Pay-in unit (individual)		Code	00000000		Budget account	No.	AW 000000
		Full name	XXX			Name	Sales tax
		Deposit bank	XXX Branch Savings Counter			Level	District and county level
		Account No.	000000000000000000		Which treasury the tax pays in		XXX Sub-treasury
Which period of time the tax belongs to: From XXth July 200X to XXth July 200X					Specified paying date: XXth August 200X
Tax categories/tax items Amount charging tax Tax rate Tax amount Construction and installation XX 0.03000 XX Urban construction maintenance tax XX 0.07000 XX Additional education tax XX 0.03000 XX Avoid flood tax XX 0.01000 XX
Total amount	(Capital form): RMB XXX yuan
Pay-in unit (individual) (Seal) Undertaker (Seal)		Taxation authorities Tax Report Center of Local Taxation Bureau of XXX (seal) Fill-in person (seal)		Amount listed above has been and transferred to the receiver’ s accountant Business Process Seal (3) of XXX City Commercial Bank Branch, XXth August 200X Seal) Treasury (bank)’s seal month day year				Note	RMB XXX yuan

It is invalid without the seal for payment received of the bank. Charge overdue fine for not paying when time exceeds

according to the regulations of taxation law.

The first copy (invoice) shall be returned to the pay-in unit (individual) as tax payment receipt after the treasury (bank) has received the payment and fixed seal on it.

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