3非居民享受税收协定待遇执行情况报告表.xls

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Annex 3 非居民享受税收协定待遇执行情况报告表
Report of implementation of non-resident's treatment under Double Taxation Agreement(DTA)
填报日期Date 年月日 Y/M/D
1填报人名称
Name 2填报人纳税识别号
Tax indentification number 3填报人类型
This form is filed by □纳税人
Taxpayer
□扣缴义务人
Withholding agent
如填报人为扣缴义务人,请填写第4栏和第5栏
If this form is filed by withholding agent, please fill in Blanks 4 & 5.
4纳税人名称
Taxpayer's name 5纳税人纳税识别号
Taxpayer's tax identification number
6
序号
No. 7
税收协定待遇类型
type of treaty treatment 8
所得类型
Type of e 9
适用税收协定及条款
Applicable DT A and articles 10 审批文书编号或备案报告时间 Approval document serial number or record time 收入额或应纳税所得额
Amount of gross e or taxable e 减免税额
Tax deduction or exemption
11审批申请数额或备案报告数额
Amount specified in application or record 12实际发生数额
Actual amount 13审批申请数额或备案报告数额
Amount specified in application or record 14实际执行数额
Actual amount deducted or exempted









填表说明:
Note




,适用于实际执行审批类税收协定待遇的纳税人或扣缴义务人。
This form is attached to the tax declaration of non-resident or the report of tax withheld by withholding agent. It is applicable to the taxpayer or withholding agent who has enjoyed the treatment approved under DTA.
2填报人为扣缴义务人的,应按享受税收协定待遇的不同纳税人分别填报本表。
If this form is filed by a withholding agent, one form is applicable to one taxpayer only.
。类型代码为:备案类--1;审批类--2。
Fill in Blank 7 with the