CNG HO X HI CH NGHA VIT NAM

Mu s: 01/MBAI
(Ban hnh km theo Thng t
s 60/2007/TT-BTC ngy
14/6/2007 ca B Ti chnh)

c lp - T do - Hnh phc

T KHAI THU MN BI
[01] K tnh thu: nm ........
[02] Ngi np thu :..........................................................................................................................
[03] M s thu:...................................................................................................................................
[04] a ch: .........................................................................................................................................
[05] Qun/huyn: .............................................[06] Tnh/Thnh ph:.................................................
[07] in thoi:...................... [08] Fax:.............................[09] Email:...............................................

[10] Khai b sung cho c s mi thnh lp trong nm (nh du X nu c).

Vn ng k hoc
Ch tiu
[11]

[12]

thu nhp 1 thng

Ngi np thu mn bi

Bc

Mc thu

mn

mn bi

bi

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n v trc thuc hch ton ph thuc cng a phng

(ghi r tn, a ch)

[13] Tng s thu mn bi phi np

Ti cam oan s liu k khai trn l ng s tht v t chu trch nhim trc php lut v nhng s
liu k khai./.
..........................., ngy......... thng........... nm..........
NGI NP THU hoc
I DIN HP PHP CA NGI NP THU
K tn, ng du (ghi r h tn v chc v)