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for  the estimated duration of the project , please fill in the estimated duration of the project in the time unit specified in the tax treaty to be enjoyed by the non-resident taxpayer. 7 ` 12.10 ^E\l~zNO(uRcb_Ǒ6qDn gsQvňnbY bNNvsQ;mRe`Q \ONc~e cgq^E\l~zNNSz6eOS[@bĉ[veϑUSMOkXQ/}c~gpeb)Ype0NN.%/M7%8N 7 ] Question 10,  Time schedule of usage of relevant device or equipment to explore or exploit natural resources, or engagement in related activities by non-resident taxpayer :  The estimated duration of the work , please fill in the estimated duration of the work in the time unit specified in the tax treaty to be enjoyed by the non-resident taxpayer.S% 7 Question 12,  Are all the activities exercised through this fixed place of business of a preparatory or auxiliary character : A place in which activities of  preparatory or auxiliary nature are carried on has in general the following characteristics:% 7 (1) The activities of the place of business are not carried on independently and do not constitute an essential or significant part of the whole activities of the non-resident taxpayer;1% 7 s Question 19,  Please briefly explain the legal basis and facts pattern which could support the statement that the non-resident taxpayer does not have a PE in China so that the business profit derived from China is not subject to Chinese Enterprise Income Tax. : If the activities conducted by the non-resident taxpayer do not fall into the five scenarios listed in this form and according to the applicable DTA, no PE is constituted in China by the non-resident taxpayer, please quote the relevant provisions in DTA and explain the facts based on which the non-resident taxpayer could enjoy the treatment according to the DTA.% 7 Non-resident taxpayer should make a selection based on the business activities. Please only fill out the questions related to the selected business activities in Part IV. 5%T 7X 2 ^E\l~zN>mc0R-NVXQNXTNpe Number of staff seconded to China by the non-resident taxpayer M%M% 7{Name of withholding agent: The withholding agent should provide its full name as shown in its tax registration certificate.Tax identification number of withholding agent: The withholding agent should provide its identification number as shown in the tax registration certificate. =VI. Instructions on how to fill in each item are as follows: (VII) Additional Notesf(Applicable to Tax Treaty Benefits under the Articles of Permanent Establishment and Business Profits) 70III. 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. pChinese name of non-resident taxpayer: Fill in the full Chinese name used by the non-resident taxpayer in China. ^E\l~zNNSz6eOS[_G`QbJThON@b_zBh "K"5 N0cb4INRNW,gOo` I.Basic Information of Withholding AgentL #! cb4INRN Ty Name of withholding agentM%1 ^E\l~zN-Ne Ty Chinese name of non-resident taxpayer M %M ^E\l~zN(W-NVv~zNƋ+RS Tax identification number of non-resident taxpayer in China M%J ^E\l~zN(WE\lV0W:S v Ty Name of non-resident taxpayer in resident state (region)M%0 ^E\l~zNNSz6eOS[ Ty Name of the applicable tax treatyM% RST T Ty Name of the subcontractM% RSFU Ty Name of the subcontractorsM%* RST T_Yeg Beginning date of the subcontractM %' RST T~_geg Ending date of the subcontractM %7 RR;mRe_Ye Beginning date of the suspension of servicesM %4 RR;mRe~_ge Ending date of the suspension of servicesM %  % /f Yes % &T No M%M% M % M% mQ vQN VI OthersL# ;N{zR:gsQ In-charge tax authorityM% et^N Time (year)M% @b_ё Amount of income M%) mQ0DbDenUS VI. List of Documents Attached L# 1 M%M 2 M%M 3 M%M 4 M%M 5 M%M cNe Submission dateM% N0Yl VII. Additional NotesL# kQ0Xf VIII. DeclarationL#" Nt3ub-NN:gglQz Seal of the tax agent:M % StN Received by:M%= kXheg t^ g e Filling date: Y M D M% M %M%M% 7 '^USMOCQNl^ Currency unit RMBM %M% 79 cb4INRN~zNƋ+RSTax identification number of withholding agentM % 7; N0^E\l~zNW,gOo` II. Basic Information of Non-resident TaxpayerL # 7 1 M%M 7 2 M%M 7 3 M%M 7 4 M%M 7 5 M%M 7&  % /f Yes % &T N< o % elnx[ Not sure M%M% M % M%M%M% 7( cb4INRNlQz Seal of the withholding agent: M % 7; ;N{zR:gsQStN(uz Dedicated seal of the in-charge tax authority:M % 7# ~RN Signature of the case handler:M% 7 V[zR;`@\v6RM 7 kXbfIg (Applicable to Tax Treaty Benefits under the Articles of Permanent Establishment and Business Profits) 7L N0,gh(uNS_egnNbVv@b_ NSbV~{rvMQS͑_zOS[+TN/noMQS͑_z[c -Nv8^:ggT%N)Rmag>k_GvON@b_z^E\l~zN0N 7I  N0,gh,{NR1ucb4INRNkXQ Y^E\l~zNL3ub~zRekXQ0,ghvQYOR1u^E\l~zNkXQ0^E\l~zNkXb,gheS9hncXRDu0N mQ0,ghThkXQY NN" 1.cb4INRN Ty1ucb4INRNkXQzR{v@b}cb4INRNvhQy0N 3.^E\l~zN-Ne TykXQ^E\l~zN(W-NVXQv-NehQy0N 7* 4.^E\l~zN(WE\lV0W:S TykXQ^E\l~zN(WvQE\lV0W:S vehQy0N2 5.^E\l~zN9hnc(W-NVXQ_U\~%;mRv[E`Q b0,{VRNkXQ@b ~%;mR{|WvsQv0NB 16.^E\l~zNSL bcOYf^E\l~zN&{TNSz6eOS[_GvvQNDe0Y^E\l~zNcOvQNDe (WnUS NhQRf0NL 17.SkXQ^E\l~zN:N;N{zR:gsQN㉄vvQN gRNf^E\l~zN&{TNSz6eOS[_GagNvOo`0Y^E\l~zN gyrk`Q _N(WYl-Nlf0N (kQ XfN 7(VIII) Declaration 7 ^E\l~zNNSz6eOS[_G`QbJThON@b_zBh PQP V0^E\l~zN^Y[[tekXQ,gh@bR0Y^E\l~zNl g@bR`Q (WhmcNXT:N[e gRyv,{N!kb-NVeg The first date when expatriates dispatched by the non-resident taxpayer arrive in ChinaM%M% 7B 5 yv/}c~eg/)Y The estimated duration of the project (M/D)M%M%M% 7  N ^E\l~zNO(uRcb_Ǒ6qDn gsQvňnbY bNNvsQ;mR (III) Non-resident Taxpayer Uses Relevant Device or Equipment to Explore or Exploit Natural Resources, or Engages in Relevant Activities in ChinaL%# 7  yv0Wp Location of projectM% 7P 2 T T~[~_gegb~_geg Ending date agreed in the contract or the estimated date M%M% 75 3 [E_Y\ONeg Actual date to implement the contractM%M % 7= 4 \ONc~eg/)Y The estimated duration of the work (M/D)M%M %M% 7\ N ^E\l~zNǏNtN(WXQNN~%;mR (V)Non-resident Taxpayer Operates Business in China through an AgentL# 7@  % rzNtN Independent agent % ^rzNtN Dependent agentM%M %"M#%$M+% 7) 1 rzNtN Ty Name of independent agentM%M % 7G < 2 Nt9hQN/eNagN Charge standard and payment requirement of agency feeM%M% 7k 3 NtN/f&T/fNNNNtNRvN,cOёNtN Is the agent specialized in agency business as the general commission agent?M%M% 7l 5 NtN/f&T~8^N^E\l~zNv TINzT T Does the agent often sign the contract on behalf of the non-resident taxpayer?M%M% 7 6 /f&TX[(WNtN[Y~{vT T[^E\l~zN g~_gRv`Q Is there any circumstance where the contract signed by the agent is binding on the non-resident taxpayer?M%M!% 7^ N0^E\l~zNS_ T{|@b_SNSz6eOS[_G`Q V. Income Received of the Same Type and Tax Treaty Benefits ClaimedL# 7P 3ubeg t^ g e Date of filing: Y M D0M%M%M% M"%OM 7N0,ghS(uNL3ubbcb43ub _NS(uN^E\l~zN3uz0^E\l~zNL3ubNSOS[_Gb3uzv ^kXQ,ghN_$NN NN(W3ubNSOS[_Gb3uzeN;N{zR:gsQ NN1u^E\l~zNYuX[[^E\l~zNegnN-NVv@b_[ec[cb4{tv ^E\l~zNYNSz6eOS[_G ^kXQ,ghN_ NN NNN1ucb4INRN(Wcb43ubeN;N{zR:gsQ NN1ucb4INRNYuX[Yg NN1u^E\l~zNYuX[0 7' VI. 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. N!<N=LNM 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. 7G III. Types of Operation Activities by Non-resident Taxpayer in China 7N 6.2 ] zyv Ty00Wp0;`bSFU Ty] zyvv Ty ^NT T~{yv TyN0] zyv;`bSFU Ty kXQbcteSO^Q{0ňMb[ň] zvbSFU Ty0NN 7 7.3 ^E\l~zN(WXQNN^Q{0ňMb[ň] z bvsQvcw{t;mRe`QYg^E\l~zN\bS] z\ONvNRlS~vQNON RSFU(W^Q{]0We]ve^{\O;`SFU(W^Q{] z Nve]e0YgRSFU[eT Tveg(WMR ^NRSFU_Y[eT TKNe\O:N[E_Y[eT Teg0Yg^E\l~zN(W-NVN*N]0Wb TN] zޏ~bS$N*NS$N*NN N\ONyv ^N,{N*Nyv_Y{[E_Y[eT Te gT[bhQ\ONyv{\ONhQ~_ge0NN 7r 9.5 ^E\l~zN(W-NVXQcORR;mRNXT`Q^E\l~zN(W-NVXQǖcONXTNpeT^E\l~zN>mc0R-NVXQNXTNpe kXQ^E\l~zN(W-NVXQǖcONXT;`NpeT>mc0R-NVXQNXT;`Npe0kXQRR;mR;N[eNXTN T0NN 7Q 11.7 ^E\l~zN(W-NVXQcORR;mRe`QYg^E\l~zN(W-NVXQcORR;mRQse b\Qse kXQewbkebewbke0NN 7 13.12 V[%N:W@bvhQ;mR/f&T^\NQY'`(bR'`(NN QY'`bR'` ;mRv:W@b8^wQYN NyrpN/f:W@b NrzNN~%;mR v^vQ;mR_N Ngb^E\l~zNteSO;mRW,gvb͑v~bRN/f:W@bۏLz6eOS[@bR>Nv Ngb8^:ggv;mRe N:N^E\l~zN gR N:NvQNON gR N/fvQL#PNNR'` gR N Nwvc%)R\O(u0NN$%N,-N 7 15.20 ^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210220(W22-NRf^E\l~zNя Nt^1\egnN-NVXQvQN0W:Sv@b g T{|@b_NSz6eOS[_G`Q SSDfDe0NNMNNOPNVXNY[N`bN 7Question 4,  Project subcontract information : Please list all the information about subcontracting projects by the non-resident taxpayer. 7xQuestion 5,  Non-resident taxpayer provides services through employees or other personnel engaged : For the number of staff employed in China or seconded to China by the non-resident taxpayer, please fill in the total number of the staffs employed in China or seconded to China by non-resident taxpayer. Please fill in the name of the key personnel for providing the services. 7 Question 7,  The suspension of services provided by non-resident taxpayer in China : Where the service activities provided by the non-resident taxpayer in China is or is estimated to be suspended, please fill in the beginning and ending date of the suspension as occurred or as estimated. 7(2)Where the activities of the place of business are excluded from constituting a PE according to the scenarios listed in the DTA , the activities are only provided to the non-resident taxpayer instead of any other enterprises; and 7v (3)The functions of the place are limited to administrative activities and do not directly play a profit-making role.  7G (V) Income Received of the Same Type and Tax Treaty Benefits Claimed 7Question 20,  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 jurisdic< tion of a different in-charge tax authority,  Yes shall be selected, and Question 21 and 22 shall be answered. Please specify all tax treaty 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 22. Supporting materials can be attached separately  7 mQ DbDenUS NN  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 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. 7O kXheg t^ g e Date of filing: Y M DM%M%M%!M#% 7K Steg t^ g e Date of case acceptance: Y M DM%M%M%"M$% 7NSz6eOS[8^:ggT%N)Rmag>k_G(u  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 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 benefits, the non-resident taxpayer 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.  7G  b(XfN NHTbNyw[0Qnx0e0b(W-NVXQNNv~%;mR*ggb-NVv8^:gg0b*gǏN:Ny{Rĉgb-NVv8^:gg0 I hereby declare that the information given above is true, accurate and error-free. Our business activities in China has not constituted a PE in China. I have never artificially avoided constituting a PE in China. ^E\l~zN~{z Seal of non-resident taxpayer t^ g e NhN~{W[ Signature of the representative Y M D MJ%EMM%M%M%M%M% 7 ? ~%;mR~_gb~_ge Ending time or estimated ending time of business M% 7 2 {fNtNǏV[%N:W@b_U\vhQ;mR`Q0 Please briefly explain all the activities carried on by the agent in this fixed place of business.M%M % 7 1 NtNǏV[%N:W@bۏLvhQ;mR/f&T^\NQY'`(bR'`( Are all the activities carried on by the agent in this fixed place of business of a preparatory or auxiliary character?M%M%% 7 7 NtNv;mR/f&ThQbQNNhQNh^E\l~zN Are the activities of the agent performed wholly or almost wholly on behalf of the non-resident taxpayer?M%M% 7  4 NtN/f&T gCgN^E\l~zNv TINzT T Does the agent have the authority to conclude contracts in the name of the non-resident taxpayer?M%M% 7 7  V[%N:W@b0W@W Address of the fixed place of businessM % 7  1^E\l~zN(W-NVNN] zwQSO{|WSY Types of projects engaged by non-resident taxpayer in China (multiple choices) % ^Q{]0W Building site % ^Q{0ňMb[ň] z Construction, assembly or installation project % N^Q{0ňMb[ň] z gsQvvcw{t;mR Supervisory activities in connection with construction, assembly or installation project % N^Q{0ňMb[ň] z gsQvT;mR Consultancy activities in connection with construction, assembly or installation project % vQN OthersM%oMp%qMu%M%M%M%M%TMU%VMi%M%M% 7 2] zyv Ty Name of project M% 7 3^E\l~zN(WXQNN^Q{0ňMb[ň] z bvsQvcw<{t;mRe`Q Time of construction, assembly or installation project or relevant supervisory activities by non-resident taxpayer in ChinaM%% 70 4] zyvRS`Q Project subcontract information M % 7p 5^E\l~zN(W-NVXQcORR;mRNXT`Q Non-resident taxpayer provides services through employees or other personnel engagedM% 7i 6^E\l~zN(W-NVXQcORR;mRe`Q Time schedules of the services provided by the non-resident taxpayer in ChinaM% 7] 7^E\l~zN(W-NVXQcORR;mRe`Q The suspension of services by the non-resident taxpayer in ChinaM% 7d 8^E\l~zNNRRc6ee/f&TwQ gsQTsQ| Is the non-resident taxpayer the related party of the service recipient?M% 7  9yv Ty Name of projectM% 7 10^E\l~zNO(uRcb_Ǒ6qDn gsQvňnbY bNNvsQ;mRe`Q Time schedule of usage of relevant device or equipment to explore or exploit natural resources, or engagement in related activities by the non-resident taxpayerM)% 73 11V[%N:W@b Ty Name of the fixed place of businessM % 7 12V[%N:W@bvhQ;mR/f&T^\NQY'`(bR'`( Are all the activities exercised through this fixed place of business of a preparatory or auxiliary character?M% 7 13{f^E\l~zNǏV[%N:W@b_U\v~%;mR`Q Please briefly discribe the activities exercised through this fixed place of business by the non-resident taxpayer.M!% 7; 14^E\l~zNNtNv{|W Types of non-resident taxpayer's agentM% 7 24^E\l~zNNMR]cN dk!kSNMQN͑ YcNvDenUSTcNe List of documents submitted before (and need not to be resubmitted) / Date of submissionM$% 7-N0,ghǑ(u-NeS6R\O Y-Neh NN N-Ne:NQ0Yeyr+Rf ^O(u-NekXQ0 7V. This form is prepared in Chinese and English. In case of divergence in the two languages, the Chinese text shall prevail. Unless otherwise stated, it shall be completed in Chinese. 7 N cb4INRNW,gOo` NN  7*(I) Basic Information of Withholding Agent 7/(II) Basic Information of Non-resident Taxpayer 7 N ^E\l~zNW,gOo` N  7  N ^E\l~zN(W-NVXQ~%;mR{|WN 7 V ^E\l~zN(W-NVXQwQSO~%;mR_U\`QNN 7V (IV) Detailed Information on Operation Activities by Non-resident Taxpayer in China 7% 8.4 ] zyvRS`QRf^E\l~zN\yv[YRSvhQ`Q0NN 7# (VI) List of Documents Attached  7, 18.1u^E\lONvl[NhNbvQcCgNh#N~{W[v^/bRvONlQz v^kXQXfeg0NN 7 Instructions for Filling out the Reporting Form for Non-resident Taxpayer Claiming Tax Treaty Benefits (Form B for Enterprise Income Tax)p$ 7 V ^E\l~zN(W-NVzNNQY'`bR'`;mRvV[%N:W@b (IV) Non-resident Taxpayer Sets up a Fixed Place of Business in China for the Purpose of Carrying on the Activities of a Preparatory or Auxiliary Character L!# 7 *16Yg^E\l~zNvNtN/f^rzNtN VT{ NR Where the non-resident taxpayer's agent is considered as a dependent agent, please answer following questionsM % 7 N.-NVzR:gsQ\[^E\l~zNcNvOo`DeO[0N 7~VII. Any information and materials provided by the non-resident taxpayer will be kept confidential by China s tax authorities. 7b ^E\l~zN(WE\lV0W:S ~zNƋ+RS Tax identification number of non-resident taxpayer in resident state (region)M% 7 *15Yg^E\l~zNvNtN/frzNtN VT{ NR Where the non-resident taxpayer's agent is considered as an independent agent, please answer following questionsM% 78 19{f^E\l~zN*g(W-NVgb8^:gg e1\egnN-NVv%N)Rm(W-NV4~ON@b_zvl_OncTN[`Q0 Please briefly explain the legal basis and facts pattern which could support the statement that the non-resident taxpayer does not have a PE in China so that the business profit derived from China is not subject to Chinese Enterprise Income Tax. M<% 7 14.19 {f^E\l~zN*g(W-NVgb8^:gg e1\egnN-NVv%N)Rm(W-NV4~ON@b_zvl_OncTN[`QYg^E\l~zN(W-NV_U\~%;mR N^\NhQ@bR>NvNy`Q N9hncz6eOS[^E\l~zN(W-NV*ggb8^:gg _z6eOS[vsQage v^f^E\l~zN&{Tz6eOS[vsQageĉ[vN[`Q0NN 7gF PL j8Dx{QEAey  aɛ(t 5qoG`  cc   g|-5=EH  dMbP?_*+%,&(9I[ ,{ &P u qQ &N u&x-,, (?(dd (@(dd (A(dd~ @ (B(ddDl""""0.""8"88""""""""8"88"L"""0 )@!W@"V@#@$@%@&s@'@(@)@*@+@,@-v@.@/@0@1W@2@3@4@5@6@7W@8@9@:d@;@<@=@>u@?@ lf lllll !e&!ffffg "Fg "F "F "F #Fh #F #i # $$ %j % %k % & & &&l &\ 'm'Njjk ()(yyyyz )N( )OP )N) )OP *u>*vwrst +u?+vwrst ,u@,vwrst -p -qqq - *-  .mn.nnnno /&/\ 0o0 1G1HHHHI 2b 2,, 2p 2]] 3q 3,, 3r 3]] 4V4VVVVV 5F5FEEEE 66EEEE 7) 7*** 7 *7  88 9Vs9VVVVV :G :HHI :Gt:I ;G;HHHHI <Gu<IGHHI =Gv=INjjk >w > > *>  ? ? ? *? Dl"8NN"88""8"""6""""88"""6""6"""6@*@Au@Bu@C:@DG@E@FX@GX@H@I2 @J@K@Le@M@Nv@OX@PX@QX@RX@SX@Tv@U*@VX@WX@XX@YX@ZX@[@\v@]v@^v@_@ @x @ @ *@  AGy AHHH A *A  Be Bffg B CB  CGCHHHHI D) D*** D *D  EE F+F    ! 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