d-20181225191259.docx

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租賃住宅管理人員異動備查申報書 收件日期: ______ ______ _____ 字號: _______ 字第 ___________ 登錄號碼:_________ ========================== 以上各項申報人免填 ============ ================= 一、受理機關: ________ ( ) 政府 二、租賃住宅服務業 名稱: _______________ 統一編號: _____________ 所在地: _______________________ __ 聯絡電話: ____________ 登記證: _____ ____ ____ _____ 字第 _______________ 三、備查事由 ( )□ 租賃住宅服務業之租賃住宅管理人員異動 ( )□ 分設營業處所之租賃住宅管理人員異動 1. 分設營業處所名稱: _______________ 所在地: _______________________ 2. 登記證: _____ ____ ____ _____ 字第 _______________ 四、申報人 姓名 / 法人名稱: ________________ 電子郵件信箱: ___________________ 聯絡電話:辦公室: _____________ 住家: _____________ 行動 : _____________ 戶籍 / 法人設立地址: ____________________________________ 通訊地址: ____________________________________ 五、代理人 姓名: ______________ 電子郵件信箱: ___________________ 聯絡電話:辦公室: _____________ 住家: _____________ 行動 :_ _____________ 通訊地址: ____________________________________ 六、附繳文件 1.□ 租賃住宅服務業登記證影本 ____ ( ) 2.□ 分設營業處所登記證影本 ( ) 3.□ 租賃住宅管理人員證書影本 ____ ( ) 4.□ 租賃住宅管理人員異動名冊 ____ ( ) 5.□ 申報人身分證明文件影本 ____ ( ) 6.□
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