Mu s 01/KBS/2014

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: Cng ty TNHH Dch V Vn Ti
Vit Nht s 2
2. M s thu: 0100113582
3. Khai b sung, sa cha cho T khai hi quan s :100164514700,
ngy:13/10/2014
S th t mt hng khai b sung trn t khai hi quan:01
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 (%) hoc mc thu :
- Thu xut khu:
- Thu nhp khu:
- Thu tiu th c bit:
- Thu gi tr gia tng:
- Thu bo v mi trng :
4.11. Tin thu:
- Thu xut khu:
- Thu nhp khu:
- Thu tiu th c bit:
- Thu gi tr gia tng:
- Thu bo v mi trng :
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 (%) hoc mc thu :
- Thu xut khu:
- Thu nhp khu:
- Thu tiu th c bit:
- Thu gi tr gia tng:
- Thu bo v mi trng
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5.11. S tin thu phi np:

- Thu xut khu:
- Thu nhp khu:
- Thu tiu th c bit:
- Thu gi tr gia tng:
- Thu bo v mi trng
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:
- Thu bo v mi trng
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: Do s xut trong qu trnh ngi khai
khai sai s kin ca l hng
H Ni, ngy 13 thng 10 nm2014
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:
, ngythng.nm.
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.
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