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[null,null,null,null,null,null,null,null,null,null,null,null,"市町村民税\n道府県民税",null,null,null,null,null,null,null,null,null,"給与支払報告\n特  別  徴  収",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"に係る給与所得者異動届出書"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"整理番号"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"給与支払者",null,"（特別徴収義務者）",null,"名称",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係",null,4,null,null,"特別徴収\n指定番号"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年\n度"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（氏名）"]
[null,null,null,null,null,null,null,null,null,"姫　路　市　長",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"宛名番号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"所在地\n（住所）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,5,null,null,"特別徴収\n指定番号"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年\n度"]
[null,null,null,null,null,"2024年3月21日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　提出"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"法人番号又は個人番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"宛名番号"]
[]
[null,null,"給与所得者",null,"フリガナ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"新姓",null,null,null,null,null,null,null,null,null,"（ア）\n特別徴収税額\n（年税額）",null,null,null,null,null,null,null,null,null,null,null,"（イ）\n徴収済税額\n",null,null,null,null,null,null,null,null,null,null,null,"（ウ）\n未徴収税額\n（ア）－（イ）",null,null,null,null,null,null,null,null,null,null,null,"異動年月日",null,null,null,null,null,null,null,null,null,null,"異動の事由",null,null,null,null,null,null,null,null,null,null,null,"異動後の未徴収\n税額の徴収方法"]
[]
[null,null,null,null,"氏　名"]
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[]
[null,null,null,null,"生年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,null,null,"月",null,null,null,null,"日生",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"月分から",null,null,null,null,null,null,null,null,null,null,null,"月分から"]
[]
[null,null,null,null,"個人番号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"月分まで",null,null,null,null,null,null,null,5,null,null,null,"月分まで"]
[null,null,null,null,"住所",null,"1月１日\n現　在"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円",null,null,null,null,null,null,null,null,null,null,null,"円",null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,"異動後",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"月",null,null,null,null,"日"]
[]
[]
[null,null,"◎給与所得者が新しい給与支払者（特別徴収義務者）による「特別徴収の継続」を希望される場合には以下の項目にも必ず記載してください。　",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※事業主及び従業員のみの希望による普通徴収への切替はできません。"]
[]
[]
[null,null,"新しい給与支払者\n（特別徴収義務者）",null,null,null,null,null,null,null,null,null,null,"所在地",null,null,null,null,"〒",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"特別徴収指定番号",null,null,null,null,null,null,null,null,null,null,null,null,null,"担\n当\n者\n連\n絡\n先",null,"氏\n名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"新しい事業所へは月割額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円を",null,null,null,null,null,"月分"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(翌月１０日納期限）から徴収し、納入するように連絡済みです。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電\n話",null,null,null,null,null,"-",null,null,null,null,"-",null,null,null,null,"受給者番号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"（フリガナ）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"名称",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"法人番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"納入書の要否\n（新規の場合のみ）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"１.必要　　2.不要"]
[]
[null,null,"　　　　◎給与等の支払を受けなくなった後の月割額（退職した月を除く）の一括徴収について次の欄に必ず記載してください。"]
[]
[]
[null,null,"一括徴収",null,"　　　　　　一　括　徴　収　す　る　場　合　　　",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"徴収予定月日",null,null,null,null,null,null,null,null,null,null,"徴収予定額合計\n(上記(ウ)と同額）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"備考"]
[]
[]
[]
[null,null,null,null,"理由",null,null,null,"１\n\n２",null,"異動の日が6月1日から12月31日までの間で本人からの申出があったため。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"左記の一括徴収した税額は",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"月分で納入します。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"月",null,null,null,"日"]
[null,null,null,null,null,null,null,null,null,null,"異動の日が1月1日から4月30日までの間で特別徴収の継続の希望がないため。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（翌月10日納期限）"]
[]
[]
[null,null,null,null,"　　　　　　一　括　徴　収　し　な　い　場　合"]
[]
[null,null,null,null,"理由",null,null,null,"１　異動の日が6月1日から12月31日までの間で本人からの申出がないため。\n２　異動の日が1月1日から4月30日までの間で残税額（上記（ウ）の額）を超える給与又は退職手当等の支払がな\n     いため。\n３　死亡による退職のため。"]
[]
[]
[]
[]
[]
[]
[null,null,null,null,"A",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"B",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"C",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"D",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"E",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"F"]