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[{"$nulls":24},"（様式５－１：初回申請用）"]
[]
["特例給付金に係る付属書類"]
[]
["１．申請者"]
[null,"企　業　名（法人名又は個人名）",{"$nulls":10},"事 業 所 名"]
[]
[]
["２．今回の給付に関する事項"]
[null,"企業立地日",null,null,"平成",null,"年",null,"月",null,"日",null,null,"立地形態（新設・増設）",{"$nulls":8},"所在・隣接の区分"]
[]
["３．今回の企業立地に伴って取得した固定資産とその額"]
[null,"・固定資産が多数、多額の場合は、適宜の方法で区分調整、あるいは耐用年数ごとに一括して記入してください。　"]
[null,"・固定資産価額を消費税及び地方消費税の会計処理等で税込みで計上している場合は、税抜き金額も記入してください。"]
[null,"　　　＊税抜きで固定資産計上している場合は、「固定資産の価格（税抜き）」のみに記入してください。"]
[]
[null,"番号","固定資産の名称",{"$nulls":8},"数量","取得の時期",{"$nulls":6},"耐用年数","固定資産の価額　　　　　　（税抜き）",null,"固定資産の価額　　　　　　（税込み）","設置・保管場所","備　　考"]
[{"$nulls":19},"（年）","（円）",null,"（円）"]
[null,1,{"$nulls":10},"平成",null,"年",null,"月",null,"日"]
[null,2,{"$nulls":10},"平成",null,"年",null,"月",null,"日"]
[null,3,{"$nulls":10},"平成",null,"年",null,"月",null,"日"]
[null,4,{"$nulls":10},"平成",null,"年",null,"月",null,"日"]
[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,7,{"$nulls":10},"平成",null,"年",null,"月",null,"日"]
[null,null,"計",{"$nulls":17},"",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。"]
[null,null,"＊経理処理書類とは、工事請負契約書、領収書等です。"]