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(\'c7\'d2)\plain\f77\fs26\outl0\b0\i0\caps0\qc\ri0 \'bc\'bc \'be\'d7 \'c8\'ae \'c0\'ce \'bd\'c5 \'c3\'bb \'bc\'ad\plain\f47\fs22\outl0\b0\i0\caps0\qc\ri0 \par \pard \plain\f7\fs22\outl0\b0\i0\caps0\qc\ri0 Application\f47 \f7 for\f47 \f7 Certification\f47 \f7 of\f47 \f7 Taxes\f47 \f7 Paid\f47 \f7 or\f47 \f7 Due\f47 \f7 on\f47 \f7 Korean\f47 -\f7 Source\f47 \f7 Income\f47 \f7 of\f47 \f7 Non\f47 -\f7 residents\f47 \par \pard \plain\f47\fs22\outl0\b0\i0\caps0\qc\ri0 (\f7 INFORMATION\f47 \f7 PROVIDED\f47 \f7 UNDER\f47 \f7 AUTOMATIC\f47 \f7 EXCHANGE\f47 \f7 OF\f47 \f7 INFORMATION\f47 \f7 ARRANGEMENTS\f47 )\par \pard \plain\f47\fs22\outl0\b0\i0\caps0\qr\ri0 \'a1\'d8 (\'c7\'d1\'b1\'db)\'c7\'a5\'bd\'c3 \'c0\'cc\'bf\'dc\'bf\'a1\'b4\'c2 \'bf\'b5\'b9\'ae\'c0\'b8\'b7\'ce \'b1\'e2\'c0\'e7\par \pard \plain\f47\fs22\outl0\b0\i0\caps0\qr\ri0 \trowd\ltrrow\trrh0\clvertalc\clbrdrl\brdrs\brdrw2 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw2 \clbrdrb\brdrs\brdrw0 \cellx6664 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw2 \clbrdrb\brdrs\brdrw0 \cellx9865 \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qj\ri0 \'c1\'a4\'ba\'b8\'bb\'fd\'bb\'ea\'b1\'b9\'b0\'a1 \f7 NAME\f47 \f7 OF\f47 \f7 ORIGINATING\f47 \f7 COUNTRY\f47 : \f7 KOREA\f47 , \f7 Republic\f47 \par\plain\f47\fs16\outl0\b0\i0\caps0\qj\ri0 \'c1\'a4\'ba\'b8\'bb\'fd\'bb\'ea\'b1\'b9\'b0\'a1\'c4\'da\'b5\'e5 \f7 CODE\f47 \f7 OF\f47 \f7 ORIGINATING\f47 \f7 COUNTRY\f47 : \f7 KR\f47 \cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qj\ri0 \'b3\'e2\'b5\'b5 \f7 YEAR\f47 :\cell \row \trowd\ltrrow\trrh273\clvertalc\clbrdrl\brdrs\brdrw2 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx3611 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx9865 \pard\intbl\plain\f7\fs16\outl0\b0\i0\caps0\qc\ri0 PART\f47 \'a5\'b0\cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qj\ri0 \'bc\'d2\'b5\'e6\'bc\'f6\'b7\'c9\'c0\'da\'c0\'c7 \'bc\'ba\'b8\'ed\'b0\'fa \'c1\'d6\'bc\'d2 \f7 NAME\f47 \f7 AND\f47 \f7 ADDRESS\f47 \f7 OF\f47 \f7 RECIPIENT\f47 \f7 OF\f47 \f7 INCOME\f47 \cell \row \trowd\ltrrow\trrh0\clvertalc\clbrdrl\brdrs\brdrw2 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx6607 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx9865 \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \'bc\'f6\'b7\'c9\'c0\'da(\'bc\'f6\'c0\'cd\'c0\'fb \'bc\'d2\'c0\'af\'c0\'da) \f7 RECIPIENT\f47 (\f7 Beneficial\f47 \f7 owner\f47 )\f7 \cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \'b4\'eb\'b8\'ae\'c0\'ce \'b6\'c7\'b4\'c2 \'c1\'df\'b0\'b3\'c0\'ce(\'bc\'f6\'b7\'c9\'c0\'da\'b0\'a1 \'ba\'d2\'b8\'ed\'c0\'ce \'b0\'e6\'bf\'ec)\par\plain\f7\fs16\outl0\b0\i0\caps0\qc\ri0 AGENT\f47 \f7 OR\f47 \f7 INTERMEDIARY\f47 \par\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 (\f7 if\f47 \f7 beneficial\f47 \f7 owner\f47 \f7 not\f47 \f7 known\f47 )\cell \row \trowd\ltrrow\trrh233\clvertalc\clbrdrl\brdrs\brdrw2 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx6607 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx9865 \pard\intbl\plain\f7\fs16\outl0\b0\i0\caps0\qj\ri0 1\f47 . \'bc\'ba\'b8\'ed \f7 NAME\f47 :\cell \pard\intbl\plain\f7\fs16\outl0\b0\i0\caps0\qj\ri0 2\f47 . :\f7 \cell \row \trowd\ltrrow\trrh233\clvertalc\clbrdrl\brdrs\brdrw2 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx6607 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx9865 \pard\intbl\plain\f7\fs16\outl0\b0\i0\caps0\qj\ri0 1\f47 \f7 a\f47 . \'b0\'c5\'c1\'d6\'c1\'f6\'b1\'b9 \'b3\'b3\'bc\'bc\'b9\'f8\'c8\'a3 \f7 Taxpayer\f47 \f7 Identification\f47 \f7 Number\f47 :\f7 \cell \pard\intbl\plain\f7\fs16\outl0\b0\i0\caps0\qj\ri0 2\f47 \f7 a\f47 . :\cell \row \trowd\ltrrow\trrh0\clvertalc\clbrdrl\brdrs\brdrw2 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx6607 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx9865 \pard\intbl\plain\f7\fs16\outl0\b0\i0\caps0\qj\ri0 1\f47 \f7 b\f47 . \'c1\'d6\'bc\'d2 \f7 Mailing\f47 \f7 address\f47 \par\plain\f47\fs16\outl0\b0\i0\caps0\qj\ri0 \'c1\'d6\'bc\'d2\'c0\'c7 \'b9\'f8\'c1\'f6, \'b0\'c5\'b8\'ae \f7 Number\f47 \f7 and\f47 \f7 Street\f47 :\par\plain\f47\fs16\outl0\b0\i0\caps0\qj\ri0 \'bd\'c3, \'b5\'b5, \'bf\'ec\'c6\'ed\'b9\'f8\'c8\'a3\'bc\'f8 \f7 City\f47 , \f7 State\f47 , \f7 postal\f47 \f7 code\f47 :\par\plain\f47\fs16\outl0\b0\i0\caps0\qj\ri0 \'b1\'b9\'b0\'a1 \f7 Country\f47 :\cell \pard\intbl\plain\f7\fs16\outl0\b0\i0\caps0\qj\ri0 2\f47 \f7 b\f47 . :\par\plain\f7\fs16\outl0\b0\i0\caps0\qj\ri0 \par\f47 \plain\f7\fs16\outl0\b0\i0\caps0\qj\ri0 \par\f47 \plain\f7\fs16\outl0\b0\i0\caps0\qj\ri0 \f47 \cell \row \trowd\ltrrow\trrh273\clvertalc\clbrdrl\brdrs\brdrw2 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx6607 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx9865 \pard\intbl\plain\f7\fs16\outl0\b0\i0\caps0\qj\ri0 1\f47 \f7 c\f47 . \'b0\'c5\'c1\'d6\'b1\'b9 \'b1\'b9\'b0\'a1\'c4\'da\'b5\'e5 \f7 Code\f47 \f7 for\f47 \f7 residence\f47 \f7 country\f47 *: (\'bc\'bc\'b9\'ab\'bc\'ad \'b1\'e2\'c0\'e7\'bb\'e7\'c7\'d7)\cell \pard\intbl\plain\f7\fs16\outl0\b0\i0\caps0\qj\ri0 2\f47 \f7 c\f47 . :\cell \row \trowd\ltrrow\trrh216\clvertalc\clbrdrl\brdrs\brdrw2 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx3611 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx9865 \pard\intbl\plain\f7\fs16\outl0\b0\i0\caps0\qc\ri0 PART\f47 \'a5\'b1\cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qj\ri0 \'bc\'d2\'b5\'e6\'c1\'f6\'b1\'de\'c0\'da\'c0\'c7 \'bc\'ba\'b8\'ed\'b0\'fa \'c1\'d6\'bc\'d2 \f7 NAME\f47 \f7 AND\f47 \f7 ADDRESS\f47 \f7 OF\f47 \f7 PAYER\f47 \f7 OF\f47 \f7 INCOME\f47 \cell \row \trowd\ltrrow\trrh0\clvertalc\clbrdrl\brdrs\brdrw2 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx6607 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx9865 \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \'bd\'c7\'c1\'f6\'b1\'de\'c0\'da \f7 ACTUAL\f47 \f7 PAYER\f47 \cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \'b4\'eb\'b8\'ae\'c0\'ce \'b6\'c7\'b4\'c2 \'c1\'df\'b0\'b3\'c0\'ce(\'c1\'f6\'b1\'de\'c0\'da\'b0\'a1 \'ba\'d2\'b8\'ed\'c0\'ce \'b0\'e6\'bf\'ec)\par\plain\f7\fs16\outl0\b0\i0\caps0\qc\ri0 AGENT\f47 \f7 OR\f47 \f7 INTERMEDIARY\f47 \par\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 (\f7 if\f47 \f7 actual\f47 \f7 payer\f47 \f7 not\f47 \f7 known\f47 )\cell \row \trowd\ltrrow\trrh216\clvertalc\clbrdrl\brdrs\brdrw2 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx6607 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx9865 \pard\intbl\plain\f7\fs16\outl0\b0\i0\caps0\qj\ri0 3\f47 . \'bc\'ba\'b8\'ed \f7 NAME\f47 (\'c7\'d1\'b1\'db): (\'bf\'b5\'b9\'ae):\f7 \cell \pard\intbl\plain\f7\fs16\outl0\b0\i0\caps0\qj\ri0 4\f47 . (\'c7\'d1\'b1\'db): (\'bf\'b5\'b9\'ae):\cell \row \trowd\ltrrow\trrh216\clvertalc\clbrdrl\brdrs\brdrw2 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx6607 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx9865 \pard\intbl\plain\f7\fs16\outl0\b0\i0\caps0\qj\ri0 3\f47 \f7 a\f47 . \'bf\'f8\'c3\'b5\'c1\'f6\'b1\'b9 \'b3\'b3\'bc\'bc\'b9\'f8\'c8\'a3 \f7 Taxpayer\f47 \f7 Identification\f47 \f7 Number\f47 :\cell \pard\intbl\plain\f7\fs16\outl0\b0\i0\caps0\qj\ri0 4\f47 \f7 a\f47 . :\cell \row \trowd\ltrrow\trrh0\clvertalc\clbrdrl\brdrs\brdrw2 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx6607 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx9865 \pard\intbl\plain\f7\fs16\outl0\b0\i0\caps0\qj\ri0 3\f47 \f7 b\f47 . \'c1\'d6\'bc\'d2 \f7 Mailing\f47 \f7 address\f47 (\'c7\'d1\'b1\'db):\par\plain\f47\fs16\outl0\b0\i0\caps0\qj\ri0 \'b9\'f8\'c1\'f6, \'b0\'c5\'b8\'ae \f7 Number\f47 \f7 and\f47 \f7 Street\f47 (\'bf\'b5\'b9\'ae):\par\f7 \plain\f47\fs16\outl0\b0\i0\caps0\qj\ri0 \'bd\'c3, \'b5\'b5, \'bf\'ec\'c6\'ed\'b9\'f8\'c8\'a3 \f7 City\f47 , \f7 state\f47 , \f7 postal\f47 \f7 code\f47 :\par\plain\f47\fs16\outl0\b0\i0\caps0\qj\ri0 \'b1\'b9\'b0\'a1 \f7 Country\f47 (\'bf\'f8\'c3\'b5\'c1\'f6\'b1\'b9\'c0\'cc\'bf\'dc\'c0\'c7 \'b0\'e6\'bf\'ec) :\cell \pard\intbl\plain\f7\fs16\outl0\b0\i0\caps0\qj\ri0 4\f47 \f7 b\f47 . (\'c7\'d1\'b1\'db):\par\plain\f47\fs16\outl0\b0\i0\caps0\qj\ri0 (\'bf\'b5\'b9\'ae):\par\plain\f47\fs16\outl0\b0\i0\caps0\qj\ri0 :\par\plain\f47\fs16\outl0\b0\i0\caps0\qj\ri0 :\cell \row \trowd\ltrrow\trrh216\clvertalc\clbrdrl\brdrs\brdrw2 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx3611 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx9865 \pard\intbl\plain\f7\fs16\outl0\b0\i0\caps0\qc\ri0 PART\f47 \'a5\'b2\cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \'bc\'f6\'b7\'c9\'c0\'da\'bf\'cd \'c1\'f6\'b1\'de\'c0\'da\'c0\'c7 \'c0\'af\'c7\'fc \f7 TYPE\f47 \f7 OF\f47 \f7 RECIPIENT\f47 \f7 AND\f47 \f7 PAYER\f47 \cell \row \trowd\ltrrow\trrh216\clvertalc\clbrdrl\brdrs\brdrw2 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx9865 \pard\intbl\plain\f7\fs16\outl0\b0\i0\caps0\qj\ri0 5\f47 \f7 a\f47 . \'bc\'f6\'b7\'c9\'c0\'da\'c0\'c7 \'c4\'da\'b5\'e5\'b8\'a6 \'b1\'e2\'c0\'e7(\'b5\'de\'b8\'e9 \'a5\'b2 \'c2\'fc\'c1\'b6) \f7 Enter\f47 \f7 code\f47 \f7 for\f47 \f7 type\f47 \f7 of\f47 \f7 recipient\f47 (\f7 see\f47 \f7 behind\f47 ):\cell \row \trowd\ltrrow\trrh216\clvertalc\clbrdrl\brdrs\brdrw2 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx9865 \pard\intbl\plain\f7\fs16\outl0\b0\i0\caps0\qj\ri0 5\f47 \f7 b\f47 . \'c1\'f6\'b1\'de\'c0\'da\'c0\'c7 \'c4\'da\'b5\'e5\'b8\'a6 \'b1\'e2\'c0\'e7(\'b5\'de\'b8\'e9 \'a5\'b2 \'c2\'fc\'c1\'b6) \f7 Enter\f47 \f7 code\f47 \f7 for\f47 \f7 type\f47 \f7 of\f47 \f7 payer\f47 (\f7 see\f47 \f7 behind\f47 ):\cell \row \trowd\ltrrow\trrh216\clvertalc\clbrdrl\brdrs\brdrw2 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx3610 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx9865 \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qj\ri0 \f7 PART\f47 \'a5\'b3\cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \'bc\'d2\'b5\'e6\'b0\'fa \'bc\'bc\'be\'d7 \f7 INCOME\f47 \f7 AND\f47 \f7 TAX\f47 \cell \row \trowd\ltrrow\trrh0\clvmgf\clvertalc\clbrdrl\brdrs\brdrw2 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx2468 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx5035 \clvmgf\clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx6607 \clvmgf\clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx8293 \clvmgf\clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx9865 \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \'bc\'d2\'b5\'e6\'c0\'af\'c7\'fc(\'b5\'de\'b8\'e9\'a5\'b3\'c2\'fc\'c1\'b6)\par\plain\f7\fs16\outl0\b0\i0\caps0\qc\ri0 TYPE\f47 \f7 OF\f47 \f7 INCOME\f47 \par\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 (\f7 see\f47 \f7 behind\f47 )\cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 (\f7 A\f47 )\'c1\'f6\'b1\'de\'c0\'cf \f7 DATE\f47 \f7 OF\f47 \f7 PAYMENT\f47 **\cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 (\f7 B\f47 )\'c3\'d1\'c1\'f6\'b1\'de\'be\'d7 \f7 GROSS\f47 \par\plain\f7\fs16\outl0\b0\i0\caps0\qc\ri0 AMOUNT\f47 \f7 PAID\f47 ***\cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 (\f7 C\f47 )\'bf\'f8\'c3\'b5\'c2\'a1\'bc\'f6\'c0\'b2 \f7 RATE\f47 \f7 OF\f47 \f7 TAX\f47 \f7 WITHHELD\f47 (%)\cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 (\f7 D\f47 )\'bf\'f8\'c3\'b5\'bc\'bc\'be\'d7 \f7 AMOUNT\f47 \f7 OF\f47 \par\plain\f7\fs16\outl0\b0\i0\caps0\qc\ri0 TAX\f47 \f7 WITH\f47 \f7 HELD\f47 ***\cell \row \trowd\ltrrow\trrh0\clvmrg\clvertalc\clbrdrl\brdrs\brdrw2 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx2468 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx3179 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx4164 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx5035 \clvmrg\clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx6607 \clvmrg\clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx8293 \clvmrg\clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx9865 \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \'bc\'d2\'b5\'e6\'c0\'af\'c7\'fc(\'b5\'de\'b8\'e9\'a5\'b3\'c2\'fc\'c1\'b6)\par\plain\f7\fs16\outl0\b0\i0\caps0\qc\ri0 TYPE\f47 \f7 OF\f47 \f7 INCOME\f47 \par\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 (\f7 see\f47 \f7 behind\f47 )\cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \'c0\'cf \f7 DAY\f47 \cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \'bf\'f9 \f7 MONTH\f47 \cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \'b3\'e2 \f7 YEAR\f47 \cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 (\f7 B\f47 )\'c3\'d1\'c1\'f6\'b1\'de\'be\'d7 \f7 GROSS\f47 \par\plain\f7\fs16\outl0\b0\i0\caps0\qc\ri0 AMOUNT\f47 \f7 PAID\f47 ***\cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 (\f7 C\f47 )\'bf\'f8\'c3\'b5\'c2\'a1\'bc\'f6\'c0\'b2 \f7 RATE\f47 \f7 OF\f47 \f7 TAX\f47 \f7 WITHHELD\f47 (%)\cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 (\f7 D\f47 )\'bf\'f8\'c3\'b5\'bc\'bc\'be\'d7 \f7 AMOUNT\f47 \f7 OF\f47 \par\plain\f7\fs16\outl0\b0\i0\caps0\qc\ri0 TAX\f47 \f7 WITH\f47 \f7 HELD\f47 ***\cell \row \trowd\ltrrow\trrh0\clvmrg\clvertalc\clbrdrl\brdrs\brdrw2 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx2468 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx3179 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx4164 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx5035 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx6607 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx8293 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx9865 \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \'bc\'d2\'b5\'e6\'c0\'af\'c7\'fc(\'b5\'de\'b8\'e9\'a5\'b3\'c2\'fc\'c1\'b6)\par\plain\f7\fs16\outl0\b0\i0\caps0\qc\ri0 TYPE\f47 \f7 OF\f47 \f7 INCOME\f47 \par\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 (\f7 see\f47 \f7 behind\f47 )\cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \cell \row \trowd\ltrrow\trrh0\clvmgf\clvertalc\clbrdrl\brdrs\brdrw2 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx2468 \clvmgf\clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx5035 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx9865 \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 (\f7 E\f47 )\'c8\'af\'b1\'de\'bc\'bc\'be\'d7(\'c7\'d8\'b4\'e7\'b5\'c7\'b4\'c2 \'b0\'e6\'bf\'ec)\par\f7 \plain\f7\fs16\outl0\b0\i0\caps0\qc\ri0 AMOUNT\f47 (\f7 if\f47 \f7 any\f47 ) \f7 OF\f47 \par\plain\f7\fs16\outl0\b0\i0\caps0\qc\ri0 TAX\f47 \f7 REFUNDED\f47 \cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 (\f7 F\f47 )\'c8\'af\'b1\'de\'c0\'cf \f7 DATE\f47 \f7 OF\f47 \f7 REFUND\f47 \cell \row \trowd\ltrrow\trrh0\clvmrg\clvertalc\clbrdrl\brdrs\brdrw2 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx2468 \clvmrg\clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx5035 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx6607 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx8293 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx9865 \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 (\f7 E\f47 )\'c8\'af\'b1\'de\'bc\'bc\'be\'d7(\'c7\'d8\'b4\'e7\'b5\'c7\'b4\'c2 \'b0\'e6\'bf\'ec)\par\f7 \plain\f7\fs16\outl0\b0\i0\caps0\qc\ri0 AMOUNT\f47 (\f7 if\f47 \f7 any\f47 ) \f7 OF\f47 \par\plain\f7\fs16\outl0\b0\i0\caps0\qc\ri0 TAX\f47 \f7 REFUNDED\f47 \cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \'c0\'cf \f7 DAY\f47 \cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \'bf\'f9 \f7 MONTH\f47 \cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \'b3\'e2 \f7 YEAR\f47 \cell \row \trowd\ltrrow\trrh0\clvmrg\clvertalc\clbrdrl\brdrs\brdrw2 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx2468 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx5035 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx6607 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx8293 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx9865 \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \cell \row \trowd\ltrrow\trrh273\clvertalc\clbrdrl\brdrs\brdrw2 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx2468 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx9865 \pard\intbl\plain\f7\fs16\outl0\b0\i0\caps0\qc\ri0 PART\f47 \'a5\'b4\cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \'ba\'f1\'b0\'c5\'c1\'d6\'c0\'da\'c0\'c7 \'b1\'e2\'c5\'b8\'b0\'c5\'b7\'a1 \f7 OTHER\f47 \f7 TRANSACTIONS\f47 \f7 BY\f47 \f7 THE\f47 \f7 NON\f47 -\f7 RESIDENT\f47 \f7 TAXPAYER\f47 \cell \row \trowd\ltrrow\trrh216\clvertalc\clbrdrl\brdrs\brdrw2 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx9865 \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \'b0\'c5\'b7\'a1\'c0\'af\'c7\'fc \'b9\'d7 \'b1\'dd\'be\'d7(\'b5\'de\'b8\'e9 \'a5\'b4 \'c2\'fc\'c1\'b6) \f7 Type\f47 \f7 and\f47 \f7 amount\f47 \f7 of\f47 \f7 transaction\f47 (\f7 see\f47 \f7 behind\f47 )\cell \row \trowd\ltrrow\trrh216\clvertalc\clbrdrl\brdrs\brdrw2 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx3459 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx5160 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx6747 \clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx9865 \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \'b0\'c5\'b7\'a1\'c0\'af\'c7\'fc \f7 TYPE\f47 \f7 OF\f47 \f7 TRANSACTION\f47 \cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \'b1\'dd\'be\'d7 \f7 AMOUNT\f47 \cell \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \cell \row \trowd\ltrrow\trrh936\clvertalc\clbrdrl\brdrs\brdrw2 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx9865 \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qj\ri0 \'ba\'f1\'b0\'c5\'c1\'d6\'c0\'da \'b6\'c7\'b4\'c2 \'bf\'dc\'b1\'b9\'b9\'fd\'c0\'ce\'bf\'a1\'b0\'d4 \'c1\'f6\'b1\'de\'c7\'d1 \'bc\'d2\'b5\'e6\'bf\'a1 \'b4\'eb\'c7\'d1 \'b3\'b3\'ba\'ce\'c7\'d1(\'c7\'d2) \'bc\'bc\'be\'d7\'c0\'cc \'c0\'a7\'bf\'cd \'b0\'b0\'c0\'bd\'c0\'bb \'c8\'ae\'c0\'ce\'c7\'cf\'bf\'a9 \'c1\'d6\'bd\'c3\'b1\'e2 \'b9\'d9\'b6\'f8\'b4\'cf\'b4\'d9.\par\plain\f47\fs16\outl0\b0\i0\caps0\qj\ri0 \f7 I\f47 \f7 hereby\f47 \f7 request\f47 \f7 the\f47 \f7 certification\f47 \f7 of\f47 \f7 taxes\f47 \f7 paid\f47 \f7 or\f47 \f7 due\f47 \f7 on\f47 \f7 the\f47 \f7 Korean\f47 -\f7 Source\f47 \f7 Income\f47 \f7 of\f47 \f7 Non\f47 -\f7 residents\f47 .\par\plain\f47\fs16\outl0\b0\i0\caps0\qj\ri0 \'b3\'e2(\f7 Year\f47 ) \'bf\'f9(\f7 Month\f47 ) \'c0\'cf(\f7 Day\f47 )\par\f7 \plain\f47\fs16\outl0\b0\i0\caps0\qj\ri0 \'bd\'c5\'c3\'bb\'c0\'ce(\'c7\'d1\'b1\'db) \'a6\'a1\'a6\'a1\'a6\'a1\'a6\'a1\'a6\'a1\'a6\'a1 \'bc\'ad\'b8\'ed 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\clbrdrb\brdrs\brdrw2 \cellx9808 \pard\intbl\plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \'a5\'b4. \'ba\'f1\'b0\'c5\'c1\'d6\'c0\'da\'c0\'c7 \'b1\'e2\'c5\'b8\'b0\'c5\'b7\'a1 \f7 OTHER\f47 \f7 TRANSACTIONS\f47 \f7 BY\f47 \f7 THE\f47 \f7 NON\f47 -\f7 RESIDENT\f47 \f7 TAX\f47 \f7 PAYER\f47 \par\plain\f47\fs16\outl0\b0\i0\caps0\qj\ri0 \par\plain\f7\fs16\outl0\b0\i0\caps0\qj\ri0 22\f47 . \'b0\'c5\'b7\'a1\'c0\'af\'c7\'fc \'b9\'d7 \'b1\'dd\'be\'d7 \f7 Type\f47 \f7 and\f47 \f7 amount\f47 \f7 of\f47 \f7 transaction\f47 \par\plain\f47\fs16\outl0\b0\i0\caps0\qj\ri0 \f7 a\f47 . \'ba\'ce\'b5\'bf\'bb\'ea \f7 Real\f47 \f7 property\f47 \'c3\'eb\'b5\'e6\'b0\'a1 \f7 Purchase\f47 \f7 price\f47 \f7 of\f47 \f7 property\f47 \'be\'e7\'b5\'b5\'b0\'a1 \f7 Sale\f47 \f7 price\f47 \f7 of\f47 \f7 disposed\f47 \f7 of\f47 \par\plain\f47\fs16\outl0\b0\i0\caps0\qj\ri0 \f7 b\f47 . \'c0\'af\'b0\'a1\'c1\'f5\'b1\'c7 \f7 Securities\f47 (\f7 stocks\f47 , \f7 bonds\f47 , \f7 etc\f47 ) \'c3\'eb\'b5\'e6\'b0\'a1 \f7 Purchase\f47 \f7 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Specify\f47 \f7 type\f47 \f7 and\f47 \f7 value\f47 \f7 of\f47 \f7 disposition\f47 \cell \row \pard \par \pard \plain\f47\fs16\outl0\b0\i0\caps0\ql\ri0 * \'b1\'b9\'b0\'a1\'c4\'da\'b5\'e5 \f7 ISO\f47 \'c2\'fc\'c1\'b6\par \pard \plain\f47\fs16\outl0\b0\i0\caps0\ql\ri0 ** \'c8\'a4\'c0\'ba \'c7\'d8\'b4\'e7 \'b1\'e2\'b0\'a3 \f7 or\f47 \f7 the\f47 \f7 applicable\f47 \f7 period\f47 \par \pard \plain\f47\fs16\outl0\b0\i0\caps0\ql\ri0 *** \'bf\'dc\'c8\'ad\'c0\'ce \'b0\'e6\'bf\'ec, \'bb\'e7\'bf\'eb\'b5\'c8 \'c5\'eb\'c8\'ad\'c0\'c7 \f7 ISO\f47 \'c5\'eb\'c8\'ad\'c4\'da\'b5\'e5 \'b8\'ed\'b1\'e2 \f7 If\f47 \f7 in\f47 \f7 foreign\f47 \f7 currency\f47 , \f7 indicate\f47 \f7 currency\f47 \f7 code\f47 \f7 used\f47 (\f7 ISO\f47 )\par\f7 \pard \plain\f47\fs16\outl0\b0\i0\caps0\ql\ri0 \par \pard \plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \'c0\'db \'bc\'ba \'bf\'e4 \'b7\'c9\par \pard \plain\f47\fs16\outl0\b0\i0\caps0\qc\ri0 \trowd\ltrrow\trrh430\clvertalc\clbrdrl\brdrs\brdrw2 \clbrdrr\brdrs\brdrw2 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