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[{"$nulls":32},"（様式５－２：特例増設用）"]
[]
["特例増設に係る付属書類"]
[]
["１．申請者"]
[null,"企　業　名（法人名又は個人名）",{"$nulls":10},"事 業 所 名"]
[]
[]
["２．今回の特例増設に至った経緯",{"$nulls":20},"３．当初の企業立地に関する事項"]
[{"$nulls":22},"企業立地日",null,null,"平成",null,"年",null,"月",null,"日"]
[{"$nulls":22},"初回の申請時期",null,null,"平成",null,"年",null,"期"]
[{"$nulls":22},"立地形態(新設・増設）"]
[{"$nulls":22},"所在・隣接の区分"]
[]
[{"$nulls":21},"４．特例増設に関する事項"]
[{"$nulls":22},"１度目の特例増設日",null,null,"平成",null,"年",null,"月",null,"日"]
[{"$nulls":22},"２度目の特例増設日",null,null,"平成",null,"年",null,"月",null,"日"]
[]
["５．今回の特例増設に伴って取得した固定資産の内容"]
[]
[null,"・固定資産が多数、多額の場合は、適宜の方法で区分調整、あるいは耐用年数ごとに一括して記入してください。　"]
[null,"・固定資産価額を、消費税及び地方消費税の会計処理等で税込み額で計上している場合は、税抜き額も記入してください。"]
[null,"　　　＊税抜きで固定資産計上している場合は、「固定資産の価額（税抜き）」のみに記入してください。"]
[]
[null,"番号","固定資産の名称",{"$nulls":8},"数量","取得の時期",{"$nulls":6},"耐用年数","固定資産の価額　　　　　　（税抜き）",null,null,null,"固定資産の価額　　　　　　（税込み）",null,null,"設置・保管場所",{"$nulls":4},"備　　考"]
[{"$nulls":19},"（年）","（円）",null,null,null,"（円）"]
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[null,3,{"$nulls":10},"平成",null,"年",null,"月",null,"日"]
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[null,5,{"$nulls":10},"平成",null,"年",null,"月",null,"日"]
[null,6,{"$nulls":10},"平成",null,"年",null,"月",null,"日"]
[null,null,"計",{"$nulls":17},"",0,"",0,"","",""]
[null,"（注）","この表に記入した固定資産台帳及び経理処理書類（基準金額以上）の写しを添付してください。","この表に記入した固定資産台帳（全て）及び経理処理書類（基準金額以上）の写しを添付して下さい。","この表に記入した固定資産台帳（全て）及び経理処理書類（基準金額以上）の写しを添付して下さい。","この表に記入した固定資産台帳（全て）及び経理処理書類（基準金額以上）の写しを添付して下さい。","この表に記入した固定資産台帳（全て）及び経理処理書類（基準金額以上）の写しを添付して下さい。","この表に記入した固定資産台帳（全て）及び経理処理書類（基準金額以上）の写しを添付して下さい。","この表に記入した固定資産台帳（全て）及び経理処理書類（基準金額以上）の写しを添付して下さい。","この表に記入した固定資産台帳（全て）及び経理処理書類（基準金額以上）の写しを添付して下さい。","この表に記入した固定資産台帳（全て）及び経理処理書類（基準金額以上）の写しを添付して下さい。","この表に記入した固定資産台帳（全て）及び経理処理書類（基準金額以上）の写しを添付して下さい。","この表に記入した固定資産台帳（全て）及び経理処理書類（基準金額以上）の写しを添付して下さい。","この表に記入した固定資産台帳（全て）及び経理処理書類（基準金額以上）の写しを添付して下さい。","この表に記入した固定資産台帳（全て）及び経理処理書類（基準金額以上）の写しを添付して下さい。","この表に記入した固定資産台帳（全て）及び経理処理書類（基準金額以上）の写しを添付して下さい。","この表に記入した固定資産台帳（全て）及び経理処理書類（基準金額以上）の写しを添付して下さい。","この表に記入した固定資産台帳（全て）及び経理処理書類（基準金額以上）の写しを添付して下さい。","この表に記入した固定資産台帳（全て）及び経理処理書類（基準金額以上）の写しを添付して下さい。","この表に記入した固定資産台帳（全て）及び経理処理書類（基準金額以上）の写しを添付して下さい。"]
[null,"　 ＊経理処理書類とは、工事請負契約書、領収書等です。"]
[]
["６．今回の特例増設による交付期間延長に適用される基礎数値",{"$nulls":16},"基礎契約電力",{"$nulls":7},"ｋW"]
[null,"基礎数値は別紙の「特例増設に係る基礎数値算出表」による。",{"$nulls":15},"基礎電気料金（月平均）",{"$nulls":7},"円"]
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[{"$nulls":30},"様式５－２の別紙１"]
[null,"特例増設に係る基礎数値算出表"]
[]
[null,"１．新規申請から今回までの状況",{"$nulls":21},"応募要領の別紙Ｆ-1、F-2も参照ください。"]
[null,"　・過去の電力帳票まとめ表【様式１】及び交付申請書等から作成 　　※特例増設１度目の初回申請で、当初の企業立地日が平成２０年３月３１日以前の場合、記入不要"]
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[null,"２．基礎数値の算出"]
[null,"　　次の場合は、記号PA・CA・LAの数値が基礎数値となります。"]
[null,"　　　ａ．初回申請時は旧制度適用、その後１回目の特例増設をした場合"]
[null,"　　　ｂ．企業立地日あるいは1回目の特例増設日の属する半期の翌半期以降、13年を経過した後の申請の場合"]
[null,"　  上記以外の場合は、記号PA、PBの多い方・CA、CBの多い方・LA、LBの多い方の数値が基礎数値となります。"]
[]
[null,"　（１）基礎契約電力"]
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[null,null,null,"　＊別紙２の３．平均契約電力、平均支払電気料金より",{"$nulls":6},"平成",null,"年",null,"月","平成",null,"年",null,"月",{"$nulls":4},"kW","ＰＡ","①　ＰＡ",{"$nulls":4},"kW"]
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[null,"　（２）基礎電気料金（月平均）"]
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[null,null,null,"　＊別紙２の３．平均契約電力、平均支払電気料金より",{"$nulls":6},"平成",null,"年",null,"月","平成",null,"年",null,"月",{"$nulls":4},"円","CＡ","①　ＣＡ",{"$nulls":4},"円"]
[null,null,"Ｂ．","当初の企業立地日（特例増設日１度目）の属する半期の翌半期から当該特例増設日が属する半期の前の半期までの期間の各半期の平均支払電気料金のうち最大のもの",{"$nulls":20},"円","CＢ","②　ＣＡ、ＣＢの多い方",{"$nulls":4},"円"]
[]
[]
[null,"　（３）基礎雇用者数"]
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[{"$nulls":31},"様式５－２の別紙２"]
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[null,"３．平均契約電力、平均支払電気料金の算定"]
[{"$nulls":25},"企　業　名（法人名又は個人名）",null,null,"事　業　所　名"]
[null,null,"・特例増設日の属する月の支払分を含む過去１年間の実績を記入"]
[]
[null,null,"・契約種別が複数ある場合は、別途電力契約ごとに集計表を作成し、各月分ごとに合算して記入"]
[]
[null,null,"※　その他料金（遅収料金、契約超過金等）について確認してください。　　",{"$nulls":15},"（",null,null,null,"）"]
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[null,null,"○今回の特例増設日",null,null,null,"平成",null,"年",null,"月",null,"日",{"$nulls":4},"○契約種別"]
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[null,"半期区分","申請期","補助対象期間","補助対象期末日"]
[null,"H11上","H11下","H11.4.1 ～ H11.9.30","1999-09-30"]
[null,"H11下","H12上","H11.10.1 ～ H12.3.31","2000-03-31"]
[null,"H12上","H12下","H12.4.1 ～ H12.9.30","2000-09-30"]
[null,"H12下","H13上","H12.10.1 ～ H13.3.31","2001-03-31"]
[null,"H13上","H13下","H13.4.1 ～ H13.9.30","2001-09-30"]
[null,"H13下","H14上","H13.10.1 ～ H14.3.31","2002-03-31"]
[null,"H14上","H14下","H14.4.1 ～ H14.9.30","2002-09-30"]
[null,"H14下","H15上","H14.10.1 ～ H15.3.31","2003-03-31"]
[null,"H15上","H15下","H15.4.1 ～ H15.9.30","2003-09-30"]
[null,"H15下","H16上","H15.10.1 ～ H16.3.31","2004-03-31"]
[null,"H16上","H16下","H16.4.1 ～ H16.9.30","2004-09-30"]
[null,"H16下","H17上","H16.10.1 ～ H17.3.31","2005-03-31"]
[null,"H17上","H17下","H17.4.1 ～ H17.9.30","2005-09-30"]
[null,"H17下","H18上","H17.10.1 ～ H18.3.31","2006-03-31"]
[null,"H18上","H18下","H18.4.1 ～ H18.9.30","2006-09-30"]
[null,"H18下","H19上","H18.10.1 ～ H19.3.31","2007-03-31"]
[null,"H19上","H19下","H19.4.1 ～ H19.9.30","2007-09-30"]
[null,"H19下","H20上","H19.10.1 ～ H20.3.31","2008-03-31"]
[null,"H20上","H20下","H20.4.1 ～ H20.9.30","2008-09-30"]
[null,"H20下","H21上","H20.10.1 ～ H21.3.31","2009-03-31"]
[null,"H21上","H21下","H21.4.1 ～ H21.9.30","2009-09-30"]
[null,"H21下","H22上","H21.10.1 ～ H22.3.31","2010-03-31"]
[null,"H22上","H22下","H22.4.1 ～ H22.9.30","2010-09-30"]
[null,"H22下","H23上","H22.10.1 ～ H23.3.31","2011-03-31"]
[null,"H23上","H23下","H23.4.1 ～ H23.9.30","2011-09-30"]
[null,"H23下","H24上","H23.10.1 ～ H24.3.31","2012-03-31"]
[null,"H24上","H24下","H24.4.1 ～ H24.9.30","2012-09-30"]
[null,"H24下","H25上","H24.10.1 ～ H25.3.31","2013-03-31"]
[null,"H25上","H25下","H25.4.1 ～ H25.9.30","2013-09-30"]
[null,"H25下","H26上","H25.10.1 ～ H26.3.31","2014-03-31"]
[null,"H26上","H26下","H26.4.1 ～ H26.9.30","2014-09-30"]
[null,"H26下","H27上","H26.10.1 ～ H27.3.31","2015-03-31"]
[null,"H27上","H27下","H27.4.1 ～ H27.9.30","2015-09-30"]
[null,"H27下","H28上","H27.10.1 ～ H28.3.31","2016-03-31"]
[null,"H28上","H28下","H28.4.1 ～ H28.9.30","2016-09-30"]
[null,"H28下","H29上","H28.10.1 ～ H29.3.31","2017-03-31"]
[null,"H29上","H29下","H29.4.1 ～ H29.9.30","2017-09-30"]
[null,"H29下","H30上","H29.10.1 ～ H30.3.31","2018-03-31"]
[null,"H30上","H30下","H30.4.1 ～ H30.9.30","2018-09-30"]
[null,"H30下","H31上","H30.10.1 ～ H31.3.31","2019-03-31"]
[null,"H31上","H31下","H31.4.1 ～ H31.9.30","2019-09-30"]
[null,"H31下","H32上","H31.10.1 ～ H32.3.31","2020-03-31"]
[null,"H32上","H32下","H32.4.1 ～ H32.9.30","2020-09-30"]
[null,"H32下","H33上","H32.10.1 ～ H33.3.31","2021-03-31"]
[null,"H33上","H33下","H33.4.1 ～ H33.9.30","2021-09-30"]
[null,"H33下","H34上","H33.10.1 ～ H34.3.31","2022-03-31"]