CERTIFICATE REQUEST FORMS
<Municipal Tax Division>
交付請求書様式【市民税課】
Forms for download and How to fill out a request form
Please make a request by downloading each certificate request form/ proxy form below and fill out the form(s) by referring to ‘Sample (and explanation in English)’.
All documents must be accompanied with Japanese translations unless otherwise written in Japanese.
≪市民税課/ Municipal Tax Division≫
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Forms for download
(provided in Japanese)
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Sample
(and explanation in English)
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課税(所得)・非課税証明書 交付請求書
- Certificate of Taxation [income] / Non-Taxation Request Form <at a MUNICIPAL OFFIC COUNTER>
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Sample 4
(and explanation in English)
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課税(所得)・非課税証明書郵便交付請求書
- Certificate of Taxation [Income]/ Non-Taxation Request Form <by POST>
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Sample 5
(and explanation in English)
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委任状【課税（所得）】
- Proxy Form (for requesting a Certificate of Taxation [Income] / Non-Taxation)
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Sample 6
(and explanation in English)
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≪問い合わせ/ Inquiries≫
☞市民税課
市民税係/ 電話：０４８-９３０-７７０６
諸税係/ 電話：０４８-９３０-７７０７
Municipal Tax Division:
-Municipal Tax Section / Phone: 048-930-7706
-Miscellaneous Tax Section / Phone: 048-930-7707
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≪Branch office & Liaison offices≫
◇みさと団地出張所/ Misato-danchi Shutchojo (Misato-danchi Branch Office)
Address: 3-7-3-102 Hikonari Phone: 048-957-2121
Service hours
Sunday through Friday, 8:30-17:15
(Certificates issuance related to municipal taxes are available only from Monday through Friday.)
※The office will be closed on Saturdays, national holidays (except if it falls on Sunday) and the year-end and New Year holidays (from December 29 to January 3).
◆早稲田連絡所/Waseda Renrakujo (Waseda Liaison Office) (inside Waseda Library)
Address: Waseda 5-6-15 Phone: 048-958-4822
※Waseda Liaison Office will be closed on Saturdays, national holidays and the year-end and New Year holidays (from December 29 to January 3).
◆彦成連絡所/Hikonari Renrakujo (Hikonari Liaison Office) (inside Hikonari-chiku Bunka Center [community center])
Address: 1-161 Hikono Phone: 048-954-2088
◆戸ヶ崎連絡所/Togasaki Renrakujo (Togasaki Liaison Office) (inside Community Center)
Address: 2-654 Togasaki Phone: 048-956-9066
◆鷹野連絡所/Takano Renrakujo (Takano Liaison Office) (inside Takano Bunka Center [community center])
Address: 4-70 Takano Phone: 048-956-3477
Service hours
Sunday through Friday, 8:30-17:15
(Certificates issuance related to municipal taxes are available only from Monday through Friday.)
※Liaison offices will be closed on Saturdays, national holidays (except if it falls on Sunday) and the year-end and New Year holidays (from December 29 to January 4).
※Each liaison office will be closed whenever its facility closes. (Except for Waseda Liaison Office)