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["附件17"]
["代理出口货物证明申请表"]
["受托方纳税人识别号（统一社会信用代码）："]
["受托方纳税人名称：",{"$nulls":13},"金额单位：元（列至角分）"]
["序号","编号","委托方纳税人名称","委托方统一社会信用\n代码/纳税人识别号","出口货物\n报关单号","贸易\n方式","出口商品\n代码","出口商品\n名称","计量\n单位","出口\n数量","成交\n币制","成交\n总价","美元\n离岸价","委托(代理)协议合同号","委托出口货物证明\n号码","备注"]
[1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16]
{"$rows_empty":8}
["声明：此表是根据国家税收法律法规及相关规定填写的，本人（单位）对填报内容（及附带资料）的真实性、可靠性、完整性负责。\n                              \n                                                                      纳税人（签章）：    年   月  日"]
["经办人：\n\n经办人身份证号：\n\n代理机构签章：\n\n代理机构统一社会信用代码：",{"$nulls":8},"\n\n受理人：\n\n受理税务机关（章）：\n\n受理日期：    年  月  日"]
[]
[]
[]
[]
[]
[]
["填表说明："]
["1. 第5栏至第12栏：按照出口货物报关单据实填写。"]
["2. 第15栏“委托出口货物证明号码”：如果属于按规定需要委托方开具《委托出口货物证明》的，填写《委托出口货物证明》号码。"]