjoying treatment under DTA  7524,g!kYHhD枼bD崣enUS List of documents attached to this form  7t$ 7u$ 7G25N,g!kYHh gsQFO錘MR騗衏剉D岦l檈nUS List of documents that have been submitted before  726 餢0f Declaration  7#21 螿MQz潣 Tax deduction or exemption  7 D桍N  Annex 1 7 kXh堲f Note 7) b(岎Xf錘 NHT婲y樒Qnx鄀飲00I hereby declare that the above information is true and correct. 硚z篘pS鄗b~{W[Stamp or signature of taxpayer t^ g 錯Y/M/D 鉔t篘pS鄗b~{W[ Stamp or signature of attorney t^ g 錯Y/M/DX`~#$ 7H  28;Nz:gsQbvQ坈Cg篘pS鄗b~{W[ Stamp or signature of the responsible tax office or its authorized representative t^ g 錯Y/M/D  78.硚z篘hQCg訷Xb鉔t篘kX,gh坴^D枼bfNb棃cCg訷XbfN剉 颯N(W,gh?{26h講鄗b~{T0 The stamp or signature of taxpayer in Blank 26 is not required if the attorney is fully authorized in written form by the taxpayer. "$, 7襴V27硚z篘E\l珟齆翄f1u硚z篘:NvQE\l剉鵞筫z;NS_@\bvQ坈Cg鉔h坘X橯 b鍿D?u鍕z;NS_@\bvQ坈Cg鉔h堹QwQ剉N(u翄f  Applicant's 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)A 7   Certification We hereby certify that (applicant's 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 the competent authority or its authorized representative Date(y/m/d)  $) 7 : 7"?T?~o)9-f0cc 晾 @賍砶s d褚MbP?_*+€%,&~窟镧?'~窟镧?(篭.椝邂?)篭.椝邂?MHP Officejet Pro K5300 SeriesC€ 4d?XA4DINU"4p\uSpIUPHdA4 4 [鄀]e] [鄀]e]媅SO4P览览 d€?ADMINISTRATOR<陙≧>44dMicrosoft Office ExcelNoneEXCEL.EXE€€C:\Program Files\Microsoft Office\OFFICE11\EXCEL.EXE IPACDRWDSGATCAPI;獸?鐴佋?Q;Ki気?鳨??x" d?XU} } € } }  }  }  } }  } `} } } € } ` }  }  @))g@)8@),)@)e@)@)@)@) ) )@ )` )@)@)h@)h@h@h@h@h@h@h@h@@! @@ @] @D@I@@@ F1G HIIIIIIIIII 2 22222222222 M# NNNNN EE<<<<<<   JK    L!E <<<<<<<<   < <  "  << E$E <<<<<< %  <<  &  << 4'55556 $( 4) 56':;                 0 X(X (" "  4* 56 % ! ++,-"" &, !*.("" & !*.("" & !*.("" & !/01"" &  ! +.,-"" &, !*.("" &- !*.("" & !*.("" & !/01"" &  ! D/D C3CCCCCCCCCCC"DDCCCCCCCCCCCC @6 AAAAAAAAAAAAB 77 8888888888889 =4 >>>>>>>>>>>>?"############## 32 ))))))))))))* ( ))))))))))))* ( ))))))))))))*D lD."hhrT\\&&2H<<<<H<<<<F&222&22 u@!>@"@#f@$@%V@&@',(,),*,+,,,-,.,/,0,1,2,3,4,5,6,7,8,9,:,;,<,=,>,?, ( ))))))))))))* !( !))))))))))))* "( "))))))))))))* #( #))))))))))))* $( $))))))))))))* %(5 %))))))))))))*"&22222222222222' ( ) * + , - . / 0 1 2 3 4 5 6 7 8 9 : ; < = > ? D$l222222&""""""""""""""""""""""""> @555*%        &&%% ## $$!!""7 晾 剈 d褚MbP?_*+€%"?? U>@7 晾 媣 d褚MbP?_*+€%"?? U>@7 SummaryInformation(DocumentSummaryInformation8 CompObj j Microsoft Sheet1Sheet2Sheet3 工作表?  FMicrosoft Office Excel 工作表Biff8Excel.Sheet.8?瞦