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[]
["給与所得等に係る 市･県民税 特別徴収への切替申請書",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,"※法人番号の記載をしてください。法人番号の指定を受けていない場合は、記載の必要はありません。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"(特別徴収義務者)\n給与支払者",null,"所在地\n\n(住　所)",null,null,null,"〒\n　",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,null,null,null,null,null,null,null,null,null,null,"特別徴収義務者\n指　定　番　号",null,null,null,null,null,null,null,null,null,null,null,null,null,"新規"]
["令和",null,null,null,"年",null,"月",null,null,"日","提出",null,null,null,"フリガナ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"名　称\n\n(氏　名)",null,null,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\n　連絡先",null,"フリガナ",null,null,null,null,null,null,null,null,null,null,null,"係"]
[null,"（宛先）福 井 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,"氏　名"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,null,null,null,"送付先住所\n指定番号をもっていない新規事業者の場合のみ記入してください",null,null,null,null,null,"〒\n　",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\n（及び各種様式）\n要否",null,null,null,null,"要",null,"不要",null,"※銀行サービスをご利用の場合や独自様式の納入書をお持ちの場合は「不要」に丸をつけてください。(新規事業者のみ記入)"]
[]
[]
["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,"特別徴収へ切替"]
[null,null,"氏　名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"●納付状況"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"普通徴収(個人納付)で",null,null,null,null,null,null,null,null,null,null,null,null,"前事業所で"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"未納付",null,null,null,null,null,null,null,null,null,"期分まで",null,null,null,"納付済\n納付依頼済",null,null,null,null,null,null,null,null,"月分まで特別徴収済"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"１．",null,null,null,null,null,null,"２．",null,null,null,null,null,null,null,null,null,null,null,null,"３."]
[null,null,"生年月日",null,null,null,"昭・平",null,null,null,null,null,null,null,"年",null,null,null,"月",null,null,null,"日生",null,null,null,null,null,"※二重納付防止のため、普通徴収での納付済分についてご確認ください。"]
[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,"※普通徴収の納期が過ぎたものは、特別徴収への切り替えはできません。(提出期限は納期必着)\n\n　\n"]
[null,null,"１月１日現在\nの住所",null,null,null," 福井市",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　本人に納付するよう伝えるとともに、上記２に納付依頼した期を記入してください。"]
[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,"（納期は、１期：6/30　２期：8/31　３期：11/2　４期：2/1、それ以降は随時期　）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"●"]
[null,null,"現住所",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,"月分",null,null,"（",null,null,"月",null,null,"日納期限",null,null,null,"）","から特別徴収へ切替を希望します。"]
[]
[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,"※希望がない場合は未記入で差し支えありません。（税額通知発送月の翌月から特別徴収開始となります）"]
[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,"※税額通知の発送まで最大で約１か月かかるため、提出月の２か月後を開始月の目安としてください。"]
[null,null,"受給者番号",null,null,null,"※eLTAXで税額通知を希望する場合は必ず記入してください。（左詰め）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※提出月の２か月後より早い月から切替を希望される場合、下記の特記事項を必ずご記入ください。"]
[null,null,null,null,null,null," | | | | | | | | | | | | | | | | | | |",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"特記事項"]
["申請理由",null,null,null,null,null,"１．　入社のため",null,null,null,null,null,null,"（","令和",null,"年　",null,null,"月",null,null,"日入社","）"]
[null,null,null,null,null,null,"２．　復職のため",null,null,null,null,null,null,"（","令和",null,"年　",null,null,"月",null,null,"日復職","）","　　　　月　　　　日　までに税額通知書が必要\n　　　　　　　　　　　　　　※通知書が間に合わない場合は、担当者連絡先にご相談の電話をします。"]
[null,null,null,null,null,null,"３．　その他",null,null,null,null,null,null,"[",null,null,null,null,null,null,null,null,null,"]"]
["※4月1日現在65歳以上の方の公的年金に係る市･県民税は、給与所得等から特別徴収することはできません。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"＊複写してご使用ください。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"市処理欄","備考",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"併徴欄（確・住）",null,null,null,null,null,null,null,"有・無",null,null,null,"年特",null,null,"個人コード",null,null,null,null,null,null,null,"賦課年度"]
[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,"メモ",null,null,null,null,null,null,null,"有・無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1　R７"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"口座",null,null,null,null,null,null,null,"全納・期別",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"2　R８"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Ｔ","前職",null,null,"Ｆ",1,null,2,null,3,null,4,null,"随時",null,"月割",null,null,null,"期割",null,null,null,"3　R９"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"特保",null,null,"　月　日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"月",null,null,null,null,null,null,null,null,null,null,null,"済月",null,"開始",null,"済期",null,"開始",null,"4　"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"前／デ無",null,null,"　月　日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"控返送",null,null,"月　 　日",null,null,null,null,"納付書添付",null,null,null,null,"期",null,null,"月例",null,"－",null,"速報"]