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[]
[]
[null,"（創業関連保証・再挑戦支援保証用）"]
[]
[null,"創業・再挑戦計画書"]
[]
[]
[null,"岐阜県信用保証協会 御中",{"$nulls":45},"　　年　　月　　日"]
[]
[]
[{"$nulls":30},"〔申込人〕"]
[null,"　創業関連保証・再挑戦支援保証の申込みにあたり、以下のとおり創業・再挑戦計画を提出します。",{"$nulls":29},"住所"]
[{"$nulls":31},"会社名"]
[{"$nulls":31},"氏名または代表者名"]
[]
[]
[null,"１．事業概要"]
[null,null,null,"開  業  形  態",{"$nulls":9},"個人事業　・　会社事業",{"$nulls":17},"商     号 （個人）\n会 社 名 （会社）"]
[]
[null,null,null,"開業(予定)住所"]
[{"$nulls":13},"電話　　　 　　　（　　　 　　）　　　　 　　　　"]
[null,null,null,"開 業 届 出（個人）\n設 立 登 記（法人）",{"$nulls":9},"有　　・　　無",{"$nulls":17},"開業(予定)年月日 \n設立(予定)年月日",{"$nulls":13},"　　　　年　 　　月　　 　日"]
[]
[null,null,null,"業  　　　種",{"$nulls":27},"資　本　金",{"$nulls":9},"〔会社設立（予定）の場合〕"]
[{"$nulls":57},"円"]
[null,null,null,"許　可　等",{"$nulls":9},"（種類）",{"$nulls":17},"（根拠法）"]
[null,null,null,"[許可等取得が必要な場合]",{"$nulls":14},"（許可・免許・登録・認証の別を記入）",{"$nulls":18},"[取得すべき許可等の根拠法を記入（（例）食品衛生法）]"]
[null,null,null,"従業員数",{"$nulls":16},"名",null,"取扱品",{"$nulls":12},"仕入先"]
[]
[null,null,null,"開業動機・目的"]
[]
[null,null,null,"開業に必要な知識、技術、ノウハウの習得"]
[]
[null,null,null,"〔会社設立予定の場合〕"]
[null,null,null,"出資者・出資額"]
[null,null,null,"事業協力者の住所・氏名・勤務先"]
[]
[]
[null,"２．創業準備の着手状況〔下記の該当事項に○印を付けて下さい〕 "]
[null,"　　ア　設備機械器具等発注済である。　　　　　　　　　　　　　　　　"]
[null,"　　イ　土地・店舗を取得するための頭金等支払済みである。"]
[null,"　　ウ　土地・店舗を賃借するための権利金・敷金支払済みである。"]
[null,"　　エ　商品・原材料の仕入を行っている。"]
[null,"　　オ　事業に必要な許認可を受けている。"]
[null,"　　カ　事業に必要な許認可取得未了（許認可取得見込み（申請状況や取得予定時期等）を具体的に記入してください。）"]
[null,"　　　（　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　）"]
[null,"　　キ　その他（具体的に記入して下さい　　　　　　　　　 　　　  　　　　　　　　）"]
[]
[]
[null,"３．必要な資金及び調達の方法　　　　　　　　　　　　　　　　　　　　　　　",{"$nulls":49},"（千円）"]
[null,null,null,"必要な資金",{"$nulls":19},"金　額",{"$nulls":7},"調達の方法",{"$nulls":19},"金　額"]
[null,null,null,"設備資金",null,null,"不動産取得費、内装工事費、\n敷金、入居保証金、機械設備、什器備品など\n（内訳）\n",{"$nulls":16},0,{"$nulls":7},"自己資金"]
[{"$nulls":31},"親戚・知人等からの借入\n（内訳・返済方法）"]
[]
[]
[{"$nulls":31},"金融機関からの借入\n（内訳・返済方法）\n\n"]
[null,null,null,"運転資金",null,null,"仕入資金、経費支払資金など\n（内訳）\n",{"$nulls":16},0]
[]
[]
[]
[]
[null,null,null,"合　計",{"$nulls":19},0,{"$nulls":7},"合　計",{"$nulls":19},0]
[]
[null,"４．収支計画（今後１年間分）　　　　　　　　　　　　　　　　　　千円　　　　　"]
[null,null,null,"支　　　　　　　　　　　出",{"$nulls":27},"収　　　　　　　　　　　入"]
[null,null,null,"仕入高",{"$nulls":27},"売上高"]
[null,null,null,"外注工費",{"$nulls":27},"工賃収入"]
[null,null,null,"人件費",{"$nulls":27},"雑収入"]
[]
[null,null,null,"その他費用"]
[null,null,null,"利益",{"$nulls":6},0]
[null,null,null,"計",{"$nulls":6},0,{"$nulls":20},"計",{"$nulls":6},0]
[]
[null,"５．販売・仕入先　　　　　　　　　　　　　　　　　　　　　　　　　　　　"]
[null,null,null,"主な販売先　　・受注先",{"$nulls":8},"販売・受注　　　　予定額",{"$nulls":8},"回収方法",{"$nulls":9},"主な仕入先　　・外注先",{"$nulls":8},"仕入・外注　　　　予定額",{"$nulls":8},"支払方法"]
[{"$nulls":12},"年",{"$nulls":6},"千円",{"$nulls":20},"年",{"$nulls":6},"千円"]
[]
[]
[]
[null,"６．借入金等状況（※）　　　　　　　　　　　　　　　　　　　　　　　　　　"]
[null,null,null,"借入先等",{"$nulls":11},"資金使途",{"$nulls":12},"借入残高",{"$nulls":12},"    残　　存\n    返済期間",{"$nulls":8},"    年　間\n    返済額"]
[{"$nulls":39},"千円",{"$nulls":7},"か月",{"$nulls":8},"千円"]
[{"$nulls":39},"千円",{"$nulls":7},"か月",{"$nulls":8},"千円"]
[{"$nulls":39},"千円",{"$nulls":7},"か月",{"$nulls":8},"千円"]
[{"$nulls":39},"千円",{"$nulls":7},"か月",{"$nulls":8},"千円"]
[{"$nulls":39},"千円",{"$nulls":7},"か月",{"$nulls":8},"千円"]
[null,null,null,"(※)現在負担している非事業性を含む借入金等で、今回の資金調達計画によるもの以外をご記入ください"]
[{"$nulls":5},"(経営者本人が負担している保証債務も含みます）。"]
[]
[null,"７．その他（計画に関する補足説明がありましたらご記入してください）"]