[Tax Form 24(1)]                                                                                                                                                             (page1)

본 문서의 2차 저작권은 와우폼에 있습니다

			□ Receipt for Wage & Salary Income Taxes Withholding □ Statement on Wage & Salary Income Payment (Copy to report by issuer)
	Control No.				Residency	Resident 1, Non-resident 2
					Nationality	Citizen 1, Foreigner 9
State of Residence		State Code
Employer	① Company Name		② Representative Name		③ Tax Reg. No.				-			-						⑨ Period Attributable (month,day,year)	From / /
④ Resident Reg. No.							-								⑤ Address		To / /
Employee (Taxpayer)	⑥ Name		⑦ Resident(Foreign) Reg. No.							-								⑩ Period of Tax Exemption (month,day,year)	From / /
⑧ Address		To / /
Details of Wage& Salary Income	Description	Company Name	Tax Reg. No.	Total Income from Employments	Non- Taxable Income	Cost of Living Allowance
Gross Payroll	Gross Bonus	Deemed Bonus	Total()
(111) Current Job							Overtime Allowance
(112) Previous Job
(113) Previous Job							Other Allowances
(114) Taxpayer's Association
Total
(115) Total
Details of Deductions or Credits
Gross Wage&Salary Income()		Income After Deduction
Deduction for Wage&Salary Income		Personal Pension Savings Deduction
Adjusted Wage&Salary (１)		Pension Savings Deduction
Deduction	Basic	Oneself		Investment Association Deduction		Total Credits
Spouse		Credit Cards Usage Deduction			Income Tax	Inhabitant Tax	Special Tax	Total
Dependents				Total Tax Liability
Additional	Aged		Taxable Income (Tax Base)		Pre-paid Tax	Previous Job
Disabled		Calculated Income Tax		Current Job
Woman		Tax Exemption	Income Tax Act		Taxes Due
Child care		Restriction of Special Taxation Act		We acknowledge the withholding (or payment) of above taxes(or payroll income). 200 . . Taxes withheld by (signature or seal) To :
For Small Dependents
Pension Contribution		Total Exemptions
Special	Insurance		Tax Credit	Tax Credit for Class A
Medical Expenses		Taxpayer's Association Credit
Education		Home Mortgage Interests
Housing Fund		Long-term Stock Savings
Donation		Foreign Tax Credit
Total
Standard Deduction
Remark

297□×210□

[Tax Form 24(1)]                                                                                                                                                                                     (page2)

			□ Receipt for Wage & Salary Income Taxes Withholding □ Statement on Wage & Salary Income Payment (Copy to keep by issuer)
	Control No.
	Residency	Resident 1, Non-resident 2
					Nationality	Citizen 1, Foreigner 9
State of Residence		State Code
Employer	① Company Name		② Representative Name		③ Tax Reg. No.				-			-						⑨ Period Attributable (month,day,year)	From / /
④ Resident Reg. No.							-								⑤ Address		To / /
Employee (Taxpayer)	⑥ Name		⑦ Resident(Foreign) Reg. No.							-								⑩ Period of Tax Exemption (month,day,year)	From / /
⑧ Address		To / /
Details of Wage& Salary Income	Description	Company Name	Tax Reg. No.	Total Income from Employments	Non- Taxable Income	Cost of Living Allowance
Gross Payroll	Gross Bonus	Deemed Bonus	Total()
(111) Current Job							Overtime Allowance
(112) Previous Job
(113) Previous Job							Other Allowances
(114) Taxpayer's Association							Total
(115) Total
Details of Deductions or Credits
Gross Wage&Salary Income()		Income After Deduction
Deduction for Wage&Salary Income		Personal Pension Savings Deduction
Adjusted Wage&Salary (１)		Pension Savings Deduction
Deduction	Basic	Oneself		Investment Association Deduction		Total Credits
Spouse		Credit Cards Usage Deduction			Income Tax	Inhabitant Tax	Special Tax	Total
Dependents				Total Tax Liability
Additional	Aged		Taxable Income (Tax Base)		Pre-paid Tax	Previous Job
Disabled		Calculated Income Tax		Current Job
Woman		Tax Exemption	Income Tax Act		Taxes Due
Child care		Restriction of Special Taxation Act		We acknowledge the withholding (or payment) of above taxes(or payroll income). 200 . . Taxes withheld by (signature or seal) To :
For Small Dependents
Pension Contribution		Total Exemptions
Special	Insurance		Tax Credit	Tax Credit for Class A
Medical Expenses		Taxpayer's Association Credit
Education		Home Mortgage Interests
Housing Fund		Long-term Stock Savings
Donation		Foreign Tax Credit
Total
Standard Deduction
Remark

297□×210□

[Tax Form 24(1)]                                                                                                                                                                                     (page3)

			□ Receipt for Wage & Salary Income Taxes Withholding □ Statement on Wage & Salary Income Payment (Copy to keep by employee(taxpayer))
	Control No.
	Residency	Resident 1, Non-resident 2
					Nationality	Citizen 1, Foreigner 9
State of Residence		State Code
Employer	① Company Name		② Representative Name		③ Tax Reg. No.				-			-						⑨ Period Attributable (month,day,year)	From / /
④ Resident Reg. No.							-								⑤ Address		To / /
Employee (Taxpayer)	⑥ Name		⑦ Resident(Foreign) Reg. No.							-								⑩ Period of Tax Exemption (month,day,year)	From / /
⑧ Address		To / /
Details of Wage& Salary Income	Description	Company Name	Tax Reg. No.	Total Income from Employments	Non- Taxable Income	Cost of Living Allowance
Gross Payroll	Gross Bonus	Deemed Bonus	Total()
(111) Current Job							Overtime Allowance
(112) Previous Job
(113) Previous Job							Other Allowances
(114) Taxpayer's Association							Total
(115) Total
Details of Deductions or Credits
Gross Wage&Salary Income()		Income After Deduction
Deduction for Wage&Salary Income		Personal Pension Savings Deduction
Adjusted Wage&Salary (１)		Pension Savings Deduction
Deduction	Basic	Oneself		Investment Association Deduction		Total Credits
Spouse		Credit Cards Usage Deduction			Income Tax	Inhabitant Tax	Special Tax	Total
Dependents				Total Tax Liability
Additional	Aged		Taxable Income (Tax Base)		Pre-paidTax	Previous Job
Disabled		Calculated Income Tax		Current Job
Woman		Tax Exemption	Income Tax Act		Taxes Due
Child care		Restriction of Special Taxation Act		We acknowledge the withholding (or payment) of above taxes(or payroll income). 200 . . Taxes withheld by (signature or seal) To :
For Small Dependents
Pension Contribution		Total Exemptions
Special	Insurance		Tax Credit	Tax Credit for Class A
Medical Expenses		Taxpayer's Association Credit
Education		Home Mortgage Interests
Housing Fund		Long-term Stock Savings
Donation		Foreign Tax Credit
Total
Standard Deduction
Remark

297□×210□