Application for Land Value Tax Rate Applicable to Land Used for Industries (Please filing before Sept. 22, if not, it will be applicable the next year.) Following land is for industrial use and submit following document: ( )1. During construction: Building permit(should specify the relationship with product manufacture and product processed.)and other relative documents. If the plant requires to get establishment permet first, please submit it. ( )2.Construction completed: Please submit plant registration approval certificate or improved building certificate.(The usage specified with the building related to product manufacturing and product processed in the document.) Please collect the land value tax at 0.1% according to Land Tax Act Article 18. Location of the land Land area Range of Plant Section Subsection Plot No. (square meter) right register set up Year certificate and month Above total lot, and the area Approval Name Use of of the plant the land square meters. To Local Tax Bureau, Hsinchu City Applicant: (signed or affix chop) ID card number or withholding uniform invoice number assigned by the tax authority: □□□□□ □□□□□ Tel.: Address: Filing date: county City alley township area no floor dd/mm/yy village road neighborhood street section avenue