*承租人姓名(中文姓名)(必填) Lessee’s name (Chinese name) (required):

承租人姓名(羅馬拼音) Lessee’s name (Pinyin Romanization)：

*通訊地址(必填) Mailing address (required)：

*聯絡電話(必填) Contact phone number (required)：

*租約號(必填) Lease number (required)：

*土地標示(必填) Land description (required)： 範例說明：地號分別為地號母號、地號子號各4碼，一共為8碼。 例如：地號母子號 427-13，格式應為0427-0013，以此類推。 Example description: A land number consists of eight digits, including the four digits of the main construction number and the four digits of the secondary construction number. For example, the main construction number and secondary number 427-13 shall be written in the format of 0427-0013.

作業需要原因 Reason for application：

租金繳納證明 Certificate of rent paid：