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附件2Annex2非居民享受税收协定待遇审批申请表Non-resident'sclaimfortreatmentunderDoubleTaxationAgreement(DTA)(forapproval)填报日期Date年月日Y/M/D1纳税人名称Taxpayer'sname2纳税人纳税识别号Taxpayer'staxidentificationnumber3纳税人类型Typeoftaxpayer□企业Enterprise□个人Individual4纳税人境内地址AddressinChina5境内联系电话TelephonenumberinChina6境内邮政编码PostalcodeinChina7纳税人境外地址Addressinhomecountry8境外联系电话Telephonenumberinhomecountry9境外邮政编码Postalcodeinhomecountry10序号No.11项目Item12所得类型Typeofincome项目所得类型13纳税方式Approachoftaxpayment14支付人或扣缴义务人名称Nameofpayerorwithholdingagent15支付人或扣缴义务人纳税识别号Taxidentificationnumberofpayerorwitholdingagent16申请适用税收协定及条款ApplicableDTAandarticles17是否属于关联交易Anassociatedtransactionornot18收入额或应纳税所得额Amountofgrossincomeortaxableincome19减免税额Taxdeductionorexemption20备注Additionalinformation21符合享受税收协定待遇规定条件的理由ReasonsforenjoyingtreatmentunderDTA22本次申请附报资料清单Listofdocumentsattachedtothisapplicationform⑴⑵⑶⑷⑸23与本次申请享受税收协定待遇有关但以前提交的资料清单Listofdocumentsthathavebeensubmittedbefore⑴⑵⑶⑷⑸24声明Declaration我谨声明以上呈报事项准确无误。Iherebydeclarethattheaboveinformationistrueandcorrect.纳税人印章或签字Stamporsignatureoftaxpayer:年月日Y/M/D代理人印章或签字Stamporsignatureofattorney:年月日Y/M/D25纳税人居民身份证明(由纳税人为其居民的缔约对方税务主管当局或其授权代表填写,或另附由该税务主管当局或其授权代表出具的专用证明)Applicant'sCertificateofResidentStatus(tobefilledoutbythecompetentauthorityoritsauthorizedrepresentativeoftheothercontractingpartyofwhichtheapplicantisaresident,oraseparatecertificateissuedbysuchauthorityorrepresentativecouldbeattached)CertificationWeherebycertifythat(applicant'sname)isaresidentof(nameoftheothercontractingparty)accordingtotheprovisionsofParagraph,ofArticleinthe(nameoflaw).Stamporsignatureofthecompetentauthorityoritsauthorizedrepresentative:Date(y/m/d)26接受税务机关或其授权人印章或签字:Stamporsignatureoftheresponsibletaxofficeoritsauthorizedrepresentative年月日Y/M/D填表说明:Note1.本表适用于提出享受税收协定待遇审批申请的非居民。Thisformisapplicabletonon-residentapplyingfortreatmentunderDTA.2.本表第11栏中项目按交易或合同名称填报。FillinthenameofthetransactionorcontractinBlank11.3.本表第12栏中所得类型按所得类型代码填写,各所得类型代码为:营业利润--7;股息