ࡱ> |~{9 R9bjbj{l6666666$ZVVVP$<ZD9x""""""8888888$: <J)86""""")8l"66""8l"l"l""h6"6"8l""8l"@l"$2663" p2u~=ZV f2390D92\&=!|&=3l"ZZ6666*NN@b_z~z3ubh (uNt^@b_12NCQN Nv~zN3ub INDIVIDUAL INCOME TAX RETURN For individuals with an annual income of over 120,000 RMB Yuan ~zNƋ+RS ~zN Ty~{W[bvz  Taxpayer s ID number Taxpayer s name signature/stamp z>k@b^\g: kXheg t^ g e ёUSMOCQR҉R Income year Date of filing: date month year Monetary unit: RMB Yuan ~zNY T Taxpayer s nameVM| NationalityNgq{|W ID TypeNgqSx ID numberbNSeg Date of arrival in ChinaLN ProfessionNL0SǖUSMO Employer~8^E\OO0W Place of residence-NVXQ gHeT|0W@W Address in China Post codeT|5u݋ Tel. number@b_yv Categories of incomet^@b_ Annual Income^~z Tax payable]4cb z Tax pre-paid and withheldbcbz Foreign tax credit^e z Tax owed or overpaidXQIncome from within ChinaXYIncome from outside ChinaT Total]D0ё@b_ Wages and salaries20*NSO]FU7bvuN0~%@b_Income from production or business operation conducted by self-employed industrial and commercial households30[ONNUSMOvbS~%0by~%@b_Income from contracted or leased operation of enterprises or social service providers partly or wholly funded by state assets40RRbl@b_Remuneration for providing services50?zl@b_Author s remuneration60yrCgO(u9@b_Royalties70)Ro`0o`0~)R@b_Interest, dividends and bonuses80"NyA@b_ Income from lease of property90"Nl@b_Income from transfer of property100vP6q@b_ Incidental income110vQN@b_ other incomeT TotalbXf dk~z3ubh/f9hnc 0-NNSNlqQTV*NN@b_zl 0vĉ[kXbv bnxO[/fw[v0S`v0[tev0Under penalties of perjury, I declare that this return has been filed according to the provisions of THE INDIVIDUAL INCOME TAX LAW OF THE PEOPLE S REPUBLIC OF CHINA , and to the best of my knowledge and belief, the information provided is true, correct and complete. ~zN(~{W[)Taxpayer s signatureNtN Ty: (Firm s name) ~RN(~{z) (Preparer s signature): NtN(lQz)(Firm s stamp): T|5u݋ (Phone number):StN Ste t^ g e St3ub:gsQ (Responsible tax officer) (Time: Date/Month/Year) (Responsible tax office) kXh{w N0,gh9hnc 0-NNSNlqQTV*NN@b_zl 0SvQ[eagOT 0*NN@b_zL~z3ubRl(ՋL) 06R[ (uNt^@b_12NCQN Nv~zNvt^^L3ub0 N0 g~zINRv*NN SN1u,gNbYXbNNN~zt^^~NT3*NgNQT;N{zR:gsQb,gh0 N cgqĉ[gPb,ghe ^S_(Wĉ[vbgPQcQ3u ~S_0WzR:gsQybQ SNS_^g0 N0kXQ,gh^S_O(u-Ne _NSN Te(u-N0Y$NyeW[0 V0,ghThvkXQfY N 10~zNƋ+Rx0~zN Ty~zNS_vt^@b_-N+T*NSO]FU7bvuN0~%@b_T[ONNUSMOvbS~%0by~%@b_ekXQ,gh0 ~zNƋ+RxkXQzR{vSx0 ~zN TykXQ*NSO]FU7b0*NNrDON0TOON Ty bbSby~%vONNUSMO Ty0 20z>k@b^\gTkXheg z>k@b^\g kXQ~zN[ES_@b_vt^^kXheg kXQ~zNRt~z3ubv[Eeg0 30Ngq{|W kXQ~zNv gHeNNN0bgq0VaN0QNNNI{ Ty0 40NgqSx kXQ~zN gHeNN NvSx0 50bNSeg kXQ-NVXQeOO@b~zNbNSv[Eeg0 60LN kXQ~zNv;NLN0 70NL0SǖUSMO kXQ~zNvNL0SǖUSMO Ty0~zN gY*NNL0SǖUSMOe kXQSt3ubvNL0SǖUSMO0 80~8^E\OO0W /fc~zNy_7bM|@b(W0WgTޏ~E\OONt^N Nv0We0 90-NVXQ gHeT|0W@W kXQ~zNvOO@Wb gHeT|0W@W0-NVXQeOO@bE\lOO(WlQ[0[0m^v ^S_kXQlQ[0[0m^ TyT?bSx0 100t^@b_ kXQ(W~zt^^QS_v^@b_yvv6eeQ;`0t^@b_ c 0*NN@b_zL~z3ubRl 0vĉ[{0 Ty@b_v{ NNl^:NUSMO0@b_:NYV'^v cgqV[YGl{t:gsQĉ[vYGlLrNWN bTbNl^{0 110]4cb z kXQS_gS_yv@b_(W-NVXQ]~4~bcb4INRN]~cb4vz>k0 120bcbz kXQ*NN@b_zlAQbcbv(W-NVXY]~4~v*NN@b_zz0 130,gh:NA4*j_0N_$NN ~zNYuX[NN zR:gsQYuX[NN0 Instructions I. This return is designed for individuals with an annual income of over 120,000 RMB Yuan in accordance with THE INDIVIDUAL INCOME TAX LAW OF THE PEOPLES REPUBLIC OF CHINA, THE IMPLEMENTING RULES OF THE INDIVIDUAL INCOME TAX LAW OF THE PEOPLES REPUBLIC OF CHINA and THE SELF DECLRATION RULES CONCERNING INDIVIDUAL INCOME TAX (provisional). II. Taxable individuals have the obligation to fill out and submit the return to the local tax authority within 3 months after the end of the tax year, either by themselves or other entrusted preparers. In case of inability to file the return within the prescribed time limit an application should be submitted to the local tax authority within prescribed time limit and upon the tax authoritys approval the filing deadline may be extended. III. The return should be filled out in Chinese or in both Chinese and a foreign language. IV. Instructions for filling out various items: 10Taxpayer s ID number and Taxpayer s name: this item is to be filled out by taxable individuals who make part or all of their annual income from production or business operations by self-employed industrial and commercial households, or from contracted or leased operation of enterprises or social service providers partly or wholly funded by state assets. Taxpayers ID number: the number on the tax registration certificate. Taxpayers name: the name of the taxable self-employed industrial and commercial households, individually-owned enterprises, partnerships, or enterprises or social service providers partly or wholly funded by state assets under contracted or leased operation. 20Income year and Date of filing Income year: the year in which the taxpayer receives the income; Date of filing: the actual date when the return is filed. 30ID Typesthe name of the effective identification certificate of the taxpayer (ID Card, passport, military staff certificate, returning permit, etc.) 40ID numberthe number of the effective identification certificate of the taxpayer. 50Date of arrival in Chinathe actual date of arrival in China for the taxpayer that has no residence in China. 60Professionthe main profession of the taxpayer. 70Employerthe taxpayer s employer. The name of the employer for the reporting shall be filled if there are more than one employer. 80Place of residencethe last place where the taxpayer has lived for successively more than 1 year away from the place where he or she is registered as a permanent resident. 90Address in China The address or the effective contacting address of the taxpayer. For a person without a residence who lives in a hotel, it means the room number and the hotel name. 100Annual incomethe total amount of the corresponding items of income in the tax year. The annual income is calculated in accordance with THE IMPLEMENTING RULES OF THE INDIVIDUAL INCOME TAX LAW OF THE PEOPLE S REPUBLIC OF CHINA and THE SELF DECLARATION RULES CONCERNING THE INDIVIDUAL INCOME TAX The calculation shall be in RMB Yuan. Those in foreign currencies shall be converted to the RMB Yuan on the basis of the foreign exchange rate quoted by the competent state foreign exchange authority. 110Tax pre-paid or withheldthe amount of the tax paid or withheld for the current items of income within China. 120Foreign tax creditthe amount of the individual income tax paid outside China that can be credited against the Chinese tax in accordance with THE INDIVIDUAL INCOME TAX LAW OF THE PEOPLE S REPUBLIC OF CHINA. 130This form is in A4 horizontal format with two duplicates: one for the taxpayer and the other for the tax office for keeping. 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