2024

For People Who Received Loans(Livelihood Welfare Funds/COVID Special Loans)<Contact information>
Daily Life Support Office, Fukushima Ward Council on SocialWelfare
Telephone: 024-523-1250 (9:00 a.m. – 5:00 p.m.)* Excluding weekends, public holidays, and the year-end/NewYear holidays

This notice is sent to everyone who took out loans.
You can apply for a full or partial repayment exemption if both you．．．．．
．．
．
．．
and the head of your household are exempt from municipal tax inFY2024 (applies to income from January to December 2023). Youmust apply to receive the exemption.
To determine if you are exempt from repayment, please read thisnotice carefully and complete the procedures described.

Type of loan

Application form

Exemption amountcolor

Emergency small
OrangePartialPurplePartialYellow

Partial

Blue

Full

amount funds
General support funds(first loan)
General support funds(extended loan)
General support funds(second loan)*1

The application form color differs according to the type of loan
and when you took it out.

*２ If you receive multiple application forms, you must submit eachone.
*３ If you are required to pay municipal tax in FY2024, you are noteligible for the repayment exemption and do not have tocomplete these procedures. Please repay the loan asscheduled.

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Are you required to pay municipal tax in FY2024?

Required to pay (tax amount is listed)
・ You are not eligible for the repayment exemption
and do not have to complete these procedures. Please
repay the loan as scheduled.

Not required to pay (tax amount is ¥0)・You may be eligible for the repayment exemption.

・Refer to page 6 regarding your head of household.

Not sure・Refer to page 4 and 5 to confirm if you arerequired to pay tax.

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[Confirming if you are required
to pay municipal tax]
1．Municipal Tax Notification ⇒ See the example on page 5

Refer to the municipal tax/prefectural tax notification sent by yourmunicipality around June every year.
・Tax amount is ¥0・Tax amount is not ¥0⇒ Not required to pay tax⇒ Required to pay tax* Contact your municipal office if you lost or did not receive yournotification.

２．Pay statement ⇒ See the example on page 5・Tax is deducted from your pay under the name “municipal(municipality/prefecture) tax” or “local tax” ⇒ Required to pay tax

３．Contact your municipal tax affairs division

Contact the tax affairs division in the office of the municipality where
you had your Certificate of Residence on January 1, 2024 to confirm
if you are required to pay municipal tax.

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1. Municipal Tax Notification (example) *Cannot be used as a
document for this application
令和６年度

You are not required to pay tax if themunicipal and prefectural tax amounts
are ¥0 for both “income percentageamount” and “per capita amount.” You
can apply for the repayment
exemption.

The amount is ¥0 if you are notrequired to pay tax

2. Pay slip (example)*Cannot be used as a document for this application

Municipal tax deduction (tax amount)

3. If you received a Municipal Taxation Certificate from your municipal
office
You are not required to pay tax if the municipal and prefectural tax amounts are ¥0for both “income percentage amount” and “per capita amount.” You can apply for therepayment exemption.

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[Confirming your head of household]Are you currently the head of household?
Yes: You are the head of household
You can apply for the repayment exemption.
Obtain the documents listed on page 7 andcomplete the application procedures.

No: You are not the head of household

Did you live with the head of household when you took out the loan?
Yes: Same household (Confirm if the head of household is requiredto pay tax)

1. The head of household is not required to paytax
You can apply for the repayment exemption.
Obtain the documents listed on page 7 andcomplete the application procedures.

2. The head of household is required to pay tax
You are not eligible for the repayment exemption
and do not have to complete these procedures.
Please repay the loan as scheduled.
No: Separate household (You live in a different household than when
you took out the loan, due to marriage, etc.)

You can apply for the repayment exemption.
Obtain the documents listed on page 7 and complete
the application procedures.

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[How to apply for the repayment exemption]
1. Application period:
June – August 30 (Friday), 2024
2. Submit to:
Fukushima Ward Council on Social Welfare
3. Required documents(1) Exemption Application (see page 8)
The application form is on the reverse side of the letter withyour name on it. Please fill it out.
(2) Municipal Taxation Certificate (original document) orCertificate of Exemption From Taxation (original document) for
FY2024 (see page 9)
If you lived with the current head of household when you
took out the loan, you must submit certificates for both you
and the head of household.
(3) Certificate of Residence (original document) (see page 10)
Must fulfill ① to ③ below① Shows the head of household’s name and family
relationships② Shows all household members③ Issued within three months of the application date
*1 Put the documents specified in (1) to (3) in the return envelope
included with this document. No postage is required.
*2 (2) and (3) can be obtained at your municipal office (municipal tax
counter/residential counter). If you have a My Number Card, you
can also obtain them at a convenience store.
*3 If you are submitting multiple Repayment Exemption Application
Forms, submit one original document each for (2) and (3). The
rest can be copies.
*4 If you are submitting multiple application forms, put them in asingle envelope and send it via postal mail. No postage isrequired.

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[Example: How to fill in the Exemption Application Form]

ExampleLeave this part blank

Check one answer regarding your household status.

・Write the date you filled in this form, your name, and telephone number.
・The person who took out the loan must fill out this form.
・Use a black ballpoint pen.
(Do not use an erasable pen.)・If you make an error, cross it out with double lines and write the correct
information in a blank space (you do not need to affix your seal).

Leave this part blank8

[Example Municipal Taxation Certificate]*1

The format differs by municipality.

*2

Make sure to receive your Municipal Taxation Certificate for
FY2024.

*3

Make sure the tax amounts listed for “income percentageamount” and “per capita amount” are both ¥0.

9[Example Certificate of Residence](Example)

Includes the head of household’s nameIncludes all family relationships

Even if you live alone, thecertificate must show all
household members

Issued within three monthsof the application date10

[Notification of repayment exemption
application results]
1.

If you apply by the deadline, you will receive a letter with yourresults by around November 2024.
*1 Please wait until you receive the letter. Results cannot
be provided by telephone.
*2

If you apply after August 30, be aware that it may takesome time to receive your results.

2. No refunds will be given for the amount you already repaid.
3. If you are not exempt from repayment, the payment will beautomatically withdrawn from your bank account each month,or you can pay using the Payment Form at a convenience
store.
If you would like to pay by automatic bank accountwithdrawal, use the following telephone number to request
the Bank Transfer Payment Request Form.
Telephone: 024-523-1250 (weekdays 9:00 a.m. – 5:00 p.m.)
4. We recommend completing the automatic bank accountwithdrawal procedures as soon as possible, as they can take
two to three months.
Until these procedures are completed, please pay using thePayment Form at a convenience store.
5. To see your repayment exemption amount, refer to the noticeyou receive.

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