ࡱ> jli` RnRbjbjss2f6```````t|!|!|!|!!t*.x"x"x"x"x"x"x"x")))))))$+h<.:)i`9$x"x"9$9$)``x"x"`* & & &9$`x"`x") &9$) & &`` &x"l" 3~ةf|!9$ &-&v*0* &v.%v. &v.` &$x"Z"@ &#4F#x"x"x"))% x"x"x"*9$9$9$9$ttttttttt``````  ^E\lNSOS[_GNOo`bJTh(uNON Personal Information of non-residnets claiming for treatment under Double Taxation Agreement(DTA)(for enterprise)00000000000kXbeg Date 000000t^ g e Y/M/D gb~[ez6eE\l`Q Qualification as a fiscal resident of the other contracting party(W~[ev Ty Name in the other contracting party000-Ne Ty Name in Chinese0003(W~[e~zƋ+RS Tax identification number in the other contracting party004(W~[evON{|W0Business type in the other contracting party0000%wQ grz~z0WMOv%)R[SO Business entity with independent tax status % NwQ grz~z0WMOv%)R[SO Business entity without independent tax status %?e^Government %^%)R~~ Non-profitable organization %vQN Others5Yl Additional information6gb~[ez6eE\lvVQl_Oncc: Legal provisions prescribing the status of the taxpayer as a fiscal resident of the other contracting party 7gb~[ez6eE\lvN[`Qc: Description of facts based on which the taxpayer qualifies as a fiscal resident of the other contracting party N-NVS_v@b_(W~[e~z`QPNReQz6eOS[(uVvzy Information of tax payment in the other contracting party on the income derived from China (taxes covered by DTA only)8 ^S No.9 zy Ty Type of tax 10 (uzsbzsh Effective tax rate(s) 11 NS~[eVQQMQzO`vl_OncSagec Legal provisions prescribing tax deduction or exemption enjoyed in the other contracting party 00000000gяNt^Qvcbcc,gONCgvN0RN Nv,{ NeN`Q Information of shareholders holding directly or indirectly at least 10 per cent of shares of the applicant in the past year, who are from jurisdictions other than China & the contracting party12N Ty Name13@b(W0W Location14ckO Share in %000000(W~[ev~%`Q Operation in the contracting party15gяNt^(W~[ev;N~%yvSNRc Description of major operation projects and business in the contracting party in the past year 016gяNt^egnN~[ev6eeQ;` Total amount of gross income arising in the contracting party in the past year017gяNt^(W~[evǖXTNpe Number of employees in the other contracting party in the past year0gяNt^T\egNMON,{ NevsQTeNf/eN`Q Transactions and payments to associated parties from jurisdictions other than China & the other contracting party in the past year and in the future18 sQTNf[e Ty Name of associated party 19 @b(W0W Location020 Nf{|W Type of transaction21 /eNё Amount of payment02468  > R ` f h n p T V j    "  ( 4 n t żh>1hao( h>1hahhaOJQJ^JaJhhaCJh*YhaCJ aJ h*YhaCJ aJ o(hhaOJQJ^JaJ'hJwha0JCJOJPJQJaJo(>468 {r $Ifgdabkd$$IfTlf0%"%644 la]pT $Ifgda$5$7$8$9DH$Ifgda$a$gdanR  $Ifgda$5$7$8$9DH$Ifgdabkd$$IfTl0%'"%644 la]pT T V JJkd$$IfTlH%%%644 la]p T $Ifgdabkd($$IfTl0%'"%644 la]pT mdddd $Ifgdakd>$$IfTl\ QQ% L  %644 la]p(T mdd $IfgdakdU$$IfTl\ QQ% L  %644 la]p(T  $Ifgdabkdl$$IfTl0 % '%644 la]pT |2|Jkd*$$IfTl %%%644 la]p T $Ifgdazkd3$$IfTlF Q% L%6    44 la]pT $.N`rtxJLP|BDFHLn2$6pxD DDD D0D2DDJDTDVDZDDDDFFhhaOJQJ^JaJUhhaCJ h>1hah>1hao(T  HbJkd($$IfTlG%%%644 la]p T $IfgdaJkd$$IfTl %%%644 la]p Tmdddd $Ifgdakd$$IfTlG\ Q%,L %644 la]p(Tmdddd $Ifgdakd$$IfTl \ Q%,L %644 la]p(Trmd $Ifgdakd $$IfTl\ Q%',L %644 la]p(Trt2zkd $$IfTlFQQ%` %6    44 la]pT $IfgdaJkd $$IfTl%%%644 la]p T|zkd| $$IfTl,FQQ%'` %6    44 la]pT $IfgdaJLF|2|Jkd>$$IfTl %%%644 la]p T $Ifgdazkd] $$IfTl,FQQ%'` %6    44 la]pTFH  $IfgdaJkd$$IfTlR%%%644 la]p Tmd $Ifgdakd<$$IfTlS\ QQ% L  %644 la]p(Tj $IfgdaJkd7$$IfTl7%%%644 la]p TDD Dmdddd $Ifgdakd$$IfTlW\ QQ% L  %644 la]p(T00000000000kXhf Note1.,gh:N 0^E\lNSz6eOS[_G[yb3uh 0vDh (uN(W 0^E\lNSz6eOS[_G3uh 0,{3h-N bONv~zN0 This form is attached to the form "Non-resident's claim for treatment under Double Taxation Agreement(DTA) (for apprroval)". It is applicable to the taxpayer who selects "Enterprise" in Blank 3(Type of tax payer) in that form.2.,gh,{4h-NwQ grz~z0WMOv%)R[SOT NwQ grz~z0WMOv%)R[SO c/f&T(W~[eUSr4~^\NOS[(uVv@b_z$R[0 bvQN{|Wv ^(W,{5hYl-NfwQSOyr_T'`(0 "Business entity with independent tax status" and "Business entity with dependent tax status" in Blank 4 is determined according to whether the taxpayer is independently liable in the other contracting party to income taxes covered by DTA. If "Others" is selected, please specify the charateristics and nature in Blank 5 (Additional information).3.,ghTh@by @b(W0W cwQ grzz6e{CgvV[b0W:S ,{13hT,{19h-Nv@b(W0W clQ0Wb~8^E\OO0WkXb0 "Location" in this form refers to any independent tax jurisdiction. "Location" in Blanks 13 & 19 refers to place of registration or place of habitual residence as the case may be.4. N[`Qc NhkXR c~[el_gbz6eE\lvN[ OY~[eVQlǑSlQ0WhQ$R[z6eE\lv ^fONlQ0W0lQeI{lQ`Q0 The Blank of "Description of facts" refers to the facts based on which the taxpayer qualifies as a fiscal resident in accordance with laws of the other contracting party. For example, if the status of fiscal resident is determined by place of registration, the place and time of registration shall be provided.5.,{18h,{21h gsQkXbNNMON,{ NevsQTeNf/eN`Q SNkXbTNMON,{ NevsQTe/eN>kyvDёP70yrCgS0cOb/gb{t gRT"NlNf0 For "Transactions and payments to associated parties from jurisdictions other than China & the other contracting party" from Blank 18 to 21, it is only applicable to the payment for transactions on loans, franchise & license, provision of technical or managerial service, and property alienation.6.kXb,gheSƉXRDu0 Additional pages can be attached if necessary. 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