邢唷> |~{欹9 餜9bjbj{煡煡l6666666$ZVVVP$<ZD9x""""""8888888$: <J)86""""")8l"66""8l"l"l""h6"6"8l""8l"@l"$2663" p2u~=ZV f2390D92\&=!|&=3l"ZZ6666*N篘@b梍z硚z3uh (u嶯t^@b梍12NCQ錘 N剉硚z篘3u INDIVIDUAL INCOME TAX RETURN For individuals with an annual income of over 120,000 RMB Yuan 硚z篘茓+R鱏 硚z篘 T饄~{W[b講鄗  Taxpayer s ID number Taxpayer s name signature/stamp z>k@b^\g: kXh堝eg t^ g 錯 褢潣USMOCQR髞覊R Income year Date of filing: date month year Monetary unit: RMB Yuan 硚z篘覻 T Taxpayer s name齎M| Nationality珟齆翄gq{|媁 ID Type珟齆翄gq鱏x ID number礲NS錯g Date of arrival in ChinaLN Profession鸑L0譙菛USMO Employer蟸8^E\OO0W Place of residence-N齎僗匭 gHeT鹼0W@W Address in China異 Post codeT鹼5u輯 Tel. number@b梍y橆v Categories of incomet^@b梍潣 Annual Income擽硚z潣 Tax payable騗4cb z潣 Tax pre-paid and withheld礲cbz潣 Foreign tax credit擽e z潣 Tax owed or overpaid僗匭Income from within China僗YIncome from outside ChinaT Total錧D0獏褢@b梍 Wages and salaries20*NSO錧FU7b剉u0蟸%凘b梍Income from production or business operation conducted by self-employed industrial and commercial households30鵞O婲NUSMO剉bS蟸%0b遹蟸%凘b梍Income from contracted or leased operation of enterprises or social service providers partly or wholly funded by state assets40砇l慇b梍Remuneration for providing services50?zl慇b梍Author s remuneration60yr笅CgO(u9岪b梍Royalties70)Ro`0o`0)R@b梍Interest, dividends and bonuses80"崸N遹A岪b梍 Income from lease of property90"崸Nl彥婡b梍Income from transfer of property100vP6q@b梍 Incidental income110vQ諲@b梍 other incomeT Totalb餢f dk硚z3uh/f9hnc 0-NNS篘lqQ孴齎*N篘@b梍z誰 0剉膲歔kX剉 bnx酧僛/fw瀃剉0颯`梽v0孾te剉0Under 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. 硚z篘(~{W[)Taxpayer s signature鉔t篘 T饄: (Firm s name) 蟸濺篘(~{鄗) (Preparer s signature): 鉔t篘(lQ鄗)(Firm s stamp): T鹼5u輯 (Phone number):譙t篘 譙t鰁魰 t^ g 錯 譙t3u:gsQ (Responsible tax officer) (Time: Date/Month/Year) (Responsible tax office) kXh坽樺w N0,gh9hnc 0-NNS篘lqQ孴齎*N篘@b梍z誰 0蔛vQ瀃絜ag婳孴 0*N篘@b梍z陙L埑~z3u濺誰(諎L) 06R歔 (u嶯t^@b梍12NCQ錘 N剉硚z篘剉t^陙L3u0 孨0 g硚zIN剉*N篘 颯錘1u,g篘b訷Xb諲篘嶯硚zt^葉哊T3*Ng錘匭T;Nz:gsQ,gh0 N齹 cgq膲歔gP枼b,gh場e 擽S_(W膲歔剉gP枀Q衏鶴3u鲖 蟸S_0Wz:gsQyb芉 颯錘怱_鯺g0 N0kX橯,gh垟^S_O(u-N噀 _N颯錘 T鰁(u-N0Y$N蛓噀W[0 踁0,ghTh剉kX橯魦f俌 N 10硚z篘茓+Rx0硚z篘 T饄硚z篘諷梍剉t^@b梍-N+T*NSO錧FU7b剉u0蟸%凘b梍孴鵞O婲NUSMO剉bS蟸%0b遹蟸%凘b梍鰁kX橯,gh0 硚z篘茓+RxkX橯z{v皨翄鱏x0 硚z篘 T饄kX橯*NSO錧FU7b0*N篘靣DON0TOON T饄 bbSb遹蟸%剟vO婲NUSMO T饄0 20z>k@b^\g孴kXh堝eg z>k@b^\g kX橯硚z篘瀃E栔S梍@b梍剉t^kXh堝eg kX橯硚z篘濺t硚z3u剉瀃E栧eg0 30珟齆翄gq{|媁 kX橯硚z篘剉 gHe珟齆翄鯪珟齆翄0gq0轛aN翄0決篘珟齆翄鯪I{ T饄0 40珟齆翄gq鱏x kX橯硚z篘 gHe珟齆翄鯪 N剉鱏x0 50礲NS錯g kX橯-N齎僗匭鄀OO@b硚z篘礲NS剉瀃E栧eg0 60LN kX橯硚z篘剉;N亯LN0 70鸑L0譙菛USMO kX橯硚z篘剉鸑L0譙菛USMO T饄0硚z篘 gY*N鸑L0譙菛USMO鰁 kX橯譙t3u剉鸑L0譙菛USMO0 80蟸8^E\OO0W /fc硚z篘粂_7bM|@b(W0WgT迯韣E\OONt^錘 N剉0W筫0 90-N齎僗匭 gHeT鹼0W@W kX橯硚z篘剉OO@Wb gHeT鹼0W@W0-N齎僗匭鄀OO@bE\lOO(WlQ覽0綶啓0m櫁^剉 擽S_kX橯lQ覽0綶啓0m櫁^ T饄孴?b魰鱏x0 100t^@b梍潣 kX橯(W硚zt^匭諷梍鴙擽@b梍y橆v剉6eeQ;`潣0t^@b梍潣 c 0*N篘@b梍z陙L埑~z3u濺誰 0剉膲歔梴0 Ty楡b梍剉梴 錘篘l^:NUSMO0@b梍:NY齎'^剉 cgq齎禰YGlt:gsQ膲歔剉YGlLr鱊鶺鱊 榖Tb篘l^梴0 110騗4cb z潣 kX橯S_g諷梍鍕y橆v@b梍(W-N齎僗匭騗蟸4硚bcb4IN篘騗蟸cb4剉z>k0 120礲cbz潣 kX橯*N篘@b梍z誰AQ笅礲cb剉(W-N齎僗Y騗蟸4硚剉*N篘@b梍zz潣0 130,gh:NA4*j_0N_$N齆 硚z篘YuX[N齆 z:gsQYuX[N齆0 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 PEOPLE扴 REPUBLIC OF CHINA, THE IMPLEMENTING RULES OF THE INDIVIDUAL INCOME TAX LAW OF THE PEOPLE扴 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 authority抯 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. Taxpayer抯 ID number: the number on the tax registration certificate. Taxpayer抯 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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