个人所得税纳税申报表(适用于年所得12万元以上的纳税人申报)

个人所得税纳税申报表 个人所得税纳税申报表

（适用于年所得12万元以上的纳税人申报）

INDIVIDUAL INCOME TAX RETURN

(For individuals with an annual income of over 120,000 Yuan)

所得年份: 年 填表日期： 年 月 日 金额单位： 人民币元（列至角分）Year of income incurred: Date of filing: date month year Amount in RMB Yuan

纳税人姓名

Tax payer’s name国籍(地区)Nationality

/region

任职受雇单位

税务代码

Employer’s

Tax ID Code

境内有效

联系地址

Address in

China身份证照类型ID Type身份证照号码ID number任职、受雇单位Employer任职受雇单位所属行业Industry ofEmployer职务Title职业Profession在华天数Days of stay inChina

此行由取得经营所经营单位得的纳税人填写纳税人识This line is to别号be filled byTax IDtaxpayers withCode ofbusiness incomethe

business境内有效联系地址邮编Post code经营单位纳税人名称Name ofthebusiness联系电话Tel number

年所得额 Annual Income

境外

境内Income

Income fromfrom

within Chinaoutside

China应纳减免税额已缴（扣）税所应纳抵扣税额Tax应退税额税额应补税额得额税额Tax creditexemptedTaxTax pre-Tax owedTaxableTaxorrefundablepaid andincomepayabledeductedwithheld所得项目Categories of income合计Total备注Notes

1、工资、薪金所得

Wages and salaries

2、个体工商户的生产、经营所得

Income from production or business

operation conducted by self-employed

industrial and commercial households

3、对企事业单位的承包经营、承租经营

所得

Income from contracted or leased operation

of enterprises or social service providers

partly or wholly funded by state assets

4、劳务报酬所得

Remuneration for providing services

5、稿酬所得 Author’s remuneration

6、特许权使用费所得 Royalties

7、利息、股息、红利所得

Interest, dividends and bonuses

8、财产租赁所得 Income from lease of

property

9、财产转让所得Income from transfer of

property

其中：股票转让所得

Income from transfer of stocks

个人房屋转让所得

Income from transfer of personal estate

10、偶然所得 Incidental income

11、其他所得 Other income

合 计 Total————————

我声明，此纳税申报表是根据《中华人民共和国个人所得税法》及有关法律、法规的规定填报的，我保证它是真实的、可靠的、完整的。

Under penalties of perjury , I declare that this return has been filed according to THE INDIVIDUAL INCOME TAX LAW OF THE PEOPLE’SREPUBLIC OF CHINA and other relevant laws and regulations, and to the best of my knowledge and belief. I guarantee the informationprovided is true, correct and complete.

纳税人(签字) Taxpayer’s signature

代理人 (签章): Preparer (Other than taxpayer)’s firm 联系电话:Phone number

税务机关受理人（签字）： 税务机关受理时间： 年 月 日 受理申报税务机关名称（盖章）：Signature of responsible tax officer : Filing date: Time: Year/Month/Date Responsible tax office

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