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["所　持　場　所　ご　と　の　所　持　数　量　の　内　訳　書"]
["　同一の税務署管内に所持場所が複数あり、まとめて申告する場合に、所持場所ごとの所持数量の内訳を記載してください（所持場所が１箇所である場合は、本様式は作成不要です。）。"]
[]
["所　持　場　所　の　住　所",null,null,null,null,null,null,null,null,"合　計"]
["所　持　場　所　の　名　称"]
["品　　目　　等",null,null,null,null,"所　　　　持　　　　数　　　　量　　（10 ml未満の端数を切り捨てた後の数量）"]
["引上対象酒類","発泡性酒類","発泡酒","・麦芽比率25%未満かつ\n　アルコール分10度未満\n・発泡酒②（いわゆる新ジャンル）","Ａ","ml","ml","ml","ml","（税額算出表Ａ（ア）へ転記）　ml"]
[null,null,"その他の\n発泡性酒類","アルコール分10度未満","Ｂ",null,null,null,null,"（税額算出表Ｂ（ア）へ転記）"]
[null,"蒸留酒類※","連続式蒸留焼酎\n単式蒸留焼酎\nウイスキー\nブランデー\nスピリッツ","アルコール分９度未満","Ｃ",null,null,null,null,"（税額算出表Ｃ（ア）へ転記）"]
[null,null,null,"アルコール分\n９度以上10度未満","Ｄ",null,null,null,null,"（税額算出表Ｄ（ア）へ転記）"]
[null,"混成酒類※","リキュール","アルコール分９度未満","Ｅ",null,null,null,null,"（税額算出表Ｅ（ア）へ転記）"]
[null,null,null,"アルコール分\n９度以上10度未満","Ｆ",null,null,null,null,"（税額算出表Ｆ（ア）へ転記）"]
[null,null,null,null,"Ｇ",null,null,null,null,"（税額算出表Ｇ（ア）へ転記）"]
["引上対象酒類",null,null,null,"Ｈ",null,null,null,null,"（税額算出表Ｈ（ア）へ転記）"]
["Ａ＋Ｂ＋Ｃ＋Ｄ＋Ｅ＋Ｆ＋Ｇ"]
["引下対象酒類","発泡性酒類","ビール",null,"Ｉ",null,null,null,null,"（税額算出表Ｉ（ア）へ転記）"]
[]
[null,null,"発泡酒","麦芽比率50％以上又は\nアルコール分10度以上","Ｊ",null,null,null,null,"（税額算出表Ｊ（ア）へ転記）"]
[]
[null,null,null,"発泡酒③","Ｋ",null,null,null,null,"（税額算出表Ｋ（ア）へ転記）"]
[]
[null,null,null,null,"Ｌ",null,null,null,null,"（税額算出表Ｌ（ア）へ転記）"]
["引下対象酒類",null,null,null,"Ｍ",null,null,null,null,"（税額算出表Ｍ（ア）へ転記）"]
["Ｉ＋Ｊ＋Ｋ＋Ｌ"]
["　（注）１　※の酒類は、「その他の発泡性酒類」に該当するものは除きます。"]
["　　　  ２　本様式とは別に「税額算出表」の作成が必要です。この内訳書の「合計」欄に記載した数量を「税額算出表」に転記してください。"]