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Can I print out an electronically delivered Medical Expenses Notification and attach it to a paper-based return?
You may use the "Certificate for tax reduction with a QR code" in XML data format printed from “Certificate creating system on the NTA website (Japanese version only)” only for the paper-based statement from Jan.2022. You may use the ”Medical Expenses Notification” downloaded and printed from the”My HEALTH WEB Medical Expenses Notification” and attach to a tax return for only as a reference material, because it is not the "Certificate for tax reduction with a QRcode". In this case, however, you are required to retain the original medical expenses receipts for five years.