税款欠缴计划书

纳税人名称：________________________

纳税人识别号：________________________

纳税人地址：________________________

欠缴税款金额：________________________

欠缴税款期限：________________________

累计欠缴税款金额：________________________

应缴税款金额：________________________

实际缴税金额：________________________

欠缴税款原因：________________________

解决办法：________________________

还款计划：________________________

承诺：________________________

签名：________________________

日期：________________________