BNG K THU NHP CHU THU V THU THU NHP C NHN

KHU TR I VI THU NHP T TIN LNG,

TIN CNG CA C NHN C TR C K HP NG LAO NG
(Km theo t khai quyt ton thu thu nhp c nhn mu s 05/KK-TNCN)

Mu s: 05A/BK-TNCN
(Ban hnh km theo Thng t
s 20/2010/TT-BTC ngy
05/02/2010 ca B Ti chnh)

[01] K tnh thu: Nm..

[02] Tn t chc, c nhn tr thu nhp::.....
[03] M s thu:

n v tnh: Vit Nam ng

Stt

H v tn

M s
thu

S
CMND
/H
chiu

[04]

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Cc khon gim tr
Ngi ph
T
Thu
thuc
thin,
Bo
nhp
nhn
him
Tng s
chu thu S
o,
bt
thng
khuyn
buc
NPT
gim tr
hc

TNCT
lm cn
c tnh
gim
thu

S thu
TNCN
khu
tr

Chi tit kt qu quyt ton

thay cho c nhn np thu
S
S thu
Tng s
thu
cn phi
thu
np khu tr
phi np
tha
thm

[08]

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Tng

Ti cam oan s liu khai trn l ng v chu trch nhim trc php lut v nhng s liu khai./.
............ , ngy ......thng .....nm ....
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CA T CHC, C NHN TR THU NHP
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