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[null,null,null,null,null,null,null,null,null,null,null,null,"令 和 ２ 年 分    給 与 所 得 者 の 扶 養 控 除 等 (異 動) 申 告 書"]
[]
[]
[]
[null,"所轄税務署長等",null,null,null,null,null,"給与の支払者\nの名称(氏名)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(フリガナ)\nあなたの氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"あなたの生年月日",null,null,null,null,"明・大・昭\n平・令",null,null,"年",null,"月",null,"日","従たる給与についての扶養控除等申告書の提出"]
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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,"世帯主の氏名"]
[]
[null,null,null,null,null,null,null,"給与の支払者の\n法人(個人)番号",null,null,null,null,"※この申告書の提出を受けた給与の支払者が記載してください。",null,null,null,null,null,null,null,null,null,null,null,null,"あなたの個人番号",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,"〔","提出している場合には、○印を付けてください。",null,null,"〕"]
[null,"税務署長",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"あなたとの続柄"]
[]
[]
[null,null,null,null,null,null,null,"給与の支払者の\n所在地(住所)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"あなたの住所\n又は居所",null,null,null,null,"(郵便番号　　　　　 - 　　　　　　　)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"配偶者\nの有無",null,null,"有・無"]
[]
[null,"市区町村長"]
[]
[]
[null,"あなたに源泉控除対象配偶者、障害者に該当する同一生計配偶者及び扶養親族がなく、かつ、あなた自身が障害者、寡婦、寡夫又は勤労学生のいずれにも該当しない場合には、以下の各欄に記入する必要はありません。"]
[]
[]
[null,"主たる給与から控除を受ける","区 分 等",null,null,null,null,"（フリガナ）　　　　　　　\n氏名",null,null,null,null,null,null,null,"個人番号",null,null,null,null,null,null,null,null,null,null,null,"老人扶養親族\n(昭26.1.1以前生)",null,null,null,null,null,"令和２年中の\n所得の見積額",null,null,null,null,null,null,"住所又は居所 ",null,null,null,null,null,null,null,null,null,null,null,null,"異動月日及び事由",null,null,null,null,null,null,"◎この申告書の記載に当たっては、裏面の申告についてのご注意等をお読みください。","◎この申告書は、2か所以上から給与の支払を受けている場合には、そのうちの1か所にしか提出することができません。\n","提出する必要があります。","◎この申告書は、源泉控除対象配偶者、障碍者に該当する同一生計配偶者及び扶養親族に該当する人がいない人も","◎この申告書は、あなたの給与について扶養控除、障害者控除などの控除を受けるために提出するものです。\n"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〔","令和２年中に異動があった場合に記載してください（以下同じ）。",null,null,null,null,"〕"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"あなたとの続柄",null,null,null,null,"生年月日",null,null,null,null,null,null,"特定扶養親族\n（平10.1.2生〜平14.1.1生）",null,null,null,null,null,"非居住者\nである親族",null,null,"生計を一に\nする事実"]
[]
[]
[null,null,"A","源泉控除\n対象配偶者\n（注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,null,null,null,null,null,null,null,null,null,null,"円"]
[]
[]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"明・大\n昭・平",null,null,"・",null,"・"]
[]
[]
[null,null,"B\n","控除対象\n扶養親族\n(16歳以上)\n(平17.1.1以前生)",null,null,null,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　□　同居老親等 \n　□　その他 ",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,"明・大\n昭・平",null,null,"・",null,"・",null,"　□　特定扶養親族"]
[]
[]
[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,"　□　同居老親等 \n　□　その他 ",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,"明・大\n昭・平",null,null,"・",null,"・",null,"　□　特定扶養親族"]
[]
[]
[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,"　□　同居老親等 \n　□　その他 ",null,null,null,null,null,null,null,null,null,null,null,"円"]
[]
[]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"明・大\n昭・平",null,null,"・",null,"・",null,"　□　特定扶養親族"]
[]
[]
[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,"　□　同居老親等 \n　□　その他 ",null,null,null,null,null,null,null,null,null,null,null,"円"]
[]
[]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"明・大\n昭・平",null,null,"・",null,"・",null,"　□　特定扶養親族"]
[]
[]
[null,null,"C","障害者、寡\n婦、寡夫又\nは勤労学生",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"左記の内容(この欄の記載に当たっては、裏面の「２　記載についてのご注意」の⑻をお読みください。）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"異動月日及び事由"]
[null,null,null,null,null,null,null,"□ 障害者",null,null,"　　　　　　　　該当者\n区分",null,null,null,null,"本人",null,null,null,"同一生計\n配偶者（注2）",null,null,null,"扶養親族",null,null,null,"□ 寡婦"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,"一般の障害者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（ 　人）",null,"□ 特別の寡婦"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,"特別障害者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（ 　人）",null,"□ 寡夫"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（注）","１源泉控除対象配偶者とは、所得者（令和２年中の所得の見積額が900万円以下の人に限ります。）と生計を一にする配偶者（青色事業専従者として給与の支払を受ける人及び白色事業専従者を除きます。）で、令和２年中の所得の見積額が95万円以下の人をいいます。"]
[null,null,null,null,null,null,null,null,null,null,"同居特別障害者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（ 　人）",null,"□ 勤労学生"]
[]
[]
[null,null,null,null,null,null,null,"上の該当する項目及び欄にチェックを付け、（　 ）内には該当する扶養親族の人数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,"２同一生計配偶者とは、所得者と生計を一にする配偶者（青色事業専従者として給与の支払を受ける人及び白色事業専従者を除きます。）で、令和２年中の 所得の見積額が48万円以下の人をいいます。"]
[]
[]
[null,"D","他の所得者が\n控除を受ける\n扶養親族等",null,null,null,null,"氏名",null,null,null,null,null,"あなたと\nの続柄",null,"生 年 月 日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"控除を受ける他の所得者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"異動月日及び事由"]
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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,"氏名",null,null,null,null,null,"あなたとの続柄",null,null,"住所又は居所"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"明・大・昭\n平・令",null,null,"・",null,"・"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"明・大・昭\n平・令",null,null,"・",null,"・"]
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[null,null,"○ 住民税に関する事項　（この欄は、地方税法第45条の3の3及び第317条の3の3に基づき、公的年金等の支払者を経由して市区町村長に提出する公的年金等受給者の扶養親族等申告書の記載欄を兼ねています。）"]
[]
[null,"16歳未満の\n扶養親族\n(平17.1.2以後生)",null,null,null,null,null,"（フリガナ）\n氏名",null,null,null,null,null,"個人番号",null,null,null,null,null,null,null,null,null,null,null,"あなたと\nの続柄",null,"生年月日",null,null,null,null,null,null,"住所又は居所",null,null,null,null,null,null,null,null,null,null,"控除対象外\n国外扶養親族",null,null,"令和２年中の\n所得の見積額",null,null,null,null,"異動月日及び事由"]
[]
[]
[]
[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,"平・令",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,"平・令",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,"平・令",null,null,"・",null,"・"]
[]
[]
[null,"単身児童扶養者",null,null,null,null,"□","該当する場合には左記に\nチェックを付けてください。",null,null,null,null,null,null,"児童扶養手当\n証書の番号",null,null,null,null,null,null,null,null,null,null,null,null,null,"生計を一にする\n児童の氏名",null,null,null,null,null,null,null,null,null,null,"左記の児童の令和２年\n中の所得の見積額",null,null,null,null,null,null,null,null,null,null,null,"異動月日\n及び事由"]