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200360 Attach1 200360 Attach1

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ใบแนบ ภ.ง.ด.1
สาขาที่
ใบแนบ“
”“ ”
ประเภทเงินได้ (1มาตรา 40 (1 (3มาตรา 40 (1) (2
(2มาตรา 40 (1 (4มาตรา 40 (2
ร้อยละ 3 (5มาตรา 40 (2

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เลขประจำาตัวผู้เสียภาษีอากร
ชื่อผู้มีเงินได้
เลขประจำาตัวผู้เสียภาษีอากร

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..................................................................................
(................................................................................)
.............................................................................
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
หมายเหต*
1
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........................................... 



*
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ใบแนบ ภ.ง.ด.1
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