Certificate of Personal Taxation Records
Unit: RMB Yuan
Name of Taxpayer: ××××××
Sex: ××××
Age: ××
Citizenship: China
Passport No.:
ID Card No.:××××××××××××××
Address in China
#××-××-××-×× Fengyuan Apartment
Dalian City, Liaoning Province
Post: Chairman of the Board
Employer: Chengdu Branch Office of Dalian Shantai Decoration Components Co., Ltd.
Tel: ××××××××
Business Entity Operated in China
Chengdu Branch Office of Dalian Shantai Decoration Components Co., Ltd.
Tax Authority in China: State Tax Administration, Xindu Dist., Chengdu City
Taxpayer S/N: ××××
Income Item
Period
Tax Payable
Tax Paid-in
Remark
Sales Income
Oct. ××××~Nov. ××××
×××,×××.××
Total
Statement of the Taxpayer
This is to declare that I have reported and paid the taxes according to Tax Law of P. R. China.
Taxpayer:×××××× (signed)
Dec. ××, ××××
Statement of the Tax Authority
This is to certify that, after verification, this business entity paid taxes of RMB ×××,×××.×× Yuan during Oct. ×××× to Nov.××××.
Authority: ××th Sub-administration, State Tax Administration, Xindu Dist., Chengdu City (seal)