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["普通徴収から給与所得等に係る特別徴収への切替届出書"]
[]
[{"$nulls":8},"給与支払者","（特別徴収義務者）","所在地",{"$nulls":20},"この届出書について","応答する方","係",{"$nulls":9},"特別徴収義務者\n指定番号"]
[]
[]
[{"$nulls":10},"フリガナ",{"$nulls":22},"氏名"]
[{"$nulls":10},"名称"]
[]
["令和　　年　　月　　日提出",{"$nulls":28},"印",null,null,null,"電話"]
[]
[]
["給与所得者","フリガナ",{"$nulls":29},"左記の方について"]
[null,"氏名"]
[]
[{"$nulls":35},"月分　",null,"（　",null,"月",null,"日納入分）"]
[null,"生年月日",{"$nulls":6}," 昭 ・ 平 ・ 令　　 　 　年　　　 　 月　　  　　日"]
[null,"１月１日現在の住所",{"$nulls":36},"から徴収し、納入します。"]
[]
[]
[null,"現住所"]
[{"$nulls":32},"通知前の月割額の連絡",{"$nulls":8},"必要",null,null,"月",null,"日まで"]
[]
[null,"個人コード",{"$nulls":39},"不要"]
[null,"異動理由"]
[{"$nulls":10},"入社のため（R　　年　　月　　日）",{"$nulls":18},"普通徴収\n納付通知書番号"]
[]
[{"$nulls":10},"正社員となったため（R　　年　　月　　日）"]
[null,"該当する項目に\nチェックを\n入れてください",{"$nulls":27},"納付状況"]
[{"$nulls":10},"本人より希望があったため"]
[]
[{"$nulls":10},"その他",{"$nulls":18},"該当する項目に\nチェックを\n入れてください"]
[]
[null,"通信欄"]
[]
[]
[]
[null,"※二重納付防止のため、納付済の税額がある場合は、納付済の市民税・道民税の領収書の写しを添付してください。"]
[null,"※提出時期によっては、希望の徴収月に通知書が間に合わない場合がありますので、事前にお問い合わせください。"]
[null,"※名簿に含まれない従業員で、1月1日時点での住所地がむかわ町の従業員について、特別徴収対象者となる者について記載し、提出してください。"]