jl. kuningan persada kav. 4, setiabudi jakarta...

3/18/2019 Yahoo Mail - Lembar Penyerahan E-Filling LHKPN

Lembar Penyerahan E-Filling LHKPN

D a ri: A p lik a s i e -L H K P N (s ta t is t ik @ k p k .g o . id )

K e p a d a : e ls a lin a p u rb a @ y a h o o .c o m

T a n g g a l: M in g g u , 10 M a re t 2 0 1 9 0 8 .4 0 W IB

P esan in i b e r is i g a m b a r y a n g d ib lo k ir . T a m p ilk a n g a m b a r a ta u S e la lu t a m p i l lk a n g a m b a r

Y th . S d r E L S A L IN A B R . P U R B A

M A H K A M A H A G U N G

D i T e m p a t

B e rs a m a in i k a m i in fo rm a s ik a n b a h w a L H K P N y a n g B a p a k / lb u k ir im k a n te la h k a m i te r im a d e n g a n r in g k a s a n s e b a g a i

b e r ik u t :

KOMISI PEMBERANTASAN KORUPSI REPUBLIK INDONESIA

Jl. Kuningan Persada Kav. 4, Setiabudi Jakarta 12950

LEMBAR PENYERAHAN FORMULIR LAPORAN HARTA KEKAYAAN PENYELENGGARA NEGARA

Atas NamaJabatanBidangLembagaTanggal / TahunPelaporan

ELSA LINA BR. PURBA HAKIM YUDIKATIF MAHKAMAH AGUNG

2018

E m a il k o n f irm a s i L e m b a r P e n y e ra h a n L H K P N in i b u k a n m e ru p a k a n T a n d a T e r im a L H K P N . T a n d a te r im a L H K P N a k a n

k a m i k ir im k a n s e te la h D o k u m e n K e le n g k a p a n te la h k a m i te r im a d a n L H K P N te la h d iv e r if ik a s i o le h D ire k to ra t

P e n d a f ta ra n d a n P e m e r ik s a a n L H K P N .

T e r la m p ir r in c ia n h a r ta k e k a y a a n d a la m ik h t is a r L H K P N m e ru p a k a n d o k u m e n y a n g d ic e ta k s e c a ra o to m a t is d a r i

e lh k p n @ k p k .g o . id . S e lu ru h d a ta d a n in fo rm a s i y a n g te rc a n tu m d a la m D o k u m e n in i s e s u a i d e n g a n L H K P N y a n g d iis i

d a n d ik ir im k a n s e n d ir i o le h S a u d a ra m e la lu i e lh k p n @ k p k .a o . id s e r ta t id a k d a p a t d ija d ik a n d a s a r o le h S a u d a ra a ta u

s ia p a p u n ju g a u n tu k m e n y a ta k a n b a h w a h a r ta y a n g b e rs a n g k u ta n t id a k te rk a it t in d a k p id a n a . Ik h t is a r L H K P N b u k a n

m e ru p a k a n d o k u m e n f in a l d a n m a s ih d a p a t b e ru b a h s e te la h d ila k u k a n v e r if ik a s i o le h D ire k to ra t P e n d a f ta ra n d a n

P e m e r ik s a a n L H K P N .

S e te la h m e n g ir im k a n L H K P N , L a m p ira n 4 . S u ra t K u a s a d a p a t s e g e ra d ik ir im k a n d e n g a n b a ta s w a k tu 2 m in g g u ( jik a

S u ra t K u a s a s u d a h p e rn a h d is a m p a ik a n t id a k p e r lu d ik ir im k e m b a li) .

mailto:[email protected]




$ / 18/2019 Yahoo Mail - Lembar Penyerahan E-Filling LHKPN

U n tu k in fo rm a s i le b ih la n ju t, s i la k a n m e n g h u b u n g i k a m i k e m b a li m e la lu i e m a il [email protected] a ta u c a ll c e n te r 1 9 8 .

A ta s k e g a s a m a y a n g d ib e r ik a n , K a m i u c a p k a n te r im a k a s ih

D ire k to ra t P e n d a f ta ra n d a n P e m e r ik s a a n L H K P N

Email ini dikirimkan secara otomatis oleh sistem e-LHKPN dan anda tidak perlu membalas email ini.

© 2 0 1 7 D ire k to ra t P P L H K P N K P K | w w w .k p k .g o . id . | e lh k p n .k p k .g o . id | L a y a n a n L H K P N 1 9 8

In fo rm a s i y a n g te rm u a t d i p e s a n e m a il in i m u n g k in b e r is i in fo rm a s i y a n g b e rs ifa t p r ib a d i, ra h a s ia d a n te r tu tu p , j ik a A n d a

b u k a n la h p e n e r im a y a n g d itu ju , P e n y e b a ra n , D is t r ib u s i a ta u m e n iru d e n g a n k e ra s D IL A R A N G . J ik a A n d a m e n e r im a

p e s a n in i ta n p a d is e n g a ja , h a ra p s e g e ra h u b u n g i p e n g ir im d a n h a p u s m a te r ia l in i s e lu ru h n y a , b a ik d a la m b e n tu k

e le k t ro n ik m a u p u n d o k u m e n c e ta k . T e r im a k a s ih .

3 lk h t is a rH a r ta -1 0 0 3 2 0 1 9 0 8 3 5 1 4 2 7 0 6 5 .d o c x

M J 59 .7kB

2/2


http://www.kpk.go.id

K KKomisi Pemberantasan Korupsi

IK H T IS A R LH K PN a .n ELSA L IN A BR. PU R B A

(Jen is L a p o ra n - T a h u n : P e r io d ik - 2 0 1 8 )

N IK 3 1 7 5 0 8 5 3 0 9 7 7 0 0 0 7

D A T A P R IB A D I

N a m a ELSA U N A BR. PURBA

N IK 3 1 7 5 0 8 5 3 0 9 7 7 0 0 0 7

N o KK 3 1 7 5 0 8 0 8 0 1 0 9 7 0 2 3

N P W P 0 9 .4 0 9 .0 1 8 .0 .4 2 6 .0 0 0

Je n is K e la m in P e re m p u a n

T e m p a t/T a n g g a l Lah ir B A T U K A R A N G /1 3 S e p te m b e r 1 9 7 7

S ta tu s N ik a h M e n ik a h

A g a m a ISLAM

A la m a t PERINTIS KEM E R D E KAA N N O . 3 , TEG AL T IM U R , TEGAL, JA W A TEN G AH

N o m o r H a n d p h o n e 0 8 7 8 1 3 0 9 1 9 7 7

E m a il e ls a lin a p u rb a @ y a h o o .c o m

N HK 1 3 0 5 1 0

B id a n g YU D IK ATIF

L e m ba ga M A H K A M A H A G U N G

J a b a ta n H A K IM

T a n g g a l L a p o r 31 D e s e m b e r 2 0 1 8

T a n g g a l K ir im -

S ta tu s D ra ft

D A T A K E L U A R G A

N O N A M AH U B U N G A N

D E N G A N PN

T E M P A T D A N T A N G G A L LAH IR /

JENIS K E LA M INPEKERJAAN A L A M A T R U M A H

1 SRI M U L Y O N O S U A M I JA K A R T A , 2 0 Ju li 1 9 7 4 / LAKI-LAKI KA R Y A W A N BRI C IP IN A N G A S E M N O . 21 J a k a rta T im u r

Halaman 1 dari 11 Dicetak Melalui elhkpn.kpk.go.id Tanggal 10/03/2019


KPKKomisi Pemberantasan Korupsi

NO N A M AH U B U N G A N

D E N G A N PN

T E M P A T D A N T A N G G A L LAH IR /

JENIS K E LA M INPEKERJAAN A L A M A T R U M A H

2 YUSTITIA SYAW ALLANI

PUTERI M ULYO N O

A N A K

T A N G G U N G A N

B E K A S I, 19 N o v e m b e r 2 0 0 5 /

PER EM PU AN

PELAJAR PERINTIS KEM ER DEKAAN N O . 3 , K e lu ra h a n

P A N G G U N G , K e c a m a ta n TEG AL T IM U R ,

K a b u p a te n /K o ta TEG AL, P ro v in s i JA W A TEN G AH

3 A N N IS A NUR FEBRINA A N A K

T A N G G U N G A N

B E K A S I, 3 F e b ru a r i 2 0 1 3 /

PER EM PU AN

PELAJAR PERINTIS KEM ER DEKAAN N O . 3 Kel. P a ng gu n g

Kec. Tega l T im u r K o ta T eg a l Jaw a T e n g a h

3. JA B A TA N

NO JA B A TA N - DESKRIPSI JA B A T A N / ESELON LE M B A G A U N IT KERJA S U B U N IT KERJA

1 H A K IM M A H K A M A H A G U N G PE N G AD ILAN T IN G G I S E M A R A N G PE N G AD ILAN NEGERI TEG AL

4 . D A T A HARTA

4 .1 .T A N A H /B A N G U N A N

NO LOKASI LUAS K E P E M IL IK A NN ILA I PE LA PO R AN

S E B E LU M N Y A

N IL A I PELAPO R AN

SA AT IN IKETER AN G A N

1 Jalan / N o : SETADION

M AG U W O H A R JO

Kel. / Desa : M A G U W O H A R JO

K e ca m a ta n : D ENO KAN

Kab. / K o ta : SLEM AN

Prov. / N egara : D .l. YO G YAKAR TA /

IN DO NESIA

T a n a h : 1 6 8 m 2

B a n g u n a n : 8 0 m 2

Je n is B u k ti: SERTIFIKAT

N o m o r B u k ti: S H M

N 0 .1 2 1 4 4 /M A G U W A H A R J 0

A ta s N a m a : PN YAN G

BERSANGKUTAN

A sa l U su l H a r ta : HASIL SENDIRI

P e m a n fa a ta n : T E M P A T T IN G G A L

T a h u n P e ro le h a n : 2 0 1 8

R p. 0 Rp. 1 .2 0 0 .0 0 0 .0 0 0 BARU

"T" J a la n / N o : JALAN A L A M

U T A M A BLOK E3 N O 2 DESA B IN TA R A

BEKASI BARAT BEKASI

T a n a h : 1 4 0 m 2

B a n g u n a n :1 0 0

m 2

Jen is B u k ti: SERTIFIKAT

N o m o r B u k ti: 0 3 1 5 4 /B IN T A R A

A ta s N a m a : P A S A N G A N /A N A K

Rp. 1 0 0 .0 0 0 .0 0 0 Rp. 1 .5 0 0 .0 0 0 .0 0 0 U BA H


K KKomisi Pemberantasan Korupsi 2018

N O LOKASI LUAS K E P E M IL IK A NN IL A I PELAPO R AN

S E B E LU M N Y A

N ILA I PELAPO RAN

SA AT IN IK E TE R AN G A N

K e l. / Desa : B IN TA R A (SRI M U LY O N O )

K e c a m a ta n : BEKASI BARAT A sa l U su l H a r ta : HASIL SENDIRI

K ab. / K o ta : BEKASI P e m a n fa a ta n : LA IN N Y A

P ro v . / N eg a ra

IN D O N ES IA

: JA W A B A R A T / T a h u n P e ro le h a n : 2 0 1 1

S ub T o ta l Rp. 2 .7 0 0 .0 0 0 .0 0 0

4 . 2 . A L A T T R A N S P O R T A S I / M E S IN

N O U R A IA N K E P E M IL IK A NN IL A I PELAPO RAN

S E B E LU M N Y A

N ILA I PELAPO RAN

SA AT IN IKETER AN G A N

1 J e n is : M O B IL

M e r k : TO Y O TA YARIS

M o d e l : M IN IB U S

T a h u n P e m b u a ta n : 2 0 1 3

N o . Pol. / R e g is tra s i: B 1 7 7 8 TRK

Jen is B u k ti: BPKB/STN K

A sa l U su l H a rta : HASIL SENDIRI

A ta s N a m a : PN YAN G BERSANGKUTAN

P e m a n fa a ta n : D IG U N A K A N SENDIRI

L a in n y a : -


Rp. 1 5 0 .0 0 0 .0 0 0 Rp. 1 5 0 .0 0 0 .0 0 0 U BA H

2 J e n is : M O B IL

M e r k : T O Y O TA KIJANG

M o d e l : M IN IB U S

T a h u n P e m b u a ta n : 2 0 0 3

N o . Pol. / R e g is tra s i: B 1 6 9 1 KD

Je n is B u k ti: BPKB/STN K

A sa l U sul H a r ta : HASIL SENDIRI

A ta s N a m a : P A S A N G A N /A N A K (SRI

M U LY O N O )

P e m a n fa a ta n : D IG U N A K A N SENDIRI

L a in n y a : -


Rp. 6 7 .0 0 0 .0 0 0 Rp. 6 7 .0 0 0 .0 0 0 U BA H

Sub T o ta l Rp. 2 1 7 .0 0 0 .0 0 0

4 . 3 . H A R T A B E R G E R A K L A IN N Y A



N O U R A IA N ASAL U SU L H A R TAN IL A I PE LA PO R AN

S E B E LU M N Y A

N ILA I PELAPO RAN

S A A T IN IKETER AN G A N

1 Jen is : PERHIASAN & L O G A M /B A T U M U L IA

J u m la h : 16

S a tu a n : G R A M

K e t. La inn ya : -


H IB A H D ENG AN A K TA Rp. 1 1 .0 0 0 .0 0 0 R p. 1 1 .0 0 0 .0 0 0 U BA H

2 Je n is : PERHIASAN & L O G A M /B A T U M U L IA

J u m la h : 10




HASIL SENDIRI Rp. 5 0 0 .0 0 0 Rp. 5 0 0 .0 0 0 U BA H

3 Jen is : PERHIASAN & L O G A M /B A T U M U L IA

J u m la h : 1




HASIL SENDIRI Rp. 5 0 0 .0 0 0 Rp. 5 0 0 .0 0 0 U BA H

4 Je n is : BAR AN G ELEKTRONIK

J u m la h : 3

S a tu a n : 5



HASIL SENDIRI Rp. 1 .2 0 0 .0 0 0 Rp. 1 .2 0 0 .0 0 0 U BA H

5 Jen is : PERABO TAN R U M A H TA N G G A

J u m la h : 3

S a tu a n : BUAH



HASIL SENDIRI Rp. 3 .0 0 0 .0 0 0 Rp. 3 .0 0 0 .0 0 0 U BA H

6 Je n is : PERHIASAN & L O G A M /B A T U M U L IA

J u m la h : 63

HASIL SENDIRI R p. 6 .2 5 0 .0 0 0 Rp. 6 .2 5 0 .0 0 0 U BA H



N O U R A IA N A S AL U SU L H A R TAN ILA I PELAPO R AN

S E B E LU M N Y A


SA AT IN IKETER AN G AN




S ub T o ta l Rp. 2 2 .4 5 0 .0 0 0

4 . 4 . S U R A T B E R H A R G A

N O U R A IA NN O . R E K E N IN G /

N O . N A S A B A HA S AL U SU L H A R TA


S E B E LU M N Y A


S A A T IN IKETERANG AN

S ub T o ta l Rp. 0

4 . 5 . K A S /S E T A R A K A S

N O U R A IA N IN F O R M A S I REKEN IN G A S AL U SU L H AR TAN IL A I PELAPO R AN

S A A T IN IKETER AN G AN

1 J e n is : T A B U N G A N

K e te ra n g a n : -

N a m a B a n k / L e m b a g a : BRI

N o m o r : -

A ta s N a m a : L a in n ya (SRI M U L Y O N O )

H ASIL SENDIRI Rp. 0 PENGHAPUSA

N LA IN N Y A

_J e n is : T A B U N G A N



N o m o r : 0 3 5 6 -0 1 -0 1 1 8 6 7 -5 0 -9

A ta s N a m a : L a in n ya (SRI M U L Y O N O )

HASIL SENDIRI Rp. 0 PENGHAPUSA

N LA IN N Y A




N o m o r : 0 1 2 3 .0 1 .0 3 1 5 8 1 .5 0 .0

A ta s N a m a : L a in n ya (ELSA L IN A BR.

PURBA)

R p. 0 PENGHAPUSA

N LA IN N YA

4 Je n is : T A B U N G A N



N o m o r : -

A ta s N a m a : L a in n ya (YU STIT IA

S Y A W A LLA N I PUTERI M U L Y O N O )

HASIL SENDIRI Rp. 0 PENG HAPUSA

N LA IN N Y A



N O U R A IA N IN F O R M A S I REKENING A S AL USUL H A R TAN IL A I PE LA PO R AN




N a m a B a n k / L e m b a g a : M U A M A L A T

N o m o r : -


PURBA)

HASIL SENDIRI R p. 0 PENG HAPUSA

N LA IN N Y A




N o m o r : 0 1 2 3 .0 1 .0 3 1 5 6 1 .5 0 .0


PURBA)

HASIL SENDIRI R p. 0 PENG HAPUSA

N LA IN N Y A

S ub T o ta l Rp. 0

4 . 6 . H A R T A L A IN N Y A

N O U R A IA N A S AL U SU L H A R TAN IL A I PELAPO RAN

S E B E LU M N Y A

N IL A I PE LA PO R AN


S ub T o ta l R p. 0

4 . 7 . H U T A N G

N O U R A IA N N A M A KR EDITU R B E N TU K A G U N A N N IL A I A W A L H U T A N G N ILA I SA LD O H U TA N G

1 Jen is : H U TA N G K O N S U M T IF (KPR,

K E N D A R A A N , KAR TU KREDIT,

M U L T IG U N A )

A ta s N a m a : PN Y A N G BERSANGKUTAN

ELSA LIN A PU R BA SH M H SK R p. 8 5 0 .0 0 0 .0 0 0 Rp. 1 .4 0 5 .0 5 0 .1 1 5

2 Jen is : H U T A N G K O N S U M T IF (KPR,

K E N D A R A A N , KARTU KREDIT,

M U L T IG U N A )

A ta s N a m a : L a in n ya ()

BRI 5 1 8 8 .2 8 2 1 .0 0 0 2 .3 5 1 1 Rp. 0 Rp. 3 .5 0 0 .0 0 0



0|Sg£[|]

2018 SN O U R A IA N N A M A KR EDITU R BEN TU K A G U N A N N ILA I A W A L H U T A N G N IL A I SA LD O H U TA N G

S ub T o ta l Rp. 8 5 0 .0 0 0 .0 0 0 Rp. 1 .4 0 8 .5 5 0 .1 1 5

5 . P E N E R IM A A N

5 . 1 . P E N E R IM A A N D A R I P E K E R J A A N

N O JENIS P E N E R IM A A N PENYELENG G ARA N EG A R A P A S A N G A N

1 G a ji d a n T u n ja n g a n Rp. 2 7 6 .2 6 5 .5 6 3 R p. 0

2 P e n g h a s ila n d a r i P ro fe s i/K e a h lia n R p. 0 Rp. 0

3 H o n o ra r iu m R p. 0 Rp. 0

4 T a n tie m , B o n u s , Jasa P ro d u k s i, THR Rp. 0 Rp. 0

5 P e n e r im a a n P e k e rja a n La inn ya Rp. 0 Rp. 0

S ub T o ta l Rp. 2 7 6 .2 6 5 .5 6 3 Rp. 0

5 . 2 . P E N E R IM A A N D A R I U S A H A D A N K E K A Y A A N

N O JENIS P E N E R IM A A N TO TA L P E N E R IM A A N KAS

1 H as il In v e s ta s i d a la m S u ra t B e rh a rg a Rp. 0


KPKKomisi Pemberantasan Korupsi 2018 BI

N O JENIS P E N E R IM A A N T O TA L P E N E R IM A A N KAS

2 H as il U sa h a /S e w a Rp. 0

3 B u n g a T a b u n g a n /D e p o s ito d a n La inn ya Rp. 0

4 P e n ju a la n a ta u P e le p a sa n H a rta Rp. 0

5 P e n e r im a a n La inn ya Rp. 0

S ub T o ta l Rp. 0

5 . 3 . P E N E R IM A A N L A IN N Y A

N O JENIS P E N E R IM A A N T O TA L P E N E R IM A A N KAS

1 P e n e r im a a n H u ta n g Rp. 0

2 P e n e r im a a n W a r is a n Rp. 0

3 P e n e r im a a n H ib a h /H a d ia h Rp. 0

4 La inn ya R p. 0

S ub T o ta l Rp. 0

6 , P E N G E L U A R A N


KPKKomisi Pemberantasan Korupsi 2018

6 .1 . PE N G E LU A R A N R UTIN

N O JENIS PE N G E LU A R A N T O TA L N IL A I PE N G ELU A R AN

1 B iaya R u m a h T angga ( te rm a s u k t ra n s p o r ta s i, p e n d id ik a n , k e s e h a ta n ,

re k re a s i, p e m b a y a ra n k a r tu k re d it )

Rp. 1 0 .0 0 0 .0 0 0

2 B iaya Sosia l (a n ta ra la in k e a g a m a a n , z a k a t, in fa q , s u m b a n g a n la in ) Rp. 1 .0 0 0 .0 0 0

3 P e m b a y a ra n P a jak (a n ta ra la in PBB, k e n d a ra a n , p a ja k d a e ra h , p a ja k la in ) Rp. 3 .0 0 0 .0 0 0

4 P e n g e lu a ra n R u tin L a in n ya R p. 0

Sub T o ta l Rp. 1 4 .0 0 0 .0 0 0

6 .2 . PE N G ELU A R AN H A R TA

N O JENIS PE N G E LU A R A N T O TA L N ILA I PE N G ELUAR AN

1 P e m b e lia n /P e ro le h a n H a rta B a ru Rp. 0

2 P e m e lih a ra a n /M o d if ik a s i/R e h a b il i ta s i H a rta Rp. 0

3 P e n g e lu a ra n N o n R u tin La inn ya Rp. 0

S ub T o ta l Rp. 0

6 .3 . PE N G ELU A R AN L A IN N Y A



N O JENIS PE N G E LU A R A N T O TA L N ILA I PE N G E LU A R A N

1 B iaya P e n g u ru s a n W a r is /H ib a h /H a d ia h Rp. 0

2 P e lu n a s a n /A n g s u ra n H u ta n g Rp. 0

3 P e n g e lu a ra n La inn ya Rp. 0

S ub T o ta l R p. 0

7 . L A M P IR A N F A S IL IT A S

N O U R A IA N N A M A P IH A K PE M B ER I FASILITAS KETER AN G A N

8 . T O T A L H A R TA K E K A Y A A N

N O T O TA L H A R TA T O T A L H U T A N G T O TA L H A R TA KE K A Y A A N

1 Rp. 2 .9 3 9 .4 5 0 .0 0 0 R p. 1 .4 0 8 .5 5 0 .1 1 5 Rp. 1 .5 3 0 .8 9 9 .8 8 5

C a ta ta n :

R in c ia n h a r ta ke ka ya a n d a la m ik h t is a r LHKPN m e ru p a k a n d o k u m e n y a n g d ic e ta k se ca ra o to m a t is d a r i e lh k p n .k p k .g o . id . S e lu ru h d a ta d a n in fo rm a s i y a n g te rc a n tu m

d a la m D o k u m e n in i se su a i d e n g a n LHKPN y a n g d iis i d a n d ik ir im k a n s e n d ir i o le h P e n y e le n g g a ra N e g a ra y a n g b e rs a n g k u ta n m e la lu i e lh k p n .k p k .g o . id s e rta t id a k d a p a t

d ija d ik a n d a sa r o le h P e n y e le n g g a ra N e g a ra a ta u s ia p a p u n ju g a u n tu k m e n y a ta k a n b a h w a h a r ta y a n g b e rs a n g k u ta n t id a k te r k a i t t in d a k p id a n a .



A p a b ila d ik e m u d ia n h a r i te rd a p a t h a r ta k e k a y a a n m il ik P e n y e le n g g a ra N e g a ra d a n /a ta u K e lu a rg a n y a y a n g t id a k d ila p o rk a n d a la m LHKPN, m a k a P e n y e le n g g a ra N eg a ra

w a j ib u n tu k b e r ta n g g u n g ja w a b sesua i d e n g a n p e ra tu ra n p e ru n d a n g -u n d a n g a n y a n g b e r la k u .


jl. kuningan persada kav. 4, setiabudi jakarta...

Documents