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[null,"商号または名称"]
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[null,"代表者氏名"]
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[null,"事務所廃止",{"$nulls":9},"従たる事務所\n名称等"]
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[null,"※従たる事務所廃止",{"$nulls":9},"所在地",{"$nulls":6},"〒"]
[null,"　の場合のみ記入"]
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[null,"地方本部確認",{"$nulls":9},"地方本部名",{"$nulls":14},"本部",null,null,"本部長名",{"$nulls":15},"㊞"]
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[null,"（注意）",null,null,"上記（事由）２退会-退会（自主退会等）に該当する場合、次の書類の添付等が必要。"]
[{"$nulls":4},"①法人会員…法人の実印を押印し、当該法人の印鑑証明書",{"$nulls":21},"②個人会員…個人の実印を押印し、当該個人の印鑑証明書"]
[]
[null," [個人情報の取扱いについて]"]
[{"$nulls":3},"本会は、退会手続きに関して取得した個人情報については、本会の退会手続きを遂行する上で使用す"]
[null,null,"る以外に利用することはありません。また、法令に定める場合など正当な理由のない限り、個人情報の"]
[null,null,"第三者への提供はいたしません。"]

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[{"$nulls":31}," ※地方本部にて確認した日を記入して下さい。"]
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["　公益社団法人　全国宅地建物取引業保証協会　会長　殿"]
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[{"$nulls":3},"私は、このたび下記の理由により［廃業・退会・事務所廃止］したので届出いたします。"]
[{"$nulls":3},"なお、弁済業務保証金分担金の返還に際しては、貴協会入会金・会費等に関する規則第５条"]
[{"$nulls":3},"各項の規定に基づき、官報公告料、分納入会金残額、会費、退会等事務手続費用、並びに還"]
[{"$nulls":3},"付充当金等を控除した残額の返還を受けることに異議なく同意いたすとともに、免許権者へ"]
[{"$nulls":3},"の標記届出は",{"$nulls":7},"20××",{"$nulls":3},"年",null,"○",null,"月",null,"○",null,"日",null,"に届出済みです。"]
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["記"]
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["（事由）下記該当事項に○印を付し、届出事項を証する書面の写しを添付して下さい。"]
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[{"$nulls":11},"電話番号",{"$nulls":10},"03-5821-8121"]
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[null,null,"(上記と異なる場合)",{"$nulls":8},"氏名",{"$nulls":10},"〇〇　〇〇"]
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[]
[]
[null,"（注意）",null,null,"上記（事由）２退会-退会（自主退会等）に該当する場合、次の書類の添付等が必要。"]
[{"$nulls":4},"①法人会員…法人の実印を押印し、当該法人の印鑑証明書",{"$nulls":21},"②個人会員…個人の実印を押印し、当該個人の印鑑証明書"]
[]
[null," [個人情報の取扱いについて]"]
[{"$nulls":3},"本会は、退会手続きに関して取得した個人情報については、本会の退会手続きを遂行する上で使用す"]
[null,null,"る以外に利用することはありません。また、法令に定める場合など正当な理由のない限り、個人情報の"]
[null,null,"第三者への提供はいたしません。"]