Khng ghi vo

khu vc ny

GIY NP TIN VO NGN SCH NH

BNG NGOI T
Tin mt

Mu s C1- 03/NS
(TT s 08/2013/TT-BTC ngy 10/01/2013
ca B Ti Chnh)
NC
S: ........................

Chuyn khon

S:.................

Ngi np thu: ...............................................................................................................M s thu:...........................................

a ch: ............................................................................................................................................................................................
Huyn:................................................................................Tnh, TP: .............................................................................................
Ngi np thay: .............................................................................................................. M s thu: ...........................................
a ch: ............................................................................................................................................................................................
Huyn : .........................................................................Tnh, TP: ..................................................................................................
ngh NH ................................................................... trch TK s: ..............................................................................................
(hoc) np ngoi t tin mt chuyn cho KBNN : .....................................................tnh, TP: .................................................
ghi thu NSNN vo TK.........................................................hoc np vo TK tm thu s:.........................................................
Trng hp np theo kt lun ca CQ c thm quyn:

TK 3521 (Kim ton NN)

TK 3523 (Thanh tra CP)

TK 3522 (Thanh tra TC)

TK 3529 (CQ c thm quyn khc )

C quan qun l thu : .................................................................................. M CQ thu: ...............................................................

T khai HQ/Q s: ........................................... ngy: ................................ Loi hnh XNK: ........................................................
(hoc) Bng k Bin lai s: ................................................ ngy ...................................................................................................
STT

Ni dung cc khon np NS

M NDKT

M chng

K thu

S nguyn t

S tin VN

Tng cng
Tng s tin nguyn t ghi bng ch: .............................................................................................................................................
.........................................................................................................................................................................................................

PHN KBNN GHI

Ngi np tin

M CQ thu:......................................

N TK:...............................................

M BHC: ......................................

C TK:................................................

M ngun NSNN:............................

T gi hch ton:...............................

I TNG NP TIN

NGN HNG A

Ngy thng nm

Ngythngnm

K ton trng

Th trng

K ton

NGN HNG B

KHO BC NH NC

Ngythngnm
K ton

K ton trng

K ton trng

Ngythng..nm.
Th qu

K ton

K ton trng