法令翻訳 http://www.japaneselawtranslat...ky=&page=1

(退職所得の選択課税による還付のための申告書の記載事項)
第七十条  法第百七十三条第一項第四号（退職所得の選択課税による還付）に規定する財務省令で定める事項は、次に掲げる事項とする。

Matters to Be Entered in a Return Form for a Refund Due to Alternative Taxation on Retirement Income
Article 70  The matters specified by Ministry of Finance Order as prescribed in Article 173, paragraph (1), item (iv) (Refund Due to Alternative Taxation on Retirement Income) of the Act are as follows:一  法第百七十三条第一項の申告書を提出する者の氏名及び住所並びに国内に居所があるときは当該居所(i)  the name of the person filing a return form set forth in Article 173, paragraph (1) of the Act and domicile, and in the case where the person has a residence in Japan, that residence;二  法第百七十三条第一項第一号に掲げる退職手当等の総額のうち法第百六十一条第八号ハ（居住者として行つた勤務に基因する退職手当等）に該当する部分の金額の計算の基礎(ii)  the basis of calculation for the amount, out of the total amount of retirement allowance, etc. listed in Article 173, paragraph (1), item (i) of the Act, that falls under the portion set forth in Article 161, item (viii), (c) (Retirement Allowance, etc. Arising from Work Carried Out in the Capacity of Resident) of the Act;三  法第百七十三条第二項の規定による還付金の支払を受けようとする銀行又は郵便局株式会社法（平成十七年法律第百号）第二条第二項（定義）に規定する郵便局（郵政民営化法（平成十七年法律第九十七号）第九十四条（定義）に規定する郵便貯金銀行を銀行法（昭和五十六年法律第五十九号）第二条第十六項（定義等）に規定する所属銀行とする同条第十四項に規定する銀行代理業を営む郵便局株式会社の営業所として当該銀行代理業の業務を行うものに限る。）の名称及び所在地(iii)  the name and location of a bank or a post office prescribed in Article 2, paragraph (2) (Definitions) of the Act on Japan Post Network Co., Ltd. (Act No. 100 of 2005) (limited to a post office that carries out bank agent services prescribed in Article 2, paragraph (14) (Definitions, etc.) of the Bank Act (Act No. 59 of 1981) as a business office of the Japan Post Network Co., Ltd., which operates post savings banks prescribed in Article 94 (Definitions) of the Postal Service Privatization Act (Act No. 97 of 2005) as member banks prescribed in Article 2, paragraph (16) of the Bank Act and conducts the bank agent services) that receives a refund pursuant to the provisions of Article 173, paragraph (2) of the Act;四  その他参考となるべき事項(iv)  any other matters for reference.