Transcription of APPLICATION FOR CERTIFICATE OF RESIDENCE IN JAPAN
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APPLICATION FOR CERTIFICATE OF RESIDENCE IN JAPAN
This form shall be submitted solely for the purpose of claiming tax treaty benefits . For use by a resident of JAPAN .. National Tax Agency APPLICATION FOR CERTIFICATE OF RESIDENCE IN JAPAN .. Date of request: . Information on the applicant: Information on the agent .. Address . Address Name .. Telephone number . Name or corporation . name and representative name Telephone number .. For the purpose of obtaining benefits under the Income Tax Convention, I hereby request the issuance of CERTIFICATE of RESIDENCE as follows: .. Name of the State to which this CERTIFICATE is submitted . Period concerned (Optional). I hereby declare that: The applicant is the resident of JAPAN for tax purposes;.. Declaration This APPLICATION is made only for the purpose of residency certification; and The information in this APPLICATION is true and correct.. Requested Reference number of number copies (Optional).
corporation name and representative name ※日本語及び英語で記入してください。 を （電話番号 Telephone number： ） 租税条約上の特典を得る目的で、下記のとおり居住者証明書の交付 …
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