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CARD OF WITHHOLDING TAX ON SALARY INCOME FOR 2005
Allowance payee
Address or residence:
Name:
Title:
Classification: Salary/Bonus
Amount paid: .-
Amount after deduction for allowance: .-
Total amount of deduction for income: .-
Amount of withholding tax: .-
Spouse for deduction:
Amount of Social insurance premiums: .-
Deduction for life insurance premiums: .-
Deduction for non-life insurance premiums: .-
Special deduction for housing loan, etc.: .-
Remarks:
Amount of special tax reduction as a result of year-end adjustment
Total amount of income of spouse:
Amount of private annuity insurance premiums: .-
Amount of long-term non-life insurance premiums: .-