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["附件4："]
[]
["吉林省残疾人就业保障金减免（缓缴）申请表"]
[]
["单位名称",null,"法人代表"]
["单位地址",null,"社会信用代码\n（纳税人识别号）"]
["联系人",null,"联系电话"]
["申请减免（缓缴）\n保障金金额","人民币（大写）："]
["申请事项"]
["申请理由"]
["相关附件","1.书面申请报告；2.相关部门出具的遭受不可抗力自然灾害或突发事件的证明以及有资质的评估机构出具的因上述原因导致的重大直接经济损失的评估报告；3.其他相关证明材料。"]
["申请单位承诺","    本单位承诺本表所填资料及相关附件真实、可靠、如有伪报、瞒报愿承担相应的法律责任。 \n\n\n                 法人代表或主要负责人（签名）\n  \n                        （单位公章）\n                        年    月    日"]
["受理申请的\n地税机关名称"]
["地税机关 \n审核意见","\n\n\n\n\n\n经办人（签名）\n       年    月    日","\n\n\n\n  （单位公章）\n\n          负责人（签名）\n               年    月    日"]

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