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Taxpayer’s name
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Address |
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Telephone |
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Postcode |
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Type of unit |
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Level of budget |
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Opening bank |
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Account number |
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Items |
Line number |
Booked amount |
Self-adjusted amount according to tax laws |
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1. Total income |
01 |
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01. Financial subsidy |
02 |
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02. Subsidy from superior level |
03 |
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03. Specially allocated fund |
04 |
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04. Undertaking income |
05 |
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05. Operational income |
06 |
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06. Amount turned over by subsidiary units |
07 |
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07. Other incomes |
08 |
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2. Deductible income items exempted from corporate income tax |
09 |
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01. Funds, capital and additional incomes whose collection has been approved by the State Council and the Ministry of Finance and which have been included the budgetary and extra-budgetary fund special-account management |
10 |
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02. Administrative and undertaking charges whose collection has been approved by the State Council and the provincial governments and which have been included into the budgetary and extra-budgetary fund special-account management |
11 |
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03. Extra-budgetary funds that have been approved by the Ministry of Finance for not being turned over for special-account management |
12 |
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04. Special subsidies received from the competent authorities and superior units |
13 |
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05. Incomes received from the after-tax profits of subsidiary independent accounting units |
14 |
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06. Subsidies received by social groups from the governments at all levels |
15 |
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07. Membership dues collected according to the provisions of the civil affairs and financial departments at or above the provincial level |
16 |
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08. Donations from various sectors of society |
17 |
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09. Financial allocations |
18 |
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3. Total taxable income |
19 |
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4. Proportion of total taxable income to total income (to be filled up by the units using the sharing ratio method) |
20 |
— |
% |
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5. Deductible expenditure items |
21 |
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01. Costs |
22 |
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02. wages |
23 |
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03. Employee welfare |
24 |
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04. Employee education |
25 |
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05. Trade union expenses |
26 |
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06. Public-interest and relief donations |
27 |
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07. Business hospitality |
28 |
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08. Net interest expenditure |
29 |
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09. Head office management fee approved to be turned over |
30 |
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10. Social insurance payment |
31 |
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11. Scholarship |
32 |
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12. Official duty expenses |
33 |
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13. Business expenses |
34 |
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14. Depreciation |
35 |
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15. Amortization of intangible assets |
36 |
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16. Amortization of deferred assets |
37 |
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17. Losses arising from assets transfer, inventory loss, damage and write-off |
38 |
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18. Net loss arising from exchanges |
39 |
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19. Loss arising from bad accounts |
40 |
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20. Rental expenditure |
41 |
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21. R&D expenses and additional deductions |
42 |
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22. Marketing (operational) tax and surcharges |
43 |
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23. Other expenditure items |
44 |
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6. Earnings |
45 |
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Minus: making up previous year’s operational loss |
46 |
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Minus: tax-free earnings arising from approved tax reduction and exemption |
47 |
— |
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7. Taxable earnings |
48 |
— |
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Applicable tax rate |
49 |
— |
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8. Payable income tax |
50 |
— |
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Plus: Overdue tax payment (rebate) arising from previous year’s profit and loss adjustment |
51 |
— |
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Plus: Overdue tax payment for domestic investment returns |
52 |
— |
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Plus: Overdue tax payment for overseas investment returns |
53 |
— |
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Plus: Unpaid income tax at the beginning of the period |
54 |
— |
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Minus: Paid-up income tax |
55 |
— |
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9. Income tax to be paid (refunded) at the end of the period |
56 |
— |
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Legal representative (signature & seal):
Account in charge (signature & seal):
Official seal:
__ (month) __ (day), __ (year)
(To be filled up by self-declared taxpayer)
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Agent (signature) Agent’s professional license number:
Agency’s official seal:
__ (month) __ (day), __ (year)
(To be filled up by those entrusting intermediary agent for tax declaration) |
Handling tax authority:
(Official seal)
Handled by:
Checked by:
__ (month) __ (day), __ (year)
(To be filled up by the tax authority) |