Mu s: 02/QTT-TNCN

(Ban hnh km theo Thng t s

CNG HO X HI CH NGHA VIT NAM 92/2015/TT-BTC ngy
c lp - T do - Hnh phc 15/6/2015 ca B Ti chnh)

. / /2012 ca B Ti chnh)
T KHAI QUYT TON THU THU NHP C NHN
(p dng cho c nhn c tr c thu nhp t tin lng, tin cng)
[01] K tnh thu: Nm ....... (t thng / n thng/.)
[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] S ti khon ngn hng (nu c):...[12a] M ti:
[13] Tn i l thu (nu c):..............................................
[14] M s thu: -
[15] a ch: ...
[16] Qun/huyn: ...................... [17] Tnh/thnh ph: ..............................................
[18] in thoi: ....................... [19] Fax: ................. [20] Email: ............................
[21] Hp ng i l thu: S: ..................................Ngy:.......................................

M ch n v S tin/S
STT Ch tiu
tiu tnh ngi
Tng thu nhp chu thu (TNCT) trong k VN
[22]
[22]=[23]+[26]
Tng TNCT pht sinh ti Vit Nam [23] VN
Tng TNCT lm cn c tnh gim VN
1 [24]
a thu
Trong :
Tng TNCT c min gim theo VN
[25]
Hip nh
b Tng TNCT pht sinh ngoi Vit Nam [26] VN
2 S ngi ph thuc [27] Ngi
Cc khon gim tr [28]=[29]+[30]+[31]+[32]+[33] [28] VN
a Cho bn thn c nhn [29] VN

3 b Cho nhng ngi ph thuc c gim tr [30] VN

c T thin, nhn o, khuyn hc [31] VN

d Cc khon ng bo him c tr [32] VN

1
 e Khon ng qu hu tr t nguyn c tr [33] VN

4 Tng thu nhp tnh thu [34]=[22]-[25]-[28] [34] VN

Tng s thu thu nhp c nhn (TNCN) pht sinh VN
5 [35]
trong k
Tng s thu tm np, khu tr, np trong k VN
[36]
[36]=[37]+[38]+[39] + [40]
a khu tr [37] VN
6 b tm np [38] VN
c np nc ngoi c gim tr (nu c) [39] VN
khu tr hoc tm np trng do quyt ton VN
d [40]
vt nm
Tng s thu TNCN c gim trong k VN
[41]
[41]=[42]+[43]
7 Tng s thu TNCN c gim do lm vic VN
a [42]
trong khu kinh t
b Tng s thu TNCN c gim khc [43] VN
Tng s thu cn phi np trong k VN
8 [44]
[44]=[35]-[36]-[41] >= 0
Tng s thu np tha trong k VN
[45]
[45] = [35]-[36]-[41] < 0
Tng s thu ngh hon tr [46]=[47]+[48] [46] VN
S thu hon tr vo ti khon VN
[47]
9 a ngi np thu
Trong :
S thu b tr cho khon phi np VN
[48]
Ngn sch nh nc khc
Tng s thu b tr cho cc pht sinh ca k VN
b [49]
sau [49]=[45]-[46]

Ti cam oan s liu khai trn l ng v chu trch nhim trc php lut
v nhng s liu khai./.

,ngy ......thng .....nm ....

NHN VIN I L THU
H v tn: .. NGI NP THU hoc
I DIN HP PHP CA NGI NP THU
Chng ch hnh ngh s:........
(K, ghi r h tn; chc v v ng du (nu c))
v ghi r h tn.