邢唷>? ??:?;  !"#$%&'()*+,-./0123456789???Root Entry F梅F0@Workbook輏Ole ObjInfo??? ? ?@?鄥燆鵒h珣+'迟0HPdx  周怀世  xukangkangMicrosoft Excel@瀿w@€鎈貞壣@€竡E0?胀諟.摋+,0 PXl t| 晾\p xukangkang Ba==?8X@"1嗗媅SO1嗗媅SO1嗗媅SO1嗗媅SO1嗗媅SO1嗗媅SO1Arial1 Arial1嗗媅SO1Arial1嗗媅SO1嗗媅SO1Arial1 Arial1Arial1嗗媅SO1 嗗媅SO+"?"#,##0;"?"\-#,##05"?"#,##0;[Red]"?"\-#,##07"?"#,##0.00;"?"\-#,##0.00A"?"#,##0.00;[Red]"?"\-#,##0.00i*2_ "?"* #,##0_ ;_ "?"* \-#,##0_ ;_ "?"* "-"_ ;_ @_ .))_ * #,##0_ ;_ * \-#,##0_ ;_ * "-"_ ;_ @_ y,:_ "?"* #,##0.00_ ;_ "?"* \-#,##0.00_ ;_ "?"* "-"??_ ;_ @_ 6+1_ * #,##0.00_ ;_ * \-#,##0.00_ ;_ * "-"??_ ;_ @_ \$#,##0_);\(\$#,##0\)\$#,##0_);[Red]\(\$#,##0\) \$#,##0.00_);\(\$#,##0.00\)% \$#,##0.00_);[Red]\(\$#,##0.00\)"$"#,##0_);\("$"#,##0\)!"$"#,##0_);[Red]\("$"#,##0\)""$"#,##0.00_);\("$"#,##0.00\)'""$"#,##0.00_);[Red]\("$"#,##0.00\)72_("$"* #,##0_);_("$"* \(#,##0\);_("$"* "-"_);_(@_).)_(* #,##0_);_(* \(#,##0\);_(* "-"_);_(@_)?:_("$"* #,##0.00_);_("$"* \(#,##0.00\);_("$"* "-"??_);_(@_)61_(* #,##0.00_);_(* \(#,##0.00\);_(* "-"??_);_(@_)? ? ? ? ? ? ? ? ? ? ? ? ? ? ?   ? ,? *? +? )? 0@ @ 0@ @ 8@ @ 8@    8@ @  8@ @  8@ @ 8@ @  8@ @  8 @ 8@  8@@  8 @  8@  8   8@@   8@   8 @ 8@@ 8@ 8 @  8 8@@ 8@ 8 @   8@@  8@  8 @ 8 8  8@@ 8@ 8 @  8@ @ 8 @ 0@@ 0@ 0 @   8@@ 8@ 8 @  8@ @ 8@@ 8 @    8@@ 8 @ €€€€€€`曻Sheet1蟞Sheet2謎Sheet3VV" 51^桬\l玁譙z6eOS歔卂G惈廄N酧o`JTh?u嶯*N篘  7tPersonal information of non-residents claiming for treatment under Double Taxation Agreement(DTA) (for individuals) 7 kX錯gDate000t^0g0錯Y/M/D 7 -1(W鵞筫覻T Name in the other contracting party   7  72-N噀覻T Name in Chinese    7 E3(W鵞筫硚z茓+R鱏 Tax indentification number in the other contracting party  7筫4 禰璣bXT覻T Name of family member  7(5 N硚z篘sQ鹼 relationship with the taxpayer   76 蟸8^E\OO0W habitual residence    77 Y鑜 Additional information    7O刧b鵞筫z6eE\l臽礠: Qualification as a fiscal resident of the other contracting party  78刧b鵞筫z6eE\l剉誰媉漁nc蟘饛: Legal provisions prescribing the status of the taxpayer as a fiscal resident of the other contracting party   79刧b鵞筫z6eE\l剉婲瀃臽礠蟘饛: Description of facts based on which the taxpayer qualifies as a fiscal resident of the other contracting party   7s10(W鵞筫/f&T軴 ggE\@b Does the taxpayer have permanent residence in the other contracting party? 00000000?/f Yes00?&T0No  ': ^ h l q  7| 11(W鵞筫/f&T諷梍gE\YuCg Does the taxpayer have the right to permanently stay in the other contracting party?000000000?/f Yes00?&T No0  5G e p t x {  7F12(W鵞筫軴 g剉昩D崫 Amount of investment kept in the other contracting party   713g褟迯韣12*Ng匭(W鵞筫迯韣b/}\PYu)Ype Number of days of continuous stay or cumulative stays in the other contracting party in the past 12 months     7i14/f&T軴 g鵞筫齎M| Does the taxpayer hold nationality of the other contracting party?0000000000000?/f Yes00?&T No O ^ b f  7蜰-N齎諷梍@b梍(W鵞筫硚z臽礠(P枎NReQz6eOS歔?u凈V剉z蛓): Information of tax payment in the other contractiong party on the income derived from China (taxes covered by DTA only)  715 z蛓T饄 Type of tax  7 !16 ?uz噑bz噑h Effective tax rate(s)  7 z17 玁譙鵞筫齎匭螿MQzO郹剉誰媉漁nc 蔛ag噀蟘饛 Legal provisions prescribing tax deduction or exemption enjoyed in the other contracting party 7 f/f&T刧b,{ N筫z6eE\l Whether a fiscal resident of a jurisdiction other than China & the other contracting party  718/f&T(W,{ N筫 gE\l硚zIN Is the taxpayer liable to tax for his worldwide income in a jurisdiction other than China & the other contracting party? ?/f Yes ?&T No00   7,{ N筫T饄 Name of the jurisdiction  7 19/f&T(W,{ N筫軴 ggE\@b Does the taxpayer have perment residence in a jurisdiction other than China & the other contracting party? ?/f Yes ?&T No0  &7 z |  7,{ N筫T饄 Name of the jurisdiction  720/f&T(W,{ N筫諷梍gE\YuCg Does the taxpayer have the right to permenantly stay in a jurisdiction other than China & the other contracting party? ?/f Yes?&T No   721/f&T(W,{ N筫軴 g剉昩D崫槄嵡 鵞筫昩D崫 Does the amount of investment in a jurisdiction other than China & the other contracting party exceed that in the other contracting party? ?/f Yes ?&T No   7 22g褟迯韣12*Ng匭/f&T(W,{ N筫迯韣b/}厤菑180)Y Does the taxpayer stay in a jurisdiction other than China & the other contracting party for a period or periods exceeding in the aggregate 180 days in the past 12 months? ?/f Yes ?&T No       723/f&T軴 g,{ N筫齎M| Does the taxpayer hold the nationality of a jurisdiction other than China & the other contracting party? ?/f Yes ?&T No u w | ~  7./f&T刧b-N齎z6eE\l Whether a fiscal resident of China  7E24(W-N齎僗匭/f&T gOO@b Does the taxpayer have domicile in China? ?/f Yes00?&T No079=AD 7 S25(W-N齎僗匭/f&T軴 ggE\@b Does the taxpayer have permanent residence in China? ?/f Yes00?&T0 No':EGKP 7 \26/f&T諷梍(W-N齎剉gE\YuCg Does the taxpayer have the right to permanently stay in China? ?/f Yes0?&T No0OQUX[ 7 o27(Wg褟硚zt^匭(W-N齎迯韣b/}\PYu)Ype Number of days of continuous stay or cumulative stays in China in the past taxable year  7 )28(W-N齎軴 g剉昩D崫 Amount of investment in China  7J29/f&TwQ g-N齎齎M| Does the taxpayer hold the nationality of China? ?/f Yes00?&T No0 <>BFI 7 kXh堲f Note  71,gh圍N 0^桬\l玁譙z6eOS歔卂G悺[yb3u鲖h 0D杊 ?u嶯(W 0^桬\l玁譙z6eOS歔卂G?u鲖h 0,{3h-N 愰b:N*N篘剉硚z篘0 This form is attached to the form "Non-resi< dent's claim for treatment under Double Taxation Agreement(DTA) (for apprroval)". Applicable when "individual taxpayer" is selected in Blank 3 in that form. . / <  7 2,gh?{4h-N禰璣bXTS靊M憊P0*gbt^P[sY錘蔛qQ Tu;m剉vQ諲歜{Qba峽Q篘XT0 "Family member" in Blank 4 includes spouse, dependant children, and other dependent family members living together.    '  7 5,gh gsQh-N昩D嵟Nc鵞N≧0蟸%?`D崸N孴 g鱊翄8R剉昩D0 g鱊翄8R昩D c g鱊翄8R裇L€@b(W0Wnx歔昩D?W0 "Investment" only refers to real property, operating assets and securities. Location of security investment is determined by the location of securities' issuer. 6  7j6,gh gsQh-NgE\YuCg/fcE\OO緩擭t^錘 N剉E\YuCg0 "The right to pemanently stay" refers to a right to stay for more than 5 years.   77,gh?{24h-NOO@b c 0-NNS篘lqQ孴齎*N篘@b梍z誰 0蔛vQ瀃絜ag婳孴 gsQz6e膲歔nx歔0 "Domicile" in Blank 24 is determined by the Individual Income Tax Law of the People's Republic of China, Regulations for the Implementation of the Individual Income Tax law and other related provisions.   +  7 &3,gh?{6h-N蟸8^E\OO0W/fcd柵N醤硩錧\O0f[`N梺墑v4N鰁E\OO0W錘Y剉錯8^u;mE\OO0W0T禰璣bXT蟸8^E\OO0WN T剉 擽(WY鑜h-N魦f烻郪 0 "Habitual residence" in Blank 6 refers to the residence for daily life, other than temporary stay for work or study. If family members have different habitual residence, please specify the reasons in "Additional information".   B C D  7 4,gh gsQh-NgE\@bS靊錬 gbb遹剉颯汷E\OO擭t^錘 N剉鸑UOE\OO:W@b0 "Permanent residence" in this form includes any residential location owned or rented by the taxpayer available to live for more than 5 years.  $  7 D桍N 4 Annex 4 7硚z篘鶺,g臽礠 Taxpayer's information 7:  qa(?M?6 cc 晾 @ X&_f 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} @}  }  }  } @}  }  @@@@,v@e@@@,    u@ @@@@H@ @@7@@@X@X@X@@F@ / FFFFF GGGGG > ?? 6077778  "#  "# 123"$#   C C C CDEHI ;=;= ;=;= ;=;= ;=;=;=;=;=;=;=;= 6 !!!!: & ''''( &''''( 122223 122223 12223 12223 122223 6!!!!:   @ AAB@AAB;<<=;<<=;<<= 6!!!!: 9 999  Dl.*"B"L""""""""":" @!(@"5@#@$@%@&@'V@( @)@*@+@,9@-@.@/)@0@1@2@3 @4@5@6@7 @8+@9@:9@;u@<@=@>@?@ 9 999   !9 !999 !! "9 "999 "" #9 #999 ## $9 $999 $$ %6 %77778 &)!&****+ ')"'****+ ()#(****+ ))$)***+ *)%****+ +-&+..../, -,'-%%%%% .%(.%%%%% /%)/%%%%% 0%-0%%%%% 1%.1%%%%% 2%*2%%%%% 3%+3%%%%% 4%,4%%%%%5%%%%%%6%%%%%%7%%%%%%84555559444444:444444;444444<000000=000000>000000?000000Dl66666""""""""""""""">@JI        // !!##""$$<<;;88%%&&''334499::==>>??6677))00112255**--..++((7 晾 噄 d褚MbP?_*+€%"??U>@7 晾 巎 d褚MbP?_*+€%"??U>@7 SummaryInformation(DocumentSummaryInformation8 CompObj j Microsoft Sheet1Sheet2Sheet3 工作表?  FMicrosoft Office Excel 工作表Biff8Excel.Sheet.8?瞦