THTax cung cấp dịch vụ đại lý thuế, tư vấn thuế, kế toán trọn gói

Form No. 15

APPLICATION FOR THE RETRIEVAL OF THE PAYMENT INTERMEDIARY SERVICE OPERATION LICENSE

To: The Governor of the State Bank of Vietnam.

Pursuant to Decree No. .../.../ND-CP dated... month... year... of the Government on cashless payment and its amendments (if any);

Pursuant to Circular No. .../.../TT-NHNN dated... month... year... of the State Bank of Vietnam on the provision of payment intermediary services and its amendments (if any);

Pursuant to the Resolution of the Member Council/Board of Directors/General Meeting of Shareholders, the document from the authorized representative of the owner of ...(1)... on the decision to cease the provision of payment intermediary services authorized by the State Bank of Vietnam under License No. ... dated... month... year...;

...(1)... requests the State Bank of Vietnam to revoke the Payment Intermediary Service License No. ... dated... month... year... with the following details:

1. Name of the payment intermediary service provider:

   • Full name in Vietnamese:
   • Abbreviated name in Vietnamese (if any):
   • Full name in English (if any):
   • Abbreviated name in English (if any):
   • Name used for transactions (if any):

2. Establishment License/Business Registration Certificate/Business License No. ... issued by... on... month... year...

3. Business/Tax Identification Number:

4. Address of the main office, phone number, fax number, email:

5. Payment intermediary service license No. ... dated... month... year... issued by the State Bank of Vietnam.

6. Reason for requesting the retrieval (check the corresponding box): □ Organization is dissolved or bankrupt.

   • Attached documents: □ Cease the provision of payment intermediary services
   • Attached documents:
   • Estimated time to cease the provision of payment intermediary services:

We commit that we have completed the processing of tax obligations, debts, assets, customer rights, and take full responsibility before the law for the legality, accuracy, and truthfulness of the contents of this application. In case of violation, we accept full responsibility before the law.

Note: ...(1)... Name of the payment intermediary service provider.

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