Mu s 02 Khai b sung, sa cha T khai i vi hng ho xut khu, nhp khu

KHAI B SUNG V HNG HA XUT KHU, NHP KHU

------------------------------------------A- PHN DNH CHO NGI KHAI B SUNG, SA CHA T KHAI

1. Tn ngi khai b sung, sa cha T khai:
2. M s thu:
3. Khai b sung, sa cha cho T khai hi quan s, ngy:
Thuc Ph lc s km theo T khai hi quan
S th t mt hng khai b sung trn t khai hi quan/Ph lc T khai:
Thuc hp ng mua bn s:
4. Ni dung khai :
4.1. Tn hng, quy cch, phm cht:
4.2. M s hng ha:
4.3. Xut x:
4.4. Lng hng:
4.5. n v tnh:
4.6. n gi nguyn t:
4.7. Tr gi nguyn t:
4.8. Tr gi tnh thu:
4.9. T gi tnh thu:
4.10. Thu sut (%):
- Thu xut khu:
- Thu nhp khu:
- Thu tiu th c bit:
- Thu gi tr gia tng:
4.11. Tin thu:
- Thu xut khu:
- Thu nhp khu:
- Thu tiu th c bit:
- Thu gi tr gia tng:
4.12. Thu khc :
4.13. Tng s tin thu v thu khc:
-
5. Ni dung khai b sung, sa cha T khai:
5.1. Tn hng, quy cch, phm cht:
5.2. M s hng ha:
5.3. Xut x:
5.4. Lng hng:
5.5. n v tnh:
5.6. n gi nguyn t:
5.7. Tr gi nguyn t:
5.8. Tr gi tnh thu:
5.9. T gi tnh thu:
5.10. Thu sut (%):
- Thu xut khu:
- Thu nhp khu:
4

- Thu tiu th c bit:

- Thu gi tr gia tng:
5.11. S tin thu phi np:
- Thu xut khu:
- Thu nhp khu:
- Thu tiu th c bit:
- Thu gi tr gia tng:
5.12. S tin thu chnh lch:
[12.5 = (11.5)- (11.4)]
- Thu xut khu:
- Thu nhp khu:
- Thu tiu th c bit:
- Thu gi tr gia tng:
5.13. S tin thu khc phi np:
5.14. S tin thu khc chnh lch:
[14.5 = (13.5)- (12.4)]
5.15. Tng s tin thu v thu khc phi np:
5.16. Tng s tin thu v thu khc chnh lnh: [16.5 = (15.5)- (13.4)]
-
6. L do khai b sung, sa cha T khai:
, ngythngnm
Ngi khai b sung
(K , ghi r h tn, ng du)

-------------------------------------------------------------------------------------------------------B- PHN DNH CHO KIM TRA V XC NHN CA C QUAN HI QUAN

1- Thi gian tip nhn h s khai b sung:
Cn b tip nhn :
2- Kt qu kim tra ni dung khai b sung:

, ngythngnm
S:
(Ghi r ni dung khai b sung ng hay khng ng v c s php l/l do. K ghi r h tn,
ng du)
3. Trng hp khai khng ng thi hn 60 ngy k t ngy ng k t khai hi quan th ghi
ch v vic ny v ra quyt nh x pht vi phm hnh chnh theo qui nh.

-------------------------------------------------------------------------------------------------------Ch :

Mc Ni dung khai v Ni dung khai b sung ch ghi nhng ni dung lin quan n khai b sung.
Nu s tin thu chnh lch tng th ghi du cng (+) trc dy s chnh lch, nu s tin thu chnh
lch gim th ghi du tr (-) trc dy s chnh lch.
Mu ny s dng cho 01 t khai
Trng hp c nhiu mt hng cn khai b sung trong cng mt t khai th lp ph lc tng t cho tng
mt hng.
Mu ny cng c s dng cho trng hp khai khng ng thi hn 60 ngy k t ngy ng k t khai
hi quan qui nh ti khon 5 iu 12 Thng t s 194/2010/TT-BTC ca B Ti chnh.