The People’s Republic of China
Pay-in Warrant in Common Use in Taxation
Serial No.: XXXXXXXXXX Fill-in Date: XXth August 200X (200X) XXX No. XXXXXXX
| Registration of Tax Code | XXXXXXXXXXX | Collecting Body | Local Taxation Bureau of XXX, XXX City | ||||
| Name of Taxpayer | XXXXXXXXXX | Name of Transaction Bank (Post Office) | Construction Bank of China | ||||
| Pay-in Unit (individual) | Which Period of Time the Tax Belongs to | Tax Payable | |||||
| Business Tax Urban Construction Maintenance Tax Personal Income Tax Additional Education Tax Avoid Flood Tax Price Adjustment Fund Rubbish Recycle Fee | July 200X July 200X July 200X July 200X July 200X July 200X July 200X | XX XX XX XX XX XX XX | |||||
| Total Payment of Tax | (Capital Blocked): RMB XXXXX | ||||||
| Taxation Authorities
Local Taxation Bureau of XXX Province (Seal) | Transaction Bank (Post Office)
Construction Bank of China XXX Branch XXth August 200X (Seal) | Undertaker (Seal) | Note | Stamped by XXX | |||
