Taxpayer’s name

XXXXX

Number of ID

XXXXXXXXXXXXX

Categories of income

Income period

Amount of Income

Actual amount of tax payment

Salary Income

Aug. 2006

￥

￥

Salary Income

July 2006

￥

￥

Salary Income

June 2006

￥

￥

Salary Income

May 2006

￥

￥

Salary Income

Apr. 2006

￥

￥

Salary Income

March 2006

￥

￥

Salary Income

Feb. 2006

￥

￥

Salary Income

Jan. 2006

￥

￥

Salary Income

Jan. 2006

￥

￥

Salary Income

Dec. 2005

￥

￥

Salary Income

Nov. 2005

￥

￥

Salary Income

Oct. 2005

￥

￥

Salary Income

Sept. 2005

￥

￥

Salary Income

Aug. 2005

￥

￥

Total amount

￥

￥

Total amount words

SAY   XXXX  THOUSAND XXXX HUNDRED AND XXX POINT XXX YUAN TOTAL

SAY XXX THOUSAND XXX HUNDRED AND XXX POINT XXX YUAN TOTAL

Seal of Shang Di