Taxpayer Code

Taxpayer Name

Address

Location of Real Estate

The 12th building

Period the Tax Belonging to

Agreement (Contract) Setting Date

Tax Item

Real Estate Property Transferring Area (m2)

Taxable Amount

Tax Rate %

Paid-in Amount

Hundred

Ten

Thousand

Hundred

Ten

Yuan

Jiao

Fen

Dwelling Transaction

155.03

91487.00

3%halve

￥

1

3

7

2

0

0

If overdue   days, charge    ‰ overdue fine per day in accordance with the overdue taxable amount

Total Amount (In words): One thousand three hundred seventy-two yuan

Levying Authority

(Seal)

Agricultural Tax Levying seal of Finance Bureau of Fuqing City

Operated by

(seal)

Levying withholding  unit

(seal)

Operated by

(seal)

Remark