非居民企业承包工程作业和提供劳务享受税收协定待遇报告表
Non-resident Enterprises’ Claim for Treatment under Double Taxation Agreement
(Contracted construction and service projects)
编号 Serial Number：
一、申请人事项Details of applicant:
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公司或团体
Corporation or other entity
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名称Name
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总机构所在地
Place of head office
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邮政编码
Postcode
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实际管理机构所在地
Place of effective management
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邮政编码
Postcode
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注册所在地
Place of registration
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邮政编码
Postcode
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二、所得事项Details of income:
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承包工程
Contracted construction
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支付人名称
Payer’s name
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地址Address
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邮编Postcode
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合同名称
Name of contract
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合同字号
Contract number
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项目地点
Place of project
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项目持续时间
(年/月/日-年/月/日)
Duration of project (y/m/d-y/m/d)
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劳务人数
Number of workers
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支付金额及币种
Amount of payment（unit）
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支付日期
Date of payment
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所得项目
Item of income
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□承包工程 □其他(请注明)
Contracted construction Others（please specify）
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纳税方式
Method of tax payment
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□指定扣缴 Designated withholding □自行申报 Self-filing
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提供劳务
Performance of service
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支付人名称
Payer’s name
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地址Address
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邮编Postcode
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合同名称
Name of contract
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合同字号
Contract number
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劳务地点
Place of service
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劳务持续时间
(年/月/日-年/月/日)
Duration of service (y/m/d-y/m/d)
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劳务人数
Number of workers
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支付金额及币种
Amount of payment（unit）
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支付日期 (年/月/日)
Date of payment (y/m/d)
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