中国居民身份证明申请审批表
编号:
编号:No.中华人民共和国国家税务总局中国居民身份证明
State Administration of TaxationCertificate of Chinese Resident Status
The People’s Republic of China(Application for the Double Taxation
Avoidence Agreement)
兹证明:
This is to certify that:
1、个人姓名Name _____________ 职业 Occupation __________________Individual
在
华
居
所或
住
所
___________________________________________
Demicile or Residence in China公司或团体____________________________________________________Corporation总机构所在地
名称
Or other entityPlace of head office _______________________________________
2、在________________取得(或将取得)下列所得
has
derived
or
will
derive
the
following
income
定,是中国居民。
IsaChineseresident ,accordingtotheprovisionsofArticle _______ inthe
AvoidenceofDoubleTaxationAgreementBetweenthePeople’s
Tepublicof
Chinaand_____________.
签署人:签署日期年月日
ApprovedbyDateYMD
主管税务机关(公章)
OfficialSeal
中国居民身份证明
申请人居民身份证明(由申请人为其居民的缔约国主管税务机关填写);或
另附对方管税务机关出具的专用证明。
CertificateofResidentStatusofClaimant(Fortheuseof
responsibletax
officeoftheContractingStateinwhichtheclaimant)or
attachthespecialcertificateofresidentiuedby
responsibletaxofficeoftheContractingStateinwhichthe
claimantisaresident.
responsibletaxofficeofChinaonly):编号( No.)
StateAdministrationofTaxationStampoftax
office
ThePeople’sRepublicofChina
本表为16开竖式
《中国居民身份证明》审批表(for official use only)(版)