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Ĭ} D8  t pX  D UxiȲ.=D Ơ |"84xG* 84@ t Ux lX  ­ t x Ŕ ( ` 0|   `  ǵȲ. 210mm297mm[1 80g/3(\֩ƈ)](back) InstructionsQ; The receipt number and date is not for the applicant or income payer to enter. 81. This application shall be submitted when non-resident individuals or foreign corporations wish to request for non-taxationtax exemption under the tax treaty of Korean source interest, dividend, royalty and other incomes that are subject to taxes under the Korean tax law, or when the above-mentioned types of income are paid through an Overseas Public Collective Investment Vehicle ("OPCIV"), which in turn requests for non-taxationtax exemption under the proviso of Article 207-2(9)/Article 138-4(9) of Enforcement Decree of the Income Tax Act/Corporate Tax Act.{2. This application shall be prepared in three copies, one of which shall be submitted to an income payer along with a certificate of residence issued by a beneficiary s residence country (In the case of incomes under Article 119-12(f)(g) of the Income Tax Act, this can be replaced with a copy of passport or a certificate of entry/departure record that shows his/her recent entry/departure spanning one year from the date of arrival in the Republic of Korea), and the income payer, in turn, shall submit the other two copies to the head of the competent tax office having jurisdiction over the payer s place for tax payment no later than the ninth day of the month following the month to which the date of income payment belongs. In the event of changes in the submitted application or after a lapse of three years from the submission, the old application shall be replaced with a new one.3. This application is null and void if the beneficiary submits it without a certificate of residence (In the case of incomes under Article 119-12(f)(g) of the Income Tax Act, this can be replaced with a copy of passport or a certificate of entry/departure record that shows his/her recent entry/departure spanning one year from the date of arrival in the Republic of Korea), or presents agent s information in the sections where beneficiary s is required. #4. Put a check in applicable [ ]. 5. Section `$. Enter beneficiary's name. If the beneficiary is a foreign corporation, enter corporate name. For a foreigner, enter full name in English as shown in his/her passport. 6 6. Sections a$, h$, and (26). Refer to the below table. Registration Number General rule<Resident registration number or business registration numberWhen (1) is not available Enter domestic residence card number (for a Korean national residing abroad or a Korean with a foreign nationality), or passport number (in the absence of domestic residence card number).%When neither (1) nor (2) is available{Enter investment registration number, or taxpayer identification number (in the absence of investment registration number).y7. Section b$. Enter beneficiary's address in the following order: number, street, city, state, postal code and country. 8. Section c$. Enter date of birth if the beneficiary is a non-resident individual (for example, enter "20060101" if the date of birth is January 1, 2006).9. Sections d$ and e$. Enter country abbreviation and code from ISO Coun< try Codes set by the International Organization for Standardization (ISO). 10. Section f$. Enter corporate name both in Korean and English for a corporate income payer, or shop name both in Korean and English for an individual income payer. Section g$. Enter name of representative and business operator. 11. Section i$. Enter location of the payer s headquarters (place of business), or payer s address in the absence of such location. 212. Sections j$<"m$. Put a check in applicable [ ]. 13. <"Item o$. Enter 'real name' for a real name account that confirmed real name or conversed by real name and enter 'non-real name' for other accounts. Where an interest or a dividend has been distributed to a direct owner of bondsecurity that have already been issued and he/she confirmed that he/she is an actual owner of account, enter 'real name.' Except for this case, enter 'non-real name'.14. Section (18). Enter the amount in Korean won using the exchange rate at the time of application. The amount for non-taxationtax exemption to be confirmed later is calculated in Korean won using the exchange rate at the time of income payment. ? 15. Sections (24)<"(28) shall be filled when an agent files this application. Please submit a letter of attorney that proves beneficiary-agent relationship along with a copy of its Korean translation in the case of application by an agent other than a tax manager under Article 82 of the Framework Act on National Taxes.16. The income payer who receives this application (including its attached documents, if any) shall submit it to the head of the competent tax office having jurisdiction over the payer s place for tax payment no later than the ninth day of the month following the month to which the date of income payment belongs, under Article 207-2(1)/Article 138-4(1) of Enforcement Decree of the Income Tax Act/Corporate Tax Act. 17. The income payer or foreign investment vehicle that receives this application (including its attached documents, if any) shall keep it for five years from the date right after the period stated under Article 207-2(1)/Article 138-4(1) of Enforcement Decree of the Income Tax Act/Corporate Tax Act, and submit it to the head of the competent tax office having jurisdiction over the payer s place for tax payment if required.,[Form No. 29-2 (1)] *Application for Non-TaxationExemption of <( [ ] Individual Income Tax [ ] Corporate Income Tax ) on JKorean Source ([ ] Interest [ ] Dividend [ ] Royalty [ ] Other) Incomeunder the Tax Treaty(; Please put a check in applicable [ ].(Front) Receipt No. Receipt Date%Required to be processed upon receipt Beneficiary&`$ Name of Individual (or Corporation)0a$ Business (Resident or Alien) Registration No.$b$ Address (or Location of Business)c$ Date of Birthd$ Country of Residencee$ Country Code Income PayerEf$ Name of Corporation-- (Korean) (English)g$ Name of Representative0h$ Business (Resident or Alien) Registration No.$i$ Address (or Location of Business)Type of j$ InterestZ[ ] Bonds [ ] Bonds Investment Trust [ ] Deposit and Savings [ ] Loans [ ] OthersIncome k$ Dividend:[ ] Securities Investment Trust [ ] Deemed Dividends @[ ] Dividend Paid from One Corporation to Another [ ] Others l$ RoyaltyN[ ] Patents, Trademark [ ] Copyrights [ ] Equipment Lease [ ] Others m$ OthersInterest / Dividend Income n$ Account No.o$ Real name confirmed (Unit:KRW)p$ Date of Paymentq$ Amount Pai--d r$ Tax Rates$ Tax to be Withheld(21)Tax Exempted (22)Basis for Non-TaxationYArticle ( ), Paragraph ( ), Clause ( ) of the Tax Treaty between Korea and ( )or Tax Exemption(23)Covered Period7. . . <" . . . (YYYY/MM/DD)I hereby submit an "Application for Non-Taxation Exemption of Individual (or Corporate) Income Tax on Non-Resident's Korean Source ( ) Income" under Article 156-2(or 98-4) of the "Income Tax Act(or Corporate Tax Act)" and Article 207-2(or 138-4) of its Enforcement Decree.>Date:fApplicant (Beneficiary): (Signature or Seal)d(Via) Income Payer: (Signature or Seal)7To The Head of ( ) District Tax OfficeAgent(24)Type of Agent&[ ]Tax Agent [ ]Others ((25)Name of Individual (or Corporation)*(26)Business (Resident or Alien) Reg. No.((27)Address-- (or Location of Business)"(28)Competent District Tax OfficeAttachedi1. A "Certificate of Residence" issued by the Competent Authority of the beneficiary's residence country Documentsa2. A copy of a supporting document for non-taxation or tax exemption (e.g. Agreement or contract)!I hereby confirm the above facts.:Date:/Head of ( ) District Tax OfficeSeal Irrespective of this confirmation of the submitted application, the head of district tax office can correct or determine taxes in accordance with relevant laws if the information in this application is found to be different from act<ual facts.210mm297mm[1 80g/3(\֩ƈ))()1)&; ˆ8  |@ ­x  ݴ 1X JŵȲ.1. t ­ DpȐ  xmxt m8 0x mƜ̌ݴ  tǐnjݴ, 0ݴ, ̸ݴ, 0Ќݴ X Ƭ|@ ̰\ p8p}X ܭ 0| D8  t| <$   ݴt mxi,Ґ0l| X  mxi,Ґ0l 0ݴ8 ‰9 0207pX29m ( 0x8 ‰9 0138pX49m ) 0| mxi,Ґ0lX X\ D8  t| ­XՔ ȜiȲ.2. t ­ 3| 1X ݴX pm  XՔ pȐǝɅ| ̀( 0ݴ8 0119p 128  0x ݴ@ Ō  m|ǀ0 \ 1DX ͅm D ɅXՔ ͅm \ Ʌ\ `  ǵȲ)X t ݴX Ō ȜXp t ݴX ǔ ݴD XՔ t XՔ X L 9|L X 8 ` 84Ō 2| ȜiȲ. t ­ Ȝ 0Ǭm ٳt 4  t ­| Ȝ\ 0 3Dt ɜ Ŕ t ­| 1X ȜiȲ. 3. t ­ ݴ pȐǝɅ| ̀( 0ݴ8 0119p 128  0x ݴ@ Ō  m|ǀ0 \ 1DX ͅm D ɅXՔ ͅm \ Ʌ\ `  ǵȲ)X Xp ݴǀ xD Ȕ Ŕ t ­X Ȝ %t ŵȲ.4. t̸ [ ] "(""| \iȲ. m5. `$ 1@ ݴD  X 1D , ݴD  xx Ŕ xDžD ȵȲ. ̹, xmx@ 1D 8<\ , Ō 0] 81 Ȁ| ȴ| iȲ.26. a$, h$, (26) Ő(, xmx)]8ր: DŘX \| 8pX ȵȲ.l 0 8 Y]8  Ő]8(1)X 0Lj8|  J@ k[x] mpଝX mpଈ8(xm, xmmٳx )  xmx]\X xmx]8(xmxx )| , 8 Ŕ Ơ ŌX Ō8| ȵȲ.(1), (2)X 0Lj8|  J@ V,Ґ]X ,Ґ]8| , 8 Ŕ t pmX 8 8(Tax payer Identification Number)| ȵȲ.]7. b$ Ȍ@ (number), p(street), (city), ij(state), Ƹӈ8(postal zone), m(Country) <\ ȵȲ.\8. c$ D|ǀ@ ݴ DpȐ(x) t` ܴ 1iȲ.(: D|t 2006D 1 1|x Ɣ "20060101"D ȵȲ.)I9. d$ pm e$ pm Tܴ@ m\T0l(ISO) \ mļ ISOTܴ  m(}Ŵ)  mTܴ| ȵȲ._10. f$ xDž(8)@ xx Ŕ xDžD, xx Ŕ 8| \ 8<\ Ѽ0Xp g$ \Ԑ(1)@ \Ԑ  ŐX 1D ȵȲ.@11. i$  Ȍ@ X (ť) | , ťt Ŕ Ŕ Ȍ| ȵȲ. *12. j$<"m$ ݴ ր@ t D >D [ ] "(""| \iȲ.13. o$ …l@ …Ux  …X …ĬȔ "…"<\, txX ĬȔ "D…"<\ ȵȲ. 0 ĎɌ D <\  \ tǐǷ0ݴD @ ɅX| Ux\ Ŕ "…"<\, txX Ɣ "D…"<\ ȵȲ.c 14. 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6InputBinFORMSOURCERESDLLUniresDLLHPDocUISUITrueESPRITSupportedTrueHPPCompositeUSBGetSerialNumberhppdvq01.dll_getDeviceSerialNumberWHPPInstallTimeConfighppdvq01.dll_getDevicePPMDuplexerWHPPCompositeUSBFilehppdvq01.dll_getDeviceSerialNumber_getDevicePPMDuplexerResolution600dpiFastResTrueDuplexNONEOrientationPORTRAITHPOrientRotate180FalsePaperSizeA4MediaTypeAUTOEMFSpoolingforPLSwoMopierTrueCollateOFFHPMediaTypeTreeviewPopupTrueColorMode24bppEconomodeFalseTextAsBlackFalseTTAsBitmapsSettingTTModeOutlineJPEGEnableAutoHPEnableGrafitCompressionTrueHPRequestObjectTagDumpFalseHPRequestNullStripCommandFalseHPHybridRenderSwitchHPHybridAutoHPEarlyWarmUpCommandEnablePrintQualityGroupPQGroup_2HPDocPropResourceDatahpchl140.cabHPColorModeMONOCHROME_MODEHPPDLTypePDL_PCL6HPJobAccountingHPJOBACCT_JOBACNT_GROUPNAMEHPBornOnDateHPBODHPJobByJobOverrideJBJOHPXMLFileUsedhpcm5216.xmlHPLpiSelectionNoneHPEnableObjectTaggingTrueHPReverseScanLinesForDuplexFALSEHPEnablePageTimerFalseHPEnableNullStripsTrueHPEnableEfficientMonoFALSEHPEnableImageProcessingPathFALSEHPMonochromePrinterTRUEHPCallToWritePrinterRequiredTRUEHPMemoryManagerTrueHPGetCompressionRatioValue17MaxStripHeight64HPGetByteAlignedValueForWidth256HPGetDeltaRowHalfToneValue1HPManualDuplexDialogItemsInstructionID_01_FACEDOWN-NOROTATEHPPaperSizeDuplexConstraintsEXECUTIVEHPMediaTypeDuplexConstraintsHEAVYHPPCL6PassThroughTrueHPStraightPaperPathFalseHPSmartDuplexSinglePageJobTrueHPSmartDuplexOddPageJobTrueHPManualFeedOrientationFACEDOWNHPOutputBinOrientationFACEDOWNHPManualDuplexDialogModelModelessHPManualDuplexPageOrderEvenPagesFirstHPMapManualFeedToTray1TrueHPManualDuplexPageRotateDriverRotateHPPrintOnBothSidesManuallyFalseHPNUseDiffFirstPageChoiceTRUEHPPageExceptionsFileHPCPE140HPPageExceptionsLowEndHPPageExceptionsLowEndVerHPPageExceptionsInterfaceShowPageExceptionsHPPageExceptionsCoverInsertionHPPngPassthroughTruePSAlignmentFileHPCLS140HPSmartHub_OnlinediagnostictoolsTRUEHPSmartHub_SupportandtroubleshootingTRUEHPSmartHub_ProductmanualsTRUEHPSmartHub_CheckfordriverupdatesTRUEHPSmartHubInet_SID_263_BID_514_HID_265HPConsumerCustomPaperTrueHPBestGlossDEFAULTHPMHDLLNameHPFIE140HPPreAnalysisTrueIUPH!xM/Aq@]MIBv 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6InputBinFORMSOURCERESDLLUniresDLLHPDocUISUITrueESPRITSupportedTrueHPPCompositeUSBGetSerialNumberhppdvq01.dll_getDeviceSerialNumberWHPPInstallTimeConfighppdvq01.dll_getDevicePPMDuplexerWHPPCompositeUSBFilehppdvq01.dll_getDeviceSerialNumber_getDevicePPMDuplexerResolution600dpiFastResTrueDuplexNONEOrientationPORTRAITHPOrientRotate180FalsePaperSizeA4MediaTypeAUTOEMFSpoolingforPLSwoMopierTrueCollateOFFHPMediaTypeTreeviewPopupTrueColorMode24bppEconomodeFalseTextAsBlackFalseTTAsBitmapsSettingTTModeOutlineJPEGEnableAutoHPEnableGrafitCompressionTrueHPRequestObjectTagDumpFalseHPRequestNullStripCommandFalseHPHybridRenderSwitchHPHybridAutoHPEarlyWarmUpCommandEnablePrintQualityGroupPQGroup_2HPDocPropResourceDatahpchl140.cabHPColorModeMONOCHROME_MODEHPPDLTypePDL_PCL6HPJobAccountingHPJOBACCT_JOBACNT_GROUPNAMEHPBornOnDateHPBODHPJobByJobOverrideJBJOHPXMLFileUsedhpcm5216.xmlHPLpiSelectionNoneHPEnableObjectTaggingTrueHPReverseScanLinesForDuplexFALSEHPEnablePageTimerFalseHPEnableNullStripsTrueHPEnableEfficientMonoFALSEHPEnableImageProcessingPathFALSEHPMonochromePrinterTRUEHPCallToWritePrinterRequiredTRUEHPMemoryManagerTrueHPGetCompressionRatioValue17MaxStripHeight64HPGetByteAlignedValueForWidth256HPGetDeltaRowHalfToneValue1HPManualDuplexDialogItemsInstructionID_01_FACEDOWN-NOROTATEHPPaperSizeDuplexConstraintsEXECUTIVEHPMediaTypeDuplexConstraintsHEAVYHPPCL6PassThroughTrueHPStraightPaperPathFalseHPSmartDuplexSinglePageJobTrueHPSmartDuplexOddPageJobTrueHPManualFeedOrientationFACEDOWNHPOutputBinOrientationFACEDOWNHPManualDuplexDialogModelModelessHPManualDuplexPageOrderEvenPagesFirstHPMapManualFeedToTray1TrueHPManualDuplexPageRotateDriverRotateHPPrintOnBothSidesManuallyFalseHPNUseDiffFirstPageChoiceTRUEHPPageExceptionsFileHPCPE140HPPageExceptionsLowEndHPPageExceptionsLowEndVerHPPageExceptionsInterfaceShowPageExceptionsHPPageExceptionsCoverInsertionHPPngPassthroughTruePSAlignmentFileHPCLS140HPSmartHub_OnlinediagnostictoolsTRUEHPSmartHub_SupportandtroubleshootingTRUEHPSmartHub_ProductmanualsTRUEHPSmartHub_CheckfordriverupdatesTRUEHPSmartHubInet_SID_263_BID_514_HID_265HPConsumerCustomPaperTrueHPBestGlossDEFAULTHPMHDLLNameHPFIE140HPPreAnalysisTrueIUPH!xM/Aq@]MIBv 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6InputBinFORMSOURCERESDLLUniresDLLHPDocUISUITrueESPRITSupportedTrueHPPCompositeUSBGetSerialNumberhppdvq01.dll_getDeviceSerialNumberWHPPInstallTimeConfighppdvq01.dll_getDevicePPMDuplexerWHPPCompositeUSBFilehppdvq01.dll_getDeviceSerialNumber_getDevicePPMDuplexerResolution600dpiFastResTrueDuplexNONEOrientationPORTRAITHPOrientRotate180FalsePaperSizeA4MediaTypeAUTOEMFSpoolingforPLSwoMopierTrueCollateOFFHPMediaTypeTreeviewPopupTrueColorMode24bppEconomodeFalseTextAsBlackFalseTTAsBitmapsSettingTTModeOutlineJPEGEnableAutoHPEnableGrafitCompressionTrueHPRequestObjectTagDumpFalseHPRequestNullStripCommandFalseHPHybridRenderSwitchHPHybridAutoHPEarlyWarmUpCommandEnablePrintQualityGroupPQGroup_2HPDocPropResourceDatahpchl140.cabHPColorModeMONOCHROME_MODEHPPDLTypePDL_PCL6HPJobAccountingHPJOBACCT_JOBACNT_GROUPNAMEHPBornOnDateHPBODHPJobByJobOverrideJBJOHPXMLFileUsedhpcm5216.xmlHPLpiSelectionNoneHPEnableObjectTaggingTrueHPReverseScanLinesForDuplexFALSEHPEnablePageTimerFalseHPEnableNullStripsTrueHPEnableEfficientMonoFALSEHPEnableImageProcessingPathFALSEHPMonochromePrinterTRUEHPCallToWritePrinterRequiredTRUEHPMemoryManagerTrueHPGetCompressionRatioValue17MaxStripHeight64HPGetByteAlignedValueForWidth256HPGetDeltaRowHalfToneValue1HPManualDuplexDialogItemsInstructionID_01_FACEDOWN-NOROTATEHPPaperSizeDuplexConstraintsEXECUTIVEHPMediaTypeDuplexConstraintsHEAVYHPPCL6PassThroughTrueHPStraightPaperPathFalseHPSmartDuplexSinglePageJobTrueHPSmartDuplexOddPageJobTrueHPManualFeedOrientationFACEDOWNHPOutputBinOrientationFACEDOWNHPManualDuplexDialogModelModelessHPManualDuplexPageOrderEvenPagesFirstHPMapManualFeedToTray1TrueHPManualDuplexPageRotateDriverRotateHPPrintOnBothSidesManuallyFalseHPNUseDiffFirstPageChoiceTRUEHPPageExceptionsFileHPCPE140HPPageExceptionsLowEndHPPageExceptionsLowEndVerHPPageExceptionsInterfaceShowPageExceptionsHPPageExceptionsCoverInsertionHPPngPassthroughTruePSAlignmentFileHPCLS140HPSmartHub_OnlinediagnostictoolsTRUEHPSmartHub_SupportandtroubleshootingTRUEHPSmartHub_ProductmanualsTRUEHPSmartHub_CheckfordriverupdatesTRUEHPSmartHubInet_SID_263_BID_514_HID_265HPConsumerCustomPaperTrueHPBestGlossDEFAULTHPMHDLLNameHPFIE140HPPreAnalysisTrueIUPH!xM/Aq@]MIBv 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