A03055非居民纳税人税收居民身份信息报告表（企业适用）.doc.doc

A03055 非居民纳税人税收居民身份信息报告表(企业适用)Information Reporting Form of Tax Residence Status of Non-resident Taxpayer (For Enterprises) 填报日期: 年 月 日 Filling date: Y M D ○ 自行申报  Self-declaration ○扣缴申报 Withholding declaration ○退税 Tax refund 一、扣缴义务人基本信息 Ⅰ.Basic Information of Withholding Agent 扣缴义务人名称Name of withholding agent 　 扣缴义务人纳税人识别号Tax identification number of withholding agent 　 二、非居民纳税人基本信息 Ⅱ.Basic Information of Non-resident Taxpayer 非居民纳税人中文名称Chinese name of non-resident taxpayer 　 非居民纳税人在中国的纳税人识别号Tax identification number of non-resident taxpayer in China 　 非居民纳税人在居民国（地区）名称Name of non-resident taxpayer in resident state (region) 　 非居民纳税人在居民国（地区）的纳税人识别号Tax identification number of non-resident taxpayer in resident state (region) 　 非居民纳税人在中国联系地址和邮政编码Contact address and postal code in China 　 非居民纳税人在居民国（地区）联系地址和邮政编码Contact address and postal code in resident state (region) 　 非居民纳税人在中国的联系电话Telephone number in China 　 非居民纳税人在居民国(地区)的联系电话Telephone number in resident state (region) 　 非居民纳税人的居民国（地区）Resident state (region) 　 非居民纳税人享受税收协定名称Name of the applicable tax treaty 　 三、扣缴义务人使用信息Ⅲ.Information for Use by Withholding Agent 提示：“税收居民”是指符合缔约国国内税法中对居民定义的人，包括企业和个人。如果非居民纳税人不是需享受税收协定缔约对方的税收居民，则不能享受税收协定待遇。Note: The term tax resident means any person (e.g. an enterprise or individual) who, under the domestic tax law of a contracting state to the tax treaty, shall be regarded as a resident. If the non-resident taxpayer is not a resident of the other contracting party to the tax treaty, it shall not be entitled to the treatment under the tax treaty. 1．非居民纳税人在缔约对方的组织类型　 The organization type of the non-resident taxpayer in the other co