Application for Land Value Tax Rate Applicable to Land Used for Industries Following land is for industrial use and submit following document: ( )1. During construction: construction(should specify the relationship with product manufacture and product processed.)and other relative documents. If the plant requires ( to get establishment permit 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 10‰ according to Article 18,Land Tax Act. Date and Location of the land Date and number of Name Land area Range of number of industry of the (m2) right approval Section Subsection Plot No. register Industry set up certificate Above total Use of the land m 2. lot, and the area To Local Tax Bureau, _____________ County/City Applicant: (Signature/Seal) ID Number or the Tax Code of Tax Withholding Agencies: □□□□□□□□□□ Telephone Number: Address: Filing date: Officer-i n-charge Chief yyyy/mm/dd Director- Site Revenue Chief General/ Survey Assessor Director Officer Site Survey Result: Signature/Seal: Site Survey: 0404 (yyyy/mm/dd)