ࡱ> k fbjbj88 4xRbxRb8  RRRRRffff*fZUWWWWWW$B{R{RRRRUU`aA*0ZR,{{Z  : Ph lc I-3 (Ban hanh kem theo Thng t s 01/2021/TT-BKHT ngay 16 thang 03 nm 2021 cu a B# tr ng B# K hoa#ch va u t) C#NG HOA XA H#I CHU  NGHIA VI#T NAM #c l#p - T# do - Ha#nh phuc ..& .., ngay& ..thang& ...nm& & . GIY  NGH NG K DOANH NGHIP CNG TY TRCH NHIM HU HN HAI THNH VIN TR LN Knh gi: Phng ng k kinh doanh ti nh, thnh ph& & & & & .. Ti l1 (ghi h tn bng ch in hoa):& & & & & & & & & & & & & & & & & & & & & & & . ng k cng ty trch nhim hu hn hai thnh vin do ti l ngi i din theo php lut/Ch tch h#i ng thnh vin2 vi ni dung sau: 1. Tinh trng thnh lp (nh du X vo thch hp): Thnh lp mi%Thnh lp trn c s tch doanh nghip%Thnh lp trn c s chia doanh nghip%Thnh lp trn c s hp nht doanh nghip%Thnh lp trn c s chuyn i loi hnh doanh nghip%Thnh lp trn c s chuy n  i t h kinh doanh3%Thnh lp trn c s chuyn  i t c s bo tr x hi/qu x hi/qu t thin4%2. Tn cng ty Tn cng ty vit bng ting Vit (ghi bng ch in hoa):& & & & & & & & & & & & & & Tn cng ty vit bng ting nc ngoai (nu c):& & & & & & & & & & & & & & & & Tn cng ty vit tt (nu c):& & & & & & & & & & & & & & & & & & & & . 3. a ch tr s  chnh: S nh, ngch, hm, ngo, ng ph/t/xm/p/thn:& & & & & & & & & & & & . X/Phng/Th trn:& & & & & & & & & & & & & & & & & & & & & & & & & & & & Qun/Huyn/Th x/Thnh ph thuc tnh:& & & & & & & & & & & & & & & & & & & & Tnh/Thnh ph:& & & & & & & & & & & & & & & & & & & & & & & & & & ... in thoi:& & & & & & & & & & .. Fax (nu co):& & & & & & & & & & .. Email (nu c):& & & & & & & & & & & Website (nu co):& & & & & & & & .. - Doanh nghip nm trong (anh du X vo vung tng ng nu doanh nghip ng k a chi  tru# s chnh nm trong khu cng nghi#p/khu ch xut/khu kinh t/khu cng ngh cao): Khu cng nghip % Khu ch xut % Khu kinh t % Khu cng ngh cao % % Doanh nghip x hi (nh du X vo vung nu l doanh nghip x hi) % Cng ty chng khoan/Cng ty qun l qu u t chng khon/Cng ty u t chng khon: (anh du X nu l Cng ty chng khon/Cng ty qun l qu u t chng khon/Cng ty u t chng khon v k khai thm cc thng tin sau y) Giy php thnh lp v hot ng s: ........... (nu co) do y ban Chng khon Nh nc cp ngy:& /& ./& . - Doanh nghip c Giy chng nhn quyn s dng t ti o v x, phng, th trn bin gii; xa, phng, th trn ven bin; khu vc khc c nh hng n quc phng, an ninh5: C % Khng % 4. Ngnh, ngh kinh doanh (ghi tn v m theo ngnh cp 4 trong H thng ngnh kinh t ca Vit Nam): STTTn ngnhM ngnhNgnh, ngh kinh doanh chnh (nh du X   chn mt trong cc ngnh, ngh a k khai)5. Vn iu l: Vn iu l (bng s; VN):& & & & & & & & & & & & & & & & & & & & & & .. Vn iu l (bng ch; VN):& & & & & & & & & & & & & & & & & & & & & & Gi tr tng ng theo n v tin nc ngoi (nu c, bng s, loa#i ngoi t):& & & & & & & & & & & & & & & & & & & & & & & & & & & & & & .. Co hin th thng tin v gia tr tng ng theo n v tin t nc ngoi trn Giy chng nhn ng k doanh nghip hay khng? C % Khng % 6. Ngun vn iu l: Loi ngun vnS tin (bng s; VN v gi tr tng ng theo n vi# tin nc ngoi, nu c)T l (%)Vn ngn sch nh ncVn t nhnVn nc ngoaiVn khcTng cng7. Thnh vin cng ty: k khai theo Ph lu#c I-6 ban hnh km theo Thng t s 01/2021/TT-BKHT - Thng tin v ngi i din theo php lut/ngi i din theo y quyn cu a thanh vin l t chc (k khai theo Ph lu#c I-10 ban hnh km theo Thng t s 01/2021/TT- BKHT): Gi km (nu co). - Thng tin v Giy chng nhn ng k u t (ch k khai trong trng hp thnh vin l nh u t c cp Giy chng nhn ng k u t theo quy nh ca Lut u t): M s d n:........................................................................................................................ Ngy cp:& .. /& & .../& & . C quan cp:& & & & & & & & & & & & & & & & 8. Ngi i din theo php lut6 H v tn (ghi bng ch in hoa):& & & & & & & & & & & & & & . Gii tnh:& & & & . Chc danh:& & & & & & & & & & & & & & & & & & & & & & & & & & & & Sinh ngy:& & /..../& ... Dn tc:& & & & & . Quc tch:& & & & & & .. Loi giy t php l ca c nhn: % Chng minh nhn dn % Cn cc cng dn % H chiu % Loa#i khac (ghi ro):& & & & & & & . S giy t php l ca c nhn:& & & & & & & & & & & & & & & & & & & & Ngy cp:......./....../.....Ni cp:& & & & & & Ngy ht hn (nu co):& ../& ../& & a ch thng tr: S nh, ngch, he m, ngo, ng ph/t /xm/p/thn:& & & & & & & & & & . X/Phng/Th trn:& & & & & & & & & & & & & & & & & & & & & & & & & Qun/Huyn/Th x/Thnh ph thuc tnh:& & & & & & & & & & & & & & & . Tnh/Thnh ph:& & & & & & & & & & & & & & & & & & & & & & & & & & ... Quc gia:& & & & & & & & & & & & & & & & & & & & & & & & & & ... a ch lin la#c:& & & & & & & & & & & & & & & & & & & & & & & & . S nh, ngch, hm, ng, ng ph/t /xm/p/thn:& & & & & & & & & & Xa/Phng/Th trn:& & & & & & & & & & & & & & & & & & & & & & & & & Qun/Huyn/Th xa/Thnh ph thuc tnh:& & & & & & & & & & & & & & & & & .. Ti nh/Thnh ph:& & & & & & & & & & & & & & & & & & & & & & & ... Quc gia:& & & & & & & & & & & & & & & & & & & & & & & & & & & & ... in thoi (nu co):& & & & & & & & & . Email (nu c):& & & & & & & & . 9. Thng tin ng k thu: STTCc ch tiu thng tin ng k thu9.1Thng tin v Gim c/T ng gim c (nu co): H v tn Gim c/Tng gim c:& & & & & & & & & & & & & & & & & . in thoi:& & & & & & & & & & & & & & & & & & & & & & & & & .. 9.2Thng tin v K ton trng/Phu# trch k ton (nu co):& & & & & & & & & & & . Ho# v tn K ton trng/Phu# trch k ton:& & & & & & & & & & & & & & & in thoi:& & & & & & & & & & & & & & & & & & & & & & & & & & ..9.3a ch nhn thng bo thu (ch k khai nu a ch nh#n thng bo thu khc a ch tr s chnh); S nh, ngch, hm, ng, ng ph/t/xm/p/thn:& & & & & & & & & & . X/Phng/Th trn:& & & & & & & & & & & & & & & & & & & & & & & . Qun/Huy#n/Th x/Thnh ph thuc ti nh:& & & & & & & & & & & & & & Ti nh/Thnh ph:& & & & & & & & & & & & & & & & & & & & & & & & in thoa#i (nu c):& & & & & & & .. Fax (nu c):& & & & & & & & Email (nu co):& & & & & & & & & & & & & & & & & & & & & & .. 9.4Ngy bt u hot ng7 (trng hp doanh nghip d kin bt u hot ng k  t ngy c cp Giy chng nhn ng k doanh nghip th khng cn k khai ni dung ny):& ./& ../& & 9.5Hnh thc hch ton (nh du X vo mt trong hai ,  Hch ton c lp hoc  Ha#ch ton phu# thuc . Trng hp tch chn "Hch ton c lp m thuc i tng phi lp v gi bo co ti chnh hp nht cho c quan c thm quyn theo quy nh th tch chn thm  Co bo cao ti chnh hp nht ): Hch ton c lp % C bo co ti chnh hp nht % Hch ton ph thuc %9.6Nm ti chnh: Ap du#ng t ngy& ../& ..n ngy& ../& ..8 (ghi ngy, thng bt u v kt thc nin  k ton)9.7Tng s lao ng (d kin):& & & & & & & & & & & & & & & & & & & & & & & & & & . 9.8Hot ng theo d n BOT/BTO/BT/BOO, BLT, BTL, O&M: C % Khng %9.9Phng php tnh thu GTGT (chn 1 trong 4 phng phap)9 : Khu tr % Trc tip trn GTGT % Trc tip trn doanh s % Khng phi np thu GTGT %10. ng k s  du#ng ha n10: % T in ha n % t in ha n % S dng ha n in t % Mua hoa n ca c quan thu 11. 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Thng tin v cc doanh nghip b chia, bi# tch, bi# hp nht, #c chuyn  i (chi  k khai trong trng hp thnh lp cng ty trn c s chia, tch, hp nht, chuyn  i loi hnh doanh nghip): Tn doanh nghip (ghi bng ch in hoa):& & & & & & & & & & & & & & & & & M s doanh nghip/Ma s thu:& & & & & & & & & & & & & & & .. S Giy chng nhn ng k kinh doanh (chi  k khai nu khng c ma s doanh nghi#p/m s thu):& & & & & & & & & & . Ngy cp& ./& ./& .. Ni cp:& & & & & & & &  ngh Phng ng k kinh doanh thc hin chm dt tn ti i vi doanh nghip b chia, b hp nht v cc chi nhnh/vn phng i din/a i m kinh doanh ca doanh nghip b chia, b hp nht. 13. Thng tin v h kinh doanh #c chuyn i (chi  k khai trong trng hp thanh lp cng ty trn c s chuyn  i t h kinh doanh): Tn h kinh doanh (ghi bng ch in hoa):& & & & & & & & & & & & & & & & & .. S Giy chng nhn ng k h kinh doanh:& & & & & & & & & & & & & & & & Ngy cp:& .. /& & /& & . Ni cp:& & & & & & & & & & & & & & & & & & & . M s thu ca h kinh doanh (chi  k khai MST 10 s):& & & & & & & & & & & & a chi  tr s h kinh doanh:& & & & & & & & & & & & & & & & & & & Tn ch h kinh doanh:& & & & & & & & & & & & & & & & & & & & & & & . Loi giy t php l ca c nhn (k khai theo giy t php l ca c nhn c ghi trn Giy chng nhn ng k thu ca h kinh doanh): % Chng minh nhn dn % Cn cc cng dn % H chiu % Loi khc (ghi r):& & & & & & & & & .. S giy t php l ca c nhn (k khai theo giy t php l cu a c nhn c ghi trn Giy chng nhn ng k thu ca h kinh doanh): Ngy cp: ..../..../....Ni cp:& & & & & & & & & . Ngy ht hn (nu c):..../& & /& & 14. Thng tin v c s bo tr xa hi/qu x hi/qu t thin #c chuy n i (chi  k khai trong trng hp thnh lp doanh nghip x hi trn c s chuyn i t c s bo tr x hi/qu x hi/qu t thin): Tn c s bo tr x hi/quy x hi/qu t thin (ghi bng ch in hoa):& & & & & & & & & & & .. S Giy chng nhn ng k thnh lp (i vi c s bo tr xa hi)/S Giy php thnh lp v cng nhn iu l qu (i vi qu x hi/qu t thin):& & & & & & & & & & & .. Ngy cp:..../.../& Ni cp:& & & & & & & & & & & & & & & & & & & & & & & & . M s thu ca c s  bo tr x hi/qu x hi/qu t thin (ch k khai MST 10 s):& & & & & . a ch tr s chnh:& & & & & & & & & & & & & & & & & & & & & & & & & Tn ngi i din c s bo tr xa hi/qu x hi/qu t thin:& & & & & & & & Loi giy t php l ca c nhn (k khai theo giy t php l cu a c nhn c ghi trn Giy chng nhn ng k thu ca c s bo tr x h#i/qu x hi/qu t thin): % Chng minh nhn dn % Cn cc cng dn % H chiu % Loi khc (ghi r):& & & & & & & .. S giy t php l ca c nhn (k khai theo giy t php ly ca c nhn c ghi trn Giy chng nhn ng k thu ca c s bo tr x h#i/qu xa hi/qu t thin):& & & & & & & & & & & & & Ngy cp: ..../..../....Ni cp:& & & & & & & & & & & Ngy ht hn (nu c):.../.../... Trng hp h s ng k doanh nghip hp l,  ngh Qu Phng ng cng b ni dung ng k doanh nghip trn Cng thng tin quc gia v ng k doanh nghip. Ti cam kt: - L ngi c y  quyn v ngh)a v thc hin th tc ng k doanh nghip theo quy nh ca php lut v iu l cng ty. - Tr s chnh thuc quyn s hu/quyn s dng hp php ca cng ty v c s dng ng mc ich theo quy nh ca php lut; - S dng ha n t in, t in, ha n i#n t, mua ha n ca c quan thu theo ng quy nh ca php lu#t12; - Chu trch nhim trc php lut v tnh hp php, chnh xc v trung thc ca ni dung ng k doanh nghip trn. NGI I DIN THEO PHP LU#T/ CH TCH HI NG THNH VIN CA CNG TY (Ky va ghi ro ho# tn)13__________________________ 1 Trng hp Ta n hoc Trng tai chi  nh ngi thc hin th tc ng k doanh nghip thi ngi #c chi  nh k khai thng tin vo phn nay. 2 Trng hp ng ky chuyn  i loi hinh doanh nghip ng thi ng k thay i ngi a#i din theo php lut thi Ch tch Hi ng thnh vin ca cng ty sau chuyn  i k khai thng tin vao phn ny. 3,4 Trng h#p ng ky thanh l#p cng ty TNHH hai thanh vin tr  ln trn c s  chuy n  i t h# kinh doanh/c s  ba o tr# xa h#i/quy xa h#i/quy t thi#n qua ma#ng thng tin i#n t  thi ngi n#p h s scan Giy chng nh#n ng ky h# kinh doanh/Giy chng nh#n ng ky thanh l#p (i vi c s  ba o tr# xa h#i)/Giy phep thanh l#p va cng nh#n iu l# quy (i vi quy xa h#i/quy t thi#n) trong h s ng ky doanh nghi#p qua ma#ng thng tin i#n t  va n#p tr#c tip ba n chinh Giy nay ti Phong ng ky kinh doanh   #c cp Giy chng nh#n ng ky doanh nghi#p theo quy i#nh ta#i iu 27 va iu 28 Nghi# i#nh s 01/2021/N-CP ngay 04/01/2021 cu a Chinh phu  v ng ky doanh nghi#p. 5 K khai trong trng hp co nh u t nc ngoi gp vn, mua c phn, phn vn gop vo doanh nghip dn n thay  i ni dung ng ky doanh nghip. 6 Ghi thng tin cu a tt c ngi i din theo php lut trong trng hp cng ty co nhiu hn 01 ngi a#i din theo php lut. 7 Trng hp doanh nghip #c cp Giy chng nhn ng ky doanh nghip sau ngy bt u hot ng a k khai thi ngy bt u hot ng la ngay doanh nghip c cp Giy chng nhn ng k doanh nghip. 8 - Trng hp nin  k ton theo nm dng lch th ghi t ngy 01/01 n ngy 31/12. - Trng hp nin  k ton theo nm ti chnh khc nm dng lch th ghi ngy, thng bt u nin  k toan l ngy u tin cu a qu; ngy, thng kt thc nin # k toan l ngy cui cng cu a qu. - T ng thi gian t ngy bt u n ngy kt thuc nin  k toan phi u  12 thng hoc 4 quy lin tip. 9 Ch k khai trong trng hp thnh lp mi. Doanh nghip cn c vo quy nh ca php lut v thu gi tr gia tng v d# kin hot ng kinh doanh ca doanh nghip  xc i#nh 01 trong 04 phng php tinh thu gia tri# gia tng ti chi  tiu nay. 10 Doanh nghip co trch nhim a m ba o cc iu kin v vic s dng hoa n t in, t in, hoa n in t, mua hoa n ca c quan thu theo quy nh cu a php lut. Khng k khai trong trng hp thnh l#p doanh nghip trn c s chuyn  i loa#i hinh doanh nghip. 11 Khng k khai trong trng hp thnh lp doanh nghip trn c s  chuyn i loi hinh doanh nghip. 12 Khng k khai trong trng hp thanh lp doanh nghip trn c s  chuy n  i loa#i hinh doanh nghip. 13 - Ngi i di#n theo php lut ca doanh nghip k trc tip vao phn ny. - Trng hp ng k chuy n  i loa#i hinh doanh nghip ng thi ng k thay  i ngi a#i din theo php lut th Chu  tch Hi ng thanh vin ca cng ty sau chuy n  i ky trc tip vao phn ny. - Trng hp Ta n hoc Trng ti chi  nh ngi thc hin th tc ng k doanh nghip thi ngi #c chi  nh k trc tip vo phn nay. &28BLZĕʕ>Xblrʗ LRftȘژҾҾҾҾ⮚⮚⮚h|OJQJ^JmH sH &h|h8&6OJQJ]^JmH sH h|h8&6OJQJ]^J&h|h8&5OJQJ\^JmH sH h|h8&5OJQJ\^Jh|h8&OJQJ^J h|h8&OJQJ^JmH sH 7 |Ěښޚ&dl  dĜ*,4NRTZ\^vxƝڝ :Ҿ󪚪~~~󚪚~~~h|OJQJ^JmH sH h|h8&6OJQJ^Jh|h8&6OJQJ]^J&h|h8&6OJQJ]^JmH sH &h|h8&5OJQJ\^JmH sH h|h8&5OJQJ\^J h|h8&OJQJ^JmH sH h|h8&OJQJ^J1|xޝ>V "hh֥> xgd8&:v~RXfŸȟJƠҠbv:DFT\^`h:<FJdΣҾҾҾҾҾҾ⮚ҾҾҾ&h|h8&5OJQJ\^JmH sH h|h8&5OJQJ\^J&h|h8&6OJQJ]^JmH sH h|h8&6OJQJ]^J h|h8&OJQJ^JmH sH h|h8&OJQJ^J<dHJXdfhz|ҥԥ֥ܥ(,RbjzΦ6<vʧ󚆚󚆚&h|h8&6OJQJ]^JmH sH h|h8&6OJQJ]^Jh|OJQJ^Jh|OJQJ^JmH sH #h|h8&OJQJ]^JmH sH h|h8&OJQJ]^J h|h8&OJQJ^JmH sH h|h8&OJQJ^J4>HJVr|ĨȨTZ\^rxzکNXZfȪΪRht|ƮЮ^hްϾϾϾϾϾϾϾϾϾϾϾϾϾϾϾ#h|h8&H*OJQJ^JmH sH  h|h8&OJQJ^JmH sH h|h8&OJQJ^J&h|h8&6OJQJ]^JmH sH h|h8&6OJQJ]^JD ´&Ծ $xa$gd8&TkdD$$Ifl0 ,"  t644 laytE$$Ifa$gdEl xgd8&$dftvx´ȴ ׿׿׿ziQ;Q;Q;Q;Q+h|h8&6CJOJQJ^JaJmH sH .h|h8&6CJH*OJQJ^JaJmH sH  h|h8&OJQJ^JmH sH  h|h8&+ha1h8&CJH*OJQJ^JaJmH sH +ha1h8&6CJOJQJ^JaJmH sH #ha1h8&6CJOJQJ^JaJ.ha1h8&5CJOJQJ\^JaJmH sH &ha1h8&5CJOJQJ\^JaJ(ha1h8&CJOJQJ^JaJmH sH  &(Ծ־FJdf#h|hMF6CJOJQJ^JaJ.h|h8&6CJH*OJQJ^JaJmH sH +h|h8&6CJOJQJ^JaJmH sH .F@df $xa$gd8& 21h:pMF/ =!"#$% N$$If!vh#v#v(:V l t,"655(ytEN$$If!vh#v#v(:V l t,"655(ytEN$$If!vh#v#v(:V l t,"655(ytEN$$If!vh#v#v(:V l t,"655(ytEN$$If!vh#v#v(:V l t,"655(ytEN$$If!vh#v#v(:V l t,"655(ytEN$$If!vh#v#v(:V l t,"655(ytE$$If!vh#vu#v#ve#v:V 06,555j5 / 4 p(ytE$$If!vh#vu#v#ve#v:V 06555j5 / 4 p(ytE$$If!vh#v #v}#vH:V 06,55D5l/ 4 pytE$$If!vh#v #v}#vH:V 06,55D5l/ 4 pytE$$If!vh#v #v}#vH:V 06,55D5l/ 4 pytE$$If!vh#v #v}#vH:V 06,55D5l/ 4 pytE$$If!vh#v #v}#vH:V 06,55D5l/ 4 pytE$$If!vh#v #v}#vH:V 06,55D5l/ 4 pytE$$If!vh#v#v :V 06,55n/ 4 pytE$$If!vh#v#v :V 06,55n/ 4 pytE$$If!vh#v#v :V 06,55n/ 4 pytE$$If!vh#v#v :V 06,55n/ 4 pytE$$If!vh#v#v :V 06,55n/ 4 pytE$$If!vh#v#v :V 06,55n/ 4 pytE$$If!vh#v#v :V 06,55n/ 4 pytE$$If!vh#v#v :V 06,55n/ 4 pytE$$If!vh#v#v :V 06,55n/ 4 pytE$$If!vh#v#v :V 06,55n/ 4 pytEN$$If!vh#v #v:V l t65 5ytE s666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662&6FVfv2(&6FVfv&6FVfv&6FVfv&6FVfv&6FVfv&6FVfv8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ OJPJQJ_HmH nH sH tH ^`^ 8&Normal1$1B*CJOJPJQJ^J_HaJmH*phsH*tH*DA D Default Paragraph FontRi@R 0 Table Normal4 l4a (k ( 0No List / 8&4Default Paragraph Font Para Char Char Char Char Char d8xx(CJOJPJQJ^J_HaJmH sH tH PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭V$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! 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