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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"特別徴収税額の納期の特例に関する申請書"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"申　請　者",null,"住所または所在地",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,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,null,null,null,null,null,null,null,null,"担当者\n連絡先",null,null,null,"ﾌﾘｶﾞﾅ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏名または名称\nおよび代表者名"]
[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,null,null,"㊞",null,null,null,null,null,null,null,"氏名"]
[null,null,null,"年",null,null,"月",null,null,"日提出"]
[]
["（あて先）   小松島市長",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,"電話\n番号",null,null,null,null,null,null,null,"－",null,null,null,null,null,"－"]
[]
[]
["小松島市市税賦課徴収条例第４６条の２の規定による給与所得に係る特別徴収税額の納期の特例の承認を受けたいので、同条例第４６条の３の規定により申請書を提出します。"]
[]
["特例の適用を受けようとする税額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,null,null,null,"月",null,"(",null,null,null,null,"月１０日納期分）以降の納入に係る市民税・県民税の特別徴収税額"]
[]
["  申請前６か月間の各月末の\n  給与の支払いを受ける者の\n  人員および支払金額\n\n     常勤：常時勤務者\n     臨時：臨時雇用者\n\n  ※事業所全体の人員および\n     支払金額を記入",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,null,"月",null,"常勤",null,null,null,null,null,null,null,null,"人",null,null,null,null,null,null,null,null,null,"円",null,null,null,"年",null,null,null,"月",null,"常勤",null,null,null,null,null,null,null,null,"人",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,"臨時",null,null,null,null,null,null,null,null,"人",null,null,null,null,null,null,null,null,null,"円",null,null,null,null,null,null,null,null,null,"臨時",null,null,null,null,null,null,null,null,"人",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,"年",null,null,null,"月",null,"常勤",null,null,null,null,null,null,null,null,"人",null,null,null,null,null,null,null,null,null,"円",null,null,null,"年",null,null,null,"月",null,"常勤",null,null,null,null,null,null,null,null,"人",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,"臨時",null,null,null,null,null,null,null,null,"人",null,null,null,null,null,null,null,null,null,"円",null,null,null,null,null,null,null,null,null,"臨時",null,null,null,null,null,null,null,null,"人",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,"年",null,null,null,"月",null,"常勤",null,null,null,null,null,null,null,null,"人",null,null,null,null,null,null,null,null,null,"円",null,null,null,"年",null,null,null,"月",null,"常勤",null,null,null,null,null,null,null,null,"人",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,"臨時",null,null,null,null,null,null,null,null,"人",null,null,null,null,null,null,null,null,null,"円",null,null,null,null,null,null,null,null,null,"臨時",null,null,null,null,null,null,null,null,"人",null,null,null,null,null,null,null,null,null,"円"]
[]
["現に小松島市税の滞納があり、または納付もしくは納入に著しい遅延の事実がある場合で、それがやむを得ない理由によるものであるときは、その理由の詳細"]
[]
[]
[]
[]
[]
["この申請書の提出前１年以内に納期の特例の承認の取消通知を受けたことの有無およびその年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"有",null,null,null,null,null,null,null,null,null,null,null,"年",null,null,null,null,null,"月",null,null,null,null,null,"日",null,null,null,null,null,null,null,null,"無"]
[]
[]
[" 以下は市処理欄ですので記入しないでください。"]
[]
["※市処理欄",null,null,null,null,null,null,"□",null,"承　　 認",null,null,null,null,null,null,null,null,null,null,"年",null,null,null,null,"月",null,null,null,null,"日",null,"※不承認の理由"]
[]
[null,null,null,null,null,null,null,"□",null,"不 承 認",null,null,null,null,null,null,null,null,null,null,"年",null,null,null,null,"月",null,null,null,null,"日"]
[]
[]
[null,null,"【特別徴収税額の納期の特例の制度について】"]
[]
[]
[null,null,1,null,"この特例の適用を受けることができるのは、給与の支払いを受ける者が常時10人未満（小松島市外の在住者を含む、臨時雇用者を除く）の事業所等の"]
[]
[null,null,null,null,"特別徴収義務者です。"]
[]
[null,null,2,null,"この特例の適用を受けた場合には、次に掲げる期間の特別徴収税額を、それぞれの期限までに納入することになります。"]
[]
[null,null,null,null,"6月から11月までの期間に徴収した特別徴収税額",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,"12月10日まで"]
[]
[null,null,null,null,"12月から5月までの期間に徴収した特別徴収税額",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,"6月10日まで"]
[]
[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,null,null,null,null,null,null,null,null,"※10日が土曜、日曜、祝日の場合は、金融機関の翌営業日まで"]
[]
[null,null,3,null,"この特例の適用を受けた後において給与の支払いを受ける者が常時10人以上となった場合は、遅滞なく「特別徴収税額の納期の特例の要件を欠いた"]
[]
[null,null,null,null,"場合の届出書」を提出してください。"]
[]
[]
[null,null,"【申請についての注意事項】"]
[]
[]
[null,null,1,null,"滞納や著しい納入遅延がある場合は、この特例の承認を受けられないことがあります。"]
[]
[null,null,2,null,"この申請書の提出前１年以内に特例の承認の取消通知を受けたことがある場合は、この特例の承認を受けられないことがあります。"]
[]
[null,null,3,null,"この特例の承認を受けた後において滞納や納入遅延が発生した場合は、承認を取消されることがあります。"]
[]
[]
[null,null,"【提出および問い合わせ先】"]
[]
[]
[null,null,null,null,"〒773-8501　徳島県小松島市横須町１番１号"]
[]
[null,null,null,null,"小松島市役所　総務部税務課　納税普及担当"]
[]
[null,null,null,null,"電話　0885-32-3928　FAX　0885-33-3401"]

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