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Heading 1@ Heading 2A Heading 3B Heading 4 CInputD Linked Cell ENeutral FNormal 2 GNormal 3 HNote IOutput JTitle KTotalL Warning TextM Nh Oh 1 Ph 2 Qh 3 Rh 4S] T8^ĉ 2U8^ĉ 2 2 V8^ĉ 3 W8^ĉ 4X8^ĉ 4 2 Y8^ĉ 5 Z8^ĉ 6S['8^ĉ_ 0^E\lON@b_zt^^~z3ubh 0(uNnc[3ubON (u~ĉkbvQNVEЏOS[_GvON@b_z^E\l~zN0:": 7K  N0,gh,{NR1ucb4INRNkXQ Y^E\l~zNL3ub~zRekXQ0,ghvQYOR1u^E\l~zNkXQ0^E\l~zNkXb,gheS9hncXRDu0:: V0^E\l~zN^Y[[tekXQ,gh@bR0Y^E\l~zNl g@bR`Q (Whk Article of shipping, air and land transport in tax treaty 0 NSvQNVEЏOS[ Other international transport agreement (ITA)::\:]^:h 7 N0^E\l~zNS_ T{|@b_SNSOS[_G`Q V. Income Received of the Same Type and Benefits Claimed under Tax Treaty or ITA by Non-resident Taxpayer; 7U kXheg t^ g e Date of filing: Y M D999$9& 7T 3ubeg t^ g e Date of filing: Y M D0999"9$S9 7L Steg t^ g e Date of case acceptance: Y M D999#9% 7II. This form can be used for self-declaration or withholding declaration, as well as for the non-resident taxpayer s application for tax refund. The non-resident taxpayer initiating the self-declaration for claiming tax treaty or international transport agreement benefits, or applying for tax refund, shall complete two copies of the form: one form is to be submitted to the in-charge tax authority at the time of such declaration or application, and the other form is to be kept by the non-resident taxpayer. Where the non-resident taxpayer s China sourced income is subject to withholding tax, administered at source or by means of a designated withholding agent, and the non-resident taxpayer is entitled to tax treaty or international transport agreement benefits, the latter shall complete three copies of the form: one is to be given to the withholding agent to submit to the in-charge tax authority at the time of the withholding declaration, one is to be kept by the withholding agent and another is to be kept by the non-resident taxpayer.  7-III. Part I of the form shall be filled in by the withholding agent, and will not be required in the case of self-declaration. The rest of the form shall be filled in by the non-resident taxpayer. When filling in the form, the non-resident taxpayer can attach separate sheets to the form if necessary. 7' IV. The non-resident taxpayer shall provide accurate and complete information to answer the questions contained in the form. Please write  N/A in the form if a situation described in a question is not applicable for a non-resident taxpayer. For a multiple-choice question, please mark  " in a corresponding box ( % ) or circle ( % ) for a choice that fits a non-resident taxpayer s situation. If a non-resident taxpayer s situation falls into the description of a question marked with  * , answers shall be provided; otherwise, it can be skipped. < ;<<L<M 76  (II) Basic Information of Non-resident Taxpayer"  7pChinese name of non-resident taxpayer: Fill in the full Chinese name used by the non-resident taxpayer in China. 7Name of non-resident taxpayer in resident state (region): Fill in the full English name of the non-resident taxpayer which is used in the non-resident taxpayer s state (region) of residence. 71 7.4 Џ~Sl\PlS\`QRfЏL*~0Џ['N(W-NVXQ@b gl\PlvS\0:<: 7# 8.5 NSVEЏOS[ TykXQNSvVEЏOS[vhQy0:<: 7= 9.6 _~zNNSVEЏOS[vvsQl_ageQfl_age@b^\l_lĉ TyTag>k^S v^_vsQl_age0":<: 7= 10.7 {f~zNSNSvsQVEЏOS[ag>kvN[`Q(Wdkh-NkXQ~zN&{TNSvsQVEЏOS[vwQSON[0:<: 72 11.8 Џ~Sl\PlS\`QRfЏL*~0Џ['N(W-NVXQ@b gl\PlvS\0:<: 7n (V) Income Received of the Same Type and Benefits Claimed under Tax Treaty or ITA by Non-resident Taxpayer 7Question 9,  Has the non-resident taxpayer received any income of the same type sourced in other regions within China over the past three years? : If the non-resident taxpayer has any income of the same type sourced in other regions within China over the past three years, and this is under the jurisdiction of a different in-charge tax authority,  Yes shall be selected, and Question 10 and 11 shall be answered. Please specify all tax treaty or international transport agreement benefits claimed by the non-resident taxpayer for any income of the same type sourced in other regions within China over the past three years in Question 11. Supporting materials can be attached separately. 7Non-resident taxpayer can provide, on a voluntary basis, other materials to justify the non-resident taxpayer s entitlement to the tax treaty or international transport agreement benefits. When providing such mat< erials, please identify all of them on the list.  7`Non-resident taxpayer can provide other information that the non-resident taxpayer believes should be considered by the in-charge tax authority and may be beneficial to justify the non-resident taxpayer s entitlement to the tax treaty or international transport agreement benefits. Please specify the special situations in the additional notes, if any. 7The declaration shall be sealed by the non-resident taxpayer, and/or signed by the legal representative or authorized representative of the non-resident enterprise, and the date of the statement shall be provided. 6.2 wQSOf^E\l~zN@bNNvVEЏ;mRQ[0Y^E\l~zNS_v6eeQS+TVEЏD^\;mR6eeQ wQSOf@bNNVEЏD^\;mR{|WYwQSOf^E\l~zN@bS_v/fwmЏ'Џ6eeQ0wmЏ[Џ6eeQ0ny96yё6eeQ0r^y96yё6eeQ0QyƖň{yё6eeQ0N.U[hy6eeQ0N^:S:g:WЏe[6eeQI{0:<: 7 iReporting Form for Non-resident Taxpayer Claiming Tax Treaty Benefits (Form D for Enterprise Income Tax) 7 Instructions for Filling out the Reporting Form for Non-resident Taxpayer Claiming Tax Treaty Benefits (Form D for Enterprise Income Tax)t  7 1 bVEЏ6eeQ{|WSY Please select types of international transport income (multiple choices) 1 % N96~%[Џb'ЏS_vVEЏ6eeQ The international transport income derived from operating passenger transport or freight transport by ship 2 % Nޘ:g~%[Џb'ЏS_vVEЏ6eeQ The international transport income derived from operating passenger transport or freight transport by aircraft 3 % Nkpf0}lfI{FЏY~%[Џb'ЏS_vVEЏ6eeQ The international transport income derived from operating passenger transport or freight transport by the land transport equipment, such as train or vehicle 4 % VEЏD^\;mR6eeQ Income derived from activities affiliated to international transport business:b:cd:fg:z::::::o:pq:st:~ 7 3^E\l~zN@bS_VEЏvD^\;mR6eeQ/f&TǏ;`6eeQv10% Does the income derived from activities affiliated to international transport by the non-resident taxpayer exceed 10% of the gross income?9!9# 7Q 4Џ~Sl\PlS\`Q The situation of transport routes and ports of call alongside: 71 5NSVEЏOS[ Ty The name of the applicable ITA:  7Q 8Џ~Sl\PlS\`Q The situation of transport routes and ports of call alongside: 7 9^E\l~zNя Nt^/f&T gegnN-NVXQvQN0W:Sv T{|@b_ Has the non-resident taxpayer received any income of the same type sourced in other regions within China over the past three years?:  7 12^E\l~zNL bcOvYfvQ&{TNSOS[_GvvQNDenUS List of other documents provided by the non-resident taxpayer on a voluntary basis to justify entitlement to treaty benefits9% 7 13^E\l~zNNMR]cN dk!kSNMQN͑ YcNvDenUSTcNe List of documents submitted before (and need not to be resubmitted) / Date of submission9$ 73-N0,ghǑ(u-NeS6R\O Y-Neh NN N-Ne:NQ0Yeyr+Rf ^O(u-NekXQ0 7 V. This form is prepared in Chinese and English. In case of divergence in the two languages, the Chinese text shall prevail. Unless otherwise stated, it shall be completed in Chinese. 7 9 N0^E\l~zNW,gOo` a!.Basic Information of Non-resident Taxpayer;  7d ^E\l~zN(WE\lV0W:S ~zNƋ+RS Tax identification number of non-resident taxpayer in resident state (region)9 7 2wQSOf^E\l~zN@bNNvVEЏ;mRQ[0Y^E\l~zNS_v6eeQS+TVEЏD^\;mR6eeQ wQSOf@bNNVEЏD^\;mR{|W0 Please describe the international transport activities undertaken by non-resident taxpayer. If the income obtained by the non-resident taxpayer contains the income arising from the activities affiliated to the international transport, please describe the types of activities affiliated to the international transport in detail.:G 7 6_~zNNSVEЏOS[vvsQl_age Please list out the relevant article under which the taxpayer would be entitled to enjoy the treatment under ITA. : 7 7{f~zNSNSvsQVEЏOS[ag>kvN[`Q Please briefly state the facts based on which the taxpayer could claim for the treatment under ITA.9 7 *10^E\l~zNя Nt^/f&T1\egnN-NVXQvQN0W:Sv T{|@b_NSǏOS[_G Has the non-resident taxpayer claimed treaty benefits for the income of the same type sourced in other regions within China over the past three years?9) 7 *11f^E\l~zNя Nt^1\egnN-NVXQvQN0W:Sv T{|@b_NSOS[_Gv`Q Please indicate the details of any treaty benefits claimed by the non-resident taxpayer for the same type of income sourced in other regions within China over the past three y< ears.9+ 7 (Applicable to Tax Treaty Benefits under the Article of International Transport or Treaty Benefits under International Transport Agreement) 7{ I. This form is applicable to non-resident enterprise income taxpayer who receives international transport income sourced in China, and claims treaty benefits under the article of international transport of a Double Taxation Agreement (DTA, including the DTAs with Hong Kong and Macau Special Administrative Regions) or an International Transport Agreement (ITA) signed by China.'@ 7 N0,ghS(uNL3ubbcb43ub _NS(uN^E\l~zN3uz0^E\l~zNL3ubNSOS[_Gb3uzv ^kXQ,ghN_$NN NN(W3ubNSOS[_Gb3uzeN;N{zR:gsQ NN1u^E\l~zNYuX[[^E\l~zNegnN-NVv@b_[enlcb4bc[cb4{tv ^E\l~zNYNSOS[_G ^kXQ,ghN_ NN NNN1ucb4INRN(Wcb43ubeN;N{zR:gsQ NN1ucb4INRNYuX[Yg NN1u^E\l~zNYuX[0:: 7M (III) Information Related to Entitlement to the Benefits under Tax Treaty 7(VII) Additional Notes 7(VIII) Declaration 7 Question 2,  Please describe the international transport activities undertaken by non-resident taxpayer. If the income obtained by the non-resident taxpayer contains the income arising from the activities affiliated to the international transport, please describe the types of activities affiliated to the international transport in detail. : For example, income derived from engaging in freight transport by ship, income derived from engaging in passenger transport by ship, rental income derived from leasing ships on charter fully equipped, rental income derived from leasing ships on a bare boat basis, rental income derived from lease of container, income derived rom selling passenger tickets for others, income derived from transporting passengers from downtown to airport, etc.,/u 7Question 4,  The situation of transport routes and ports of call alongside : Please list out the operation routes and all the ports of call where the passengers, goods and mails are transported within the territory of China. 7 12.9 ^E\l~zNя Nt^/f&T gegnN-NVXQvQN0W:Sv T{|@b_Yg^E\l~zNя Nt^(W-NVvQN0W:SS_ T{|@b_ S N TzR;N{:gsQ{t ^ b /f v^kXQ100110(W11-NRf^E\l~zNя Nt^1\egnN-NVXQvQN0W:Sv@b g T{|@b_NSOS[_G`Q SSDfDe0:<:LM:NO:UW:XZ:_a: 7y Self-declaration Withholding declaration Tax refund 7  b(XfN NHTbNyw[0Qnx0e0 I hereby declare that the information given above is true, accurate and error-free. ^E\l~zN~{zb~{W[ t^ g e Seal or signature of the non-resident taxpayer Y M D :::::= 7 N0-NVzR:gsQ\[^E\l~zNcNvOo`DeO[0: 7~VII. 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