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[null,null,null,null,null,null,null,null,null,null,"提出年月日"]
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[null,null,null,null,null,null,null,null,null,null,"３所得から差し引かれる金額に関する事項"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"給　　与",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"カ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"新個人年金保険料の計",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,null,null,null,null,null,"旧個人年金保険料の計"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"介護医療保険料の計"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,"⑯地震保険\n料控除",null,null,null,null,null,null,null,null,null,null,null,null,"地震保険料の計",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,null,null,null,null,null,"旧長期損害保険料の計",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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ケ"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,"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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"総合譲渡",null,null,null,"短　期",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コ",null,null,null,null,{"$f":"IF(裏面!G33=\"\",\"\",裏面!AD33)","v":""}]
[]
[]
[null,null,null,null,null,null,null,null,null,null,"⑰～⑲\n寡婦控除、\nひとり親控除、\n勤労学生控除",null,null,null,null,null,null,null,null,null,null,null,null,"⑰",null,null,null,null,null,null,null,null,null,null,null,"寡婦控除",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑱",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑲",null,null,null,null,null,null,null,"勤労学生控除"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"長　期",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"サ",null,null,null,null,{"$f":"IF(裏面!G34=\"\",\"\",裏面!AD34)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,"ひとり親\n控　　除",null,null,null,null,null,null,null,null,null,null,"(学校名)"]
[]
[]
[]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"一　時",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"シ",null,null,null,null,{"$f":"裏面!AD35","v":""}]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,"⑳\n\n障害者\n\n控　除",null,null,null,null,null,null,null,null,null,null,null,null,1,null,"フリ\n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,null,null,null,null,null,null,null,null,"障害の\n程度",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,"級\n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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"２　所　得　金　額",null,null,null,null,null,"事業",null,null,null,"営 業 等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"①"]
[]
[null,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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"農　業",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"②"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"個人\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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"不 動 産",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"③"]
[]
[]
[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,"フリ\n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,null,null,null,null,null,null,null,null,"障害の\n程度",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,"級\n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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"利　　子",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"④"]
[]
[null,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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"配　　当",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑤",null,null,null,null,{"$f":"IF(EA51=0,\"\",IF((裏面!AD14-裏面!AG14)+(裏面!AD16-裏面!AG16)+(裏面!AD18-裏面!AG18)+(裏面!AD20-裏面!AG20)<0,0,(裏面!AD14-裏面!AG14)+(裏面!AD16-裏面!AG16)+(裏面!AD18-裏面!AG18)+(裏面!AD20-裏面!AG20)))","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,"個人\n番号"]
[]
[]
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[]
[]
[null,null,null,null,null,null,null,null,null,null,"㉑～㉒\n配偶者控除・\n配偶者特別控\n除・同一生計\n配偶者　",null,null,null,null,null,null,null,null,null,null,null,null,"配偶者",null,null,null,"フリ\n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,"生年月日"]
[]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"雑",null,null,null,"公的年金等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑦"]
[]
[null,null,null,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,"配偶者の\n合計所得金額",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,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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"業　務",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑧"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"個人\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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"同一生計配偶者(控除\n対象配偶者を除く。)"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑨"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,"㉓　　扶　養　控　除",null,null,null,null,null,1,null,null,"フリ\n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,"生年\n月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"同居・\n別居の\n区分",null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,"続柄"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"合計\n(⑦+⑧+⑨)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑩",null,null,null,null,{"$f":"SUM(EA122,EA127,EA132)","v":0}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏名"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"総合譲渡・一時",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑪",null,null,null,null,{"$f":"裏面!AC36","v":""}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"個人\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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"控除額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"万円"]
[]
[]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"合　　計",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑫",null,null,null,null,{"$f":"SUM(EA92,EA97,EA102,EA107,EA112,EA117,EA137,EA142)","v":0}]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,null,null,"フリ\nガナ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生年\n月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"同居・\n別居の\n区分",null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,"続柄"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"４　所得から差し引かれる金額",null,null,null,null,null,"社会保険料控除",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑬",null,null,null,null,{"$f":"BI46","v":0}]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"小 規 模 企 業\n共済等掛金控除",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑭"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"個人\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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"控除額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"万円"]
[]
[]
[]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生命保険料控除",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑮",null,null,null,null,0]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,3,null,null,"フリ\n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,"生年\n月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"同居・\n別居の\n区分",null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,"続柄"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"地震保険料控除",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑯",null,null,null,null,0]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"寡婦、ひとり親控除",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑰～\n⑱"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"個人\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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"控除額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"万円"]
[]
[]
[]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"勤 労 学 生 、\n障 害 者 控 除",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑲～\n⑳"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,null,null,"フリ\n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,"生年\n月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"同居・\n別居の\n区分",null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,"続柄"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"配偶者(特別)控除",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㉑～\n㉒"]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"扶養控除",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㉓"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"個人\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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"控除額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"万円"]
[]
[]
[]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"基礎控除",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㉔"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,"16歳未満の扶養親族(控除対象外)",null,null,null,null,null,1,null,null,"フリ\n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,"生年\n月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"同居・\n別居の\n区分",null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,"続柄"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑬から㉔までの計",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㉕",null,null,null,null,{"$f":"SUM(EA153,EA158,EA163,EA168,EA173,EA178,EA183,EA188,EA193)","v":0}]
[]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"雑損控除",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㉖"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"個人\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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"医療費控除",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"区分",null,null,null,null,null,"㉗"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,null,null,"フリ\n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,"生年\n月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"同居・\n別居の\n区分",null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,"続柄"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"合　　計\n(㉕+㉖+㉗)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㉘",null,null,null,null,{"$f":"SUM(EA198,EA203,EA208)","v":0}]
[]
[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,"個人\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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"地方税法附則第4条の4の規定の適用を選択する場合には、「医療費控除」欄の「区分」の□に「1」と記入してください。"]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,3,null,null,"フリ\n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,"生年\n月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"同居・\n別居の\n区分",null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,"続柄"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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":"\"５　給与・公的年金等に係る所得以外(令和\" & AE3 & \"年4月1日において65歳未満の方は給与所得以外)の市民税・県民税の納税方法\"","v":"５　給与・公的年金等に係る所得以外(令和6年4月1日において65歳未満の方は給与所得以外)の市民税・県民税の納税方法"}]
[]
[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,"個人\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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　　給与から差引き(特別徴収)"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"扶養控除\n額の合計",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"万円",null,null,null,null,"　　　自分で納付(普通徴収)"]
[null,null,null,null,null,null,null,null,null,null,"別居の扶養親族等がいる場合には、裏面「12」に氏名、個人番号及び住所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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"「個人番号」欄には、個人番号(行政手続における特定の個人を識別するための番号の利用等に関する法律第2条第5項に規定する個人番号をいう。)を記載してください。"]
[]
[null,null,null,null,null,null,null,null,null,null,"㉖\n\n雑損控除",null,null,null,null,null,null,null,null,"損害の原因",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"損害年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"損害を受けた資産の種類"]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"損害金額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"保険金などで補填される金額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"差引損失額のうち災害関連支出の金額"]
[]
[]
[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,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,"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,"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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年齢\n区分",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"分離所得額",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,null,null,null,null,null,null,null,null,null,null,null,"円"]
[]
[null,null,null,null,null,null,null,null,null,null,"㉗\n医療費控除",null,null,null,null,null,null,null,null,"支払った医療費等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"保険金などで補填される金額"]
[]
[]
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[null,null,null,null,null,null,null,null,null,null,"裏面にも記載する欄がありますから注意してください。"]
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[null,"　特定配当等に係る所得金額、特定株式等譲渡所得金額を総所得金額に含め、"]
[null,"配当割額又は株式等譲渡所得割額の控除を受けようとする場合は、下の各欄"," "," "," "," "," "," "," "," "," "," "," "," ",null," "," "," ","都道府県、市区町村分",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,"に配当割額及び株式等譲渡所得割額を書き入れてください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(特例控除対象)"]
[null,null," "," "," "," "," "," "," "," "," "," "," "," ",null," ",null," ","住所地の共同募金会、日赤支部分・都道\n府県、市区町村分(特例控除対象以外)"]
[" "," "," "," "," "," "," "," "," "," "," "," "," "," ",null," ",null," "]
[" ","配 当 割 額 控 除 額"," "," "," "," "," "," ",null,null,null,null,null,"円",null," ",null," "]
[" "," "," "," "," "," "," "," ",null,null,null,null,null,null,null," ",null," ","条例指定分",null,null,null,null,null,"都道府県",null,null,null,null," "]
[" ","株式等譲渡所得割額控除額"," "," "," "," "," "," ",null,null,null,null,null,"円",null," ",null," ",null,null,null,null,null,null,"市区町村",null,null,null,null," "]
[" "," "," "," "," "," "," "," "," "," "," "," "," "," ",null," ",null,null,"　支出した寄附金に応じて、各欄にそれぞれ寄附した金額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,"「条例指定分」の「都道府県」、「市区町村」の各欄には、住所地の都道府県、"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"市区町村の条例で指定された寄附金を支出した場合にそれぞれ記入してください。"]
[]
[null,"16所得金額調整控除に関する事項"]
[]
[null,"フリ\nガナ",null,null,null,null,null,null,"続柄",null,null,null,"生年\n月日",null,null,null,null,"特別障害者に\n該当する場合",null,null,null,null,null,null,"級\n度","別居の場合\nの住所"]
[null,"氏名"]
[null,"個人番号"]
[]
[null,"添付書類は、この面の記入事項のない箇所に貼ってください。"," "," "," "," "," "," "," "," "," "," "," "," ",null," "," "," "]