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※様式はa4 用紙1 枚に調書4枚分が印刷されますので、裁断の上ご利用ください。 備 考 一 受給者及び退職者の個人番号欄には、当該受給者及び退職者の行政手続における特定の個人を識. 【照会要旨】 死亡により退職した者に係る退職手当金等の受取人が複数である場合、「退職手当金等受給者別支払調書」の「受給者」欄には「代表者 他 人」と記載するのですか。 また、. 4 厚生年金基金が支給する死亡一時金に係る「退職手当金等受給者別支払調書」の提出義務 5 弔慰金名目での支給がある場合の「退職手当金等受給者別支払調書」の提出義務 （株式等の.
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