Mu s: 01/MBAI

(Ban hnh km theo Thng t

s 60/2007/TT-BTC ngy
14/6/2007 ca B Ti chnh)

CNG HO X HI CH NGHA VIT NAM

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 THU
NHP 01 THNG

CH TIU

BC
MN
BI

MC THU
MN BI

[11]

Ngi np thu mn bi
........................................................................................................
.
[12]

n v trc thuc hch ton ph thuc cng a phng

(ghi r tn, a ch)
..........................................................................................................
..........................................................................................................
..........................................................................................................
..........................................................................................................
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[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)