Mu s: 01/KHBS

CNG HO X HI CH NGHA VIT NAM

c lp T do - Hnh phc

GII TRNH KHAI B SUNG, IU CHNH

(Ban hnh km theo Thng

Mu
s:60/2007/TT-BTC
01/KHBS
t s
ngy
(Ban hnh
km theo
tchnh
14/6/2007
caThng
B Ti
s 28/2011/TT-BTC ngy
28/02/2011 ca B Ti
chnh)

(B sung, iu chnh cc thng tin khai ti T khai thu ............mu s ..............

k tnh thu.......... ngy ... thng ... nm ...)
[01] Tn ngi np thu: cng ty c phn u t xy dng Hng c
[02] M s thu:
0 1 0 2 0 6 8 4 0 9
[03] a ch:
23C, Nguyn nh Chiu
[04] Qun/huyn: Hai B Trng [05] Tnh/thnh ph:
H Ni
[06] in thoi:0439747975[07] Fax:0439747976[08] Email:
[09] Tn i l thu (nu c):
[10] M s thu:
[11] a ch:
[12] Qun/huyn:
[13] Tnh/thnh ph:
[14] in thoi:
[15] Fax:
[16] Email:
[17] Hp ng i l thu s
ngy
A. Ni dung b sung, iu chnh thng tin k khai:
n v tin: ng Vit Nam
STT
(1)
I
1
...
II.
1
...
III

Ch tiu iu chnh

M s
ch tiu

S
k khai

S iu
chnh

(2)
(3)
(4)
(5)
Hng ha, dch v mua vo
trong k
...
...
Ch tiu iu chnh gim s
thu phi np
...
...
Tng hp iu chnh s thu phi np (tng: +; gim: -)

Chnh lch gia s

iu chnh vi s
k khai
(6)

B. Tnh s tin pht chm np:

1. S ngy chm np: ......................................................................................................
2. S tin pht chm np (= s thu iu chnh tng x s ngy chm np x 0,05%): .........
C. Ni dung gii thch v ti liu nh km:
1. T khai thu ............mu s ........ k tnh thu.......... c b sung, iu chnh.
...............
Ti cam oan s liu khai trn l ng v chu trch nhim trc php lut v
nhng s liu khai./.
Ngy .......thng ....nm ....
NHN VIN I L THU

H v tn:.
Chng ch hnh ngh s:.......

NGI NP THU hoc

I DIN HP PHP CA NGI NP THU
K, ghi r h tn; chc v v ng du (nu c)