稅務局
香港灣仔告士打道
5 號
稅務大樓
Inland Revenue Department
Revenue Tower, 5 Gloucester Road,
Wan Chai, Hong Kong
電話號碼
: Telephone No. 2594 5229
傳真號碼
Fax No. : 3170 5647
申請繳稅證明書
Request for Letter of Confirmation of Payment
致：稅務局局長
To: Commissioner of Inland Revenue
(1) 檔案號碼
FileNo.
U
(2) 納稅人姓名
Name ofTaxp ayer
(3) 日間電話號碼
Day-time TelephoneNo.
(4) 香港身分證號碼
H.K. Identity Card No. /
商業登記號碼
Business RegistrationNo.*
(5) 請發出有關繳納 薪俸稅 / 物業稅 / 利得稅 / 個人入息課稅*
的繳稅證明書，稅單資料如下：－
Please send a letter of confirmation of payment in respect of Salaries Tax / Property Tax / Profits Tax / Tax Charged Under
Personal Assessment * in respect of the following charge: -
P
(i) 課稅年度 Year of Assessment
#
P
(ii) 稅單號碼
ChargeNo.
日期
Date
(Signature of Taxpayer / Authorizing Signature of Company with Chop*)
(納稅人簽署 / 獲授權人簽署及公司蓋印處
*)
* 刪去不適用者
Delete where inappropriate
#
如繳款日期已超逾
7 年，有關繳款證明書可能不獲發給。
Letter of confirmation of payment may not be available if payment was made over 7 years ago.
就本表格的要求及於本局處理你的申請的過程中提供個人資料屬自願性質。然而，如你未能提供充分資料，本局可能無法處理你的申
請。本局會把你提供的資料，用於施行本局專責執行的法例。本局並可在法律授權或准許的情況下，向任何其他人士或機構披露／轉
移該等資料的任何或全部內容。你有權要求查閱及改正你的個人資料，但屬《個人資料（私隱）條例》豁免披露的情況除外。如欲查
閱或改正個人資料，請致函評稅主任（地址為香港郵政總局郵箱
132 號），同時請註明你於本局的檔案號碼。
P P
The provision of personal data required by this form and during the processing of your application is voluntary. However, if you do not provide
sufficient information, the Department may not be able to process your application. The Department will use the information provided by you
for the purposes of the Ordinances administered by it and may disclose/transfer any or all of such information to any other parties provided that
the disclosure/transfer is authorized or permitted by law. Except where there is an exemption provided under the Personal Data (Privacy)
Ordinance, you have the right to request access to and correction of your personal data. You should send such request in writing to the Assessor
at GPO Box 132, Hong Kong and quote your file number in this Department.
只供稅務局人員填寫
For official use only
發出繳稅證明書
Letter of confirmation of payment issued
課稅年度 Year of Assessment
發出日期 Issued on
其他 Others
請在適當空格內加上「
√」號
Please tick where appropriate
職員簽署 Initial of officer 日期 Date
IR1273 (7/2018)
