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["住所又は所在地","郵便番号"]
[]
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["納期限",null,"年",null,"月",null,"日"]
[]
["※以下は退職所得に係る市・県民税がある場合にのみ入力します"]
["退職所得に係る市・県民税納入書　入力フォーム"]
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[]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"領収日付印",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"上記のとおり納入します。　",null,null,null,null,null,null,null,null,null,null,null,null,null,"領収日付印",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"取　り　ま　と　め　局",null,null,null,null,null,null,null,null,null,null,null,null,null,"領収日付印"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　〒330-9794"]
[null,null,null,null,"上記のとおり領収しました。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(※)\n日計",null,null,null,null,null,null,null,null,null,null,null,"口",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　東京貯金事務センター"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"日　計",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"上記のとおり通知します。"]
[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,"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,"※印は郵便局において使用する欄です。",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,"(取りまとめ店)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"受付店",null,null,null,"→","千葉銀行成田支店"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（納入者保管）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（金融機関又は郵便局保管）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"千葉県成田市",null,null,null,null,null,null,null,null,"（市町村保管）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"点線に沿って切り取り、3枚１組でご利用ください。"]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"市民税・県民税納入申告書"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（あて先）成　田　市　長 ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（受付印）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('入力フォーム '!B16=\"\",\"\",'入力フォーム '!B16)","v":""},null,"年",{"$f":"IF('入力フォーム '!D16=\"\",\"\",'入力フォーム '!D16)","v":""},null,"月",{"$f":"IF('入力フォーム '!F16=\"\",\"\",'入力フォーム '!F16)","v":""},null,"日",null,"提出"]
[null,null,null,null,null,null,null,null,null,null,null,"　",null,null,null,null,null,null,"住　所",null,null,null,{"$f":"L35","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,"　",null,null,null,null,null,null,"名　称",null,null,null,{"$f":"L38","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"地方税法第５０条の５及び第３２８条の５第２項の規定により、下記のとおり分離課税に係る所得割の納入について申告します。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(H13=\"\",\"\",H13)","v":""},null,null,"年",null,{"$f":"IF(M13=\"\",\"\",M13)","v":""},null,null,"月分",null,null,null,"人員",null,null,{"$f":"IF('入力フォーム '!B17=\"\",\"\",'入力フォーム '!B17)","v":""},null,null,null,null,null,null,null,null,"人"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"支　払　金　額",null,null,null,null,null,null,null,null,null,null,{"$f":"IF('入力フォーム '!B18=\"\",\"\",'入力フォーム '!B18)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"特別徴収",null,null,null,null,null,"市民税",null,null,null,null,{"$f":"IF('入力フォーム '!C19=\"\",\"\",'入力フォーム '!C19)","v":""},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,"税　　　額",null,null,null,null,null,"県民税",null,null,null,null,{"$f":"IF('入力フォーム '!C20=\"\",\"\",'入力フォーム '!C20)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"内　訳"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"１月１日の住所",null,null,null,null,null,null,null,{"$f":"IF('入力フォーム '!$B$22=\"\",\"\",'入力フォーム '!$B$22)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,"　",null,null,null,null,null,null,"氏　　　　　　名",null,null,null,null,null,null,null,{"$f":"IF('入力フォーム '!$B$23=\"\",\"\",'入力フォーム '!$B$23)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"勤　続　年　数",null,null,null,null,null,null,null,{"$f":"IF('入力フォーム '!$B$24=\"\",\"\",'入力フォーム '!$B$24)","v":""},null,null,null,"年","支払金額",null,null,null,null,{"$f":"IF('入力フォーム '!$B$25=\"\",\"\",'入力フォーム '!$B$25)","v":""},null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"特別徴収税額",null,null,null,null,null,null,null,"市民税",null,null,{"$f":"IF('入力フォーム '!$C$26=\"\",\"\",'入力フォーム '!$C$26)","v":""},null,null,null,null,null,"円","県民税",null,null,{"$f":"IF('入力フォーム '!$C$27=\"\",\"\",'入力フォーム '!$C$27)","v":""},null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"１月１日の住所",null,null,null,null,null,null,null,{"$f":"IF('入力フォーム '!$B$29=\"\",\"\",'入力フォーム '!$B$29)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　　　　　　名",null,null,null,null,null,null,null,{"$f":"IF('入力フォーム '!$B$30=\"\",\"\",'入力フォーム '!$B$30)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"勤　続　年　数",null,null,null,null,null,null,null,{"$f":"IF('入力フォーム '!$B$31=\"\",\"\",'入力フォーム '!$B$31)","v":""},null,null,null,"年","支払金額",null,null,null,null,{"$f":"IF('入力フォーム '!$B$32=\"\",\"\",'入力フォーム '!$B$32)","v":""},null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"特別徴収税額",null,null,null,null,null,null,null,"市民税",null,null,{"$f":"IF('入力フォーム '!$C$33=\"\",\"\",'入力フォーム '!$C$33)","v":""},null,null,null,null,null,"円","県民税",null,null,{"$f":"IF('入力フォーム '!$C$34=\"\",\"\",'入力フォーム '!$C$34)","v":""},null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"１月１日の住所",null,null,null,null,null,null,null,{"$f":"IF('入力フォーム '!$B$36=\"\",\"\",'入力フォーム '!$B$36)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　　　　　　名",null,null,null,null,null,null,null,{"$f":"IF('入力フォーム '!$B$37=\"\",\"\",'入力フォーム '!$B$37)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"勤　続　年　数",null,null,null,null,null,null,null,{"$f":"IF('入力フォーム '!$B$38=\"\",\"\",'入力フォーム '!$B$38)","v":""},null,null,null,"年","支払金額",null,null,null,null,{"$f":"IF('入力フォーム '!$B$39=\"\",\"\",'入力フォーム '!$B$39)","v":""},null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"特別徴収税額",null,null,null,null,null,null,null,"市民税",null,null,{"$f":"IF('入力フォーム '!$C$40=\"\",\"\",'入力フォーム '!$C$40)","v":""},null,null,null,null,null,"円","県民税",null,null,{"$f":"IF('入力フォーム '!$C$41=\"\",\"\",'入力フォーム '!$C$41)","v":""},null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"１月１日の住所",null,null,null,null,null,null,null,{"$f":"IF('入力フォーム '!$B$43=\"\",\"\",'入力フォーム '!$B$43)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　　　　　　名",null,null,null,null,null,null,null,{"$f":"IF('入力フォーム '!$B$44=\"\",\"\",'入力フォーム '!$B$44)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"勤　続　年　数",null,null,null,null,null,null,null,{"$f":"IF('入力フォーム '!$B$45=\"\",\"\",'入力フォーム '!$B$45)","v":""},null,null,null,"年","支払金額",null,null,null,null,{"$f":"IF('入力フォーム '!$B$46=\"\",\"\",'入力フォーム '!$B$46)","v":""},null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"特別徴収税額",null,null,null,null,null,null,null,"市民税",null,null,{"$f":"IF('入力フォーム '!$C$47=\"\",\"\",'入力フォーム '!$C$47)","v":""},null,null,null,null,null,"円","県民税",null,null,{"$f":"IF('入力フォーム '!$C$48=\"\",\"\",'入力フォーム '!$C$48)","v":""},null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"１月１日の住所",null,null,null,null,null,null,null,{"$f":"IF('入力フォーム '!$B$50=\"\",\"\",'入力フォーム '!$B$50)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　　　　　　名",null,null,null,null,null,null,null,{"$f":"IF('入力フォーム '!$B$51=\"\",\"\",'入力フォーム '!$B$51)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"勤　続　年　数",null,null,null,null,null,null,null,{"$f":"IF('入力フォーム '!$B$52=\"\",\"\",'入力フォーム '!$B$52)","v":""},null,null,null,"年","支払金額",null,null,null,null,{"$f":"IF('入力フォーム '!$B$53=\"\",\"\",'入力フォーム '!$B$53)","v":""},null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"特別徴収税額",null,null,null,null,null,null,null,"市民税",null,null,{"$f":"IF('入力フォーム '!$C$54=\"\",\"\",'入力フォーム '!$C$54)","v":""},null,null,null,null,null,"円","県民税",null,null,{"$f":"IF('入力フォーム '!$C$55=\"\",\"\",'入力フォーム '!$C$55)","v":""},null,null,null,null,null,"円"]