Documentos de Académico
Documentos de Profesional
Documentos de Cultura
Form 1492
Form 1492
( ) Pasaporte
(Passport)
( ) Carnet de Extranjera
(Foreigner identication card)
( ) Otros - especificar
(Others - specify)
Nmero
(Number)
2. DATOS DEL EXTRANJERO (FOREIGNER INFORMATION)
Apellidos y Nombres
(Surnames and names)
Documento de Identidad (Identify document)
( ) Pasaporte
(Passport)
( ) Carnet de Extranjera
(Foreigner identication card)
Nmero
(Number)
( ) Otros - especificar
(Others - specify)
Nacionalidad
(Nationality)
Condicin Migratoria:
(Migratory condition)
( ) Religioso
(Religious)
( ) Estudiante
(Student)
( ) Trabajador
(Worker)
( ) Independiente
(Independent
( ) Inmigrante
Migrant
( ) Otros - especificar
(Others - specify)
3. DETALLE DE LAS RENTAS DE FUENTE PERUANA GENERADAS DURANTE SU PERMANENCIA EN EL PAS Y DE LAS RETENCIONES
EFECTUADAS (DETAILS OF PERUVIAN SOURCE REVENUES MAKED DURING THEIR STAY IN THE COUNTRY AND DETAILS FROM
MAKED RETENTIONS)
Concepto -ver tabla 1 (Item - see table )
Literal (Lettering)
Detalle de literal c - ver tabla 2 (Details from lettering (c) - See table 2)
Literal (Lettering)
S/.
S/.
S/.
Importe de retencin
hola
que tal
(Amount of retention)
S/.
como
te
va
En cumplimiento de lo dispuesto en los incisos (b) y (c) del artculo 13 del TUO de la Ley del Impuesto a la Renta, se emite el presente certificado donde consta que se han efectuado las retenciones
correspondientes
(In agreement with the regulations of clauses (b) and (c) from artcule 13 of revenue taxes law of TUO, is expressed this certificate where is signed that the corresponding retentions have been done.)
Fecha de Emisin
(Issuance date)
Fecha de vigencia
(Efective until)
INSTRUCTIONS
2. FOREIGNER INFORMATION
in This part, its important to show the identification information of the foreigner citizen, the condition of migration tha they could have used to
enter to the country, their nationality and the arrival and departure dates from the country.
3. DETAILS OF PERUVIAN SOURCE REVENUES MAKED DURING THEIR STAY IN THE COUNTRY AND DETAILS FROM DONE
RETENTIONS
item: To assign the lettering in agreement to Table 1
TABLE 1
a) First category revenue: Revenues produced by leasign, sub leasing and goods assingnment.
b) Second category revenue without considering the mentioned cases in lettering (g)
c) Revenues corresponding to the concepts of the article 48 of revenue taxes law of TUO.
d) Third revenue category without considering the mentioned cases in lettering (g): Revenues from comerce, industry and another
considered in law.
Lettering c) details:In case to assing lettering c) of table 1 in the title item, you must mark the associated lettering of table 2
TABLE 2
a) Insurances activities
b) Ship rent.
c) Air transport rent.
d) Air transport between the Republic and foreign
e) Shipping between the Republic and foreign, or afreightment
f) Telecomunications service between the Republic and foreing
g) News international agencies
h) Movies distribution and their similarities for their use by natural people and legal entities
i) To provide containeirs for transport inside or since the country to the foreing (No includes transport)
j)Demurrage of containers for transport
k)Assigment of rights of sing television retransmition
Legal framework:Article 48 of revenue taxes law of TUO, approved by executive orden N 179-2004-EF and modifications