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(@ @  8@ @  (@ @  8@ @  8@ @ 8@  ( 8@ @ 8@ @  8@ @   x@ @   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 8 8@@ 8@ 8 @ 8@ @ 8@ 8 8 8@  8@@  8@  8 @  8@@  8@  8 @ 8@ @    8 8   8@ @     €€S'8^膲_ 0^桬\lON@b梍zt^硚z3uh 0?u嶯nc瀃3uON (u竳膲Sheet1 Sheet2 Sheet3VV" 935.,gh?{18h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 18. If unable to fill in the amount of taxable income precisely, fill in the amount of gross income.+  7 M6.,gh?{18h c6eeQ潣kX剉 ,gh?{19h-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 18, the amount of tax deduction or exemption in Blank 19 is calculated on the bisis of taxable income inferred from the amount of gross income. The process of calculation shall be specified in "Additional information".= 7 7.硚z篘hQCg訷Xb鉔t篘kX,gh坴^D枼bfNb棃cCg訷XbfN剉 颯N(W,gh?{24h講鄗b~{T0 The stamp or signature of taxpayer in Blank 24 is not required if the attorney is fully authorized in written form by the taxpayer. "$, 7 /2硚z篘硚z茓+R鱏 Taxpayer's tax identification number   7) 8僗YT€鹼5u輯 Telephone number in home country  7^桬\l玁譙z6eOS歔卂G悺[yb3u鲖h 7y橆v 724 餢0f Declaration 7 &kX錯gDate t^ g 錯Y/ M/D  7  7 1硚z篘T饄 Taxpayer's name  73硚z篘{|媁 Type of taxpayer 7?ON Enterprise ?*N篘 Individual 74硚z篘僗匭0W@W Address in China  7"5僗匭T€鹼5u輯 Telephone number in China  7  76僗匭異?ex Postal code in China 7 7硚z篘僗Y0W@W Address in home country  7$9僗Y異?ex Postal code in home country  7@b梍{|媁 7$ 10 廭鱏 No.    7 11 y橆v Item    70 712 @b梍{|媁 Type of income000    7 13 硚z筫_ Approach of tax payment    7|114 /e豊篘bcb4IN篘T饄 Name of payer or withholding agent   7@I15 /e豊篘bcb4IN篘硚z茓+R鱏 Tax identification number of payer or witholding agent    7@+16 3u鲖?uz6eOS歔蔛ag>k Applicable DTA and articles    7,17 /f&T^\嶯sQT€f An associated transactionor not   7@718 6eeQ潣b擽硚z@b梍潣 Amount of gross income or taxable income    7€$19 螿MQz潣 Tax deduction or exemption    720 Y鑜 Additional information    7=21&{T玁譙z6eOS歔卂G惸墯[ag鯪剉t1u Reasons for enjoying treatment under DTA  7t$ 7u$ 7v$ 7w$ 7x$ 7M23N,g!k3u鲖玁譙z6eOS歔卂G gsQFO錘MR衏剉D崣enUS List of documents that have been submitted before 7d1.,gh?u嶯衏鶴玁譙z6eOS歔卂G悺[yb3u鲖剉^桬\l0 This form is applicable to non-resident applying for treatment under DTA. 74.,gh?{13h-N硚z筫_ c{|媁鉔鱏kX橯 {|媁鉔鱏:N陙L?u恘蒷cb40 Choose from the following codes for Blank 13 (Approach of tax payment): 1 Self-declaration; 2 Withholding at source.( 7 D桍N  Annex 2   7 kXh堲f Note 7S2.,gh?{11h-Ny橆v cfbT TT饄kX0 Fill in the name of the transaction or contract in Blank 11. 793.,gh?{12h-N@b梍{|媁 c@b梍{|媁鉔鱏kX橯 T@b梍{|媁鉔鱏:N%N)Ro`)Ro`yr笅CgO(u9"崸N6e蕍靣藌*N篘砇@b梍^楈r藌*N篘砇@b梍vQ諲@b梍0T@b梍R_{| c?u剉z6eOS歔鴙擽ag>k膲歔gbL FO%N)RS靊?uz6eOS歔N,?N)Rag>k孴ho禰0袕≧XTI{yr妅ag>k剉%N)R靣藌*N篘砇@b梍S靊?uz6eOS歔N,傡r藌*N篘砇ag>k孴ho禰0袕≧XTI{yr妅ag>k剉靣藌*N篘砇@b梍^楈r藌*N篘砇@b梍S靊?uz6eOS歔N,俕楈r藌*N篘砇ag>k孴ho禰0袕≧XTI{yr妅ag>k剉^楈r藌*N篘砇@b梍 Choose from the following codes for Blank 12 (Type of income):1.business profit; 2 dividend; 3 interest; 4 royalties; 5 capital gains; 6 independent personal service income; 7 dependent personal service income; 8 other income. 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.08 7* b(岎Xf錘 NHT婲y樒Qnx鄀飲0I hereby declare that the above information is true and correct. 0 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 <V 錯Y/M/DVa€$%* 726;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  7B22,g!k 3u鲖D枼bD崣enUS List of documents attached to this application form  7VNon-resident's claim for treatment under Double Taxation Agreement(DTA) (for approval) 7V25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: %  5#>6cc 晾 p<\榞odv瑌魟<創虤\ぐ旆4|耐 T溿潢,td  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} @} }  }  }  }  } €} } € } } `} } } }  ((@(@(,(F@(@(@(@((h@ (@ (@ (<@ (@(@(@(@@@@@@@@@@@ @-@*@*@*@*@ S)T YZZZZZZZZZ W0WWWWWWWWWW UVVVVVV G GLMMMN  OQ    R  G GG O PPPQ  OQ    O Q GGOPPPQ  OQ    OQ ! ! ! 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U>@7 SummaryInformation(DocumentSummaryInformation8 CompObj j Microsoft Sheet1Sheet2Sheet3 工作表?  FMicrosoft Office Excel 工作表Biff8Excel.Sheet.8?瞦