1.申请人信息：根据申请人身份选择。Applicant information:Check the box according to the identity of the applicant.

2.对《税收居民证明》样式是否有特殊要求：根据对方主管机构是否对《税收居民证明》样式有特殊要求进行选择。Have special requirements for the format of the certificate:Check the box based on whether the applicable competent authority has specific requirements for the format.

3.申请目的：根据实际情况选择享受协定待遇或者非享受协定待遇的申请目的。选择非享受协定待遇的，需在备注中填写具体申请目的。Purpose of application:Check the box based on the actual circumstances, to enjoy or not to enjoy the agreement treatment. If you are not to enjoy the agreement treatment, please note the specific purpose in the Remarks.

4.申请人名称（姓名）：申请人为个人时，填写个人姓名；申请人为企业时，填写企业名称。此处的申请人名称（姓名）即为《税收居民证明》上的纳税人名称。Name of Applicant:For an individual applicant, fill in his/her name; For an enterprise applicant, fill in the name of the enterprise. The name you filled here will be the taxpayer’s on the Certificate of Tax Residency.

5.英文名称（姓名）：如需在《税收居民证明》上显示申请人英文名称时填写，英文名称应当与申请人合法证明上的一致。Name of Applicant(in English):If the applicant's English name is required to be displayed on the Certificate of Tax Residency, it must be consistent with the name on the applicant's valid legal documents.

6.纳税人识别号：申请人为企业的，填写企业的纳税人识别号或者统一社会信用代码；申请人为个人的，如有中国公民身份号码的，填写中华人民共和国居民身份证上载明的“身份号码”，没有中国公民身份号码的，则填写税务机关赋予的纳税人识别号。Tax Identification Number:For an enterprise applicant,fill in the tax identification number of the enterprise or the unified social credit code; For an individual applicant,fill in the "Identity Number" as stated on his/her People's Republic of China Resident Identity Card. If the applicant does not have a Chinese citizen Identity number, fill in the Tax Identification Number assigned by the tax authority.

7.主管税务机关名称：申请人的主管税务机关名称。申请人为企业的，为其企业所得税的主管税务机关；依据实际管理机构认定的境外注册中资控股居民企业为其中国境内主要投资者登记注册地主管税务机关。申请人为个人的，申请年度已办理综合所得汇算清缴的为其申请年度的汇算清缴主管税务机关；申请年度未办理综合所得汇算清缴的为其申请年度的任职受雇单位的主管税务机关，有两处及以上任职受雇单位的，可自主选择其中一处，没有任职受雇单位的，为其申请年度户籍所在地、经常居住地或者主要收入来源地主管税务机关。中国居民业主、中国居民投资人、中国居民合伙人提出申请时，如需在《税收居民证明》备注栏体现其与境内个体工商户、境内个人独资企业、境内合伙企业关系的，为境内个体工商户、个人独资企业、合伙企业申请年度的经营管理所在地主管税务机关。Competent Tax Authority:Name of competent tax authority of the applicant. For an enterprise applicant, it shall be the competent tax authority for its enterprise income tax; For an Chinese-controlled resident enterprise incorporated overseas identified according to the actual management organization, it shall be the competent tax authority in the registration place of the enterprise’s domestic major investors. For an individual applicant, if the person has completed the annual individual income tax reconciliation for the comprehensive income,it shall be the competent tax authority of the annual individual income tax reconciliation in the year of application. If the person has not completed the annual tax reconciliation for the comprehensive income in the year of application, it shall be the competent tax authority of the employer in the year of application. If there are two or more employers, he/she may independently choose one of them; if there is no employer, it shall be the competent tax authority of the place of household registration, habitual residence or main source of income in the year of application. For a Chinese resident owner, Chinese resident investor or, Chinese resident partner, if he/she is required to reflect his/her relationship with the domestic individual business, sole proprietorship enterprise or partnership enterprise, it shall be the competent authority of the domestic individual business, sole proprietorship enterprise or partnership enterprise In the year of application.

8.申请年度：《税收居民证明》证明申请人构成中国税收居民的公历年度。Application Year:The calendar year in which the Certificate of Tax Residency certifies that the applicant constitutes a tax resident of China.

9.对方国家（地区）：申请人申请开具《税收居民证明》拟适用的对方国家（地区）。Country (Region) of Contracting Party:country(region) in which the Certificate of Tax Residency will be applied.

10.对方纳税人名称：申请目的选择“享受协定待遇”的填写。填写与该《税收居民证明》有关且与申请人发生业务往来的对方纳税人（企业或个人）名称。如涉及两个以上对方纳税人名称的，请增行填写。Taxpayer’s Name of the other Party:Fill in if your purpose is to enjoy the agreement treatment. Fill in the name of the other taxpayer (enterprise or individual) who is related to the Certificate of Tax Residency and has business dealings with the applicant. If two or more taxpayers are involved, please add lines to fill in.

11.拟适用协定名称：申请目的选择“享受协定待遇”的填写。填写申请人拟适用的协定名称。如涉及两个以上协定的，请增行填写。Name of agreement to be enjoyed:Fill in if your purpose is to enjoy the agreement treatment.. Fill in the name of the tax agreement to be applied. If two or more agreements are involved, please add lines to fill in.

12.拟适用协定条款：申请目的选择“享受协定待遇”的填写。填写申请人拟适用的协定条款，包括：股息、利息、特许权使用费、常设机构和营业利润、财产收益、国际运输、独立个人劳务、非独立个人劳务（受雇所得）、退休金、政府服务、教师和研究人员、学生、其他所得，以及国际运输协定税收条款等。如涉及两个以上条款的，请增行填写。Provision to be enjoyed:Fill in if your purpose is to enjoy the agreement treatment. Fill in the articles of the agreement to be applied, including: dividends, interest, royalties, permanent establishment and business profits, property gains, international trafic, independent personal services, dependent personal services (income from employment), pensions, government service, teachers and researchers, students, other income, and the tax provisions of international traffic agreement, etc. If two or more articles are involved, please add lines to fill in.

13.拟享受协定待遇收入金额：申请目的选择“享受协定待遇”的填写。填写与该《税收居民证明》有关、申请人取得或者将取得的拟享受协定待遇的收入金额。每行填写对应协定条款的拟享受协定待遇的收入金额，合伙企业的合伙人填写按照合伙协议或者分配协议计算的合伙人应取得的收入金额。收入金额为外币的应按照填写申请表当日人民币汇率中间价折算为人民币金额。单位为人民币元。如涉及两个以上条款的，请增行填写。Amount of Income applicable to the agreement:Fill in if your purpose is to enjoy the agreement treatment. Fill in the amount of income that the applicant has obtained or will obtain in connection with the Certificate and to enjoy the agreement treatment. Fill in the amount corresponding with the articles for each line. The partners of the partnership enterprises shall fill in the amount of income to be received according to the partnership agreement or the distribution agreement. If the amount of income is in foreign currency, it shall be converted into RMB amount according to the central rate of RMB exchange rate on the day when the application form is filled out. The unit shall be RMB yuan. If more than two clauses are involved, please fill in the additional line.

14.预计减免税金额：申请目的选择“享受协定待遇”的填写。填写与该《税收居民证明》有关、申请人拟享受协定待遇在缔约对方减免税收金额，即：按照缔约对方法律规定计算的应缴纳税款金额与按照协定计算的应缴纳税款金额之差。每行填写对应协定条款预计减免税金额。减免税金额为外币的应按照填写申请表当日人民币汇率中间价折算为人民币金额。单位为人民币元。如涉及两个以上条款的，请增行填写。Estimated amount of tax reduction or exemption:Fill in if your purpose is to enjoy the agreement treatment. Fill in the amount of tax reduction and exemption in the other party related to the Tax Resident Certificate and the applicant intends to enjoy the treatment under the agreement, that is, the difference between the amount of tax payable calculated according to the legal provisions of the other party and the amount of tax payable calculated according to the agreement. In each line, fill in the estimated amount of tax reduction or exemption in accordance with the articles of the agreement. If the amount of tax reduction or exemption is in foreign currency, it shall be converted into RMB gold according to the middle exchange rate for RMB on the day when the application form is filled out. The unit shall be RMB yuan. If more than two clauses are involved, please fill in the additional line.

15.认定文号、实际管理机构所在地：根据《中华人民共和国企业所得税法》及其实施条例以及《国家税务总局关于境外注册中资控股企业依据实际管理机构标准认定为居民企业有关问题的通知》（国税发〔2009〕82 号）、《国家税务总局关于印发〈境外注册中资控股居民企业所得税管理办法（试行）〉的公告》（国家税务总局公告2011 年第45 号）等规定认定的居民企业填写。Document Number of Identification, Location of Actual Management Organization:Fill in if you are a resident enterprise in accordance with the Enterprise Income Tax Law of the People's Republic of China and its implementation regulations, the Notice of the State Administration of Taxation on Issues related to the Identification of Chinese-controlled Enterprise Incorporated Overseas as Resident Enterprises according to the Standards of the Actual Management Institutions (Guoshuifa (2009) No. 82), and the State Administration of Taxation on the issuance of the Notice on Administration Measures for the Enterprise Income Tax of Chinese-controlled resident Enterprise Incorporated Overseas (Trial Implementation) (Announcement No. 45, 2011 of the State Administration of Taxation) and other provisions.

16.境内分支机构名称、境内分支机构纳税人识别号、境外分支机构名称、所在国家（地区）：中国总机构提出申请时，且需在《税收居民证明》备注栏体现其与境内、境外分支机构关系时填写。Name of domestic Branch, Tax Identification Number of domestic Branch, Name of overseas Branch, Country (Region):Fill in when the head office in China makea an application and is required to reflect its relationshipwith the domestic and overseas branches in the remarks column of the Certificate of Tax Residency.

17.合伙企业名称、合伙企业纳税人识别号：中国居民合伙人提出申请时，且需在《税收居民证明》备注栏体现其与境内合伙企业关系时填写。Name of Partnership Enterprise，Tax Identification Number of Partnership Enterprise:Fill in when a Chinese resident partner makes an application and is required to reflect his/her relationship with the domestic partnership in the remarks column of the Certificate of Tax Residency.

18.在中国境内是否有住所：申请人根据《中华人民共和国个人所得税法》及其实施条例等规定判断。Whether the applicant has a domicile in China:the applicant shall make a judgement according to the Individual Income Tax Law of the People's Republic of China and its implementation regulations.

19.如无住所，申请年度在中国境内累计居住天数是否满足《中华人民共和国个人所得税法》等有关规定：申请人根据《中华人民共和国个人所得税法》及其实施条例等规定判断。If you do not domiciled in China, whether your cumulative days of residence in China within the application year meets the relevant provisions of the Individual Income Tax Law of the People's Republic of China,etc:The applicant shall make a judgment according to the Individual Income Tax Law of the People's Republic of China and its implementation regulations.

20.个体工商户名称、个体工商户纳税人识别号：中国居民业主提出申请时，且需在《税收居民证明》备注栏体现其与境内个体工商户关系时填写。Name of Individual Business，Tax Identification Number of Individual business:Fill in when a Chinese resident owner makes an application and is required to reflect his/her relationship with the domestic partnership in the remarks column of the Certificate of Tax Residency.

21.个人独资企业名称、个人独资企业纳税人识别号：中国居民投资人提出申请时，且需在《税收居民证明》备注栏体现其与境内个人独资企业关系时填写。Name of Sole Proprieorship Enterprise, Tax Identification Number of Sole Proprieorship Enterprise:Fill in when a Chinese resident investor makes an application and is required to reflect his/her relationship with the domestic partnership in the remarks column of the Certificate of Tax Residency.

22.合伙企业名称、合伙企业纳税人识别号：中国居民合伙人提出申请时，且需在《税收居民证明》备注栏体现其与境内合伙企业关系时填写。Name of the Partnership Enterprise,Tax Identification Number of Partnership Enterprise:Fill in when a Chinese resident partner makes an application and is required to reflect his/her relationship with the domestic partnership in the remarks column of the Certificate of Tax Residency.