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[null,"債権者登録申出書",null,null,null,null,"空欄を入力後→"]
[]
[null,"作成年月日"]
[null,"登録区分","登録種別",null,1]
[null,null,"変更･廃止年月日"]
[null,null,"変更箇所"]
[null,null,"人格区分",null,1,null,"※新規の個人登録は、マイナンバー提供書が必要です。"]
[null,null,"記入者名"]
[null,"登録情報","郵便番号",null,null,"－"]
[null,null,"住所・所在地"]
[null,null,"氏名・法人名"]
[null,null,"フリガナ"]
[null,null,"役職名"]
[null,null,"フリガナ"]
[null,null,"代表者名",null,null,null,null,"※代表者印を押印省略する場合、『登記事項\n証明書、印鑑登録証明書』が必要です。"]
[null,null,"フリガナ"]
[null,null,"電話番号"]
[null,null,"FAX番号"]
[null,"個人情報","マイナンバー",null,null,"－",null,"－"]
[null,null,"生年月日",null,null,null,{"$f":"IF(E20=\"\",\"\",DATEDIF(E20,TODAY(),\"Y\"))","v":""},"才"]
[null,"支払\n通知情報","通知方法",null,1]
[null,null,"メールアドレス",null,null,null,null,"＠"]
[null,"支払\n口座情報","一般","金融機関名"]
[null,null,null,"銀行コード"]
[null,null,null,"支店名",null,null,null,"支店"]
[null,null,null,"支店コード"]
[null,null,null,"預金種別",1]
[null,null,null,"その他→"]
[null,null,null,"口座番号"]
[null,null,null,"口座名義"]
[null,null,null,"フリガナ"]
[null,null,null,1,"※工事、委託契約等の前金払で、支払口座情報が異なる場合のみ"]
[null,null,"前金払","金融機関名"]
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[null,null,null,"支店名",null,null,null,"支店"]
[null,null,null,"支店コード"]
[null,null,null,"預金種別",1]
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[null,null,null,"口座番号"]
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[null,"債権者登録申出書"]
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[null,"　西はりま消防組合管理者　様"]
[null,null,null,null,null,null,null,"登録区分　　　　　　（該当項目を☑）",null,null,null,null,{"$f":"IF(入力!$E$4=2,\"☑\",\"□\")","v":"□"},"新　規",null,{"$f":"IF(入力!$E$4>=3,\"☑\",\"□\")","v":"□"},{"$f":"IF(入力!E4=3,\"変　更　（\",IF(入力!E4=4,\"廃　止　（\",\"変更・廃止（\"))","v":"変更・廃止（"},null,null,{"$f":"IF(入力!E4>=3,(TEXT(入力!E5,\"[$-ja-JP]ggge年m月d日）から\")),\"　　　 　年　   月　   日から）\")","v":"　　　 　年　   月　   日から）"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"変更箇所（",null,null,{"$f":"IF(入力!E4>=3,入力!E6,\"\")","v":""},null,null,null,null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力!$E$7=2,\"☑\",\"□\")","v":"□"},"個人→",null,"給与、報酬、不動産の使用料等の支払を受ける場合は、\n別途マイナンバー提供書が必要です。※１"]
[null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力!$E$7=3,\"☑\",\"□\")","v":"□"},"法人→",null,"記入者氏名（",null,null,null,{"$f":"IF(入力!E7=3,入力!E8,\"\")","v":""},null,null,null,null,null,"）"]
[null,"　　西はりま消防組合からの支払が生じた場合、当申出書のとおりお支払いください。\n　　なお、口座振込の場合は、振込をもって代金の受領と認め、領収証書は発行いたしません。"]
[null,"住所又は所在地",null,null,null,null,"　〒",{"$f":"入力!E9","v":0},null,"-",{"$f":"IF(入力!G9=0,\"\",入力!G9)","v":""}]
[null,null,null,null,null,null,{"$f":"入力!E10","v":0}]
[null,"フ リ ガ ナ",null,null,null,null,{"$f":"IF(入力!E7=2,入力!E12,入力!E12&\"　\"&入力!E14&\"　\"&入力!E16)","v":"　　"}]
[null,"氏　 名　  又 は\n法　人　名　（※２）",null,null,null,null,{"$f":"IF(入力!E7=2,入力!E11,入力!E11&\"　\"&入力!E13&\"　\"&入力!E15)","v":"　　"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㊞"]
[null,"電話番号",null,null,null,null,{"$f":"IF(入力!E17=\"\",\"-　　　　-\",入力!E17)","v":"-　　　　-"},null,null,null,null,null,null,null,"FAX番号",null,null,null,{"$f":"IF(入力!E18=\"\",\"-　　　　-\",入力!E18)","v":"-　　　　-"}]
[null,"※１　別途マイナンバー提供書が必要となるため、総務課（0791-76-7119）へ事前にご連絡ください。\n※２　登録する債権者の本人確認書類の写しを添付してください。\n　　　【法人】　登記事項証明書、印鑑登録証明書\n　　　【個人】　マイナンバーカード、運転免許証、パスポート等\n　　　上記確認書類の添付がない場合は、氏名又は法人名欄に個人印又は代表者印を押印してください。"]
[null,"【支払通知情報】※債権者へ通知する支払内訳の送付方法及び送付先（メールアドレス）の情報。"]
[null,"通知方法",null,null,null,null,{"$f":"IF(入力!$E$21=2,\"☑\",\"□\")","v":"□"},"送付不要",null,null,{"$f":"IF(入力!$E$21=3,\"☑\",\"□\")","v":"□"},"書面送付",null,null,{"$f":"IF(入力!$E$21=4,\"☑\",\"□\")","v":"□"},"電子メール送付",null,null,null,null,"※一つ選択ください。"]
[null,"メールアドレス(※３)",null,null,null,null,{"$f":"IF(入力!E21=4,入力!E22,\"\")","v":""},null,null,null,null,null,null,null,null,"＠",{"$f":"IF(入力!E21=4,入力!I22,\"\")","v":""}]
[null,"※３　通知内容を必要とされる担当部署等のメールアドレスを記入ください。"]
[null,"【一般の支払口座】"]
[null,"金融機関名",null,null,null,null,"銀行コード",null,null,null,null,null,{"$f":"LEFT(入力!$E$24,1)","v":""},{"$f":"MID(入力!$E$24,2,1)","v":""},{"$f":"MID(入力!$E$24,3,1)","v":""},{"$f":"RIGHT(入力!$E$24,1)","v":""},"支 店 名",null,null,"支店コード",null,null,null,{"$f":"LEFT(入力!$E$26,1)","v":""},{"$f":"MID(入力!$E$26,2,1)","v":""},{"$f":"RIGHT(入力!$E$26,1)","v":""}]
[null,null,null,null,null,null,{"$f":"入力!E23","v":0},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"入力!E25","v":0}]
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[null,null,null,null,null,null,null,"その他",null,"（",null,null,null,null,"）"]
[null,"フ リ ガ ナ",null,null,null,null,{"$f":"入力!E31","v":0}]
[null,"口 座 名 義",null,null,null,null,{"$f":"入力!E30","v":0}]
[null,"【前金払の支払口座】",null,null,null,null,null,null,"※工事、委託契約等で前金払のある方のみ"]
[null,"金融機関名",null,null,null,null,"銀行コード",null,null,null,null,null,{"$f":"LEFT(入力!$E$34,1)","v":""},{"$f":"MID(入力!$E$34,2,1)","v":""},{"$f":"MID(入力!$E$34,3,1)","v":""},{"$f":"RIGHT(入力!$E$34,1)","v":""},"支 店 名",null,null,"支店コード",null,null,null,{"$f":"LEFT(入力!$E$36,1)","v":""},{"$f":"MID(入力!$E$36,2,1)","v":""},{"$f":"RIGHT(入力!$E$36,1)","v":""}]
[null,null,null,null,null,null,{"$f":"入力!E33","v":0},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"入力!E35","v":0}]
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[null,null,null,null,null,null,"      その他（","その他",null,"（",null,null,null,null,"）"]
[null,"フ リ ガ ナ",null,null,null,null,{"$f":"入力!E41","v":0}]
[null,"口 座 名 義",null,null,null,null,{"$f":"入力!E40","v":0}]
[]
[]
[null,"【　西はりま消防組合使用欄　】",null,null,null,null,null,null,null,null,null,null,"債権者番号"]
[null,"《　受　付　》",null,null,"　　  　  年  　  月     　日",null,null,null,null,null,null,null,null,null,null,null,null,null,"《　処　理　》",null,null,"　　  　  年  　  月     　日"]
[null,"担当署（課）",null,null,"　　　　　　　　　　　　　　　　　課　（担当者）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"財務登録"]
[null,"本人\n確認書類",null,null,null,"マイナンバーカード",null,null,null,null,null,"運転免許証",null,null,null,null,"パスポート"]
[null,null,null,null,null,"登記事項証明書",null,null,null,null,null,"印鑑登録証明書"]
[null,null,null,null,null,"その他（",null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]

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[null,"マイナンバー提供書"]
[null,null,"西はりま消防組合"]
[null,null,null,"管理者　様"]
[null,null,null,null,null,null,null,null,null,"提出日",null,{"$f":"IF(入力!E7=2,入力!E3,\"　　　　年　　 月　　 日\")","v":"　　　　年　　 月　　 日"}]
[null,null,null,null,null,null,null,null,null,null,"〒",{"$f":"IF(入力!E7=2,入力!E9&入力!F9&入力!G9,\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,"住　所",null,{"$f":"IF(入力!E7=2,入力!E10,\"\")","v":""}]
[]
[null,null,null,null,null,null,null,null,null,"生年月日",null,{"$f":"IF(入力!E7=2,入力!E20,\"　　　　年　　 月　　 日\")","v":"　　　　年　　 月　　 日"}]
[null,null,null,null,null,null,null,null,null,"氏　名　　　　　　　　　　　　　　　　",null,{"$f":"IF(入力!E7=2,入力!E11,\"\")","v":""}]
[]
[null,null,"　次の法定調書作成のために必要なマイナンバーを下記の確認書類を提示（添付）の上、提供します。\n　・源泉徴収票\n　・報酬、料金、契約金及び賞金の支払調書\n　・不動産の使用料等の支払調書"]
[]
[null,null,"フリガナ",null,null,{"$f":"IF(入力!E7=2,DBCS(入力!E12),\"\")","v":""}]
[null,null,"氏名",null,null,{"$f":"IF(入力!E7=2,入力!E11,\"\")","v":""}]
[null,null,"マイナンバー",null,null,{"$f":"LEFT(入力!E19,1)","v":""},{"$f":"MID(入力!E19,2,1)","v":""},{"$f":"MID(入力!E19,3,1)","v":""},{"$f":"RIGHT(入力!E19,1)","v":""},{"$f":"LEFT(入力!G19,1)","v":""},{"$f":"MID(入力!G19,2,1)","v":""},{"$f":"MID(入力!G19,3,1)","v":""},{"$f":"RIGHT(入力!G19,1)","v":""},{"$f":"LEFT(入力!I19,1)","v":""},{"$f":"MID(入力!I19,2,1)","v":""},{"$f":"MID(入力!I19,3,1)","v":""},{"$f":"RIGHT(入力!I19,1)","v":""}]
[]
[]
[null,null,"マイナンバー確認書類（いずれか１点）"]
[null,null,"□　マイナンバーカード"]
[null,null,"□　マイナンバーが記載された住民票の写し又は住民票記載事項証明書"]
[null,null,"□　通知カード（※通知カードに記載された氏名・住所等が住民票に記載されている事項\n　　と一致している場合に限り、マイナンバーを証明する書類として使用できます。）"]
[]
[null,null,"本人確認書類（いずれか１点）"]
[null,null,"□　マイナンバーカード"]
[null,null,"□　運転免許証　　□　運転経歴証明書　　　□　パスポート　□　身体障害者手帳"]
[null,null,"□　精神障害者保健福祉手帳　□　療育手帳　□　在留カード　□　特別永住者証明書"]
[null,null,"□　官公署等が発行する書類（写真あり）［　　　　　　　　　　　　　　　　　　］"]
[]
[null,null,"以下の書類の場合は、２点以上"]
[null,null,"□　被保険者証　　□　年金手帳　□　児童扶養手当証書　□　特別児童扶養手当証書"]
[null,null,"□　官公署等が発行する書類（写真なし）［　　　　　　　　　　　　　　　　　　］"]
[]
[null,null,"【会計課記載欄】"]
[null,null,"会計処理日・処理者",null,null,null,"年　　月　　日　（処理者）"]
[null,null,"債権者番号"]

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[null,2,"新規",null,2,"個人",null,2,"送付不要",null,2,"普通",null,2,"前金払用の口座あり"]
[null,3,"変更",null,3,"法人",null,3,"書面送付",null,3,"当座"]
[null,4,"廃止",null,null,null,null,4,"電子メール送付",null,4,"貯蓄"]
[null,null,null,null,null,null,null,null,null,null,5,"その他"]

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[null,"債権者登録申出書"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"令和　６年　　４月　　１日"]
[null,"　西はりま消防組合管理者　様"]
[null,null,null,null,null,null,null,"登録区分　　　　　　（該当項目を☑）",null,null,null,null,"☑","新　規",null,"□",{"$f":"IF(入力!E4=3,\"変　更　（\",IF(入力!E4=4,\"廃　止　（\",\"変更・廃止（\"))","v":"変更・廃止（"},null,null,"　　　 　年　   月　   日から）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"変更箇所（",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→",null,"給与、報酬、不動産の使用料等の支払を受ける場合は、\n別途マイナンバー提供書が必要です。※１"]
[null,null,null,null,null,null,null,null,null,null,null,null,"☑","法人→",null,"記入者氏名（",null,null,null,"佐用　次郎",null,null,null,null,null,"）"]
[null,"　　西はりま消防組合からの支払が生じた場合、当申出書のとおりお支払いください。\n　　なお、口座振込の場合は、振込をもって代金の受領と認め、領収証書は発行いたしません。"]
[null,"住所又は所在地",null,null,null,null,"　〒",671,null,"-",1692]
[null,null,null,null,null,null,"兵庫県たつの市揖保川町正條○○番地○"]
[null,"フ リ ガ ナ",null,null,null,null,"○○カブシキカイシャ　ダイヒョウトリシマリヤクシャチョウ　ニシハリマ　イチロウ"]
[null,"氏　 名　  又 は\n法　人　名　（※２）",null,null,null,null,"○○株式会社　代表取締役社長　西はりま　一郎",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㊞"]
[null,"電話番号",null,null,null,null,"0791-76-○○○○",null,null,null,null,null,null,null,"FAX番号",null,null,null,"0791-72-○○○○"]
[null,"※１　別途マイナンバー提供書が必要となるため、総務課（0791-76-7119）へ事前にご連絡ください。\n※２　登録する債権者の本人確認書類の写しを添付してください。\n　　　【法人】　登記事項証明書、印鑑登録証明書\n　　　【個人】　マイナンバーカード、運転免許証、パスポート等\n　　　上記確認書類の添付がない場合は、氏名又は法人名欄に個人印又は代表者印を押印してください。"]
[null,"【支払通知情報】※債権者へ通知する支払内訳の送付方法及び送付先（メールアドレス）の情報。"]
[null,"通知方法",null,null,null,null,"□","送付不要",null,null,"□","書面送付",null,null,"☑","電子メール送付",null,null,null,null,"※一つ選択ください。"]
[null,"メールアドレス(※３)",null,null,null,null,"◇◇◇◇◇◇",null,null,null,null,null,null,null,null,"＠","△△△△．△△．△△"]
[null,"※３　通知内容を必要とされる担当部署等のメールアドレスを記入ください。"]
[null,"【一般の支払口座】"]
[null,"金融機関名",null,null,null,null,"銀行コード",null,null,null,null,null,0,1,2,3,"支 店 名",null,null,"支店コード",null,null,null,0,1,2]
[null,null,null,null,null,null,"▼▼▼▼",null,null,null,null,null,null,null,null,null,null,null,null,"▲▲▲"]
[null,"預 金 種 別",null,null,null,null,null,"普通",null,"・","当座",null,"・","貯蓄",null,null,"口座番号\n（右づめ）",null,null,0,1,2,3,4,5,6]
[null,null,null,null,null,null,null,"その他",null,"（",null,null,null,null,"）"]
[null,"フ リ ガ ナ",null,null,null,null,"○○ｶﾌﾞｼｷｶｲｼｬ　ﾀﾞｲﾋｮｳﾄﾘｼﾏﾘﾔｸｼｬﾁｮｳ　ﾆｼﾊﾘﾏ　ｲﾁﾛｳ"]
[null,"口 座 名 義",null,null,null,null,"○○株式会社　代表取締役社長　西はりま　一郎"]
[null,"【前金払の支払口座】",null,null,null,null,null,null,"※工事、委託契約等で前金払のある方のみ"]
[null,"金融機関名",null,null,null,null,"銀行コード",null,null,null,null,null,{"$f":"LEFT(入力!$E$34,1)","v":""},{"$f":"MID(入力!$E$34,2,1)","v":""},{"$f":"MID(入力!$E$34,3,1)","v":""},{"$f":"RIGHT(入力!$E$34,1)","v":""},"支 店 名",null,null,"支店コード",null,null,null,{"$f":"LEFT(入力!$E$36,1)","v":""},{"$f":"MID(入力!$E$36,2,1)","v":""},{"$f":"RIGHT(入力!$E$36,1)","v":""}]
[null,null,null,null,null,null,{"$f":"入力!E33","v":0},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"入力!E35","v":0}]
[null,"預 金 種 別",null,null,null,null,null,"普通",null,"・","当座",null,"・","貯蓄",null,null,"口座番号\n（右づめ）",null,null,{"$f":"LEFT(入力!$E$39,1)","v":""},{"$f":"MID(入力!$E$39,2,1)","v":""},{"$f":"MID(入力!$E$39,3,1)","v":""},{"$f":"MID(入力!$E$39,4,1)","v":""},{"$f":"MID(入力!$E$39,5,1)","v":""},{"$f":"MID(入力!$E$39,6,1)","v":""},{"$f":"RIGHT(入力!$E$39,1)","v":""}]
[null,null,null,null,null,null,"      その他（","その他",null,"（",null,null,null,null,"）"]
[null,"フ リ ガ ナ",null,null,null,null,{"$f":"入力!E41","v":0}]
[null,"口 座 名 義",null,null,null,null,{"$f":"入力!E40","v":0}]
[]
[]
[null,"【　西はりま消防組合使用欄　】",null,null,null,null,null,null,null,null,null,null,"債権者番号"]
[null,"《　受　付　》",null,null,"　　  　  年  　  月     　日",null,null,null,null,null,null,null,null,null,null,null,null,null,"《　処　理　》",null,null,"　　  　  年  　  月     　日"]
[null,"担当署（課）",null,null,"　　　　　　　　　　　　　　　　　課　（担当者）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"財務登録"]
[null,"本人\n確認書類",null,null,null,"マイナンバーカード",null,null,null,null,null,"運転免許証",null,null,null,null,"パスポート"]
[null,null,null,null,null,"登記事項証明書",null,null,null,null,null,"印鑑登録証明書"]
[null,null,null,null,null,"その他（",null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]