If a Resident paid a salary or other wage in Japan seeks to receive a deduction of the amount equivalent to the spousal deduction or the special spousal deduction set forth in item (ii), (d) of Article 190 (Year-End Adjustment) in calculating the amount of the excess or shortfall prescribed in that Article, the Resident must submit a declaration stating the following particulars to the competent district director for the locality for paying over taxes under Article 17 (Locality for Paying Over Withholding Tax) for the income taxes on that salary or other wage, via the person paying that salary or other wage (or, if the Resident is paid salaries or other wages by two or more persons paying a salary or other wage, the principal payer of salary), by the day before the day on which the Resident is paid the last salary or other wage for the year by that payer:
the name of that person paying the salary or other wage;
当該給与等の支払者の氏名又は名称
the estimated amount of the Resident's total income for the year as prescribed in Article 2, paragraph (1), item (xxx) (Definitions) (referred to as "total income" in the following item, paragraph (1), item (ii) of the following Article, and Article 195-4, paragraph (1), item (ii) (Salary Income Earner's Return for Basic Personal Exemption));
その居住者のその年の第二条第一項第三十号(定義)に規定する合計所得金額(次号、次条第一項第二号及び第百九十五条の四第一項第二号(給与所得者の基礎控除申告書)において「合計所得金額」という。)の見積額
the name and individual number (or, for a person without an individual number, the name) of the Claimable Spouse or of the spouse whose living expenses are paid from the same resources as the Resident as prescribed in Article 83-2, paragraph (1) (Special Spousal Deduction), that person's total income for the year or its estimated amount, and, if that person is a Claimable Elderly Spouse or a Nonresident, a statement to that effect;
控除対象配偶者又は第八十三条の二第一項(配偶者特別控除)に規定する生計を一にする配偶者の氏名及び個人番号(個人番号を有しない者にあつては、氏名)並びにその者のその年の合計所得金額又はその見積額並びにその者が老人控除対象配偶者又は非居住者である場合にはその旨
any other particulars specified by Ministry of Finance Order.
その他財務省令で定める事項
A Resident who has stated in a declaration under the preceding paragraph that the Claimable Spouse or the spouse prescribed in item (iii) of that paragraph is a Nonresident must, pursuant to Cabinet Order, submit or present a document certifying that the person about whom that statement has been made is the spouse of the Resident and a document showing that the living expenses of the person about whom that statement has been made are paid from the same resources as the Resident.
A declaration under paragraph (1) is referred to as a salary income earner's return for spousal deduction, etc.
第一項の規定による申告書は、給与所得者の配偶者控除等申告書という。