Mu s: 04/GTGT

(Ban hnh km theo Thng t

s 28/2011/TT-BTC ngy
28/02/2011 ca B Ti chnh)

CNG HO X HI CH NGHA VIT NAM

c lp - T do - Hnh phc

T KHAI THU GI TR GIA TNG

(Dnh cho ngi np thu tnh thu theo phng php tnh trc tip trn doanh thu)
[01] K tnh thu: Thng......... nm ....
[02] Ln u:

[03] B sung ln th [

[04] Tn ngi np thu:.........................................

[05] M s thu:
[06] a ch:
[07] Qun/huyn: ............................... [08] Tnh/thnh ph: .........................................
[09] in thoi:..[10] Fax:..........................[11] Email: .................................
[12] Tn i l thu (nu c):..................................
[13] M s thu:
[14] a ch:
[15] Qun/huyn: ................... [16] Tnh/thnh ph: .....................................................
[17] in thoi: ..................... [18] Fax: .................. [19] Email: .................................
[20] Hp ng i l thu: S.................................................ngy................................
n v tin: ng Vit Nam
STT

Ch tiu

Hng ho, dch

v chu thu
sut 0% v
khng chu thu

(1)

(2)

(3)

(4)

(5)

[21]

[22]

[23]

[24]

[25]

[26]

1.1
1.2

Tng doanh thu hng ho,

dch v bn ra chu thu
GTGT
Nhm ngnh A
Nhm ngnh B...

...

...

T l GTGT trn doanh thu

2.1

Nhm ngnh A

2.2

Nhm ngnh B...

Hng ho, dch

v chu thu
sut 5%

Hng ho, dch

v chu thu
sut 10%

....

....

Tng GTGT pht sinh

trong k

[27]=[21]x[24]

[28]=[22]x[25] [29]=[23]x[26]

3.1
3.2
....
4
4.1
4.2
...

Nhm ngnh A
Nhm ngnh B
....
Tng thu GTGT phi np:
Nhm ngnh A
Nhm ngnh B
....

[30]=[27]x0%

[31]=[28]x5%

[32]=[29]x10%

Tng doanh thu hng ho, dch v bn ra chu thu GTGT [33]=[21]+[22]+[23]:..........
Tng s thu GTGT phi np trong k [34]=[30]+[31]+[32]: ........................
Ti cam oan s liu khai trn l ng v chu trch nhim trc php lut v
nhng s liu khai./.

NHN VIN I L THU

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

Ngy ........thng.....nm ....

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