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["入力フォーム（黄色の部分に入力してください）"]
["提出日","令和 ",null,"年",null,"月",null,"日"]
[]
["給与支払者（特別徴収義務者）"]
["特別徴収義務者名",null,null,null,"フリガナ"]
["法人番号\n（新規事業所の場合）",null,null,null,"指定番号"]
["住所又は\n所在地","郵便番号"]
[null,"住所"]
["担当者連絡先","係",null,null,"氏名"]
[null,"電話番号",null,null,"フリガナ"]
["送付先住所\n（設定する場合）","郵便番号"]
[null,"住所"]
[]
["給与所得者（納税義務者）"]
["氏名",null,null,null,"フリガナ"]
["生年月日",null,null,"年",null,"月",null,"日"]
["１月１日の住所","坂井市"]
["現住所\n（上記と異なる場合）"]
["受給者番号"]
["申請理由",null,null,null,"3.その他\nの理由"]
[]
["特別徴収への切替"]
["納付状況",null,null,"2.普通徴収で納付済の場合",null,null,null,"期分まで納付済","3.前事業所で特別徴収済の場合",null,null,null,"月分まで特別徴収済"]
["開始予定月",null,"月","納期限",null,"月",null,"日"]
["月割額の通知",null,"月",null,"日までに通知が必要"]

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[null,"給与所得等に係る　    　　 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,"※１法人番号を記載して下さい。法人番号\n　の指定を受けていない場合は、事業主\n  　の個人番号を左詰めで記載して下さい。",null,null,null,null,null,null,null,null,null,null,null,"法人番号又は\n個人番号※１",null,null,null,null,{"$f":"MID(入力フォーム!$B$6,1,1)","v":""},{"$f":"MID(入力フォーム!$B$6,2,1)","v":""},{"$f":"MID(入力フォーム!$B$6,3,1)","v":""},{"$f":"MID(入力フォーム!$B$6,4,1)","v":""},{"$f":"MID(入力フォーム!$B$6,5,1)","v":""},{"$f":"MID(入力フォーム!$B$6,6,1)","v":""},{"$f":"MID(入力フォーム!$B$6,7,1)","v":""},{"$f":"MID(入力フォーム!$B$6,8,1)","v":""},{"$f":"MID(入力フォーム!$B$6,9,1)","v":""},{"$f":"MID(入力フォーム!$B$6,10,1)","v":""},{"$f":"MID(入力フォーム!$B$6,11,1)","v":""},{"$f":"MID(入力フォーム!$B$6,12,1)","v":""},{"$f":"MID(入力フォーム!$B$6,13,1)","v":""}]
[null,"坂井市長　殿",null,null,null,null,null,null,null,null,null,null,"(特別徴収義務者)\n給与支払者",null,"住所\n\n(所在地)",null,null,null,"〒",null,{"$f":"入力フォーム!C7","v":0},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,{"$f":"入力フォーム!F6","v":0}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"CONCATENATE(\"　　\",入力フォーム!C8)","v":"　　"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者連絡先",null,"係",null,null,{"$f":"入力フォーム!C9","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏名(名称)\nのフリガナ",null,null,null,{"$f":"入力フォーム!F5","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ",null,null,{"$f":"入力フォーム!F10","v":0}]
[]
[null,{"$f":"IF(入力フォーム!C2=\"\",\"\",CONCATENATE(\"R\",入力フォーム!C2))","v":""},null,"年",{"$f":"入力フォーム!E2","v":0},null,"月",{"$f":"入力フォーム!G2","v":0},null,"日提出",null,null,null,null,"氏　名\n(名　称)",null,null,null,{"$f":"入力フォーム!B5","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏名",null,null,{"$f":"入力フォーム!F9","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,{"$f":"入力フォーム!C10","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"送付先住所ある場合\nのみ記入",null,null,null,"〒",null,{"$f":"入力フォーム!C11","v":0}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"CONCATENATE(\"　　\",入力フォーム!C12)","v":"　　"}]
[]
[]
[null,"給与所得者",null,"フリガナ",null,null,{"$f":"入力フォーム!F15","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"特別徴収への切替"]
[null,null,null,"氏　名",null,null,{"$f":"入力フォーム!B15","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"●普通徴収納付状況"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"普通徴収(個人納付)で",null,null,null,null,null,null,null,null,null,null,null,"前事業所で"]
[]
[null,null,null,"生年月日",null,null,{"$f":"入力フォーム!B16","v":0},null,null,null,null,null,null,{"$f":"入力フォーム!C16","v":0},null,"年",{"$f":"入力フォーム!E16","v":0},null,"月",{"$f":"入力フォーム!G16","v":0},null,"日生",null,null,null,null,{"$f":"IF(入力フォーム!B23=\"1.未納付\",\"①.\",\"１.\")","v":"１."},null,"未納付",null,null,null,{"$f":"IF(入力フォーム!B23=\"2.普通徴収で納付済\",\"②.\",\"2.\")","v":"2."},null,{"$f":"IF(OR(入力フォーム!G23=1,入力フォーム!G23=2,入力フォーム!G23=3,入力フォーム!G23=4),入力フォーム!G23,\"　\")","v":"　"},null,null,null,"期分まで納付済",null,null,null,null,null,{"$f":"IF(入力フォーム!B23=\"3.前事業所で特別徴収済\",\"③.\",\"3.\")","v":"3."},null,{"$f":"IF(OR(入力フォーム!L23=1,入力フォーム!L23=2,入力フォーム!L23=3,入力フォーム!L23=4,入力フォーム!L23=5,入力フォーム!L23=6,入力フォーム!L23=7,入力フォーム!L23=8,入力フォーム!L23=9,入力フォーム!L23=10,入力フォーム!L23=11,入力フォーム!L23=12),入力フォーム!L23,\"　\")","v":"　"},null,null,null,"月分まで特別徴収済"]
[]
[null,null,null,"1月1日\n現在の住所",null,null,"坂井市",null,null,{"$f":"入力フォーム!C17","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※二重納付防止のため、普通徴収での納付済分について、必ずご確認ください。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※原則として、普通徴収の納期が過ぎたものについては、特別徴収への切り替えはできません。"]
[null,null,null,"現住所",null,null,{"$f":"入力フォーム!B18","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"入力フォーム!B24","v":0},null,null,null,"月分",null,null,"（",{"$f":"入力フォーム!E24","v":0},null,"月",{"$f":"入力フォーム!G24","v":0},null,"日納付分から）特別徴収へ切替を希望します"]
[null,null,null,"受給者\n番号",null,null,{"$f":"入力フォーム!B19","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"●"]
[]
[]
[null,null,null,null,{"$f":"IF(入力フォーム!$B$20=\"1.入社のため\",\"①.\",\"1.\")","v":"1."},{"$f":"IF(入力フォーム!$B$20=\"1.入社のため\",\"①.\",\"1.\")","v":"1."},"入社のため",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※特別徴収の開始月は、提出時の２ヶ月後を目安にしてください。"]
[null,null,null,null,{"$f":"IF(入力フォーム!$B$20=\"2.本人より希望があったため\",\"②.\",\"2.\")","v":"2."},null,"本人より希望があったため",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※変更希望月の記入がない場合は通知月の翌月からの徴収となります。"]
[null,null,null,null,{"$f":"IF(入力フォーム!$B$20=\"3.その他\",\"③.\",\"3.\")","v":"3."},null,"その他"]
[null,null,null,null,{"$f":"IF(入力フォーム!$B$20=\"3.その他\",\"③.\",\"3.\")","v":"3."},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"●","月割額の連絡",null,null,null,null,null,null,{"$f":"入力フォーム!B25","v":0},null,"月",{"$f":"入力フォーム!D25","v":0},null,"日までに連絡が必要"]
[]
[null,"（注意）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,"市役所記入欄",null,"併　徴",null,null,null,"確　申",null,null,"有　・　無",null,null,null,null,null,null,"年　税　額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"税額通知書",null,null,null,null,"　　月　　日発送",null,null,null,null,null,null,null,null,null,"個人コード",null,null,null,null,null,null,null,null,"賦課年度"]
[null,null,null,null,null,null,null,"住　申",null,null,"有　・　無",null,null,null,null,null,null,"(済期額)",null,null,null,null,"期",null,null,null,null,null,null,null,null,null,"℡ 連 絡",null,null,null,null,"要　・　不要",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,null,"年　金",null,null,"有　・　無",null,null,null,null,null,null,"(済月額)",null,null,null,null,"～　月",null,null,null,null,null,null,null,null,null,"◇　 　　　月　　　日 ℡連絡済",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"2"]
[null,null,null,"口　座",null,null,null,"全納　・期別　・無",null,null,null,null,null,null,null,null,null,"未徴収税額",null,null,null,null,null,"(　　期)",null,null,null,null,null,null,null,null,"◇　　　 　月　　　日 控を送付",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"月割",null,null,null,"期割",null,null,null,null,"3"]
[null,null,null,"納　組",null,null,null,"全納　・期別　・無",null,null,null,null,null,null,null,null,null,"初月",null,null,null,null,null,null,"次月以降",null,null,null,null,null,null,null,"添付書類",null,null,null,null,"納通　・　納付書",null,null,null,null,null,null,null,null,null,"済月",null,"開始",null,"済期",null,"開始",null,null,"4"]
[null,null,null,"メモ",null,null,null,"無",null,null,null,null,null,null,null,null,null,"備考",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"／"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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。"]

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[null,"給与所得等に係る　    　　 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,"※１法人番号を記載して下さい。法人番号\n　の指定を受けていない場合は、事業主\n  　の個人番号を左詰めで記載して下さい。",null,null,null,null,null,null,null,null,null,null,null,"法人番号又は\n個人番号※１"]
[null,"坂井市長　殿",null,null,null,null,null,null,null,null,null,null,"(特別徴収義務者)\n給与支払者",null,"住所\n\n(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,"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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者連絡先",null,"係"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏名(名称)\nのフリガナ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フリガナ"]
[]
[null,null,null,"年",null,null,"月",null,null,"日提出",null,null,null,null,"氏　名\n(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,"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,"送付先住所\n　 ある場合\n　 のみ記入",null,null,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,"特別徴収への切替"]
[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,"●普通徴収納付状況"]
[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,"前事業所で"]
[]
[null,null,null,"生年月日",null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日生",null,null,null,null,"１.",null,"未納付",null,null,null,"２.",null,null,null,null,null,"期分まで納付済",null,null,null,null,null,"３.",null,null,null,null,null,"月分まで特別徴収済"]
[]
[null,null,null,"1月1日\n現在の住所",null,null,"坂井市",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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、必ずご確認ください。"]
[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,"※原則として、普通徴収の納期が過ぎたものについては、特別徴収への切り替えはできません。"]
[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,null,null,null,null,"月分",null,null,"（",null,null,"月",null,null,"日納付分から）特別徴収へ切替を希望します"]
[null,null,null,"受給者\n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,"１.",null,"入社のため",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※特別徴収の開始月は、提出時の２ヶ月後を目安にしてください。"]
[null,null,null,null,"２.",null,"本人より希望があったため",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※変更希望月の記入がない場合は通知月の翌月からの徴収となります。"]
[null,null,null,null,"３.",null,"その他"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"●","月割額の連絡",null,null,null,null,null,null,null,null,"月",null,null,"日までに連絡が必要"]
[]
[null,"（注意）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,"市役所記入欄",null,"併　徴",null,null,null,"確　申",null,null,"有　・　無",null,null,null,null,null,null,"年　税　額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"税額通知書",null,null,null,null,"　　月　　日発送",null,null,null,null,null,null,null,null,null,"個人コード",null,null,null,null,null,null,null,null,"賦課年度"]
[null,null,null,null,null,null,null,"住　申",null,null,"有　・　無",null,null,null,null,null,null,"(済期額)",null,null,null,null,"期",null,null,null,null,null,null,null,null,null,"℡ 連 絡",null,null,null,null,"要　・　不要",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,null,"年　金",null,null,"有　・　無",null,null,null,null,null,null,"(済月額)",null,null,null,null,"～　月",null,null,null,null,null,null,null,null,null,"◇　 　　　月　　　日 ℡連絡済",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"2"]
[null,null,null,"口　座",null,null,null,"全納　・期別　・無",null,null,null,null,null,null,null,null,null,"未徴収税額",null,null,null,null,null,"(　　期)",null,null,null,null,null,null,null,null,"◇　　　 　月　　　日 控を送付",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"月割",null,null,null,"期割",null,null,null,null,"3"]
[null,null,null,"納　組",null,null,null,"全納　・期別　・無",null,null,null,null,null,null,null,null,null,"初月",null,null,null,null,null,null,"次月以降",null,null,null,null,null,null,null,"添付書類",null,null,null,null,"納通　・　納付書",null,null,null,null,null,null,null,null,null,"済月",null,"開始",null,"済期",null,"開始",null,null,"4"]
[null,null,null,"メモ",null,null,null,"無",null,null,null,null,null,null,null,null,null,"備考",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"／"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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。"]