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Certificate of tax payment
Reiwa 2 〇 Month 〇 Day
Taxpayer
Residual Address
Name
Day of birth
Items of taxation-Municipal tax / Prefectural tax (ordinary collection)
Amount to be paid
Paid amount
Application: Full payment
This is to certify that it is correct as described above.
〇〇 City, Mayor〇〇

*Notification of opening of individual business
The place for tax payment
Superintendent of a taxation office:
Office
The type of business
The date of opening