l a m p ir a n i s u r a t ed a r a n d ir ek t … page : 3 [email protected] lampiran i.1...

w w w . p e r a t u r a n p a j a k . c o m P a g e : 1 i n f o @ p e r a t u r a n p a j a k . c o m

L A M P I R A N I

S U R A T E D A R A N D I R E K T U R J E N D E R A L P A J A K

N O M O R : S E - 2 / P J / 2 0 1 1

T E N T A N G : P E T U N J U K T E K N I S T A T A

C A R A P E N E R IM A A N D A N

P E N G O L A H A N S P T T A H U N A N

I . T A T A C A R A P E N D I S T R I B U S I A N T A N D A T E R I M A S P T T A H U N A N

A . K e p a la S e k s i P e l a y a n a n

1 . N o m o r T a n d a T e r im a d i b u a t / d i c e t a k p re n u m b e r e d , b a n y a k n y a d is e s u a i k a n d e n g a n p e r k i r a a n S P T

T a h u n a n y a n g a k a n d i t e r im a .

2 . S e t ia p h a r i , T a n d a T e r im a d i b a g ik a n k e p a d a p e t u g a s p e n e r im a S P T T a h u n a n p a d a T P T / P o j o k

P a ja k / M o b i l P a j a k / D r o p B o x .

3 . P e m b a g ia n T a n d a T e r im a d i l a k u k a n b e rd a s a rk a n p e r k i ra a n j u m la h S P T T a h u n a n y a n g a k a n d i t e r im a

d a l a m s a t u h a r i .

4 . M e n c a ta t p e n y e r a h a n T a n d a T e r im a p a d a K a r t u P e n g a w a s a n P e n g g u n a a a n N o m o r T a n d a T e r im a

s e b a g a im a n a L a m p i ra n I . 1 .

5 . S e t ia p h a r i m e n e r im a T a n d a T e r im a y a n g t i d a k t e r p a k a i y a n g d i k e m b a l ik a n o l e h p e t u g a s p e n e r im a S P T

T a h u n a n .

6 . P e n g e m b a l i a n T a n d a T e r im a y a n g t i d a k t e r p a k a i j u g a h a r u s d i c a t a t p a d a B e r i t a A c a r a S e r a h T e r im a

B e r k a s P e n e r im a a n S P T T a h u n a n s e b a g a im a n a L a m p i ra n I I .2 .

7 . T a n d a T e r im a y a n g t i d a k t e r p a k a i t e rs e b u t d a p a t d i g u n a k a n u n t u k p e n e r im a a n S P T T a h u n a n p a d a

h a r i - h a r i b e r i k u t n y a .

B . P e t u g a s p e n e r im a S P T p a d a T P T / P o jo k P a j a k / M o b i l P a j a k / D ro p B o x

1 . M e n e r im a T a n d a T e r im a y a n g t e la h d i b e r i n o m o r ( p re n u m b e r e d ) d a r i K e p a l a S e k s i P e l a y a n a n d a n

m e n a n d a ta n g a n i K a r t u P e n g a w a s a n P e n g g u n a a n N o m o r T a n d a T e r im a .

2 . M e m b e r i k a n T a n d a T e r im a y a n g t e la h d i t a n d a t a n g a n i d a n d ib e r i t a n g g a l p e n e r im a a n S P T T a h u n a n d a n

d i b e r i c a p k e p a d a W a j i b P a ja k y a n g m e n y a m p a ik a n S P T T a h u n a n s e s u a i p r o s e d u r y a n g d i a t u r p a d a

L a m p i ra n I I .

3 . S e t ia p h a r i T a n d a T e r im a y a n g b e l u m t e r p a k a i d ik e m b a l i k a n p a d a K e p a l a S e k s i P e la y a n a n b e rs a m a a n

d e n g a n B e r i t a A c a r a S e ra h T e r im a B e rk a s P e n e r im a a n S P T T a h u n a n s e b a g a im a n a L a m p i r a n I I . 2 d a n

b e r k a s S P T T a h u n a n .


I I B A G A N A L U R K E R J A

T A T A C A R A P E N D I S T R I B U S IA N T A N D A T E R IM A S P T T A H U N A N

www.peraturanpajak.com Page : 3 [email protected]

LAMPIRAN I.1 SURAT EDARAN DIREKTUR JENDERAL PAJAK NOMOR : SE-2/PJ/2011 TENTANG : PETUNJUK TEKNIS TATA CARA PENERIMAAN DAN PENGOLAHAN SPT

TAHUNAN

KARTU PENGAWASAN PENGUNAAN TANDA TERIMA SPT KPP ............................

NO. NAMA UNIT PENERIMAAN SPT

TANDA TERIMA YANG DISERAHKAN

NOMOR JUMLAH

TANGGAL PENYERAHAN

NAMA DAN TANDA TANGAN PENERIMA

TANDA TERIMA YANG DI KEMBALIKAN

NOMOR JUMLAH

TANDA TANGAN PENERIMA

PENGEMBALIAN

JUMLAH TANDA TERIMA YANG DIGUNAKAN

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10 = 4 - 8) 1.

JUMLAH Petunjuk Pengisian : 1. Kolom (1) : diisi dengan Nomor Urut, berlanjut sampai dengan akhir tahun. 2. Kolom (2) : diisi Nama Unit Penerimaan SPT Tahunan (TPT/Pojok Pajak/Mobil Pajak/Drop Box) Contoh : TPT Drop Box Mal Pondok Indah dsb. 3. Kolom (3) : diisi dengan Nomor Tanda Terima yang diserahkan oleh Kepala Seksi Pelayanan kepada Petugas Penerima SPT. contoh : Nomor 011-01-00000001 s.d. 011-01-00001000 011-02-00000001 s.d. 011-02-00002000 4. Kolom (4) : diisi dengan jumlah Tanda Terima yang diserahkan oleh Kepala Seksi Pelayanan kepada Petugas Penerima SPT 5. Kolom (5) : diisi diisi dengan tanggal penyerahan Tanda Terima dari Kepala Seksi Pelayanan kepada Petugas Penerima SPT. 6. Kolom (6) : diisi dengan nama dan tanda tangan Petugas Penerima SPT. 7. Kolom (7) : diisi dengan Nomor Tanda Terima yang dikembalikan oleh Petugas Penerima SPT kepada Kepala Seksi Pelayanan. contoh : Nomor 011-01-00000901 s.d. 011-01-00001000 011-02-00001951 s.d. 011-02-00002000 8. Kolom (8) : diisi dengan Jumlah Tanda Terima yang dikembalikan oleh Petugas Penerima SPT kepada Kepala Seksi Pelayanan. 9. Kolom (9) : diisi dengan tanda tangan Petugas yang menerima pengembalian Tanda Terima. 10. Kolom (10) : diisi dengan Jumlah Tanda Terima yang digunakan (diberikan kepada Wajib Pajak).


L A M P IR A N I I


N O M O R : S E - 2 / P J / 2 0 1 1




I . T A T A C A R A P E N E R I M A A N D A N P E N G O L A H A N S P T T A H U N A N

A . P e t u g a s p e n e r im a S P T p a d a T P T / P o jo k P a j a k / M o b i l P a j a k / D ro p B o x m e m p u n y a i t u g a s :

1 . M e n e r im a S P T T a h u n a n / e - S P T T a h u n a n y a n g d is a m p a ik a n l a n g s u n g o l e h W a ji b P a ja k d a l a m a m p l o p t e r t u t u p

y a n g d i a t a s n y a d i t u l i s :

- N P W P ;

- N a m a W P ;

- T a h u n P a j a k ;

- S t a t u s S P T ( N i h i l / K u r a n g B a y a r/ L e b i h B a y a r ) ;

- N o m o r T e le p o n .

K P P d a p a t m e n y e d i a k a n a m p l o p j ik a W a j ib P a ja k m e m in ta n y a . G u n a m e m p e r c e p a t p e la y a n a n , p a d a T P T / P o j o k

P a ja k / M o b i l P a ja k / D r o p B o x d is e d ia k a n s t e m p e l/ c a p y a n g b e r is i i n fo rm a s i d i a t a s u n t u k d i b u b u h k a n d i a m p l o p .

B e n t u k s t e m p e l / c a p a d a l a h :

K E M E N T E R IA N K E U A N G A N R E P U B L I K IN D O N E S I A

D I R E K T O R A T J E N D E R A L P A J A K

K A N T O R W I L A Y A H D J P . . . . . . . . . . . . . . . . . . . . . . . . . . . .

K A N T O R P E L A Y A N A N P A J A K . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

N P W P :

N A M A W P : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

T A H U N P A J A K :

S T A T U S S P T : N I H I L K B L B

N O . T E L P / H P :

2 . M e n u l is k a n N P W P W a j i b P a ja k p a d a le m b a r " u n t u k W a j ib P a j a k " , m e m b u b u h k a n s t e m p e l K P P , t a n g g a l

p e n e r im a a n , n a m a , N IP d a n t a n d a t a n g a n p a d a T a n d a T e r im a s e b a g a im a n a p a d a L a m p i r a n I I .1 .

3 . M e m b e r i k a n T a n d a T e r im a ( B a g i a n U n t u k W a j i b P a ja k ) k e p a d a W a j i b P a ja k , d a n m e n e m p e lk a n b a g i a n la i n

( B a g i a n U n t u k D i t e m p e lk a n p a d a A m p l o p ) p a d a a m p l o p S P T W a j i b P a j a k . B a g i a n a rs i p d is im p a n u n t u k

d i s e ra h k a n k e p a d a K e p a la S e k s i P e la y a n a n .

4 . M e m is a h k a n a n ta r a S P T T a h u n a n / e - S P T T a h u n a n W a j i b P a j a k y a n g t e r d a f t a r p a d a K P P s e n d i r i d e n g a n W a j i b

P a ja k y a n g t e r d a f t a r p a d a K P P la i n , s e r t a p e r s t a t u s S P T ( K B , N d a n L B ) d a n p e r j e n is W a j i b P a ja k ( O ra n g

P r i b a d i d a n B a d a n ) .

5 . M e m b u a t B e r it a A c a ra S e ra h T e r im a B e rk a s P e n e r im a a n S P T m e la l u i T P T / P o j o k P a j a k / M o b i l P a j a k / D r o p B o x

s e b a g a im a n a p a d a L a m p i ra n I I .2 .

6 . M e n y e r a h k a n S P T T a h u n a n / e - S P T T a h u n a n y a n g d i t e r im a d a n B e r i t a A c a r a S e r a h T e r im a B e r k a s P e n e r im a a n

S P T k e p a d a P e t u g a s S e k s i P e l a y a n a n .

B . P e la k s a n a S e k s i P e la y a n a n m e m p u n y a i t u g a s :

1 . M e n e r im a d a n m e n e l it i S P T d a n B e r i t a A c a ra S e ra h T e r im a S P T T a h u n a n / e - S P T T a h u n a n d a r i P e t u g a s P e n e r im a

S P T , s e la n j u t n y a m e n e r u s k a n k e K e p a la S e k s i P e la y a n a n u n t u k d i t a n d a ta n g a n i .

2 . M e r e k a m T a n d a T e r im a d a n i n f o rm a s i W a j i b P a ja k p a d a a m p l o p k e d a l a m a p l ik a s i p e n g a w a s a n D r o p B o x .

3 . M e n g e l o m p o k k a n S P T T a h u n a n / e - S P T T a h u n a n ( t e rm a s u k S P T y a n g d i t e r im a d a r i K P P la i n ) b e r d a s a rk a n

t e m p a t W a j i b P a ja k t e rd a ft a r .

4 . D a r i h a s i l p e n g e l o m p o k a n S P T p a d a a n g k a 3 , a t a s S P T T a h u n a n / e - S P T T a h u n a n s e n d i r i d i b u a tk a n D a ft a r

N o m in a t i f P e n g i r im a n S P T W a j i b P a ja k S e n d i r i s e b a g a im a n a L a m p i r a n I I .1 2 u n tu k k e m u d i a n d i l a k u k a n

p e n e li t ia n k e le n g k a p a n S P T .

5 . D a r i h a s i l p e n e l i t ia n k e le n g k a p a n S P T ,

a ) . S P T T a h u n a n / e - S P T T a h u n a n y a n g d i n y a ta k a n le n g k a p , d i c e t a k D a f t a r N o m in a t i f S P T L e n g k a p

s e b a g a im a n a L a m p i ra n I I .8 d a n d i t e r u s k a n k e P e t u g a s T P T u n t u k d i la k u k a n p e r e k a m a n p e n e r im a a n S P T ;

d a n

b ) . S P T T a h u n a n / e - S P T T a h u n a n y a n g t i d a k l e n g k a p , d i b u a tk a n L e m b a r P e n e l i t i a n K e t i d a k le n g k a p a n S P T

T a h u n a n s e b a g a im a n a L a m p i r a n I I .1 0 . a a t a u L a m p i ra n I I .1 0 . b u n t u k d i s a t u k a n d e n g a n m a s i n g - m a s i n g S P T

y a n g t i d a k le n g k a p s e l a n ju t n y a d i t e r u s k a n k e A c c o u n t R e p re s e n ta t iv e b e r s a m a d e n g a n D a ft a r N o m in a t i f

S P T T id a k L e n g k a p s e b a g a im a n a L a m p i r a n I I . 9 .

6 . D a r i h a s i l p e n g e l o m p o k a n S P T p a d a a n g k a 3 , a t a s S P T T a h u n a n / e - S P T T a h u n a n y a n g t i d a k t e r d a f t a r d i K P P

s e n d i r i d i b u a tk a n / d ic e t a k D a ft a r N o m in a t i f P e n g i r im a n S P T T a h u n a n / e - S P T T a h u n a n s e b a g a im a n a L a m p i ra n

I I . 4 d a n d i b u a tk a n k o n s e p S u ra t P e n g i r im a n S P T T a h u n a n / e - S P T T a h u n a n s e b a g a im a n a L a m p i r a n I I . 5 .

7 . M e n e r u s k a n D a ft a r N o m in a t i f P e n g i r im a n S P T d a n k o n s e p S u r a t P e n g i r im a n B e r k a s S P T k e K e p a l a S e k s i

P e la y a n a n u n t u k d i t e l it i d a n d i p a r a f d a n s e l a n j u t n y a d i t e r u s k a n k e p a d a K e p a l a K P P u n t u k d is e t u j u i d a n

d i t a n d a ta n g a n i .

8 . M e n e r im a S u ra t P e n g i r im a n d a n D a f t a r N o m in a t i f y a n g t e la h d it a n d a ta n g a n i o le h K e p a la K P P .


9 . M e n a t a u s a h a k a n d a n m e n g i r im k a n S P T T a h u n a n / e - S P T T a h u n a n , S u r a t P e n g i r im a n d a n D a f t a r N o m in a t i f

s e s u a i d e n g a n S O P T a t a C a r a P e n y a m p a i a n D o k u m e n .

1 0 . M e n e r im a S P T T a h u n a n y a n g t e l a h d il a k u k a n p e re k a m a n p e n e r im a a n S P T T a h u n a n / e - S P T T a h u n a n o le h

P e t u g a s T P T , u n t u k d i la k u k a n p e n g e m a s a n S P T j ik a p e n g o la h a n S P T d i la k u k a n d i P u s a t P e n g o la h a n D a ta d a n

D o k u m e n P e r p a j a k a n ( P P D D P ) .

1 1 . M e n e r im a S P T T a h u n a n / e - S P T T a h u n a n y a n g t e l a h d i re k a m d a n R e g i s t e r H a r ia n d a r i S e k s i P D I u n t u k

s e la n j u t n y a d i p r o s e s s e s u a i S O P T a t a C a r a P e n a ta u s a h a a n D o k u m e n W a j i b P a j a k .

1 2 . D a l a m h a l S P T T a h u n a n / e - S P T T a h u n a n y a n g d i t e r im a m e la l u i p o s / e k s p e d i s i t i d a k t e r d a ft a r d i K P P s e n d i r i

a k i b a t k e s a la h a n p e n g i r im a n , p e la k s a n a S e k s i P e la y a n a n m e n e r u s k a n k e K P P W a j i b P a j a k t e r d a f t a r s e s u a i S O P

T a ta C a ra P e n y a m p a i a n D o k u m e n .

C . P e t u g a s T P T m e m p u n y a i t u g a s :

1 . M e n e r im a S P T T a h u n a n / e - S P T T a h u n a n y a n g t e la h d i n y a t a k a n le n g k a p d a r i P e t u g a s S e k s i P e la y a n a n .

2 . M e l a k u k a n p e r e k a m a n p e n e r im a a n S P T T a h u n a n / e - S P T T a h u n a n s e r t a l o a d i n g e - S P T T a h u n a n .

3 . M e n c e ta k le m b a r P e n g a w a s a n A r u s D o k u m e n ( L P A D ) d a n B u k t i P e n e r im a a n S u r a t ( B P S ) s e b a g a im a n a

L a m p i ra n I I .3 s e r t a r e g is t e r h a r i a n .

4 . M e n e r u s k a n S P T T a h u n a n / e - S P T T a h u n a n k e S e k s i P e n g o la h a n D a ta d a n In f o rm a s i ( P D I ) u n t u k d i l a k u k a n

p e r e k a m a n d e t i l S P T a t a u m e n e r u s k a n S P T T a h u n a n / e - S P T T a h u n a n k e P e t u g a s S e k s i P e l a y a n a n u n t u k

d i l a k u k a n p e n g e m a s a n S P T j ik a p e n g o la h a n S P T d i l a k u k a n d i P P D D P .

5 . M e n e r im a S P T T a h u n a n / e - S P T T a h u n a n d a r i K P P l a i n d a n / a t a u d a r i P o s / e k s p e d is i u n t u k s e la n j u t n y a d it e r u s k a n

k e P e la k s a n a S e k s i P e l a y a n a n u n t u k d i t e l it i .

6 . M e n a n d a i n o m o r d a n t a n g g a l S u r a t P e n g i r im a n S P T d a r i K P P la i n , s e r t a m e n a n d a i s e t i a p S P T y a n g t e r d a p a t

p a d a D a f t a r N o m in a t i f P e n g i r im a n S P T .

7 . A t a s R e s p o n S u ra t P e rm in t a a n K e l e n g k a p a n S P T :

a ) . M e n e r im a k e le n g k a p a n S P T T a h u n a n / e - S P T T a h u n a n d a r i W a j i b P a ja k .

b ) . M e n e l it i k e le n g k a p a n S P T T a h u n a n / e - S P T T a h u n a n d a r i W a j i b P a ja k .

c ) . M e n c e ta k d a n m e n a n d a t a n g a n i L P A D / B P S k e le n g k a p a n S P T T a h u n a n / e - S P T T a h u n a n d a n m e n y e r a h k a n

B P S k e p a d a W a j ib P a j a k .

d ) . M e n e r u s k a n k e le n g k a p a n S P T k e A c c o u n t R e p r e s e n t a t i v e .

8 . M e n e r im a S P T T a h u n a n / e - S P T T a h u n a n y a n g t e l a h d i n y a t a k a n l e n g k a p o l e h A c c o u n t R e p r e s e n ta t iv e u n t u k

d i l a k u k a n p e re k a m a n p e n e r im a a n S P T T a h u n a n / e - S P T T a h u n a n s e rt a lo a d i n g e - S P T T a h u n a n .

D . A c c o u n t R e p r e s e n t a t iv e m e m p u n y a i t u g a s :

1 . M e n e r im a S P T T a h u n a n / e - S P T T a h u n a n d a r i P e l a k s a n a S e k s i P e l a y a n a n y a n g d i n y a ta k a n t id a k l e n g k a p .

2 . M e n c e ta k k o n s e p S u r a t P e rm in t a a n K e le n g k a p a n S P T T a h u n a n / e - S P T T a h u n a n y a n g t e r d a p a t d i d a la m a p l ik a s i

p e n g a w a s a n D r o p B o x , s e l a n ju t n y a m e n e r u s k a n k e K e p a la S e k s i P e n g a w a s a n d a n K o n s u l t a s i u n t u k d i t e l it i d a n

d i p a r a f d a n s e l a n j u t n y a d it e r u s k a n k e p a d a K e p a l a K P P u n t u k d is e t u j u i d a n d i t a n d a ta n g a n i .

3 . S u r a t P e rm in ta a n K e le n g k a p a n S P T T a h u n a n / e - S P T T a h u n a n y a n g t e la h d it a n d a ta n g a n i o le h K e p a la K P P

s e la n j u t n y a D i p r o s e s s e s u a i S O P T a ta C a r a P e n y a m p a ia n D o k u m e n .

4 . M e n e r im a k e le n g k a p a n S P T d a r i P e t u g a s T P T u n t u k d i g a b u n g k a n d e n g a n S P T T a h u n a n / e - S P T T a h u n a n .

5 . S P T T a h u n a n / e - S P T T a h u n a n y a n g t e la h d i n y a t a k a n le n g k a p d i t e r u s k a n k e P e t u g a s T P T u n t u k d i l a k u k a n

p e r e k a m a n p e n e r im a a n S P T T a h u n a n / e - S P T T a h u n a n s e r t a l o a d i n g e - S P T T a h u n a n .

6 . D a l a m h a l S u r a t P e rm in t a a n K e le n g k a p a n S P T T a h u n a n / e - S P T T a h u n a n t i d a k d i p e n u h i d a l a m b a t a s w a k tu 3 0

( t i g a p u l u h ) h a r i s e j a k t a n g g a l S u ra t P e rm in ta a n K e le n g k a p a n S P T T a h u n a n / e - S P T T a h u n a n , A c c o u n t

R e p r e s e n ta t iv e m e n c e ta k k o n s e p S u ra t P e m b e r i t a h u a n S P T D i a n g g a p T i d a k D i s a m p a i k a n s e l a n j u t n y a

m e n e r u s k a n k e K e p a l a S e k s i P e n g a w a s a n d a n K o n s u lt a s i u n t u k d i t e l it i d a n d i p a r a f d a n s e l a n j u t n y a d it e r u s k a n

k e p a d a K e p a la K P P u n t u k d is e t u j u i d a n d it a n d a ta n g a n i .

7 . M e n c e ta k D a f t a r N o m in a t i f S P T y a n g d ia n g g a p t id a k d i s a m p a i k a n s e b a g a im a n a L a m p i ra n I I .1 1 d a n

m e n g i r im k a n k e S e k s i P D I b e rs a m a b e rk a s S P T y a n g d ia n g g a p t i d a k d is a m p a ik a n .

8 . D a l a m h a l t e r j a d i k e s a la h a n m a t e m a t is d a la m p e n g is i a n S P T , A c c o u n t R e p re s e n t a t i v e m e n e r b i t k a n S u ra t

H im b a u a n P e m b e t u l a n S P T s e s u a i d e n g a n S O P T a t a C a ra P e n e r b it a n S u r a t H im b a u a n P e m b e t u la n S P T .

9 . D a l a m h a l t e r ja d i k e t e r la m b a t a n p e n y a m p a i a n S P T d a n / a t a u k e t e r la m b a ta n p e m b a y a ra n p a j a k , A c c o u n t

R e p r e s e n ta t iv e m e n e r b i t k a n S u r a t T a g i h a n P a j a k s e s u a i d e n g a n S O P T a t a C a r a P e n e r b it a n S u r a t T a g ih a n

P a ja k .

E . P e t u g a s S e k s i P e n g o l a h a n D a t a d a n I n f o rm a s i m e m p u n y a i t u g a s :

1 . M e n e r im a S P T T a h u n a n / e - S P T T a h u n a n d a r i P e t u g a s T P T y a n g t e l a h d i b e r i L P A D / B P S .

2 . M e r e k a m S P T T a h u n a n k e d a la m b a s is d a t a p e r p a j a k a n .

3 . M e n e r u s k a n S P T T a h u n a n / e - S P T T a h u n a n y a n g t e l a h d i re k a m / d i- l o a d k e S e k s i P e la y a n a n u n t u k s e l a n j u t n y a

d i p r o s e s s e s u a i S O P T a t a C a ra P e n a t a u s a h a a n D o k u m e n W a j i b P a ja k .

4 . M e n g a d m in is t ra s ik a n D a ft a r N o m in a t i f S P T y a n g d ia n g g a p t i d a k d is a m p a i k a n s e b a g a im a n a L a m p i ra n I I .1 1 d a n

m e l a k s a n a k a n S O P P e m b e n t u k a n B a n k D a ta a t a s b e r k a s S P T y a n g d i a n g g a p t i d a k d i s a m p a i k a n .


I I . B A G A N A L U R K E R J A ( F L O W C H A R T )


L A M P I R A N I I .1


N O M O R : S E - 2 / P J / 2 0 1 1




T A N D A T E R I M A S P T T A H U N A N

P e t u n j u k P e n c e t a k a n t a n d a T e r im a :

1 . U k u ra n :

a . L e b a r : 1 0 ,0 c m

b . P a n ja n g k e s e l u r u h a n : 3 3 ,0 c m

1 ) P a n ja n g L e m b a r " A rs i p " : 7 ,6 c m

2 ) P a n ja n g L e m b a r " U n t u k D i t e m p e l d i A m p lo p " : 1 2 ,7 c m

3 ) P a n ja n g L e m b a r " U n t u k W a j ib P a j a k : 1 2 ,7 c m

2 . P e n o m o ra n :

a . N o m o r h a r u s d i t e n t u k a n t e r l e b i h d a h u l u ( P re n u m b e re d )

b . N o m o r t e rd i r i d a r i 1 3 d i g it d e n g a n f o rm a t a a a - b b - c c c c c c c c

a a a : K o d e K P P

b b : K o d e u n it P e n e r im a a n S P T d i m a s i n g - m a s i n g K P P ( T P T / P o j o k P a j a k / M o b i l

P a ja k / D r o p B o x )

c c c c c c c c : N o m o r u r u t T a n d a T e r im a d is e t ia p u n i t p e n e r im a a n S P T .

c . C o n t o h P e n o m o r a n T a n d a T e r im a :

K o d e K P P : 3 1 5

K o d e U n it P e n e r im a S P T 0 1 : T P T K P P

0 2 : T P T K P 2 K P

0 3 : P o j o k P a ja k

0 4 : M o b i l P a j a k

0 5 : D r o p B o x d i M a l l Y

0 6 : D r o p B o x d i K a w a s a n P e rk a n t o r a n Z

d s t .

N o m o r T a n d a T e r im a :

T P T K P P : T P T K P 2 K P : P o j o k P a ja k :

3 1 5 - 0 1 - 0 0 0 0 0 0 0 1 3 1 5 - 0 2 - 0 0 0 0 0 0 0 1 3 1 5 - 0 3 - 0 0 0 0 0 0 0 1

3 1 5 - 0 1 - 0 0 0 0 0 0 0 2 3 1 5 - 0 2 - 0 0 0 0 0 0 0 2 3 1 5 - 0 3 - 0 0 0 0 0 0 0 2

3 1 5 - 0 1 - 0 0 0 0 0 0 0 3 3 1 5 - 0 2 - 0 0 0 0 0 0 0 3 3 1 5 - 0 3 - 0 0 0 0 0 0 0 3

d s t . d s t . d s t .

M o b i l P a j a k : D r o P B o x d i M a l l Y : D r o p B o x d i K a w a s a n P e rk a n t o r a n Z :

3 1 5 - 0 4 - 0 0 0 0 0 0 0 1 3 1 5 - 0 5 - 0 0 0 0 0 0 0 1 3 1 5 - 0 6 - 0 0 0 0 0 0 0 1

3 1 5 - 0 4 - 0 0 0 0 0 0 0 2 3 1 5 - 0 5 - 0 0 0 0 0 0 0 2 3 1 5 - 0 6 - 0 0 0 0 0 0 0 2

3 1 5 - 0 4 - 0 0 0 0 0 0 0 3 3 1 5 - 0 5 - 0 0 0 0 0 0 0 3 3 1 5 - 0 6 - 0 0 0 0 0 0 0 3

d s t . d s t . d s t .

C o n t o h K o d e U n it P e n e r im a S P T t e rs e b u t t i d a k m e n g ik a t , t a p i d a p a t d is e s u a ik a n d e n g a n k o n d i s i

m a s i n g - m a s i n g K P P .

3 . T a n d a T e r im a h a r u s d i b e r i t a n g g a l , d i t a n d a t a n g a n i o le h P e t u g a s P e n e r im a S P T d a n d ib u b u h i s t e m p e l .




N O M O R : S E - 2 / P J / 2 0 1 1




B E R I T A A C A R A S E R A H T E R I M A B E R K A S

P E N E R I M A A N S P T M E L A L U I T P T / P O J O K P A J A K / M O B I L P A J A K / D R O P B O X

P a d a h a r i . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . t a n g g a l . . . . . . . . . . . . . . . . . . b u l a n . . . . . . . . . . . . . . . . . . . .

t a h u n . . . . . . . . . . . . . . . . . . . . . . . . . . , d i b u a t b e r it a a c a r a s e ra h t e r im a b e rk a s :

N a m a B e r k a s : S P T T a h u n a n

T a n g g a l d i t e r im a : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

U n i t D ro p B o x : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( L o k a s i T P T / P j o k P a ja k / M o b i l P a j a k / D ro p B o x )

N o m o r T a n d a T e r im a : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . s . d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

N o m o r T i d a k T e r p a k a i : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . s . d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

K P P

P e n y e le n g g a r a

( b e rk a s )

K P P L a i n

( b e rk a s )

T o ta l

( B e rk a s )

B a d a n O P B a d a n O P B a d a n O P

S P T N i h i l

S P T K u ra n g B a y a r

S P T L e b i h B a y a r

T o t a l

D e m ik i a n b e r it a a c a r a i n i d i b u a t d e n g a n s e b e n a r n y a .

P e t u g a s I , P e t u g a s I I , K e p a l a S e k s i P e la y a n a n ,

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

N I P . N I P . N I P .

w w w . p e r a t u r a n p a j a k . c o m P a g e : 1 0 i n f o @ p e r a t u r a n p a j a k . c o m



N O M O R : S E - 2 / P J / 2 0 1 1




K A N T O R P E L A Y A N A N P A J A K

L E M B A R P E N G A W A S A N A R U S D O K U M E N

N o m o r : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

T a n g g a l : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

N a m a : N . P .W . P . :

A l a m a t : N o . P . K . P :

J e n is P a j a k : M s / T h n P a j a k :

T E M P A T P E L A Y A N A N T E R P A D U U r a ia n P r f / T g U r a ia n P r f / T g

U r a ia n P r f / T g D it e r u s k a n k e : P E N Y ID IK A N

S u r a t d i t e r im a : 1 S e k s i : . . . . . . . . . . . . . . . . 1 . d i b e r i t a h u k a n k e p e n u n t u t

u m u m

1 . l a n g s u n g . . . . . . . . 2 D it e r im a S e k s i . . . . . . . . 2 . P e n y i d i k a n

2 . m e la l u i p o s . . . . . . . . 3 S e le s a i d i p ro s e s . . . . . . . . 3 . S e le s a i d i s i d i k

4 . D i s a m p a i k a n k e p e n u n t u t u m u m

P E N E T A P A N

S E K S I T E R K A I T P E N G E L O L A A N 1 . S T P

U r a ia n P r f / T g S P T . T a h u n a n P P h / m a s a P P N 2 . S K P N

D it e r u s k a n k e : U r a ia n P r f / T g 3 . S K P K B

1 . S e k s i : . . . . . . . . . . P E N G O L A H A N S P T 4 . S K P K B T

2 . D i t e r im a S e k s i 1 . D i c a t a t p a d a 1 Q - 1 5 . S K P L B

3 . S e le s a i d i p r o s e s 2 . S e le s a i d i E d i t R E S T I T U S I

D it e r u s k a n k e : 3 . S e le s a i d i r e k a m 1 . S K P K P P

1 . S e k s i : . . . . . . . . . 4 . D i c a t a t p a d a 1 Q - 2 2 . S P M K P

2 . D i t e r im a S e k s i P E M E R I K S A A N P E N G A R S I P A N

3 . S e le s a i d i p r o s e s 6 . L e n g k a p 1 . D im a s u k k a n k e i n d u k b e r k a s

D it e r u s k a n k e : 7 . S e d e r h a n a 2 . D i t e r u s k a n k e : . . . . . . . . . . . .

1 . S e k s i : . . . . . . . 7 . 1 . L a p a n g a n 3 . D i t e r im a k e m b a l i

2 . D i t e r im a S e k s i 7 . 2 K a n t o r

3 . S e le s a i d i p r o s e s

D E P A R T E M E N K E U A N G A N R E P U B L I K IN D O N E S IA


K A N T O R W I L A Y A H

K A N T O R P E L A Y A N A N P A J A K

T e le p o n : F a c s im i le :

B U K T I P E N E R I M A A N S U R A T

N o m o r :

N a m a : N . P .W . P :

A l a m a t : N o . P . K . P :

J e n is P a j a k : M s / T h n P a j a k :

P e t u g a s p e n e r im a ,

N I P :

K P . P D IP . 3 .1 6 - 9 6




N O M O R : S E - 2 / P J / 2 0 1 1




K E M E N T E R I A N K E U A N G A N R E P U B L I K I N D O N E S I A


K A N T O R W I L A Y A H D J P . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

K A N T O R P E L A Y A N A N P A J A K . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

D A F T A R N O M I N A T I F P E N G I R I M A N S P T T A H U N A N / e - S P T T A H U N A N

K P P . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( K P P T u j u a n )

N o

N o m o r

T a n d a

T e r im a S P T

N P W P

N a m a

T a h u n

P a ja k

T a n g g a l

D i t e r im a

S P T

S t a t u s

( L B / K B /

N ih i l)

. . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . 2 0 . . . . . . .

K e p a l a S e k s i P e la y a n a n , K e p a l a K a n to r ,

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

N I P . N I P .




N O M O R : S E - 2 / P J / 2 0 1 1






K A N T O R W I L A Y A H D J P . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


J l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T e l p . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F a x .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

N o m o r : S - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

L a m p i ra n : . . . . . . . . . . . . ( . . . . . . . . . . . . . . )

H a l : P e n g i r im a n T a h u n a n / e - S P T T a h u n a n

Y t h . K e p a la K a n t o r P e la y a n a n P a j a k . . . . . . . . . . . . . . . . . . . . . . . . .

J l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

M e m p e r h a t i k a n P e r a tu r a n D i re k t u r J e n d e ra l P a j a k N o m o r P E R - 1 9 / P J / 2 0 0 9 t e n ta n g T a ta C a ra

P e n e r im a a n d a n P e n g o la h a n S u r a t P e m b e r i t a h u a n T a h u n a n s e b a g a im a n a t e la h d i u b a h d e n g a n P e ra t u ra n D i r e k t u r

J e n d e r a l P a ja k N o m o r P E R - 1 / P J / 2 0 1 0 , b e rs a m a i n i k a m i k i r im k a n S P T T a h u n a n d i w i la y a h k e r j a S a u d a r a y a n g k a m i

t e r im a m e l a l u i T P T / P o j o k P a ja k / M o b i l P a j a k / D r o p B o x d i w il a y a h k e r ja k a m i .

A d a p u n je n is b e rk a s y a n g k a m i k i r im k a n a d a l a h :

S P T L e b i h B a y a r : . . . . . . . . . . . . . . . . . . . . . . . . . . b u a h

S P T K u ra n g B a y a r : . . . . . . . . . . . . . . . . . . . . . . . . . . b u a h

S P T N i h i l : . . . . . . . . . . . . . . . . . . . . . . . . . . b u a h

T o ta l : . . . . . . . . . . . . . . . . . . . . . . . . . . b u a h

D e m ik i a n u n t u k m e n d a p a t p e r h a t i a n .

K e p a l a K a n to r ,

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

N I P .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


L A M P I R A N I I .6 . a


N O M O R : S E - 2 / P J / 2 0 1 1






K A N T O R W I L A Y A H . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


J l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T e l p . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F a x .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

N o m o r : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

L a m p i ra n :

H a l : P e rm in t a a n K e l e n g k a p a n

S P T T a h u n a n P P h O r a n g P r i b a d i ( 1 7 7 0 )

Y t h . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

D e n g a n i n i d i b e r i t a h u k a n b a h w a S P T T a h u n a n / e - S P T T a h u n a n P P h O ra n g P r i b a d i ( f o rm u l i r 1 7 7 0 ) y a n g k a m i t e r im a

p a d a t a n g g a l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . t e r n y a t a m a s i h h a r u s d i le n g k a p i d e n g a n :

1 . F o rm u l i r B a k u

a . 1 7 7 0 ( I n d u k S P T )

b . 1 7 7 0 - I h a l . 1

c . 1 7 7 0 - I h a l . 2

d . 1 7 7 0 - I I

e . 1 7 7 0 - I I I

f . 1 7 7 0 - I V

2 . L a m p i r a n g y a n g d is y a ra t k a n

a . S S P P a s a l 2 9 ;

b . N e r a c a d a n L a p o ra n R u g i L a b a ;

c . R e k a p it u l a s i p e r e d a r a n b r u t o d a n b ia y a b u la n a n ;

d . D a f t a r J u m la h P e n g h a s i l a n d a n P e m b a y a r a n P P h P a s a l 2 5 d a r i m a s i n g - m a s i n g t e m p a t u s a h a / g e r a i .

e . F o t o k o p i fo rm u l i r 1 7 2 1 - A 1 d a n / a ta u 1 7 2 1 A 2 a t a u b u k t i p e m o t o n g a n P P h P a s a l 2 1 la i n ;

f . S u r a t K u a s a K h u s u s ;

g . S u r a t k e t e ra n g a n k e m a t ia n ;

h . P e n g h it u n g a n a n g s u r a n P P h P a s a l 2 5 t a h u n b e r i k u t n y a ;

i . P e n g h it u n g a n K o m p e n s a s i K e r u g ia n ;

j .

P e n g h it u n g a n P a ja k P e n g h a s i la n t e r u t a n g b a g i W P k a w i n p is a h h a rt a a t a u s u a m i i s t r i y a n g m e m i l i h

k e w a j ib a n p e r p a j a k a n m a s i n g - m a s i n g ;

k .

B u k t i p e m o to n g a n / p e m u n g u t a n o le h p i h a k l a i n / D i t a n g g u n g P e m e r i n t a h d a n y a n g d i b a y a r/ d i

p o t o n g d i l u a r n e g e r i;

l . F o t o k o p i T a n d a B u k t i P e m b a y a ra n F is k a l L u a r N e g e r i ( T B P F L N )

3 . L a m p i r a n K h u s u s

L e m b a r " D a ta I d e n t i t a s W a j i b P a j a k " .


4 . L a in - l a in

a . N P W P d a n / a t a u N a m a W P t i d a k d i is i;

b . S P T t i d a k d it a n d a ta n g a n i ;

c . T a h u n P a j a k t i d a k d i is i;

d . S a l a h F o rm u l i r S P T ( J e n is / T a h u n F o rm u l i r ) ;

e . T i d a k a d a d a t a d i g i t a l d a l a m m e d i a e l e k t r o n ik ( u n t u k p e n y a m p a ia n m e l a l u i e - S P T ) .

S e h u b u n g a n d e n g a n h a l t e rs e b u t , S a u d a ra d im i n t a s e g e r a m e le n g k a p i n y a d a la m w a k t u 3 0 ( t i g a p u l u h ) h a r i s e ja k

t a n g g a l s u ra t i n i . A p a b i la S a u d a r a t i d a k m e n y a m p a i k a n k e l e n g k a p a n S P T d a l a m w a k t u s e b a g a im a n a t e r s e b u t d i

a t a s m a k a S P T T a h u n a n / e - S P T T a h u n a n P a j a k P e n g h a s i la n y a n g S a u d a r a s a m p a ik a n d i a n g g a p t i d a k d i s a m p a i k a n .


. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

N I P .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

D i p e n u h i W a j i b P a ja k p a d a t a n g g a l . . . . . . . . . . . . . . . . . . . .


L A M P I R A N I I .6 . b


N O M O R : S E - 2 / P J / 2 0 1 1






K A N T O R W I L A Y A H . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


J l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T e l p . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F a x .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

N o m o r : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

L a m p i ra n :


S P T T a h u n a n P P h O r a n g P r i b a d i ( 1 7 7 0 S )

Y t h . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

D e n g a n i n i d i b e r it a h u k a n b a h w a S P T T a h u n a n / e - S P T T a h u n a n P P h O ra n g P r ib a d i ( f o rm u li r 1 7 7 0 S ) y a n g k a m i

t e r im a p a d a t a n g g a l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . t e r n y a t a m a s i h h a r u s d i le n g k a p i d e n g a n :


a . 1 7 7 0 S ( I n d u k S P T )

b . 1 7 7 0 S - I

c . 1 7 7 0 S - I I

2 . L a m p i r a n y a n g d is y a ra t k a n

a . S S P P a s a l 2 9 ;

b . F o t o k o p i fo rm u l i r 1 7 2 1 - A 1 d a n / a ta u 1 7 2 1 A 2 a t a u b u k t i p e m o t o n g a n P P h P a s a l 2 1 la i n ;

c . S u r a t K u a s a K h u s u s ;

d . S u r a t k e t e ra n g a n k e m a t ia n ;

e . P e r h it u n g a n a n g s u r a n P P h P a s a l 2 5 t a h u n b e r ik u t n y a ;

f .

B u k t i p e m o to n g a n / p e m u n g u t a n o le h p i h a k la i n / D i t a n g g u n g P e m e r i n t a h d a n y a n g d i b a y a r/ d i

p o t o n g d i l u a r n e g e r i;

g . F o t o k o p i T a n d a B u k t i P e m b a y a ra n F is k a l L u a r N e g e r i ( T B P F L N )



4 . L a in - l a in






S e h u b u n g a n d e n g a n h a l t e rs e b u t , S a u d a ra d im i n ta s e g e ra m e l e n g k a p i n y a d a la m w a k t u 3 0 ( t i g a p u l u h ) h a r i s e ja k




. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

N I P .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


L A M P I R A N I I .6 . c


N O M O R : S E - 2 / P J / 2 0 1 1






K A N T O R W I L A Y A H . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


J l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T e l p . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F a x .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

N o m o r : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

L a m p i ra n :


S P T T a h u n a n P P h O r a n g P r i b a d i ( 1 7 7 0 S S )

Y t h . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

D e n g a n i n i d i b e r i t a h u k a n b a h w a S P T T a h u n a n / e - S P T T a h u n a n P P h O r a n g P r i b a d i ( f o rm u l i r 1 7 7 0 S S ) y a n g k a m i

t e r im a p a d a t a n g g a l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . t e r n y a t a m a s i h h a r u s d i le n g k a p i d e n g a n :


a . 1 7 7 0 S S ( I n d u k S P T )


a . F o t o k o p i fo rm u l i r 1 7 2 1 - A 1 d a n / a ta u 1 7 2 1 A 2 a t a u b u k t i p e m o t o n g a n P P h P a s a l 2 1 la i n ;

b . S u r a t K u a s a K h u s u s ;



4 . L a in - l a in










. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

N I P .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .



L A M P I R A N I I .6 . d


N O M O R : S E - 2 / P J / 2 0 1 1






K A N T O R W I L A Y A H . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


J l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T e l p . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F a x .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

N o m o r : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

L a m p i ra n :


S P T T a h u n a n P P h B a d a n ( 1 7 7 1 )

Y t h . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

D e n g a n i n i d i b e r i t a h u k a n b a h w a S P T T a h u n a n / e - S P T T a h u n a n P P h B a d a n ( f o rm u l i r 1 7 7 1 ) y a n g k a m i t e r im a p a d a

t a n g g a l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . t e r n y a t a m a s ih h a r u s d i le n g k a p i d e n g a n :


a . 1 7 7 1 ( I n d u k S P T )

b . 1 7 7 1 h a l 2

c . 1 7 7 1 - I

d . 1 7 7 1 - I I

e . 1 7 7 1 - I I I

f . 1 7 7 1 - I V

g . 1 7 7 1 - V

h . 1 7 7 1 - V I


a . S S P L e m b a r k e - 3 P P h P a s a l 2 9 ;

b . L a p o ra n K e u a n g a n a t a u L a p o ra n K e u a n g a n y a n g t e la h d i a u d it o le h A k u n ta n P u b l i k ;

c . S S P P P h P a s a l 2 6 a y a t ( 4 ) ;

d . S u r a t K u a s a K h u s u s ;


a . 1 A : D a ft a r P e n y u s u t a n d a n A m o r t i s a s i F is k a l;

b . 2 A : P e r h i t u n g a n K o m p e n s a s i K e r u g ia n F is k a l ;

c .

3 A , 3 A - 1 & A - 2 : P e n y a ta a n t r a n s a k s i d a la m h u b u n g a n is t im e w a d a n / a ta u t r a n s a k s i d e n g a n p i h a k

y a n g m e r u p a k a n p e n d u d u k n e g a ra T a x H a v e n C o u n t ry ;

d . 4 A : D a ft a r F a s i l it a s P e n a n a m a n M o d a l ;

e . 5 A : D a ft a r C a b a n g U t a m a P e r u s a h a a n ;

f . 6 A : P e r h i t u n g a n P P h P a s a l 2 6 a y a t ( 4 ) ;

g . 7 A : K r e d i t P a ja k L u a r N e g e r i ;

h . 8 A - 1 / 8 A - 2 / 8 A - 3 / 8 A - 5 / 8 A - 6 : T ra n s k i p k u t ip a n E le m e n - e le m e n d a r i L a p o ra n K e u a n g a n .


4 . L a in - l a in










. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

N I P .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .



L A M P I R A N

I I . 6 . e


N O M O R : S E - 2 / P J / 2 0 1 1






K A N T O R W I L A Y A H . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


J l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T e l p . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F a x .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

N o m o r : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

L a m p i ra n :


S P T T a h u n a n P P h B a d a n y a n g M e n g g u n a k a n

M a t a U a n g U S D o l la r ( 1 7 7 1 $ )

Y t h . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

D e n g a n i n i d i b e r i t a h u k a n b a h w a S P T T a h u n a n / e - S P T T a h u n a n P P h B a d a n ( f o rm u l i r 1 7 7 1 $ ) y a n g k a m i t e r im a p a d a

t a n g g a l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . t e r n y a t a m a s ih h a r u s d i le n g k a p i d e n g a n :


a . 1 7 7 1 ( I n d u k S P T )

b . 1 7 7 1 / $ h a l . 1

c . 1 7 7 1 - I / $

d . 1 7 7 1 - I I / $

e . 1 7 7 1 - I I I / $

f . 1 7 7 1 - I V / $

g . 1 7 7 1 - V / $

h . 1 7 7 1 - V I / $


a . S S P L e m b a r k e - 3 P P h P a s a l 2 9 ;

b . L a p o ra n K e u a n g a n a t a u L a p o ra n K e u a n g a n y a n g t e la h d i a u d it o le h A k u n ta n P u b l i k ;

c . S S P P P h P a s a l 2 6 a y a t ( 4 ) ;

d . S u r a t K u a s a K h u s u s ;


a . 1 B : D a ft a r P e n y u s u ta n d a n A m o rt i s a s i F i s k a l;

b . 2 B : P e r h i t u n g a n K o m p e n s a s i K e r u g i a n F is k a l;

c .

3 B , 3 B - 1 & B - 2 : P e n y a t a a n t r a n s a k s i d a l a m h u b u n g a n is t im e w a d a n / a ta u t r a n s a k s i d e n g a n p i h a k

y a n g m e r u p a k a n p e n d u d u k n e g a ra T a x H a v e n C o u n t ry ;

d . 4 B : D a ft a r F a s i li t a s P e n a n a m a n M o d a l ;

e . 5 B : D a ft a r C a b a n g U t a m a P e r u s a h a a n ;

f . 6 B : P e r h i t u n g a n P P h P a s a l 2 6 a y a t ( 4 ) ;

g . 7 B : K r e d i t P a ja k L u a r N e g e r i ;

h . 8 B - 1 / 8 B - 2 / 8 B - 3 / 8 B - 5 / 8 B - 6 : T ra n s k i p k u t ip a n E le m e n - e le m e n d a r i L a p o ra n K e u a n g a n .


4 . L a in - l a in










. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

N I P .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .





N O M O R : S E - 2 / P J / 2 0 1 1






K A N T O R W I L A Y A H . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


J l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T e l p . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F a x . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

N o m o r : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

L a m p i ra n :

H a l : P e m b e r i t a h u a n S P T D i a n g g a p T i d a k

D is a m p a ik a n

Y t h . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

M e n u n j u k s u ra t k a m i t e r d a h u l u :

N o m o r :

T a n g g a l :

H a l : P e rm in t a a n K e l e n g k a p a n S P T T a h u n a n

S a m p a i s a a t i n i k e le n g k a p a n S P T T a h u n a n / e - S P T T a h u n a n y a n g d i m i n ta b e l u m k a m i t e r im a .

B e r d a s a r k a n P a s a l 3 a y a t ( 7 ) d a n ( 7 a ) U n d a n g - U n d a n g N o m o r 6 T a h u n 1 9 8 3 t e n t a n g K e te n t u a n U m u m d a n T a t a

C a r a P e r p a ja k a n s e b a g a im a n a t e la h b e b e r a p a k a l i d i u b a h t e ra k h i r d e n g a n U n d a n g - U n d a n g N o m o r 1 6 T a h u n 2 0 0 9 ,

m a k a S P T T a h u n a n / e - S P T t a h u n a n B a d a n / O r a n g P r i b a d i* ) y a n g t e l a h S a u d a r a s a m p a ik a n p a d a t a n g g a l

. . . . . . . . . . . . . . . . . . . . . . . . . , k a m i a n g g a p t i d a k d is a m p a ik a n .

A t a s p e r h a t i a n n y a k a m i u c a p k a n t e r im a k a s i h .


. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

N I P .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

*) C o r e t y a n g t i d a k p e r l u




N O M O R : S E - 2 / P J / 2 0 1 1






K A N T O R W I L A Y A H D J P . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


D A F T A R N O M I N A T I F S P T L E N G K A P

N o

N o m o r

T a n d a

T e r im a S P T

N P W P

N a m a

T a h u n

P a ja k

T a n g g a l

D it e r im a

S P T

S t a t u s

( L B / K B /

N i h i l )

. . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . 2 0 . . . . . . .

P e t u g a s T P T , P e n e l i t i ,

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

N I P . N I P .




N O M O R : S E - 2 / P J / 2 0 1 1








D A F T A R N O M I N A T I F S P T T I D A K L E N G K A P

N o

N o m o r

T a n d a

T e r im a S P T

N P W P

N a m a

T a h u n

P a ja k

T a n g g a l

D i t e r im a

S P T

S t a t u s

( L B / K B /

N ih i l)

. . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . 2 0 . . . . . . .

A c c o u n t R e p re s e n t a t i v e , P e n e l i t i ,

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

N I P . N I P .


L A M P I R A N I I .1 0 . a


N O M O R : S E - 2 / P J / 2 0 1 1




L E M B A R P E N E L I T I A N K E T I D A K L E N G K A P A N S P T T A H U N A N W P O R A N G P R I B A D I

F O R M U L I R D A N L A M P I R A N Y A N G T I D A K L E N G K A P

B e r i la h t a n d a s i la n g ( X ) p a d a k o ta k y a n g s e s u a i .

P e n e l i t i ,

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

N I P


L A M P IR A N I I .1 0 . b


N O M O R : S E - 2 / P J / 2 0 1 1




L E M B A R P E N E L I T I A N K E T I D A K L E N G K A P A N S P T T A H U N A N W P B A D A N

F O R M U L I R D A N L A M P I R A N Y A N G T I D A K L E N G K A P

B e r i la h t a n d a s i la n g ( X ) p a d a k o ta k y a n g s e s u a i .

P e n e l i t i ,

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

N I P


L A M P I R A N I I .1 1


N O M O R : S E - 2 / P J / 2 0 1 1








D A F T A R N O M I N A T I F S P T Y A N G D I A N G G A P T I D A K D I S A M P A I K A N

N o

N o m o r

T a n d a

T e r im a

S P T

N P W P

N a m a

T a h u n

P a ja k

T a n g g a l

D i t e r im a

S P T

S t a t u s

( L B / K B /

N ih i l)

. . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . 2 0 . . . . . . .

P e la k s a n a S e k s i P D I , A c c o u n t R e p re s e n t a t i v e ,

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

N I P . N I P .


L A M P I R A N I I .1 2


N O M O R : S E - 2 / P J / 2 0 1 1








D A F T A R N O M I N A T I F P E N G I R I M A N S P T W A J I B P A J A K S E N D I R I

N o

N o m o r

T a n d a

T e r im a

S P T

N P W P

N a m a

T a h u n

P a ja k

T a n g g a l

D i t e r im a

S P T

S t a t u s

( L B / K B /

N ih i l)

. . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . 2 0 . . . . . . .

P e n e l i t i K e le n g k a p a n S P T , P e t u g a s P e r e k a m a n

T a n d a T e r im a S P T ,

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

N I P . N I P .


L A M P I R A N I I I


N O M O R : S E - 2 / P J / 2 0 1 1




T A T A C A R A P E R E K A M A N S P T T A H U N A N

( D A L A M B E N T U K K E R T A S )

1 . S e b e l u m m e l a k u k a n p e re k a m a n , P e l a k s a n a S e k s i P e n g o la h a n D a t a d a n I n f o rm a s i h a r u s m e m b u a t T ra n s i k r ip

K u t i p a n E le m e n - E l e m e n d a r i L a p o ra n K e u a n g a n W a j i b P a ja k O r a n g P r i b a d i d e n g a n f o rm a t s e b a g a im a n a t e r d a p a t

p a d a L a m p i ra n I I .1

( S P T T a h u n a n P P h W a ji b P a ja k B a d a n T a h u n P a j a k 2 0 0 9 t i d a k p e r l u d ib u a tk a n T r a n s k ip K u t i p a n E l e m e n - E l e m e n

d a r i L a p o r a n K e u a n g a n k a r e n a W a j ib P a j a k B a d a n w a ji b m e m b u a t n y a s e n d i r i ) .

2 . T r a n s k r i p K u t i p a n E le m e n - e l e m e n d a r i L a p o r a n K e u a n g a n W a j i b P a ja k h a n y a d i b u a t u n t u k S P T T a h u n a n y a n g

w a j i b m e la m p i rk a n L a p o r a n K e u a n g a n .

3 . S e te l a h S P T T a h u n a n b e s e r t a R e g i s t e r H a r i a n d it e r im a d a n d i c o c o k k a n , P e la k s a n a S e k s i P D I m e m b u a t T r a n s k r i p

K u t i p a n E le m e n - e l e m e n d a r i L a p o ra n K e u a n g a n W a j i b P a ja k d e n g a n c a ra m e n g u t i p d a t a d a r i N e ra c a d a n

L a p o ra n L a b a / R u g i k e T r a n s k ip K u t i p a n E l e m e n - e l e m e n d a r i L a p o r a n K e u a n g a n W a ji b P a ja k s e s u a i d e n g a n

p e n g e l o m p o k a n y a n g t e l a h d i t e n t u k a n d a l a m fo rm u l i r t e r s e b u t t a n p a m e n g u b a h n i la i y a n g d i la p o rk a n W a j i b

P a ja k .

4 . P e la k s a n a S e k s i P D I m e r e k a m e l e m e n - e le m e n S P T s e s u a i d e n g a n m e n u p e r e k a m a n S P T T a h u n a n P a j a k

P e n g h a s i l a n s e b a g a im a n a d i a t u r p a d a :

a . L a m p i ra n I I I .2 u n t u k S P T P P h W P O ra n g P r ib a d i fo rm u l i r 1 7 7 0

b . L a m p i ra n I I I .3 u n t u k S P T P P h W P O ra n g P r ib a d i fo rm u l i r 1 7 7 0 S

c . L a m p i ra n I I I .4 u n t u k S P T P P h W P o r a n g P r i b a d i f o rm u l i r 1 7 7 0 S S

d . L a m p i ra n I I I .5 u n t u k S P T P P h W P B a d a n f o rm u l i r 1 7 7 1

e . L a m p i ra n I I I .6 u n t u k S P T P P h W P B a d a n f o rm u l i r 1 7 7 1 $

f . L a m p i ra n I I I .7 P e t u n j u k P e r e k a m a n S P T T a h u n a n p a d a T e m p a t P e l a y a n a n T e r p a d u

g . L a m p i ra n I I I .8 L e m b a r P e n e l i t i a n d e n g a n k o m p u t e r .


L A M P I R A N I I I .1


N O M O R : S E - 2 / P J / 2 0 1 1




T R A N S K R I P

K U T I P A N E L E M E N - E L E M E N D A R I

L A P O R A N K E U A N G A N W A J I B P A J A K O R A N G P R I B A D I

N P W P :

N A M A W A J I B P A J A K : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

T A H U N P A J A K : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

I . E L E M E N D A R I N E R A C A

1 P I U T A N G U S A H A 5 U T A N G J A N G K A P E N D E K

2 A K T I V A L A N C A R S E L A I N

P I U T A N G U S A H A

6 U T A N G J A N G K A P A N J A N G

3 A K T I V A T E T A P 7 M O D A L

4 A K T I V A L A I N N Y A 8 L A B A A T A U R U G I T A H U N

B E R J A L A N

J U M L A H J U M L A H

I I . E L E M E N D A R I L A P O R A N R U G I / L A B A

1 . P E R E D A R A N U S A H A

2 . P E R S E D I A A N A W A L

3 . P E M B E L I A N / P R O D U K S I

4 . P E R S E D I A A N A K H I R

5 . H A R G A P O K O K P E N J U A L A N

6 . L A B A B R U T O U S A H A

7 . P E N G H A S I L A N D I L U A R U S A H A

8 . B I A Y A O P E R A S IO N A L

A . G A J I , U P A H D S B

B . P E N Y U S U T A N

C . A M O R T IS A S I

D . B U N G A

E . S E W A

F . R O Y A L T I

G . K E R U G I A N S E L IS I H K U R S

H . L A I N - L A I N

J U M L A H O P E R A S IO N A L

9 . L A B A A T A U R U G I T A H U N B E R J A L A N

T R A N S K I P P A D A T A N G G A L N A M A T A N D A T A N G A N

D I B U A T

D I R E K A M

D I T E L A A H

D . 1 .1 .2 2 . 0 1


P E T U N J U K P E N G I S I A N

T R A N S K R I P K U T I P A N E L E M E N - E L E M E N D A R I

L A P O R A N K E U A N G A N W A J I B P A J A K O R A N G P R I B A D I

I E L E M E N N E R A C A

1 . P i u t a n g u s a h a , d i is i s e b e s a r j u m l a h k o to r t a g i h a n d ik u r a n g i d e n g a n t a k s i r a n j u m la h y a n g t i d a k d a p a t

d i t a g ih . J u m l a h k o t o r p i u t a n g h a r u s t e t a p d is a j ik a n p a d a n e r a c a d i ik u t i d e n g a n p e n y is i h a n u n t u k p i u t a n g

y a n g d i r a g u k a n a t a u t a k s i ra n j u m la h y a n g t i d a k d a p a t d i t a g i h .

2 . A k t iv a la n c a r s e la i n p i u t a n g u s a h a , d i i s i d e n g a n p e n j u m la h a n d a r i p o s - p o s n e r a c a a n t a ra la i n k a s , b a k ,

s u r a t - s u r a t b e r h a r g a , d e p o s it o ja n g k a p e n d e k , p e rs e d i a a n , p e m b a y a ra n u a n g m u k a , p e m b a y a r a n p a j a k d i

m u k a , p i u t a n g l a i n - la i n , b i a y a d i b a y a r d i m u k a , p e m b a y a r a n p a ja k d i m u k a .

3 . A k t iv a t e t a p , d i is i d e n g a n p e n j u m la h a n s e l u r u h p o s a k t iv a t e t a p d ik u r a n g i d e n g a n p e n y u s u ta n ( n i la i b u k u

a k t i v a ) .

4 . A k t iv a l a i n n y a , d ii s i d e n g a n p e n j u m l a h a n d a r i p o s - p o s y a n g t i d a k t e rm a s u k d a la m k e lo m p o k a k t i v a l a n c a r

d a n a k t iv a t e t a p , m is a l n y a p e n a n a m a n d a l a m s u ra t b e r h a rg a , g o o d w i l l , k e r u g ia n k u r s y a n g d i t a n g g u h k a n ,

s e l is i h p e n i l a ia n a k t i v a t e t a p , d is a g io s a h a m , p i u t a n g t i d a k l a n c a r , p i u t a n g k e p a d a p e m e g a n g s a h a m , u a n g

m u k a p a d a c a b a n g , d a n h a r t a d a l a m d a n a k h u s u s .

5 . U ta n g ja n g k a p e n d e k , d i is i d e n g a n p e n j u m l a h a n p o s - p o s u t a n g y a n g a k a n d i l u n a s i d a l a m w a k t u 1 ( s a t u )

t a h u n / 1 ( s a t u ) s ik l u s o p e r a s i n o rm a l , m i s a l n y a p i n j a m a n b a n k , u t a n g u s a h a / u t a n g d a g a n g d a n b i a y a

y a n g m a s i h h a r u s d i b a y a r , u a n g m u k a p e n j u a la n , u t a n g p a ja k , u t a n g d e v i d e n , p e n d a p a ta n y a n g

d i t a n g g u h k a n , k e w a j i b a n k o n t i n je n , u t a n g a f i l ia s i , p i n j a m a n y a n g a k a n ja t u h t e m p o d a l a m t a h u n y a n g

b e r s a n g k u ta n , d a n s e b a g a i n y a .

6 . U ta n g ja n g k a p a n ja n g , d i is i d e n g a n p e n j u m la h a n d a r i p o s - p o s u t a n g y a n g ja t u h t e m p o n y a t i d a k d a l a m

t a h u n y a n g b e r s a n g k u ta n , m is a ln y a u t a n g o b l i g a s i , w e s e l b a y a r , p a ja k p e n g h a s i la n y a n g d i t a n g g u h k a n ,

k e w a j ib a n le a s e , k e w a j i b a n p e n s i u n , u t a n g k e p a d a p i h a k k e t i g a l a i n n y a , d a n s e b a g a i n y a .

7 . M o d a l , d ii s i d e n g a n p e n j u m la h a n d a r i p o s m o d a l a t a u y a n g d is a m a k a n d e n g a n m o d a l , a n ta r a la i n m o d a l

d i s e t o r , a g i o s a h a m , la b a a t a u r u g i s a m p a i d e n g a n t a h u n l a l u , d a n s e b a g a i n y a .

8 . R u g i a t a u l a b a t a h u n b e r j a la n , d i i s i d e n g a n j u m la h r u g i a t a u la b a u n t u k t a h u n y a n g b e rs a n g k u t a n . D a l a m

h a l l a b a d is a j i k a n o l e h W a j i b P a ja k p a d a s e b e la h k re d it m a k a l a b a t e rs e b u t d ip i s a h k a n d e n g a n p o s m o d a l .

D a l a m h a l r u g i d i s a j ik a n o l e h W a j i b P a ja k p a d a s e b e l a h d e b e t , m a k a a n g k a n y a d ia l i h k a n k e d a la m t ra n s k r i p

i n i d i s e b e l a h k a n a n d a n m e n g u r a n g i p o s m o d a l .

I I . E L E M E N L A P O R A N R U G I L A B A

1 . P e re d a ra n U s a h a , d i i s i d e n g a n p e n j u m l a h a n d a r i s e l u r u h s u m b e r p e n g h a s i l a n u s a h a W a j i b P a ja k , b a i k y a n g

b e r a s a l d a r i p e r e d a r a u s a h a , j a s a , d a g a n g , i n d u s t r i , m a u p u n p e re d a r a n u s a h a l a i n n y a . B a g i W a j i b P a ja k

O r a n g P r i b a d i y a n g w a j i b m e n y e le n g g a r a k a n p e m b u k u a n , d i is i d e n g a n j u m la h p e n g h a s i la n u n tu k t a h u n

y a n g b e rs a n g k u ta n .

2 . P e rs e d ia a n A w a l , b a g i W a j ib P a ja k y a n g b i d a n g u s a h a n y a i n d u s t r i d i i s i d e n g a n j u m l a h s e l u r u h p e r s e d ia a n

b a r a n g ja d i p a d a a w a l t a h u n y a n g b e r s a n g k u ta n . S e d a n g k a n b a g i W a ji b P a j a k y a n g b e r g e r a k d a l a m b id a n g

u s a h a p e r d a g a n g a n , d i is i d e n g a n j u m la h s e l u r u h j e n is p e rs e d ia a n b a ra n g d a g a n g a n p a d a a w a l t a h u n y a n g

b e r s a n g k u ta n .

3 . P e m b e l ia n / P r o d u k s i , b a g i W a j i b P a ja k y a n g b e r g e r a k d a l a m b i d a n g u s a h a p e r d a g a n g a n , d i i s i d e n g a n

p e n j u m la h a n s e l u r u h p e m b e li a n b a r a n g d a g a n g a n s e l a m a t a h u n y a n g b e r s a n g k u ta n . S e d a n g k a n b a g i W a j i b

P a ja k y a n g b i d a n g u s a h a n y a i n d u s t r i d ii s i d e n g a n h a r g a p o k o k p ro d u k s i .

4 . P e rs e d ia a n A k h i r , b a g i W a j i b P a j a k y a n g b i d a n g u s a h a n y a i n d u s t r i d i is i d e n g a n p e n j u m l a h a n s e l u r u h je n i s

p e r s e d ia a n b a r a n g j a d i , p a d a a k h i r t a h u n y a n g b e r s a n g k u ta n . S e d a n g k a n b a g i W a j i b P a ja k y a n g b e r g e ra k

d a l a m b i d a n g u s a h a p e r d a g a n g a n d i i s i d e n g a n p e n j u m l a h a n s e l u r u h p e r s e d ia a n b a ra n g d a g a n g a n p a d a

a k h i r t a h u n y a n g b e rs a n g k u t a n .

5 . H a r g a P o k o k P e n j u a l a n , d i i s i d e n g a n p e r h i t u n g a n s e b a g a i b e r i k u t :

a . B a g i W a j i b P a j a k y a n g b e r g e r a k d a la m b i d a n g u s a h a i n d u s t r i , f o rm u l a s i n y a a d a l a h s e b a g a i

b e r i k u t :

P e rs e d i a a n a w a l b a ra n g d a g a n g a n + H a r g a P o k o k P ro d u k s i - P e rs e d ia a n a k h i r b a r a n g

d a g a n g a n .

b . B a g i W a j i b P a ja k y a n g b e r g e r a k d a l a m b i d a n g u s a h a p e r d a g a n g a n , f o rm u la s i n y a a d a la h s e b a g a i

b e r i k u t :

P e rs e d i a a n a w a l b a r a n g j a d i + P e m b e l ia n - P e rs e d i a a n a k h i r b a r a n g j a d i .

c . B a g i W a j ib P a ja k y a n g b e r g e ra k d a l a m b id a n g u s a h a j a s a d a n l a in n y a , t i d a k a d a u n s u r h a r g a p o k o k

p e n j u a l a n .

6 . L a b a B r u t o U s a h a , d i is i d e n g a n p e r e d a r a n u s a h a d ik u ra n g i d e n g a n h a r g a p o k o k , y a n g d i fo rm u l a s ik a n

s e b a g a i b e r ik u t :

P e re d a ra n U s a h a - H a r g a P o k o k P e n ju a la n = L a b a B ru t o U s a h a

7 . P e n g h a s i l a n D i L u a r u s a h a , d i i s i d e n g a n p e n j u m l a h a n s e l u r u h s u m b e r p e n g h a s i l a n y a n g b e r a s a l d a r i l u a r

u s a h a , m is a l n y a b u n g a , d e v i d e n , r o y a l t i , s e w a , k e u n t u n g a n d a r i p e n j u m la h a n h a r t a , d a n s e b a g a i n y a .

8 . B i a y a O p e r a s i o n a l , d i is i d e n g a n j u m l a h b i a y a y a n g t e l a h d i k e l o m p o k k a n s e b a g a im a n a t e rc a n t u m d a l a m

h u r u f A s . d . H . T e r h a d a p je n is b ia y a la i n n y a y a n g t id a k d a p a t d ik e lo m p o k k a n k e d a l a m k e l o m p o k A s . d . G

a k a n d i t a m p u n g d a la m k e lo m p o k H .

9 . L a b a a t a u R u g i T a h u n B e r ja l a n , d i is i d e n g a n h a s i l p e n j u m la h a n a n ta r a la b a b r u to u s a h a ( a n g k a 6 )

d i t a m b a h p e n g h a s i l a n d i l u a r u s a h a ( a n g k a 7 ) d ik u r a n g i d e n g a n b ia y a o p e ra s i o n a l ( a n g k a 8 ) , d e n g a n

f o rm u l a s i s e b a g a i b e r ik u t :

L a b a B ru t o U s a h a + P e n g h a s i la n D i L u a r U s a h a - B ia y a O p e ra s io n a l = L a b a a t a u R u g i T a h u n

B e r ja l a n

C A T A T A N P E N T I N G

1 . L a p o ra n g k e u a n g a n y a n g d i i n t e r p re s t a s ik a n k e d a l a m t ra n s k r i p a d a l a h L a p o r a n K e u a n g a n y a n g d i l a m p i r k a n

o l e h W a j i b P a ja k .

2 . T r a n s k i p d i b u a t o le h P e la k s a n a p a d a S e k s i P e n g o la h a n D a ta d a n I n f o rm a s i .

3 . T r a n s k i p h a r u s d i t a n d a ta n g a n i o le h p e t u g a s y a n g m e m b u a t t r a n s k r i p , p e t u g a s y a n g m e r e k a m d a n d i t e l a a h

o l e h K e p a l a S e k s i P e n g o la h a n D a ta d a n I n f o rm a s i .

4 . S e m u a e le m e n b e r i s i j u m l a h R u p i a h p e n u h t a n p a s e n .




N O M O R : S E - 2 / P J / 2 0 1 1




P E T U N J U K P E R E K A M A N S P T T A H U N A N P P h W P O R A N G P R I B A D I

N O N A M A E L E M E N S U M B E R K E T E R A N G A N

S P T T A H U N A N P P h W A J I B P A J A K

O R A N G P R I B A D I

I N D U K S P T

F O R M U L I R 1 7 7 0

1 . T A H U N P A J A K P a d a k o t a k s u d u t

k a n a n a t a s

T T T T

2 . T A H U N B U K U P a d a k o t a k s u d u t

k a n a n a t a s

B B - T T s . d .B B - T T

3 . N O R M A / P E M B U K U A N P a d a k o t a k s u d u t

k a n a n a t a s

1 : N o rm a

2 : P e m b u k u a n

4 . P E M B E T U L A N K E - . . . P a d a k o t a k s u d u t

k a n a n a t a s

m i n im a l 0

I D E N T I T A S

5 . N P W P P a d a k o lo m b a g ia n

a t a s

9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

6 . N A M A W P , J E N IS U S A H A / P E K E R J A A N B E B A S , N O .

T E L E P O N / F A K S IM I L I D A N P E R U B A H A N D A T A

D ia m b i l d a r i d a t a

M a s t e r F i le W P

B e r d a s a r k a n N P W P

A . P E N G H A S I L A N N E T O K O L O M A .

7 . P E N G H A S I L A N N E T O D A L A M N E G E R I D A R I U S A H A

D A N / A T A U P E K E R J A A N B E B A S

K o l o m A .1 . M i n im a l 0

8 . P E N G H A S I L A N N E T O D A L A M N E G E R I

S E H U B U N G A N D E N G A N P E K E R J A A N


9 . P E N G H A S I L A N N E T O D A L A M N E G E R I L A I N N Y A K o l o m A .3 . M i n im a l 0

1 0 . P E N G H A S I L A N N E T O L U A R N E G E R I K o l o m A .4 . M i n im a l 0

1 1 . J U M L A H P E N G H A S I L A N N E T O K o l o m A .5 . M i n im a l 0 ,

( A .1 . + A .2 . + A .3 . + A .4 .)

1 2 . Z A K A T / S U M B A N G A N K E A G A M A A N Y A N G

S I F A T N Y A W A J I B


1 3 . J U M L A H P E N G H A S I L A N N E T O S E T E L A H

P E N G U R A N G A N Z A K A T / S U M B A N G A N K E A G A M A A N

Y A N G S IF A T N Y A W A J I B

K o l o m A .7 . M i n im a l 0 ,

( A .5 . - A . 6 .)

1 4 . B . P E N G H A S I L A N K E N A P A J A K K O L O M B .

1 5 . K O M P E N S A S I K E R U G I A N K o l o m B . 8 . M i n im a l 0

T i d a k b o l e h l e b i h b e s a r d a r i K o l o m

A . 7 .


K O M P E N S A S I K E R U G I A N

K o l o m B . 9 . M i n im a l 0 ,

( A .7 . - A .8 .)

1 7 . P E N G H A S I L A N T ID A K K E N A P A J A K K o l o m B . 1 0 . D i is i j u m l a h t a n g g u n g a n p a d a :

T K = t i d a k k a w in ,

K = k a w i n

K / I = k a w i n i s t r i

b e r p e n g h a s i la n ,

P H = k a w i n p is a h h a r t a

d a n p e n g h a s i la n ,

H B = k a w i n , h i d u p

b e r p is a h

1 8 . P E N G H A S I L A N T ID A K K E N A P A J A K K o l o m B . 1 0 . M i n im a l 0 , s e s u a i d e n g a n

p e r h i t u n g a n P T K P

1 9 . P E N G H A S I L A N K E N A P A J A K K o l o m B . 1 1 . M i n im a l 0 , ( B .9 - B .1 0 )

C . P P h T E R U T A N G K O L O M C .

2 0 . P P h T E R U T A N G K o l o m C .1 2 M i n im a l 0 ,

( T a r i f P s . 1 7 X B .1 1 )

2 1 . P E N G E M B A L I A N / P E N G U R A N G A N P P h P A S A L 2 4

Y A N G T E L A H D IK R E D I T K A N

K o l o m C . 1 3 . M i n im a l 0

2 2 . J U M L A H P P h Y A N G T E R U T A N G K o l o m C .1 4 . M i n im a l 0 ,

( C .1 2 . + C .1 3 . )

D . K R E D I T P A J A K K O L O M D

2 3 . P P h Y A N G D IP O T O N G / D I P U N G U T O L E H P I H A K

L A I N , P P h Y A N G D I B A Y A R / D IP O T O N G D I L U A R

N E G E R I D A N P P h D I T A N G G U N G P E M E R I N T A H

K o l o m D .1 5 M i n im a l 0

2 4 . P P h Y A N G H A R U S D IB A Y A R S E N D I R I A T A U P P h

Y A N G L E B I H D IP O T O N G / D I P U N G U T

K o l o m D .1 6 M i n im a l 0 ,

( C .1 4 - D .1 5 ) a t a u ( D .1 5 - C .1 4 )

2 5 . K O D E P P h Y A N G H A R U S D I B A Y A R S E N D I R I A T A U

P P h Y A N G L E B I H D I P O T O N G / D I P U N G U T

K o l o m D .1 6 . O to m a t is b e rd a s a rk a n p e r h it u n g a n

K B , L B , N

P P H Y A N G D I B A Y A R S E N D I R I K o l o m D .1 7 .


2 6 . P P h P A S A L 2 5 a y a t ( 1 ) B U L A N A N K o l o m D .1 7 .a . M i n im a l 0

2 7 . S T P P P h P A S A L 2 5 ( H A N Y A P O K O K P A J A K ) K o l o m D .1 7 . b . M i n im a l 0

2 8 . F I S K A L L U A R N E G E R I K o l o m D .1 7 .c M i n im a l 0

2 9 . J U M L A H K R E D I T P A J A K J u m l a h K o lo m

D .1 8 .

M i n im a l 0 ,

( D .1 7 . a . + D .1 7 . b . + D .1 7 .c . )

E . P P h K U R A N G / L E B I H D I B A Y A R K O L O M E

3 0 . P P h Y A N G K U R A N G D I B A Y A R ( P P h P A S A L 2 9 )

a t a u P P h Y A N G L E B I H D I B A Y A R ( P P h P A S A L 2 8 A )

K o l o m E . 1 9 . M i n im a l 0 ,

( J u m l a h k o l o m D .1 6 - D .1 8 ) a t a u

( J u m l a h k o lo m D .1 8 - D .1 6 )

3 1 . K O D E P P h Y A N G K U R A N G D I B A Y A R ( P P h P A S A L

2 9 ) a t a u P P h Y A N G L E B IH D IB A Y A R ( P P h P A S A L

2 8 A )

K o l o m E .1 9 .

( K O T A K )

O to m a t is b e r d a s a rk a n p e r h i t u n g a n

3 2 . T A N G G A L P P h K U R A N G D IB A Y A R K o l o m E .1 9 .

( d a r i S S P P P h

P A S A L 2 9 )

D a te , d a r i S S P P P h P a s a l 2 9 j i k a K B

3 3 . J U M L A H P P h K U R A N G D I B A Y A R K o l o m E .1 9 .


P A S A L 2 9 )

M i n im a l 0 , d a r i S S P P P h P a s a l 2 9 ,

j i k a K B

3 4 . P E R M O H O N A N : P P h Y A N G L E B I H D I B A Y A R P A D A

A N G K A 1 9 . b M O H O N :

K o l o m E .2 0 . A p a b i la L B d i i s i :

d i r e s t i t u s ik a n = 1

d i p e r h it u n g k a n d e n g a n u t a n g p a ja k

= 2

D ik e m b a li k a n d e n g a n S K P P P a s a l 1 7

C ( W P P a t u h ) = 3 D ik e m b a l ik a n

d e n g a n S K P P P a s a l 1 7 D ( W P

T e r t e n t u ) = 4

F . A N G S U R A N P P h P A S A L 2 5 T A H U N P A J A K

B E R I K U T N Y A

K O L O M F .

3 5 . A N G S U R A N P P h P A S A L 2 5 T A H U N P A J A K

B E R I K U T N Y A

K o l o m F . M i n im a l 0

3 6 . K O D E A N G S U R A N P P h P A S A L 2 5 T A H U N P A J A K

B E R I K U T

K o l o m F . D i is i :

1 = 1 / 1 2 J U M L A H P A D A A N G K A

1 6 . a .

2 = P E N G H I T U N G A N D A L A M

L A M P I R A N T E R S E N D I R I

G . L A M P I R A N K O L O M G .

3 7 . L A M P I R A N K o l o m G . D i is i :

1 = l e n g k a p

0 = t i d a k le n g k a p

P E N G H I T U N G A N P E N G H A S I L A N N E T O

D A L A M N E G E R I D A R I U S A H A D A N / A T A U

P E K E R J A A N B E B A S B A G I W A J I B P A J A K

Y A N G M E N G G U N A K A N P E M B U K U A N

L A M P I R A N - I

F O R M U L I R 1 7 7 0 -

I

B A G I A N A . P E N G H A S I L A N N E T O D A L A M

N E G E R I D A R I U S A H A D A N / A T A U P E K E R J A A N

B E B A S ( B A G I W A J I B P A J A K Y A N G

M E N G G U N A K A N P E M B U K U A N )

B A G I A N A .

3 8 . D I A U D I T A K U N T A N P U B L I K : . . . . ( K O D E ) D i is i :

1 = d i a u d i t

0 = t i d a k d i a u d it

3 9 . D I A U D I T A K U N T A N P U B L I K : . . . . ( N A M A A K U N T A N P U B L I K ) K a r a k te r

4 0 . O P IN I A K U N T A N P U B L I K D i is i :

1 = w a ja r t a n p a p e n g e c u a li a n

2 = w a ja r d e n g a n p e n g e c u a l ia n

3 = t i d a k w a ja r

4 = t i d a k a d a o p i n i

N A M A D A N N P W P A K U N T A N P U B L I K , N A M A

D A N N P W P K A N T O R A K U N T A N P U B L I K ,

N A M A D A N N P W P K O N S U L T A N P A J A K S E R T A

N A M A D A N N P W P K A N T O R K O N S U L T A N

P A J A K

1 . P E N G H A S I L A N D A R I U S A H A D A N / A T A U

P E K E R J A A N B E B A S B E R D A S A R K A N

L A P O R A N K E U A N G A N K O M E R S I A L

4 1 . P E R E D A R A N U S A H A K o l o m 1 .a . M i n im a l 0

4 2 . H A R G A P O K O K P E N J U A L A N K o l o m 1 . b . M i n im a l 0

4 3 . L A B A / R U G I B R U T O U S A H A K o l o m 1 .c . A l l v a l u e , ( 1 . a . - 1 . b . )

4 4 . B I A Y A U S A H A K o l o m 1 . d . M i n im a l 0

4 5 . P E N G H A S I L A N N E T O ( c - d ) K o l o m 1 .e . A l l v a l u e , ( 1 . c . - 1 . d . )


2 . P E N Y E S U A I A N F I S K A L P O S I T I F

4 6 . B I A Y A Y A N G D I B E B A N K A N / D I K E L U A R K A N

U N T U K K E P E N T I N G A N P R IB A D I W A J I B P A J A K

A T A U O R A N G Y A N G M E N J A D I T A N G G U N G A N N Y A

K o l o m 2 .a . M i n im a l 0

4 7 . P R E M I A S U R A N S I K E S E H A T A N , A S U R A N S I

K E C E L A K A A N , A S U R A N S I J IW A , A S U R A N S I

D W IG U N A , D A N A S U R A N S I B E A S I S W A , Y A N G

D I B A Y A R O L E H W A J I B P A J A K

K o l o m 2 . b . M i n im a l 0

4 8 . P E N G G A N T I A N A T A U I M B A L A N S E H U B U N G A N

D E N G A N P E K E R J A A N A T A U J A S A Y A N G

D I B E R I K A N D A L A M B E N T U K N A T U R A A T A U

K E N I K M A T A N

K o l o m 2 .c . M i n im a l 0

4 9 . J U M L A H Y A N G M E L E B IH I K E W A J A R A N Y A N G

D I B A Y A R K A N K E P A D A P I H A K Y A N G M E M P U N Y A I

H U B U N G A N I S T IM E W A S E H U B U N G A N D E N G A N

P E K E R J A A N Y A N G D I L A K U K A N

K o l o m 2 . d . M i n im a l 0

5 0 . H A R T A Y A N G D I H IB A H K A N , B A N T U A N A T A U

S U M B A N G A N

K o l o m 2 .e . M i n im a l 0

5 1 . P A J A K P E N G H A S I L A N K o l o m 2 . f . M i n im a l 0

5 2 . G A J I Y A N G D IB A Y A R K E P A D A P E M I L IK / O R A N G

Y A N G M E N J A D I T A N G G U N G A N N N Y A

K o l o m 2 . g . M i n im a l 0

5 3 . S A N K S I A D M IN I S T R A S I K o l o m 2 . h . M i n im a l 0

5 4 . S E L I S I H P E N Y U S U T A N K O M E R S I A L D I A T A S

P E N Y U S U T A N F I S K A L

K o l o m 2 . i . M i n im a l 0

5 5 . B I A Y A U N T U K M E N D A P A T K A N , M E N A G I H D A N

M E M E L IH A R A P E N G H A S I L A N Y A N G D I K E N A K A N

P P h F IN A L D A N P E N G H A S I L A N Y A N G T ID A K

T E R M A S U K O B J E K P A J A K

K o l o m 2 . j . M i n im a l 0

5 6 . P E N Y E S U A I F IS K A L P O S I T IF L A I N N Y A K o l o m 2 .k . M i n im a l 0

5 7 . J U M L A H a . s . d . k K o l o m 2 . l . j u m la h

a . s . d . k .

M i n im a l 0

3 . P E N Y E S U A I F I S K A L N E G A T I F

5 8 . P E N G H A S I L A N Y A N G D I K E N A K A N P P h F I N A L

D A N P E N G H A S I L A N Y A N G T ID A K T E R M A S U K

O B J E K P A J A K T E T A P I T E R M A S U K D A L A M

P E R E D A R A N U S A H A

K o l o m 3 .a . M i n im a l 0

5 9 . S E L I S I H P E N Y U S U T A N / A M O R T I S A S I K O M E R S IA L

D I B A W A H P E N Y U S U T A N A M O R T I S A S I F I S K A L

K o l o m 3 . b M i n im a l 0

6 0 . P E N Y E S U A I A N F IS K A L N E G A T IF L A N N Y A K o l o m 3 .c . M i n im a l 0

6 1 . J U M L A H a . s . d . c . K o l o m 1 J u m la h a .

s . d . c .

M i n im a l 0 , ( 3 . a . + 3 . b . + 3 . c . )

6 2 . J U M L A H B A G I A N A ( 1 e + 2 l - 3 d ) K o l o m 4 A l l v a l u e , ( 1 . e . + 2 1 - 3 . d )

. P E N G H I T U N G A N P E N G H A S I L A N N E T O

D A L A M N E G E R I Y A N G M E N G G U N A K A N

N O R M A P E N G H I T U N G A N P E N G H A S I L A N

N E T O

. P E N G H A S I L A N N E T O D A L A M N E G E R I


. P E N G H A S I L A N D A L A M N E G E R I L A I N N Y A

H A L A M A N 2

L A M P I R A N - I

F O R M U L I R 1 7 7 0

- I

B A G I A N B . P E N G H A S I L A N N E T O D A L A M

N E G E R I D A R I U S A H A D A N / A T A U P E K E R J A A N

B E B A S ( B A G I W A J I B P A J A K Y A N G

M E N G G U N A K A N N O R M A P E N G H I T U N G A N

P E N G H A S I L A N N E T O )

B A G I A N : B

6 3 . P E R E D A R A N U S A H A D A G A N G K o l o m B . 1 .( 3 ) . M i n im a l 0

6 4 . % N O R M A U S A H A D A G A N G K o l o m B . 1 .( 4 ) . M i n im a l 0 ,0 0

6 5 . P E N G H A S I L A N N E T O U S A H A D A G A N G K o l o m B . 1 .( 5 ) . M i n im a l 0

6 6 . P E R E D A R A N U S A H A I N D U S T R I K o l o m B . 2 .( 3 ) . M i n im a l 0

6 7 . % N O R M A U S A H A I N D U S T R I K o l o m B . 2 .( 4 ) . M i n im a l 0 ,0 0

6 8 . P E N G H A S I L A N N E T O U S A H A IN D U S T R I K o l o m B . 2 .( 5 ) . M i n im a l 0

6 9 . P E R E D A R A N U S A H A J A S A K o l o m B . 3 .( 3 ) . M i n im a l 0

7 0 % N O R M A U S A H A J A S A K o l o m B . 3 .( 4 ) . M i n im a l 0 ,0 0

7 1 . P E N G H A S I L A N N E T O U S A H A J A S A K o l o m B . 3 .( 5 ) . M i n im a l 0

7 2 . P E R E D A R A N U S A H A P E K E R J A A N B E B A S K o l o m B . 4 .( 3 ) . M i n im a l 0

7 3 . % N O R M A U S A H A P E K E R J A A N B E B A S K o l o m B . 4 .( 4 ) . M i n im a l 0 ,0 0

7 4 . P E N G H A S I L A N N E T O U S A H A P E K E R J A A N B E B A S K o l o m B . 4 .( 5 ) . M i n im a l 0

7 5 . P E R E D A R A N U S A H A L A IN N Y A K o l o m B . 5 .( 3 ) . M i n im a l 0

7 6 . % N O R M A U S A H A L A I N N Y A K o l o m B . 5 .( 4 ) . M i n im a l 0 ,0 0

7 7 . P E N G H A S I L A N N E T O U S A H A L A I N N Y A K o l o m B . 5 .( 5 ) . M i n im a l 0

7 8 . J U M L A H B A G I A N B : P E R E D A R A N U S A H A K o l o m B . ( 3 ) .

J U M L A H

M i n im a l 0 , ( B .1 . ( 3 ) + B .2 . ( 3 ) +

B . 3 .( 3 ) + B .4 . ( 3 ) + B .5 .( 3 )

7 9 . J U M L A H B A G I A N B : P E N G H A S I L A N N E T O K o l o m B . ( 5 ) .

J U M L A H

M i n im a l 0 , ( B .1 . ( 5 ) + B .2 . ( 5 ) +

B . 3 .( 5 ) + B .4 . ( 5 ) + B .5 .( 5 )

B A G I A N C . P E N G H A S I L A N N E T O D A L A M

N E G E R I S E H U B U N G A N D E N G A N P E K E R J A A N

B A G I A N C


8 0 . N A M A D A N N P W P P E M B E R I K E R J A K o l o m C .1 .( 2 ) .

8 1 . P E N G H A S I L A N B R U T O K o l o m C .1 .( 3 ) . M i n im a l 0

8 2 . P E N G U R A N G A N P E N G H A S I L A N B R U T O / B I A Y A K o l o m C .1 .( 4 ) . M i n im a l 0

8 3 . P E N G H A S I L A N N E T O K o l o m C .1 .( 5 ) . M i n im a l 0

8 4 . J U M L A H B A G I A N C : P E N G H A S I L A N N E T O K o l o m B . ( 5 ) .

J U M L A H

M i n im a l 0 , ( B .1 . ( 5 ) + B .2 . ( 5 ) +

B . 3 .( 5 ) + B .4 . ( 5 ) + B .5 .( 5 )

B A G I A N D . P E N G H A S I L A N N E T O D A L A M

N E G E R I L A I N N Y A ( T I D A K T E R M A S U K

P E N G H A S I L A N Y A N G D I K E N A K A N P P h

B E R S I F A T F I N A L )

B A G I A N D

8 5 . J U M L A H P E N G H A S I L A N B U N G A K o l o m D .1 .( 3 ) . A l l v a l u e s

8 6 . J U M L A H P E N G H A S I L A N R O Y A L T I K o l o m D .2 .( 3 ) . A l l v a l u e s

8 7 . J U M L A H P E N G H A S I L A N S E W A K o l o m D .3 .( 3 ) . A l l v a l u e s

8 8 . J U M L A H P E N G H A S IL A N P E N G H A R G A A N D A N

H A D I A H

K o l o m D .4 .( 3 ) . A l l v a l u e s

8 9 . J U M L A H P E N G H A S I L A N K E U N T U N G A N D A R I

P E N J U A L A N / P E N G A L IH A N H A R T A

K o l o m D .5 .( 3 ) . A l l v a l u e s

9 0 . J U M L A H P E N G H A S I L A N L A IN N Y A K o l o m D .6 .( 3 ) . A l l v a l u e s

9 1 . J U M L A H B A G I A N D K o l o m D .( 3 ) .

J U M L A H

A l l v a l u e , j u m l a h c .1 . s . d . c .6 .

D A F T A R P E M O T O N G A N / P E M U N G U T A N P P h

O L E H P I H A K L A I N , P P h Y A N G

D I B A Y A R / D I P O T O N G D I L U A R N E G E R I D A N

P P h

L A M P I R A N - I I

F O R M U L I R 1 7 7 0

- I I

B A G I A N A . D A F T A R P E M O T O N G A N /

P E M U N G U T A N P P h O L E H P I H A K L A I N , P P h

Y A N G D I B A Y A R / D I P O T O N G D I L U A R N E G E R I

D A N P P h Y A N G D I T A N G G U N G P E M E R I N T A H

B A G I A N A .

9 2 . J U M L A H P P h Y A N G D IP O T O N G / D I P U N G U T K o l o m A : K o lo m

( 7 ) . J U M L A H

B A G I A N A

M i n im a l 0

. P E N G H A S I L A N Y A N G D I K E N A K A N P A J A K

F I N A L D A N / A T A U B E R S I F A T F I N A L ,

. P E N G H A S I L A N Y A N G T I D A K T E R M A S U K

O B J E K P A J A K

. P E N G H A S I L A N I S T E R I Y A N G D I K E N A K A N

P A J A K S E C A R A T E R P I S A H

L A M P I R A N - I I I

F O R M U L I R 1 7 7 0

- I I I

B A G I A N A . P E N G H A S I L A N D I K E N A K A N

P A J A K F I N A L D A N / A T A U B E R S I F A T F I N A L

B A G I A N A .

I . D I K E N A K A N P A J A K F I N A L D A N / A T A U

B E R S I F A T F I N A L

B A G I A N A . I .

9 3 . D A S A R P E N G E N A A N P A J A K ( D P P ) / P E N G H A S I L A N

B R U T O B U N G A D E P O S I T O , T A B U N G A N D A N

D I S K O N T O S B I

K o l o m A . I . 1 .( 3 ) . M i n im a l 0

9 4 . P P h T E R U T A N G B U N G A D E P O S IT O , T A B U N G A N

D A N D I S K O N T O S B I

K o l o m A . I . 1 .( 4 ) . M i n im a l 0

9 5 . D P P / P E N G H A S I L A N B R U T O B U N G A / D I S K O N T O

O B L IG A S I

K o l o m A . I . 2 .( 3 ) . M i n im a l 0

9 6 . P P h T E R U T A N G B U N G A / D I S K O N T O O B L IG A S I K o l o m A . I . 2 .( 4 ) . M i n im a l 0

9 7 . D P P / P E N G H A S I L A N B R U T O N I L A I P E N J U A L A N

S A H A M D I B U R S A E F E K

K o l o m A . I . 3 .( 3 ) . M i n im a l 0

9 8 . P P h T E R U T A N G N I L A I P E N J U A L A N S A H A M D I

B U R S A E F E K

K o l o m A . I . 3 .( 4 ) . M i n im a l 0

9 9 . D P P / P E N G H A S I L A N B R U T O H A D IA H U N D IA N K o l o m A . I . 4 .( 3 ) . M i n im a l 0

1 0 0 . P P h T E R U T A N G H A D I A H U N D I A N K o l o m A . I . 4 .( 4 ) . M i n im a l 0

1 0 1 . D P P / P E N G H A S I L A N B R U T O P E S A N G O N ,

T U N J A N G A N H A R I T U A D A N T E B U S A N P E N S I U N

Y A N G D I B A Y A R S E K A L IG U S

K o l o m A . I . 5 .( 3 ) . M i n im a l 0

1 0 2 . P P h T E R U T A N G P E S A N G O N , T U N J A N G A N H A R I

T U A D A N T E B U S A N P E N S I U N Y A N G D I B A Y A R

S E K A L IG U S

K o l o m A . I . 5 .( 4 ) . M i n im a l 0

1 0 3 . D P P / P E N G H A S I L A N B R U T O H O N O R A R IU M

A T A S B E B A N A P B N / A P B D

K o l o m A . I . 6 .( 3 ) . M i n im a l 0

1 0 4 . P P h T E R U T A N G H O N O R A R IU M A T A S B E B A N A P B N

/ A P B D

K o l o m A . I . 6 .( 4 ) . M i n im a l 0

1 0 5 . D P P / P E N G H A S I L A N B R U T O N I L A I P E N G A L I H A N

A T A S T A N A H D A N / A T A U B A N G U N A N

K o l o m A . I . 7 .( 3 ) . M i n im a l 0

1 0 6 . P P h T E R U T A N G N I L A I P E N G A L I H A N H A K A T A S

T A N A H D A N / A T A U B A N G U N A N

K o l o m A . I . 7 .( 4 ) . M i n im a l 0

1 0 7 . D P P / P E N G H A S I L A N B R U T O N I L A I B A N G U N A N

Y A N G D I T E R IM A D A L A M R A N G K A B A N G U N G U N A

S E R A H

K o l o m A . I . 8 .( 3 ) . M i n im a l 0

1 0 8 . P P h T E R U T A N G N I L A I B A N G U N A N Y A N G

D I T E R IM A D A L A M R A N G K A B A N G U N G U N A

K o l o m A . I . 8 .( 4 ) . M i n im a l 0


S E R A H

1 0 9 . D P P / P E N G H A S I L A N B R U T O S E W A A T A S T A N A H

D A N / A T A U B A N G U N A N

K o l o m A . I . 9 .( 3 ) . M i n im a l 0

1 1 0 . P P h T E R U T A N G S E W A A T A S T A N A H D A N / A T A U

B A N G U N A N

K o l o m A . I . 9 .( 4 ) . M i n im a l 0

1 1 1 . D P P / P E N G H A S I L A N B R U T O U S A H A J A S A

K O N S T R U K S I

K o l o m A . I . 1 0 .( 3 ) . M i n im a l 0

1 1 2 . P P h T E R U T A N G U S A H A J A S A K O N S T R U K S I K o l o m A . I . 1 0 .( 4 ) . M i n im a l 0

1 1 3 . D P P / P E N G H A S I L A N B R U T O P E N Y A L U R / D E A L E R

/ A G E N P R O D U K B B M

K o l o m A . I . 1 1 a . ( 3 ) . M i n im a l 0

1 1 4 . P P h T E R U T A N G P E N Y A L U R / D E A L E R / A G E N

P R O D U K B B M

K o l o m A . I . 1 1 a . ( 4 ) . M i n im a l 0

1 1 5 . D P P B U N G A S IM P A N A N Y A N G D IB A Y A R K A N O L E H

K O P E R A S I K E P A D A A N G G O T A K O P E R A S I

K o l o m A . I . 1 2 .( 3 ) . M i n im a l 0

1 1 6 . P P h T E R U T A N G B U N G A S IM P A N A N Y A N G

D I B A Y A R K A N O L E H K O P E R A S I K E P A D A A N G G O T A

K O P E R A S I

K o l o m A . I . 1 2 .( 4 ) . M i n im a l 0

1 1 7 . D P P D E V ID E N K o l o m

A . I . 1 4 . a .( 3 ) .

M i n im a l 0

1 1 8 . P P h T E R U T A N G D IV ID E N K o l o m

A . I . 1 4 . a .( 4 ) .

M i n im a l 0

1 1 9 . D P P / P E N G H A S IL A N B R U T O P E N G H A S I L A N

I S T E R I D A R I S A T U P E M B E R I K E R J A

K o l o m

A . I . 1 5 . a .( 3 ) .

M i n im a l 0

1 2 0 . P P h T E R U T A N G P E N G H A S I L A N I S T R I D A R I S A T U

P E M B E R I K E R J A

K o l o m

A . I . 1 5 . a .( 4 ) .

M i n im a l 0

1 2 1 . D P P P E N G H A S I L A N L A IN N Y A K o l o m

A . I . 1 6 . a .( 3 ) .

M i n im a l 0

1 2 2 . P P h T E R U T A N G P E N G H A S I L A N L A IN K o l o m

A . I . 1 6 . a .( 4 ) .

M i n im a l 0

1 2 3 . J U M L A H P P h T E R U T A N G K o l o m A . I . ( 4 ) .

J U M L A H

M i n im a l 0

B A G I A N B . P E N G H A S I L A N Y A N G T I D A K


B A G I A N B

1 2 4 . P E N G H A S I L A N B R U T O B A N T U A N / S U M B A N G A N /

H I B A H

K o l o m B . 1 .( 3 ) . M i n im a l 0

1 2 5 . P E N G H A S I L A N B R U T O W A R I S A N K o l o m B . 2 .( 3 ) . M i n im a l 0

1 2 6 . P E N G H A S I L A N B R U T O B A G IA N L A B A A N G G O T A

P E R S E R O A N K O M A N D I T E R T ID A K A T A S S A H A M ,

P E R S E K U T U A N , P E R K U M P U L A N , F I R M A , K O N G S I

K o l o m B . 3 .( 3 ) . M i n im a l 0

1 2 7 . P E N G H A S I L A N B R U T O K L A IM A S U R A N S I

K E S E H A T A N , K E C E L A K A A N , J IW A , D W IG U N A ,

B E A S I S W A

K o l o m B . 4 .( 3 ) . M i n im a l 0

1 2 8 . B E A S I S W A K o l o m B . 5 .( 3 ) . M i n im a l 0

1 2 9 . P E N G H A S I L A N B R U T O P E N G H A S I L A N Y A N G

T I D A K T E R M A S U K O B J E K P A J A K

K o l o m B . 6 .( 3 ) . M i n im a l 0

1 3 0 . J U M L A H B A G I A N B K o l o m B . ( 3 ) .

J U M L A H

P E N G H A S I L A N

B R U T O

M i n im a l 0

B A G I A N C . P E N G H A S I L A N I S T E R I Y A N G

D I K E N A K A N P A J A K S E C A R A T E R P I S A H

B A G I A N C

1 3 1 . P E N G H A S I L A N N E T O I S T E R I Y A N G D I K E N A K A N

P A J A K S E C A R A T E R P I S A H

r u p i a h M i n im a l 0

. H A R T A P A D A A K H I R T A H U N

. K E W A J I B A N / U T A N G P A D A A K H I R T A H U N

. D A F T A R S U S U N A N A N G G O T A K E L U A R G A

L A M P I R A N - I V

F O R M U L I R 1 7 7 0

- I V

B A G I A N A : H A R T A P A D A A K H I R T A H U N B A G I A N A

1 3 2 . J U M L A H H A R G A P E R O L E H A N H A R T A J U M L A H K o l o m

B A G I A N A . ( 5 )

M i n im a l 0

B A G I A N B : K E W A J I B A N / U T A N G P A D A

A K H I R T A H U N

B A G I A N B

1 3 3 . J U M L A H K E W A J IB A N J U M L A H k o lo m

B A G I A N B . ( 5 )

M i n im a l 0

D A F T A R

B A G I A N C : D A F T A R S U S U N A N A N G G O T A

K E L U A R G A

B A G I A N C

1 3 4 N A M A A N G G O T A K E L U A R G A B A G I A N : C .

k o lo m ( 2 )

K a r a k te r

1 3 5 T A N G G A L L A H I R B A G I A N : C .

k o lo m ( 3 )

D D - M M - Y Y

1 3 6 H U B U N G A N K E L U A R G A B A G I A N : C .

k o lo m ( 4 )

1 0 : I s t r i , 2 0 : S u a m i , 3 0 : A n g g o t a

K e l u a rg a S e d a ra h , 3 1 : A n a k

K a n d u n g , 3 2 : A y a h , 3 3 : I b u , 4 0 :

S e m e n d a , 4 1 : M e rt u a , 4 2 : A n a k


T i r i , 5 0 : A n a k A n g k a t

1 3 7 P E K E R J A A N B A G I A N : C .

k o lo m ( 5 )

K a r a k te r

P E R E K A M A N D A T A L A M P I R A N S P T T A H U N A N P P h W P O R A N G P R I B A D I


D A F T A R P E M O T O N G A N / P E M U N G U T A N P P h

O L E H P I H A K L A I N , P P h Y A N G

D I B A Y A R / D I P O T O N G D I L U A R N E G E R I D A N

P P h


F O R M U L I R 1 7 7 0

- I I

B A G I A N A . D A F T A R P E M O T O N G /

P E M U N G U T A N P P h O L E H P I H A K L A I N , P P h

Y A N G D I B A Y A R / D I P O T O N G D I L U A R N E G E R I

D A N P P h Y A N G D I T A N G G U N G P E M E R I N T A H

B A G I A N A . J u m la h re c o r d t e r g a n t u n g d a r i

j u m la h is i a n W a j i b P a ja k

1 3 8 . N A M A P E M O T O N G / P E M U N G U T P A J A K B A G I A N : A .

K o l o m ( 2 )

K a r a k te r

1 3 9 . N P W P P E M O T O N G / P E M U N G U T P A J A K B A G I A N : A .

K o l o m ( 3 )

9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

1 4 0 . N O M O R B U K T I P E M O T O N G A N / P E M U N G U T A N

D A N T A N G G A L B U K T I P E M O T O N G A N /

P E M U N G U T A N

B A G I A N : A .

K o l o m ( 4 ) d a n ( 5 )

K a r a k te r d a n D a te

1 4 1 . P P h P A S A L 2 1 / P A S A 2 2 / P A S A L 2 3 / P A S A L 2 4 /

Y A N G D I T A N G G U N G P E M E R IN T A H

B A G I A N : A .

K o l o m ( 6 )

K a r a k te r

1 4 2 . J U M L A H P P h Y A N G D IP O T O N G / D I P U N G U T B A G I A N : A .

K o l o m ( 7 )

M i n im a l 0

. H A R T A P A D A A K H I R T A H U N

. K E W A J I B A N / U T A N G P A D A A K H I R T A H U N

. D A F T A R S U S U N A N A N G G O T A K E L U A R G A


F O R M U L I R 1 7 7 0

- I V

B A G I A N A : D A F T A R H A R T A P A D A A K H I R

T A H U N

B A G I A N A J u m l a h r e c o rd t e r g a n t u n g d a r i

j u m l a h is i a n W a j i b P a ja k

1 4 3 . J E N I S H A R T A B A G I A N : A .

K o l o m ( 2 )

K a r a k te r

1 4 4 . T A H U N P E R O L E H A N B A G I A N : A .

K o l o m ( 3 )

T T T T

1 4 5 . H A R G A P E R O L E H A N B A G I A N : A .

K o l o m ( 4 )

M i n im a l 0

1 4 6 . K E T E R A N G A N B A G I A N : A .

K o l o m ( 5 )

K a r a k te r

B A G I A N B . D A F T A R K E W A J I B A N / U T A N G

P A D A A K H I R T A H U N

B A G I A N B . J u m la h re c o r d t e r g a n t u n g d a r i

j u m la h is i a n W a j i b P a ja k

1 4 7 . N A M A P E M B E R I P I N J A M A N K o l o m B . ( 2 ) K a r a k te r

1 4 8 . A L A M A T P E M B E R I P I N J A M A N K o l o m B . ( 3 ) K a r a k te r

1 4 9 . T A H U N P E M I N J A M A N K o l o m B . ( 4 ) T T T T

1 5 0 . J U M L A H P I N J A M A N K o l o m B . ( 5 ) M i n im a l 0


L A M P IR A N I I I .3


N O M O R : S E - 2 / P J / 2 0 1 1





Y A N G M E M P U N Y A I P E N G H A S I L A N D A R I S A T U A T A U L E B I H P E M B E R I K E R J A ,

D A L A M N E G E R I L A I N N Y A , Y A N G D I K E N A K A N P P h F I N A L D A N / A T A U B E R S I F A T

F I N A L


S P T T A H U N A N P P h W A J I B P A J A K O R A N G

P R I B A D I Y A N G M E M P U N Y A I P E N G H A S I L A N :

. D A R I S A T U A T A U L E B I H P E M B E R I K E R J A ;

. D A L A M N E G E R I L A I N N Y A ;

. Y A N G D I K E N A K A N P P h F I N A L D A N / A T A U

B E R S I F A T F I N A L

I N D U K S P T

F O R M U L I R 1 7 7 0 S

1 . T A H U N P A J A K P a d a k o t a k s u d u t

k a n a n a t a s

T T T T

2 . P E M B E T U L A N K E - . . . P a d a k o t a k s u d u t

k a n a n a t a s

M i n im a l 0

P E T U N J U K / P E R H A T IA N

I D E N T I T A S

3 . N P W P P a d a k o lo m b a g ia n

a t a s

9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9 9

4 . N A M A W P , P E K E R J A A N , N O . T E L E P O N & N O . F A K S ,

K L U




5 . P E R U B A H A N D A T A W a j i b P a ja k

A . P E N G H A S I L A N N E T O K O L O M A

6 . P E N G H A S I L A N N E T O D A L A M N E G E R I



7 . P E N G H A S I L A N N E T O D A L A M N E G E R I L A I N N Y A K o l o m A .2 . M i n im a l 0

8 . P E N G H A S I L A N N E T O L U A R N E G E R I K o l o m A .3 . M i n im a l 0

9 . J U M L A H P E N G H A S I L A N N E T O K o l o m A .4 . A l l v a l u e s ,

( A .1 . + A .2 . + A .3 )

1 0 . Z A K A T / S U M B A N G A N K E A G A M A A N Y A N G S IF A T N Y A

W A J I B


1 1 .


P E N G U R A N G A N Z A K A T / S U M B A N G A N K E A G A M A A N

Y A N G S IF A T N Y A W A J I B

K o l o m A .6 . A l l v a l u e s

B . P E N G H A S I L A N K E N A P A J A K K O L O M B

1 3 . S T A T U S K E L U A R G A

P E N G H A S I L A N T ID A K K E N A P A J A K

K o l o m B . 7 .

( T A N D A P A D A

K O T A K )

D i is i j u m l a h t a n g g u n g a n p a d a :

T K = t i d a k k a w in ,

K = k a w i n ,

K = k a w i n i s t e r i

b e r p e n g h a s i la n

P h = k a w i n p i s a h h a r t a d a n

p e n g h a s i la n ,

H B = k a w i n , h i d u p b e r p is a h .

1 4 . P E N G H A S I L A N T ID A K K E N A P A J A K K o l o m B . 7 . M i n im a l 0 , s e s u a i d e n g a n


1 5 . P E N G H A S I L A N K E N A P A J A K K o l o m B . 8 . M i n im a l 0 , ( A .6 . - B . 7 .)

C . P P h T E R U T A N G K O L O M C

1 6 . P P h T E R U T A N G K o l o m C .9 . M i n im a l 0 ,

( T a r i f P s . 1 7 X B .8 . )

1 7 . P E N G E M B A L I A N / P E N G U R A N G A N P P h P A S A L 2 4

Y A N G T E L A H D IK R E D I T K A N

K o l o m C . 1 0 . M i n im a l 0


( C .9 . + C .1 0 . )

D . K R E D I T P A J A K K O L O M D

1 9 . P P h Y A N G D I P O T O N G / D IP U N G U T O L E H P I H A K

L A I N / D I T A N G G U N G P E M E R IN T A H D A N / A T A U

K R E D I T P A J A K L U A R D A N / A T A U T E R U T A N G D I

L U A R N E G E R I

K o l o m D .1 2 . M i n im a l 0

2 0 . P P h Y A N G H A R U S D IB A Y A R S E N D I R I a t a u P P h

Y A N G L E B I H D IP O T O N G / D I P U N G U T

K o l o m D .1 3 .

O to m a t is d a r i s is t e m

( C .1 1 - D .1 2 .) a t a u ( D .1 2 . -

C . 1 1 . )


2 1 . K O D E P P h Y A N G H A R U S D I B A Y A R S E N D I R I a t a u

P P h Y A N G L E B I H D I P O T O N G / D I P U N G U T

K o l o m D .1 3 .

( K o t a k )


0 , j ik a : C .1 1 = D .1 2

1 , j ik a : C .1 1 > D .1 2

2 , j ik a : C .1 1 < D .1 2

2 2 . P P h Y A N G D I B A Y A R S E N D IR I K o l o m D .1 4 .

2 3 . P P h P A S A L 2 5 K o l o m D .1 4 .a . M i n im a l 0

2 4 . S T P P P h P A S A L 2 5 ( H A N Y A P O K O K P A J A K ) K o l o m D .1 4 . b . M i n im a l 0

2 5 . F I S K A L L U A R N E G E R I K o l o m D .1 4 .c . M i n im a l 0

2 6 . J U M L A H K R E D I T P A J A K J u m l a h K o lo m D .1 5 . M i n im a l 0 ,

( D .1 4 . a . + D .1 4 . b . + D .1 4 .c . )

E . P P h K U R A N G / L E B I H D I B A Y A R K O L O M E

2 7 . P P h Y A N G K U R A N G D I B A Y A R ( P P h P A S A L 2 9 ) a t a u

P P h Y A N G L E B I H D I B A Y A R ( P P h P A S A L 2 8 A )

K o l o m E .1 6 . O to m a t is d a r i s is t e m

( s e l is i h D .1 3 d a n D .1 5 )


2 9 ) a t a u P P h Y A N G L E B IH D I B A Y A R ( P P h P A S A L

2 8 A )

K o l o m E .1 6 .

( K O T A K )




P A S A L 2 9 )

D a te , d a r i S S P P P h P a s a l 2 9 , j ik a

K B



P A S A L 2 9 )

M i n im a l 0 , d a r i S S P P P h P a s a l 2 9 ,

j i k a K B

P E R M O H O N A N

3 1 . P P h Y A N G L E B IH D I B A Y A R P A D A A N G K A 1 6 . b

M O H O N :

K o l o m E . D i is i a p a b i l a L B :

1 = d i r e s t it u s i k a n

2 = d i p e r h i t u n g k a n d e n g a n u ta n g

p a j a k

D ik e m b a li k a n d e n g a n S K P P P a s a l

1 7 C ( W P P a t u h ) = 3

D ik e m b a li k a n d e n g a n S K P P P a s a l

1 7 D ( W P T e r t e n t u ) = 4

F . A N G S U R A N P P h P A S A L 2 5 T A H U N P A J A K

B E R I K U T N Y A

K O L O M G .


B E R I K U T N Y A

K o l o m G .1 8 M i n im a l 0


B E R I K U T

K o l o m G .1 8 D i is i :

1 = 1 / 1 2 J U M L A H P A D A A N G K A

1 3 .

2 = P E N G H I T U N G A N D A L A M

L A M P I R A N T E R S E N D I R I

G . L A M P I R A N

3 1 . L A M P I R A N K o l o m G . D i is i :

1 = l e n g k a p

2 = t i d a k le n g k a p

P E N G H A S I L A N N E T O D A L A M N E G E R I

L A N N Y A ; P E N G H A S I L A N Y A N G T I D A K

T E R M A S U K O B J E K P A J A K ; D A F T A R

P E M O T O N G A N / P E M U N G U T A N P P h O L E H

P I H A K L A I N D A N P P h Y A N G D I T A N G G U N G

P E M E R I N T A H

L A M P I R A N - I

F O R M U L I R 1 7 7 0 S

B A G I A N A . P E N G H A S I L A N N E T O D A L A M

N E G E R I L A I N N Y A ( T I D A K T E R M A S U K

P E N G H A S I L A N Y A N G T E L A H D I K E N A K A N P P h

B E R S I F A T F I N A L )

B A G I A N : A

3 4 . J U M L A H P E N G H A S I L A N B U N G A K o l o m A .1 . ( 3 ) . M i n im a l 0

3 5 . J U M L A H P E N G H A S I L A N R O Y A L T I K o l o m A .3 . ( 3 ) . M i n im a l 0

3 6 . J U M L A H P E N G H A S I L A N S E W A K o l o m A .3 . ( 3 ) . M i n im a l 0

3 7 . J U M L A H P E N G H A S I L A N P E N G H A R G A A N D A N

H A D I A H

K o l o m A .4 . ( 3 ) . M i n im a l 0

3 8 . J U M L A H P E N G H A S I L A N K E U N T U N G A N D A R I

P E N J U A L A N / P E N G A L IH A N H A R T A

K o l o m A .5 . ( 3 ) . M i n im a l 0

3 9 . J U M L A H P E N G H A S I L A N L A N N Y A K o l o m A .6 . ( 3 ) . M i n im a l 0

4 0 . J U M L A H B A G I A N A K o l o m A . ( 3 ) . J B A M i n im a l 0 , p e n j u m l a h a n A .1 s . d .

A . 6

B A G I A N B . P E N G H A S I L A N Y A N G T I D A K


B A G I A N : B

4 1 . J U M L A H P E N G H A S I L A N B A N T U A N / S U M B A N G A N /

H I B A H

K o l o m B . 1 .( 3 ) . M i n im a l 0

4 2 . J U M L A H P E N G H A S I L A N W A R IS A N K o l o m B . 2 .( 3 ) . M i n im a l 0

4 3 . J U M L A H P E N G H A S IL A N B A G IA N L A B A A N G G O T A

P E R S E R O A N K O M A N D I T E R T ID A K A T A S S A H A M ,

P E R S E K U T U A N P E R K U M P U L A N , F I R M A , K O N G S I

K o l o m B . 3 .( 3 ) . M i n im a l 0

4 4 . J U M L A H P E N G H A S I L A N K L A IM A S U R A N S I

K E S E H A T A N , K E C E L A K A A N , J IW A , D W IG U N A ,

B E A S I S W A

K o l o m B . 4 .( 3 ) . M i n im a l 0


4 5 . B E A S I S W A K o l o m B . 5 .( 3 ) M i n im a l 0

4 6 . J U M L A H P E N G H A S IL A N P E N G H A S I L A N L A I N Y A N G


K o l o m B . 6 .( 3 ) M i n im a l 0

4 7 . J U M L A H B A G I A N B K o l o m B . ( 3 ) J B B M i n im a l 0 , p e n ju m l a h a n B .1 s . d .

B . 5

B A G I A N C . D A F T A R

P E M O T O N G A N / P E M U N G U T A N P P h O L E H

P I H A K L A I N D A N P P h Y A N G D I T A N G G U N G

P E M E R I N T A H

B A G I A N : C

4 8 . J U M L A H B A R A N G C K o l o m C .( 7 ) J B C M i n im a l 0

P E N G H A S I L A N Y A N G D I K E N A K A N P P h F I N A L

D A N / A T A U B E R S I F A T F I N A L ; H A R T A P A D A

A K H I R T A H U N ; K E W A J I B A N / U T A N G P A D A

A K H I R T A H U N ;

D A F T A R S U S U N A N A N G G O T A K E L U A R G A


F O R M U L I R 1 7 7 0 S

B A G I A N A . P E N G H A S I L A N Y A N G D I K E N A K A N

P P h F I N A L D A N / A T A U Y A N G B E R S I F A T F I N A L

K O L O M A

4 9 . D A S A R P E N G E N A A N P A J A K ( D P P ) / P E N G H A S I L A N

B R U T O B U N G A D E P O S IT O , T A B U N G A N D A N

D I S K O N T O S B I

K O L O M A .1 .( 3 ) M i n im a l 0

5 0 . P P h T E R U T A N G B U N G A D E P O S I T O , T A B U N G A N

D A N D I S K O N T O S B I

K o l o m A .1 . ( 4 ) M i n im a l 0

5 1 . D P P / P E N G H A S I L A N B R U T O B U N G A / D IS K O N T O

O B L IG A S I

K o l o m A .2 . ( 3 ) M i n im a l 0

5 2 . P P h T E R U T A N G B U N G A / D I S K O N T O O B L IG A S I K o l o m A .2 . ( 4 ) M i n im a l 0

5 3 . D P P / P E N G H A S I L A N B R U T O P E N J U A L A N S A H A M D I

B U R S A E F E K

K o l o m A .3 . ( 3 ) M i n im a l 0

5 4 . P P h T E R U T A N G P E N J U A L A N S A H A M D I B U R S A

E F E K

K o l o m A .3 . ( 4 ) M i n im a l 0

5 5 . D P P / P E N G H A S I L A N B R U T O H A D IA H U N D IA N K o l o m A .4 . ( 3 ) M i n im a l 0

5 6 . P P h T E R U T A N G H A D I A H U N D I A N K o l o m A .4 . ( 4 ) M i n im a l 0

5 7 . D P P / P E N G H A S I L A N B R U T O P E S A N G O N ,

T U N J A N G A N H A R I T U A D A N T E B U S A N P E N S IU N

Y A N G D I B A Y A R S E K A L IG U S

K o l o m A .5 . ( 3 ) M i n im a l 0

5 8 . P P h T E R U T A N G P E S A N G O N , T U N J A N G A N H A R I T U A

D A N T E B U S A N P E N S I U N Y A N G D I B A Y A R

S E K A L IG U S

K o l o m A .5 ( 4 ) M i n im a l 0

5 9 . D P P / P E N G H A S I L A N B R U T O H O N O R A R IU M A T A S

B E B A N A P B N / A P B D

K o l o m A .6 . ( 3 ) M i n im a l 0

6 0 . P P h T E R U T A N G H O N O R A R I U M A T A S B E B A N A P B N /

A P B D

K o l o m A .6 . ( 4 ) M i n im a l 0

6 1 . D P P / P E N G H A S I L A N B R U T O N I L A I P E N G A L IH A N

H A K A T A S T A N A H D A N / A T A U B A N G U N A N

K o l o m A .7 . ( 3 ) M i n im a l 0

6 2 P P h T E R U T A N G N I L A I P E N G A L I H A N H A K A T A S

T A N A H D A N / A T A U B A N G U N A N

K o l o m A .7 . ( 4 ) M i n im a l 0

6 3 D P P / P E N G H A S I L A N B R U T O S E W A A T A S T A N A H

D A N / A T A U B A N G U N A N

K o l o m A .8 . ( 3 ) M i n im a l 0

6 4 P P h T E R U T A N G S E W A A T A S T A N A H D A N / A T A U

B A N G U N A N

K o l o m A .8 . ( 4 ) M i n im a l 0

6 5 D P P / P E N G H A S I L A N B R U T O B A N G U N A N Y A N G

D I T E R IM A D A L A M R A N G K A B A N G U N G U N A S E R A H

K o l o m A .9 . ( 3 ) M i n im a l 0

6 6 P P h T E R U T A N G B A N G U N A N Y A N G D IT E R IM A

D A L A M R A N G K A B A N G G U N G U N A S E R A H

K o l o m A .9 . ( 4 ) M i n im a l 0

6 7 D P P B U N G A S IM P A N A N Y A N G D IB A Y A R K A N O L E H

K O P E R A S I K E P A D A A N G G O T A K O P E R A S I

K o l o m A .1 0 . ( 3 ) M i n im a l 0

6 8 P P h T E R U T A N G B U N G A S IM P A N A N Y A N G

D I B A Y A R K A N O L E H K O P E R A S I K E P A D A A N G G O T A

K O P E R A S I

K o l o m A .1 0 . ( 4 ) M i n im a l 0

6 9 D P P D I V ID E N K o l o m A .1 2 . ( 3 ) M i n im a l 0

7 0 P P h T E R U T A N G D IV ID E N K o l o m A .1 2 . ( 4 ) M i n im a l 0

7 1 D P P / P E N G H A S I L A N B R U T O P E N G H A S I L A N I S T E R I

D A R I S A T U P E M B E R I K E R J A

K o l o m A .1 3 . ( 3 ) M i n im a l 0

7 2 P P h T E R U T A N G P E N G H A S IL A N I S T E R I D A R I S A T U

P E M B E R I K E R J A

K o l o m A .1 3 . ( 4 ) M i n im a l 0

7 3 D P P / P E N G H A S I L A N B R U T O P E N G H A S I L A N Y A N G

D I K E N A K A N P A J A K F I N A L D A N / A T A U B E R S IF A T

F I N A L

K o l o m A .1 4 . ( 3 ) M i n im a l 0

7 4 P P h T E R U T A N G B R U T O P E N G H A S I L A N Y A N G

D I K E N A K A N P A J A K F I N A L D A N / A T A U B E R S IF A T

F I N A L

K o l o m A .1 4 ( 4 ) M i n im a l 0

7 5 J U M L A H B A G I A N A K o l o m A . ( 4 ) J B A M i n im a l 0

B A G I A N B . H A R T A P A D A A K H I R T A H U N K O L O M B

7 6 J U M L A H B A G I A N B K o l o m B . ( 4 ) M i n im a l 0

B A G I A N C . K E W A J I B A N P A D A A K H I R T A H U N K O L O M C


7 7 J U M L A H B A G I A N C K o l o m C .( 5 ) M i n im a l 0

B A G I A N D . D A F T A R S U S U N A N A N G G O T A

K E L U A R G A

7 8 N A M A A N G G O T A K E L U A R G A B A G I A N : D .

K o l o m ( 2 )

K a r a k te r

7 9 T A N G G A L L A H I R B A G I A N : D .

K o l o m ( 3 )

D D - M M - Y Y Y

8 0 H U B U N G A N K E L U A R G A B A G I A N : D .

K o l o m ( 4 )

1 0 : Is t r i , 2 0 : S u a m i , 3 0 :

A n g g o t a K e l u a r g a S e d a ra h , 3 1 :

A n a k K a n d u n g , 3 2 : A y a h , 3 3 :

I b u , 4 0 : S e m e n d a , 4 1 : M e rt u a ,

4 2 : A n a k T i r i , 5 0 : A n a k A n g k a t

8 1 P E K E R J A A N B A G I A N : D .

K o l o m ( 5 )

K a r a k te r




N O M O R : S E - 2 / P J / 2 0 1 1




P E T U N J U K P E R E K A M A N S P T T A H U N A N P P h W A J I B P A J A K

O R A N G P R I B A D I S A N G A T S E D E R H A N A

N O N A M A E L E M E N S U M E R K E T E R A N G A N


P R I B A D I Y A N G M E M P U N Y A I P E N G H A S I L A N :

. D A R I S A T U P E M B E R I K E R J A

. T I D A K M E M P U N Y A I P E N G H A S I L A N

L A I N N Y A K E C U A L I B U N G A B A N K D A N

B U N G A K O P E R A S I

F O R M S P T 1 7 7 0 S S

1 . T A H U N P A J A K P a d a k o ta k s u d u t

k a n a n a t a s

T T T T

2 . P E M B E T U L A N K E - . . . P a d a k o ta k s u d u t

k a n a n a t a s

M i n im a l 0

I D E N T I T A S

3 . N P W P P a d a k o l o m b a g i a n

a t a s

9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

4 . N A M A W P , P E K E R J A A N , N O . T E L E P O N & N O . F A K S ,

K L U





6 . J U M L A H K E S E L U R U H A N H A R T A Y A N G D IM I L I K I


M i n im a l 0

7 . J U M L A H K E S E L U R U H A N K E W A J I B A N / U T A N G P A D A

A K H I R T A H U N

M i n im a l 0




N O M O R : S E - 2 / P J / 2 0 1 1




P E T U N J U K P E R E K A M A N S P T T A H U N A N P P h W P B A D A N


S P T T A H U N A N P P h W P B A D A N I N D U K S P T

F O R M U L I R 1 7 7 1

1 . T A H U N P A J A K P a d a k o t a k s u d u t k a n a n

a t a s

T T T T ( T a h u n S P T )

2 . P E M B E T U L A N K E - . . . M i n im a l 0

3 . N P W P P a d a k o l o m

b a g i a n a t a s

9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

4 . N A M A W P D ia m b i l d a r i d a t a M a s te r

F i le W P


5 . J E N I S U S A H A D ia m b i l d a r i d a t a M a s te r

F i le W P

6 . K L U D ia m b i l d a r i d a t a M a s te r

F i le W P

7 . N O . T E L P D ia m b i l d a r i d a t a M a s te r

F i le W P

8 . N O . F A K S D ia m b i l d a r i d a t a M a s te r

F i le W P

9 . P E R IO D E P E M B U K U A N D ia m b i l d a r i d a t a M a s te r

F i le W P

M M - Y Y s / d . M M - Y Y

1 0 . N E G A R A D O M IS I L I K A N T O R P U S A T

( K H U S U S B U T )

P a d a k o l o m

b a g i a n a t a s

K a r a k te r , k h u s u s u n t u k

B U T , d i i s i d e n g a n n a m a

N e g a r a D o m o s i l i W P

1 1 . P E M B U K U A N / L A P O R A N K E U A N G A N P a d a k o l o m

b a g i a n t e n g a h

D i is i :

1 = d i a u d i t


1 2 . O P IN I A K U N T A N P U B L I K P a d a k o l o m


D i is i :

1 = w a ja r t a n p a

P e n g e c u a l ia n

2 = w a j a r d e n g a n

P e n g e c u a l ia n



1 3 . N A M A K A N T O R A K U N T A N P U B L IK P a d a k o l o m


N a m a k a n t o r a k u n t a n

p u b l i k

1 4 . N P W P K A N T O R A K U N T A N P U B L I K P a d a k o l o m


N P W P A k u n t a n P u b l ik

9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

1 5 . N A M A A K U N T A N P U B L I K P a d a k o l o m


1 6 . N P W P A K U N T A N P U B L IK P a d a k o l o m


1 7 . N A M A K A N T O R K O N S U L T A N P A J A K P a d a k o l o m


N a m a k a n t o r k o n s u lt a n

p a j a k

1 8 . N P W P K A N T O R K O N S U L T A N P A J A K P a d a k o l o m


N P W P k o n s u lt a n p a j a k

9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

1 9 . N A M A K O N S U L T A N P A J A K P a d a k o l o m


N a m a k o n s u lt a n p a ja k

2 0 . N P W P K O N S U L T A N P A J A K P a d a k o l o m



9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

A . P E N G H A S I L A N K E N A P A J A K

2 1 . P E N G H A S I L A N N E T O F IS K A L K o l o m A .1 . A l l v a l u e s , = k o lo m 8 .( 3 ) .

f o rm u l i r 1 7 7 1 - I

2 2 . K O M P E N S A S I K E R U G I A N F I S K A L K o l o m A .2 . M i n im a l 0 , t i d a k b o le h

l e b i h b e s a r d a r i A .1 .

2 3 . P E N G H A S I L A N K E N A P A J A K ( 1 - 2 ) K o l o m A .3 . M i n im a l 0 , ( A .1 . - A . 2 .)

B . P P h T E R U T A N G

2 4 . P P h Y A N G T E R U T A N G K o l o m B . 4 . M i n im a l 0 ,

( T a r i f 1 7 ( 1 ) a

1 7 ( 2 b )

3 1 E ( 1 )

X A . 3 .)

2 5 . P E N G E M B A L I A N / P E N G U R A N G A N K R E D I T P A J A K

L U A R N E G E R I ( P P h P s . 2 4 ) Y A N G T E L A H

D IP E R H I T U N G K A N T A H U N L A L U

K o l o m B . 5 . M i n im a l 0

2 6 . J U M L A H P P h Y A N G T E R U T A N G K o l o m B . 6 . M i n im a l 0 , ( B .4 . + B .5 .)

C . K R E D I T P A J A K

2 7 . P P h D I T A N G G U H K A N P E M E R IN T A H ( P R O Y E K K o l o m C .7 . M i n im a l 0


B A N T U A N L U A R N E G E R I )

2 8 . K R E D I T P A J A K D A L A M N E G E R I K o l o m C .8 .a . M i n im a l 0 , = J U M L A H

k o lo m ( 5 ) f o rm u l i r 1 7 7 1 - I I

2 9 . K R E D I T P A J A K L U A R N E G E R I K o l o m C .8 . b . M i n im a l 0 , = J U M L A H

k o lo m ( 7 ) f o rm u l i r

1 7 7 1 - I I I

3 0 . J U M L A H ( a + b ) K o l o m

C . 8 . J U M L A H

M i n im a l 0 , ( C .8 .a . +

C . 8 . b . )

3 1 . P P h Y A N G H A R U S D I B A Y A R S E N D IR I a t a u P P h Y A N G

L E B I H D I P O T O N G / D I P U N G U T

K o l o m C .9 . M i n im l a 0 ,

= ( B .6 . - ( C .7 . + C .8 .) ) ,

a t a u

= ( ( C .7 . + C .8 . ) - B .6 . )

3 2 . P P h Y A N G H A R U S D I B A Y A R S E N D I R I K o l o m C .9 .a D i is i :

0 , j ik a : B .6 . = ( C . 7 . +

C . 8 . )

1 , j ik a : B .6 . > ( C . 7 . +

C . 8 . )

2 , j ik a : B .6 . < ( C . 7 . +

C . 8 . )

3 3 . P P h Y A N G L E B I H D I P O T O N G / D I P U N G U T K o l o m C .9 . b

3 4 . P P h Y A N G D I B A Y A R S E N D IR I K o l o m C .1 0 .

3 5 . P P h P A S A L 2 5 B U L A N A N K o l o m C .1 0 .a . M i n im a l 0

3 6 . S T P P P h P A S A L 2 5 ( H A N Y A P O K O K P A J A K ) K o l o m C .1 0 . b . M i n im a l 0

3 7 . J U M L A H ( 1 0 a + 1 0 b ) K o l o m C .1 0 .c . M i n im a l 0 , ( C . 1 0 .a . +

C . 1 0 . b )

D . P P h K U R A N G / L E B I H D I B A Y A R

3 8 . P P h Y A N G K U R A N G D I B A Y A R a ta u

P P h Y A N G L E B I H D I B A Y A R ( 9 - 1 0 e )

K o l o m D .1 1 . M i n im a l 0 , ( C . 9 . - J u m l a h

C . 1 0 . ) a t a u ( J u m l a h C .1 0 .

- C .9 . )

3 9 . P P h Y A N G K U R A N G D I B A Y A R P A D A A N G K A 1 1 . a

D I S E T O R T A N G G A L

K o l o m D .1 2 .

4 0 . P P h Y A N G L E B I H D I B A Y A R P A D A A N G K A 1 1 . b M O H O N

: A . D I R E S T I T U S I K A N

K o l o m D .1 3 .a 1 = d i r e s t it u s i

0 = t i d a k d i r e s t it u s i

4 1 . B . D IP E R H IT U N G K A N D E N G A N U T A N G P A J A K K o l o m D .1 3 . b 1 = d i p e r h i t u n g k a n

0 = t i d a k d i p e r h it u n g k a n

4 2 . P E N G E M B A L I A N P E N D A H U L U A N ( P A S A L 1 7 C A T A U

P A S A L 1 7 D U U K U P )

K o l o m D .1 3 1 = d i p e r h i t u n g k a n


E . A N G S U R A N P P h P A S A L 2 5 T A H U N

B E R J A L A N

4 3 . P E N G H A S I L A N Y A N G M E N J A D I D A S A R

P E N G H IT U N G A N A N G S U R A N

K o l o m E .1 4 .a . M i n im a l 0

4 4 . K O M P E N S A S I K E R U G I A N F I S K A L K o l o m E .1 4 . b . M i n im a l 0 , = K o lo m A .2 .

4 5 . P E N G H A S I L A N K E N A P A J A K K o l o m E .1 4 .c . M i n im a l 0 , ( F .a . - F . b .)

4 6 . P P h Y A N G T E R U T A N G K o l o m E .1 4 . d . M i n im a l 0 , ( T a r i f 1 7 ( 1 ) a

1 7 ( 2 b )

3 1 E ( 1 )

X F .c )

4 7 . K R E D I T P A J A K T A H U N P A J A K Y A N G L A L U A T A S

P E N G H A S I L A N Y A N G T E R M A S U K D A L A M A N G K A 1 4 a

Y A N G D IP O T O N G / D I P U N G U T O L E H P I H A K L A IN

K o l o m E .1 4 .e M i n im a l 0

4 8 . P P h Y A N G H A R U S D I B A Y A R S E N D I R I ( d - e ) K o l o m E .1 4 . f . M i n im a l 0 , ( F .d . - F . e .)

4 9 . P P h P A S A L 2 5 : ( 1 / 1 2 H U R U F f) K o l o m E .1 4 . g . M i n im a l 0 , ( 1 / 1 2 X F . f)

F . P P h F I N A L D A N P E N G H A S I L A N B U K A N

O B J E K P A J A K

5 0 . P P h F I N A L K o l o m F .1 5 . a . M i n im a l 0 ,

= J u m la h K O L O M B A G IA N

I V . A . ( 5 )

5 1 . P E N G H A S I L A N Y A N G T ID A K T E R M A S U K O B J E K P A J A K ,

P E N G H A S I L A N B R U T O

K o l o m F .1 5 . b . M i n im a l 0 ,

= J u m la h K O L O M B A G IA N

I V . A . ( 3 )

G . P E R N Y A T A A N T R A N S A K S I D A L A M

H U B U N G A N I S T I M E W A

5 2 . A D A T R A N S A K S I D A L A M H U B U N G A N I S T IM E W A

D A N / A T A U T R A N S A K S I D E N G A N P I H A K Y A N G

M E R U P A K A N P E N D U D U K N E G A R A T A X H A V E N

C O U N T R Y

1 6 . a D i is i :

1 = a d a

0 = t i d a k a d a

5 3 . T I D A K A D A T R A N S A K S I D A L A M H U B U N G A N

I S T IM E W A D A N / A T A U T R A N S A K S I D E N G A N P IH A K

Y A N G M E R U P A K A N P E N D U D U K N E G A R A T A X H A V E N

C O U N T R Y

1 6 . b D i is i :

1 = a d a

0 = t i d a k a d a

G . L A M P I R A N

5 4 . S E L A I N L A M P I R A N 1 7 7 1 - I , 1 7 7 1 - I I , 1 7 7 1 - I I I ,

1 7 7 1 - I V , 1 7 7 1 - V , 1 7 7 1 - V I B E R S A M A I N I

D I L A M P I R K A N P U L A :

A . S U R A T S E T O R A N P A J A K

K o l o m G .1 6 .a D i is i :

1 = a d a

0 = t i d a k a d a

5 5 . B . L A P O R A N K E U A N G A N ( W a j i b b a g i s e m u a W a j i b

P a ja k )

K o l o m G .1 6 . b D i is i :

1 = a d a


0 = t i d a k a d a

5 6 . C . T R A N S K R I P K U T IP A N E L E M E N - E L E M E N D A R I

L A P O R A N G K E U A N G A N

D i is i :

1 = a d a

0 = t i d a k a d a

5 7 . D . D A F T A R P E N Y U S U T A N D A N A M O R T I S A S I F I S K A L

( W a j i b b a g i s e m u a W a ji b P a ja k , b e n t u k f o rm u l i r

s e s u a i d e n g a n L a m p i ra n K h u s u s 1 A p a d a B u k u

P e t u n j u k P e n g i s ia n S P T )

K o l o m G .1 6 .c D i is i :

1 = a d a

0 = t i d a k a d a

5 8 . E . P E N G H IT U N G A N K O M P E N S A S I K E R U G I A N F IS K A L

( L a m p i r a n K h u s u s 2 A B u k u P e t u n j u k P e n g i s ia n

S P T )

K o l o m G .1 6 . d D i is i :

1 = a d a

0 = t i d a k a d a

5 9 . F . D A F T A R F A S I L I T A S P E N A N A M A N M O D A L


S P T )

K o l o m G .1 6 . f D i is i :

1 = a d a

0 = t i d a k a d a

6 0 . G . D A F T A R C A B A N G U T A M A P E R U S A H A A N


S P T )

K o l o m G .1 6 . g D i is i :

1 = a d a

0 = t i d a k a d a

6 1 . H . S U R A T S E T O R A N P A J A K L E M B A R K E - 3 P P h P A S A L

2 6 A Y A T ( 4 ) ( K h u s u s B U T )

K o l o m G .1 6 . h D i is i :

1 = a d a

0 = t i d a k a d a

6 2 . I . P E R H I T U N G A N P P h P A S A L 2 6 A Y A T ( 4 ) ( K h u s u s

B U T ) ( L a m p i ra n K h u s u s 6 A B u k u P e t u n j u k

P e n g i s i a n S P T )

K o l o m G .1 6 . i D i is i :

1 = a d a

0 = t i d a k a d a

6 3 . J . K R E D I T P A J A K L U A R N E G E R I ( L a m p i ra n K h u s u s

7 A B u k u P e t u n j u k P e n g i s i a n S P T )

K o l o m G .1 6 . j D i is i :

1 = a d a

0 = t i d a k a d a

6 4 . K . S U R A T K U A S A K H U S U S ( B i la d ik u a s a k a n ) K o l o m G .1 6 .k D i is i :

1 = a d a

0 = t i d a k a d a

P E N G H I T U N G A N P E N G H A S I L A N N E T O F I S K A L L A M P I R A N - I

F O R M U L I R 1 7 7 1 - I

1 . P E N G H A S I L A N N E T O K O M E R S I A L D A L A M

N E G E R I

6 5 . P E R E D A R A N U S A H A K o l o m 1 .a . ( 3 ) . M i n im a l 0

6 6 . H A R G A P O K O K P E N J U A L A N K o l o m 1 . b .( 3 ) . M i n im a l 0

6 7 . B I A Y A U S A H A L A I N N Y A K o l o m 1 .c . ( 3 ) .

6 8 . P E N G H A S I L A N N E T O D A R I U S A H A K o l o m 1 . d .( 3 ) . M i n im a l 0

6 9 . P E N G H A S I L A N D A R I L U A R U S A H A K o l o m 1 .e . ( 3 ) . M i n im a l 0

7 0 . B I A Y A D A R I L U A R U S A H A K o l o m 1 . f .( 3 ) . M i n im a l 0

7 1 . P E N G H A S I L A N N E T O D A R I L U A R U S A H A K o l o m 1 . g .( 3 ) . M i n im a l 0

7 2 . J U M L A H K o l o m 1 . h .( 3 ) . A l l v a l u e s ,

( 1 . d . + 1 . e .)

7 3 . 2 . P E N G H A S I L A N N E T O K O M E R S I A L L U A R

N E G E R I

K o l o m 2

7 4 . 3 . J U M L A H P E N G H A S I L A N N E T O K O M E R S I A L K o l o m 3

7 5 . 4 . P E N G H A S I L A N Y A N G D I K E N A K A N P P h F I N A L

D A N Y A N G T I D A K T E R M A S U K O B J E K P A J A K

K o l o m 4

5 . P E N Y E S U A I A N F I S K A L P O S I T I F

7 6 . B I A Y A Y A N G D I B E B A N K A N / D I K E L U A R K A N U N T U K

K E P E N T IN G A N P E M E G A N G S A H A M , S E K U T U A T A U

A N G G O T A

K o l o m 5 .a . ( 3 ) M i n im a l 0

7 7 . P E M B E N T U K A N A T A U P E M U P U K A N D A N A C A D A N G A N K o l o m 5 . b .( 3 ) . M i n im a l 0

7 8 . P E N G G A N T I A N A T A U IM B A L A N P E K E R J A A N A T A U

J A S A D A L A M B E N T U K N A T U R A D A N K E N I K M A T A N

K o l o m 5 .c . ( 3 ) . M i n im a l 0

7 9 . J U M L A H Y A N G M E L E B I H I K E W A J A R A N Y A N G

D I B A Y A R K A N K E P A D A P E M E G A N G S A H A M / P IH A K

Y A N G M E M P U N Y A I H U B U N G A N I S T IM E W A


K o l o m 5 . d .( 3 ) . M i n im a l 0

8 0 . H A R T A Y A N G D I H I B A H K A N , B A N T U A N A T A U

S U M B A N G A N

K o l o m 5 .e . ( 3 ) . M i n im a l 0

8 1 . P A J A K P E N G H A S I L A N K o l o m 5 . f .( 3 ) . M i n im a l 0

8 2 . G A J I Y A N G D I B A Y A R K E P A D A A N G G O T A

P E R S E K U T U A N , F IR M A A T A U C V Y A N G M O D A L N Y A

T I D A K T E R B A G I A T A S S A H A M

K o l o m 5 . g .( 3 ) . M i n im a l 0

8 3 . S A N K S I A D M IN I S T R A S I K o l o m 5 . h .( 3 ) . M i n im a l 0

8 4 . S E L I S I H P E N Y U S U T A N K O M E R S I A L D I A T A S


K o l o m 5 . i .( 3 ) . M i n im a l 0

8 5 . S E L I S I H A M O R T IS A S I K O M E R S IA L D I A T A S

A M O R T I S A S I F I S K A L

K o l o m 5 . j .( 3 ) . M i n im a l 0

8 6 . B I A Y A Y A N G D IT A N G G U H K A N P E N G A K U A N N Y A K o l o m 5 .k . ( 3 ) . M i n im a l 0

8 7 . P E N Y E S U A I F IS K A L P O S I T IF L A I N N Y A K o l o m 5 . l .( 3 ) . M i n im a l 0

8 8 . J U M L A H 5 a . s . d . 5 l K o l o m 3 .m .( 3 ) . M i n im a l 0


8 9 . S E L I S I H P E N Y U S U T A N K O M E R S IA L D I B A W A H


K o l o m 6 .a . ( 3 ) . M i n im a l 0

9 0 . S E L I S I H A M O R T IS A S I K O M E R S IA L D I B A W A H

A M O R T I S A S I F I S K A L

K o l o m 6 . b .( 3 ) . M i n im a l 0


9 1 . P E N G H A S I L A N Y A N G D I T A N G G U H K A N

P E N G A K U A N N Y A

K o l o m 6 .c . ( 3 ) . M i n im a l 0

9 2 . P E N Y E S U A I A N F IS K A L N E G A T IF L A I N N Y A K o l o m 6 . d .( 3 ) . M i n im a l 0

9 3 . J U M L A H 6 a . s . d . 6 d . K o l o m 6 .e . ( 3 ) . M i n im a l 0

9 4 . 7 . F A S I L I T A S P E N A N A M A N M O D A L B E R U P A

P E N G U R A N G A N P E N G H A S I L A N N E T O T A H U N K E

. . .

K o l o m 7 .a . ( 2 ) .

( D i is i d a r i L a m p i r a n K h u s u s 4 A a n g k a 5 b ) K o l o m 7 . b .( 3 ) .

9 5 . 8 . P E N G H A S I L A N N E T O F I S K A L K o l o m 8 .( 3 ) . A l l v a l u e s , ( J u m la h 1 . ( 3 ) -

J u m l a h 2 . ( 3 ) + J u m l a h

3 . ( 3 ) - J u m la h 4 . ( 3 ) -

J u m l a h 5 .( 3 ) .

P E R I N C I A N H A R G A P O K O K P E N J U A L A N , B I A Y A

U S A H A L A I N N Y A D A N B I A Y A D A R I L U A R U S A H A


F O R M U L I R 1 7 7 1 - I I

I D E N T I T A S ( S I D J P t i d a k p e r lu m e n g is i )

9 6 . N P W P B a g ia n a t a s

t e n g a h k o l o m

O to m a t is t e r is i d a r i

m a s t e r f il e

9 7 . N A M A W A J I B P A J A K B a g ia n a t a s



m a s t e r f il e

9 8 . P E R IO D E P E M B U K U A N B a g ia n a t a s



m a s t e r f il e

9 9 . 1 . P E M B E L I A N B A H A N / B A R A N G

D A G A N G A N

H A R G A P O K O K P E N J U A L A N K O L O M 1 ( 3 ) M i n im a l 0

B I A Y A U S A H A L A I N N Y A K O L O M 1 ( 4 ) M i n im a l 0

B I A Y A D A R I L U A R U S A H A K O L O M 1 ( 5 ) M i n im a l 0

J U M L A H K O L O M 1 ( 6 ) M i n im a l 0

1 0 0 . 2 . G A J I , U P A H , B O N U S , G R A T I F I K A S I , H O N O R A R IU M

T J R . d s b





1 0 1 . 3 . B I A Y A T R A N S P O R T A S I





1 0 2 . 4 . B I A Y A P E N Y U S U T A N D A N A M O R T I S A S I





1 0 3 . 5 . B I A Y A S E W A





1 0 4 . 6 . B I A Y A B U N G A P IN J A M A N





1 0 5 . 7 . B I A Y A S E H U B U N G A N D E N G A N J A S A





1 0 6 . 8 . B I A Y A P I U T A N G T A K T E R T A G IH





1 0 7 . 9 . B I A Y A R O Y A L T I





1 0 8 . 1 0 . B I A Y A P E M A S A R A N / P R O M O S I





1 0 9 . 1 1 . B I A Y A L A I N N Y A






1 1 0 . 1 2 . P E R S E D I A A N A W A L





1 1 1 . 1 3 . P E R S E D I A A N A K H I R





1 1 2 . 1 4 . J U M L A H 1 S .D . 1 2 D IK U R A N G I 1 3





K R E D I T P A J A K D A L A M N E G E R I L A M P I R A N - I I I I

F O R M U L I R 1 7 7 1 - I I I

I D E N T I T A S

1 1 3 . N P W P B a g ia n a t a s



m a s t e r f il e

1 1 4 . N A M A W A J I B P A J A K B a g ia n a t a s



m a s t e r f il e

1 1 5 . P E R IO D E P E M B U K U A N B a g ia n a t a s


M M - Y Y s / d . M M - Y Y

1 1 6 . N A M A P E M O T O N G / P E M U N G U T P A J A K K O L O M ( 2 )

1 1 7 . N P W P P E M O T O N G / P E M U N G U T P A J A K K O L O M ( 3 )

1 1 8 . O B J E K P E M O T O N G A N P E M U N G U T A N

P i l i h :

1 = P a s a l 2 2

2 = P a s a l 2 3

1 1 9 . J E N I S P E N G H A S I L A N / T R A N S A K S I K O L O M ( 4 ) P i l i h :

1 s . d 1 3

1 2 0 . R U P IA H K O L O M ( 5 ) M i n im a l 0

1 2 1 . P A J A K P E N G H A S I L A N Y A N G

D IP O T O N G / D I P U N G U T

M i n im a l 0

1 2 2 . B U K T I

P E M O T O N G A N / P E M U N G U T A N / S S P / S S P C P

K O L O M ( 6 ) K a r a k te r

1 2 3 . N O M O R K O L O M ( 7 ) K a r a k te r

1 2 4 . T A N G G A L K O L O M ( 8 ) D a te

P P h F I N A L D A N P E N G H A S I L A N Y A N G



F O R M U L I R 1 7 7 1 - I V

I D E N T I T A S

1 2 5 . N P W P B a g ia n a t a s



m a s t e r f il e

1 2 6 . N A M A W A J I B P A J A K B a g ia n a t a s



m a s t e r f il e

1 2 7 . P E R IO D E P E M B U K U A N B a g ia n a t a s


M M - Y Y s / d . M M - Y Y

B A G I A N A . P P h F I N A L

1 2 8 . 1 . B U N G A D E P O S IT O / T A B U N G A N D A N D IS K O N T O

S B I / S B N

B A G I A N A : K o l o m

1 . ( 2 ) .

M i n im a l 0

D A S A R P E N G E N A A N P A J A K B A G I A N A : K o l o m

1 . ( 3 ) .

M i n im a l 0

T A R IF B A G I A N A : K o l o m

1 . ( 4 ) .

M i n im a l 0


P P h T E R U T A N G B A G I A N A : K o l o m

1 . ( 5 ) .

M i n im a l 0

1 2 9 . 2 . B U N G A / D IS K O N T O O B L IG A S I


1 . ( 3 ) .

M i n im a l 0


1 . ( 4 ) .

M i n im a l 0


1 . ( 5 ) .

M i n im a l 0

1 3 0 . 3 . P E N G H A S I L A N P E N J U A L A N S A H A M Y A N G

D IP E R D A G A N G K A N D I B U R S A E F E K


1 . ( 3 ) .

M i n im a l 0


1 . ( 4 ) .

M i n im a l 0


1 . ( 5 ) .

M i n im a l 0

1 3 1 . 4 . P E N G H A S I L A N P E N J U A L A N S A H A M

M I L I K P E R U S A H A A N M O D A L V E N T U R A


1 . ( 3 ) .

M i n im a l 0


1 . ( 4 ) .

M i n im a l 0


1 . ( 5 ) .

M i n im a l 0

1 3 2 . 5 . P E N G H A S I L A N U S A H A P E N Y A L U R /

D E A L E R / A G E N P R O D U K B B M


1 . ( 3 ) .

M i n im a l 0


1 . ( 4 ) .

M i n im a l 0


1 . ( 5 ) .

M i n im a l 0

1 3 3 . 6 . P E N G H A S I L A N P E N G A L IH A N H A K A T A S T A N A H / B A N G U N A N


1 . ( 3 ) .

M i n im a l 0


1 . ( 4 ) .

M i n im a l 0


1 . ( 5 ) .

M i n im a l 0

1 3 4 . 7 . P E N G H A S I L A N P E R S E W A A N A T A S

T A N A H / B A N G U N A N


1 . ( 3 ) .

M i n im a l 0


1 . ( 4 ) .

M i n im a l 0


1 . ( 5 ) .

M i n im a l 0

1 3 5 . 8 . I M B A L A N J A S A K O N S T R U K S I

A . P E L A K S A N A K O N S T R U K S I


1 . ( 3 ) .

M i n im a l 0


1 . ( 4 ) .

M i n im a l 0


1 . ( 5 ) .

M i n im a l 0

1 3 6 . B . P E R E N C A N A K O N S T R U K S I


1 . ( 3 ) .

M i n im a l 0


1 . ( 4 ) .

M i n im a l 0


1 . ( 5 ) .

M i n im a l 0

1 3 7 . C . P E N G A W A S K O N S T R U K S I


1 . ( 3 ) .

M i n im a l 0


1 . ( 4 ) .

M i n im a l 0


1 . ( 5 ) .

M i n im a l 0

1 3 8 . 9 . P E R W A K I L A N D A G A N G A S I N G



1 . ( 3 ) .

M i n im a l 0


1 . ( 4 ) .

M i n im a l 0


1 . ( 5 ) .

M i n im a l 0

1 3 9 . 1 0 . P E L A Y A R A N / P E N E R B A N G A N A S I N G


1 . ( 3 ) .

M i n im a l 0


1 . ( 4 ) .

M i n im a l 0


1 . ( 5 ) .

M i n im a l 0

1 4 0 . 1 1 . P E L A Y A R A N D A L A M N E G E R I


1 . ( 3 ) .

M i n im a l 0


1 . ( 4 ) .

M i n im a l 0


1 . ( 5 ) .

M i n im a l 0

1 4 1 . 1 2 . P E N I L A IA N K E M B A L I A K T I V A T E T A P


1 . ( 3 ) .

M i n im a l 0


1 . ( 4 ) .

M i n im a l 0


1 . ( 5 ) .

M i n im a l 0

B A G I A N : B P E N G H A S I L A N Y A N G T I D A K


B A N T U A N / S U M B A N G A N B A G I A N B : K o l o m

1 . ( 3 ) .

M i n im a l 0

H I B A H B A G I A N B : K o l o m

2 . ( 3 ) .

M i n im a l 0

1 4 2 . D I V ID E N / B A G I A N L A B A D A R I P E N Y E R T A A N M O D A L

P A D A B A D A N U S A H A D I I N D O N E S I A

( P a s a l 4 a y a t ( 3 ) H u r u f f U U P P h ) U S $

B A G I A N B : K o l o m

3 . ( 3 ) .

M i n im a l 0

I U R A N D A N P E N G H A S I L A N T E R T E N T U

Y A N G D I T E R IM A D A N A P E N S I U N


4 . ( 3 ) .

M i n im a l 0

B A G I A N L A B A Y A N G D I T E R IM A

P E R U S A H A A N M O D A L V E N T U R A D A R I

B A D A N P A S A N G A N U S A H A


5 . ( 3 ) .

M i n im a l 0

S I S A L E B I H Y A N G D I T E R IM A A T A U

D IP E R O L E H B A D A N A T A U L E M B A G A

N I R L A B A


6 . ( 3 ) .

M i n im a l 0

1 4 3 . . . . . . . . . . . . . . . ( L A I N N Y A - 3 ) U S $ B A G I A N B : K o l o m

3 . ( 3 ) .

M i n im a l 0

1 4 4 . J U M L A H B A G I A N B B A G I A N B . ( 3 ) .

D A F T A R P E M E G A N G S A H A M / P E M I L I K

M O D A L D A N J U M L A H D I V I D E N Y A N G

D I B A G I K A N

D A F T A R S U S U N A N P E N G U R U S D A N

K O M I S A R I S

L A M P I R A N - V

F O R M U L I R 1 7 7 1 - V

A . D A F T A R P E M E G A N G S A H A M / P E M I L I K


D I B A G I K A N

1 4 5 . N A M A k o lo m B A G IA N

A . ( 2 ) .

K a r a k te r

1 4 6 . A L A M A T k o lo m B A G IA N

A . ( 3 ) .

K a r a k te r

1 4 7 . N P W P k o lo m B A G IA N

A . ( 4 ) .

9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

1 4 8 . J U M L A H M O D A L D I S E T O R

R U P IA H

J U M L A H k o lo m

B A G I A N A . ( 5 ) .

M i n im a l 0

1 4 9 . D I V ID E N k o lo m B A G IA N

A . ( 7 ) .

M i n im a l 0

1 5 0 . J U M L A H B A G I A N A J U M L A H k o lo m

B A G I A N A . ( 5 ) .

D A N A .( 7 )

M i n im a l 0

B . D A F T A R S U S U N A N P E N G U R U S D A N

K O M I S A R I S


B . ( 2 ) .

K a r a k te r

1 5 2 . A L A M A T k o lo m B A G IA N

B . ( 3 ) .

K a r a k te r

1 5 3 . N P W P k o lo m B A G IA N

B . ( 4 ) .

9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9


1 5 4 . J A B A T A N k o lo m B A G IA N

B . ( 5 ) .

K a r a k te r

D A F T A R P E N Y E R T A A N M O D A L P A D A

P E R U S A H A A N A F I L I A S I D A N D A F T A R

P I N J A M A N D A R I / K E P A D A P E M E G A N G

S A H A M D A N A T A U P E R U S A H A A N A F I L I A S I

L A M P I R A N - V I

F O R M U L I R 1 7 7 1 - V I

1 5 5 . N P W P B a g ia n a t a s O to m a t is d a r i m a s te r f i l e

1 5 6 . N A M A W A J I B P A J A K B a g ia n a t a s O to m a t is d a r i m a s te r f i l e

1 5 7 . P E R IO D E P E M B U K U A N B a g ia n a t a s M M - Y Y s / d . M M - Y Y

B A G I A N : A D A F T A R P E N Y E R T A A N M O D A L P A D A

P E R U S A H A A N A F I L I A S I

1 5 8 . D o m i s i l i p e r u s a h a a n A f i l ia s i 1 = D a la m N e g e r i

2 = L u a r N e g e r i


A . ( 2 ) .

K a r a k te r

1 6 0 . A L A M A T B a g ia n A . ( 3 ) K a r a k te r

1 6 1 . N P W P B a g ia n A . ( 4 ) 9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

1 6 2 . J U M L A H P E N Y E R T A A N M O D A L

R U P IA H

B a g ia n A . ( 5 ) M i n im a l 0

1 6 3 . % B a g ia n A . ( 6 )

B A G I A N : B D A F T A R U T A N G D A R I

P E M E G A N G S A H A M D A N / A T A U




1 6 5 . N A M A B A G I A N B . ( 2 ) . K a r a k te r

1 6 6 . N P W P B A G I A N B . ( 3 ) . 9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

1 6 7 . J U M L A H P I N J A M A N B A G I A N B . ( 4 ) . M i n im a l 0

1 6 8 . T A H U N B A G I A N B . ( 5 ) . T T T T ( T a h u n )

1 6 9 . B U N G A / T H N % B A G I A N B . ( 6 ) .

B A G I A N : C D A F T A R P I U T A N G D A R I

P E M E G A N G S A H A M D A N / A T A U




1 7 1 . N A M A B A G I A N C . ( 2 ) . K a r a k te r

1 7 2 . N P W P B A G I A N C . ( 3 ) . 9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

1 7 3 . J U M L A H P I N J A M A N B A G I A N C . ( 4 ) . M i n im a l 0

1 7 4 . T A H U N B A G I A N C . ( 5 ) . T T T T ( T a h u n )

1 7 5 . B U N G A / T H N % B A G I A N C . ( 6 ) .

P E R E K A M A N D A T A L A M P I R A N S P T T A H U N A N P P h W P B A D A N

K R E D I T P A J A K D A L A M N E G E R I L A M P I R A N - I I I

F O R M U L I R 1 7 7 1 - I I I

J u m la h r e c o r d

t e r g a n t u n g d a r i j u m l a h

i s i a n W a j i b P a ja k

1 7 6 . N A M A P E M O T O N G / P E M U N G U T P A J A K K o l o m ( 2 ) K a r a k te r

1 7 7 . N P W P P E M O T O N G / P E M U N G U T P A J A K K o l o m ( 3 ) 9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

1 7 8 . O B J E K P E M O T O N G A N / P E M U N G U T A N :

J E N I S P E N G H A S I L A N / T R A N S A K S I

K o l o m ( 4 ) 1 = P a s a l 2 2

2 = P a s a l 2 3


R U P IA H

K o l o m ( 5 ) P i l i h 1 s . d 1 3

1 8 0 . P A J A K P E N G H A S I L A N Y A N G D IP O T O N G / D I P U N G U T

( R U P I A H )

K o l o m ( 6 ) M i n im a l 0

1 8 1 . B U K T I P O T O N G / P U N G U T : N O R M A L K o l o m ( 6 ) K a r a k te r

1 8 2 . B U K T I P O T O N G / P U N G U T : T A N G G A L K o l o m ( 7 ) D a te

D A F T A R P E M E G A N G S A H A M / P E M I L I K M O D A L

D A N J U M L A H D I V I D E N Y A N G D I B A G I K A N ,

D A F T A R S U S U N A N P E N G U R U S D A N K O M I S A R I S

L A M P I R A N - V

F O R M U L I R 1 7 7 1 - V

B A G I A N A . D A F T A R P E M E G A N G S A H A M /

P E M I L I K M O D A L D A N J U M L A H D I V I D E N Y A N G

D I B A G I K A N

B A G I A N A . J u m la h r e c o r d



1 8 3 . N A M A P E M E G A N G S A H A M B A G I A N : A K o l o m

( 2 )

K a r a k te r

1 8 4 . A L A M A T P E M E G A N G S A H A M B A G I A N : A K o l o m

( 3 )

K a r a k te r


1 8 5 . N P W P P E M E G A N G S A H A M B A G I A N : A K o l o m

( 4 )

9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

d a l a m h a l p e m e g a n g

s a h a m / p e m i l i k b u k a n W P

l u a r n e g e r i a t a u b u k a n

p u b l i k , m a k a N P W P h a r u s

d i i s i

1 8 6 . J U M L A H M O D A L D I S E T O R ( R U P IA H ) B A G I A N : A K o l o m

( 5 )

M i n im a l 0

1 8 7 . % J U M L A H M O D A L D IS E T O R ( % ) B A G I A N : A K o l o m

( 6 )

M i n im a l 0 ,0 0

1 8 8 . D I V ID E N ( R U P I A H ) B A G I A N : A K o l o m

( 7 )

M i n im a l 0

B A G I A N B . D A F T A R S U S U N A N P E N G U R U S

D A N K O M I S A R I S

B A G I A N B . J u m la h r e c o r d



1 8 9 . N A M A P E N G U R U S / K O M I S A R IS B A G I A N : B K o l o m

( 2 )

K a r a k te r

1 9 0 . A L A M A T P E N G U R U S / K O M I S A R I S B A G I A N : B K o l o m

( 3 )

K a r a k te r

1 9 1 . N P W P P E N G U R U S / K O M I S A R I S B A G I A N : B K o l o m

( 4 )

9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

d a l a m h a l

p e n g u r u s / k o m i s a r i s b u k a n

W P l u a r n e g e r i , m a k a

N P W P h a r u s d i is i

1 9 2 . J A B A T A N P E N G U R U S / K O M I S A R I S B A G I A N : B K o l o m

( 5 )

K a r a k te r



P I N J A M A N ( U T A N G / P I U T A N G ) D A R I /

K E P A D A P E M E G A N G S A H A M D A N A T A U



F O R M U L I R 1 7 7 0 - V I

B A G I A N A . D A F T A R P E N Y E R T A A N M O D A L P A D A


B A G I A N A . J u m la h r e c o r d



1 9 3 . N A M A P E R U S A H A A N B A G I A N A : K o l o m

( 2 )

K a r a k te r

1 9 4 . A L A M A T P E R U S A H A A N B A G I A N A : K o l o m

( 3 )

K a r a k te r

1 9 5 . N P W P P E R U S A H A A N B A G I A N A : K o l o m

( 4 )

9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

d a l a m h a l p e r u s a h a a n

b u k a n W P l u a r n e g e r i ,

m a k a N P W P h a r u s d i i s i

1 9 6 . J U M L A H P E N Y E R T A A N M O D A L ( R U P I A H ) B A G I A N A : K o l o m

( 5 )

M i n im a l 0

1 9 7 . % J U M L A H P E N Y E R T A A N M O D A L B A G I A N A : K o l o m

( 6 )

M i n im a l 0 ,0 0

B A G I A N B . D A F T A R P I N J A M A N ( U T A N G )

D A R I P E M E G A N G S A H A M D A N A T A U





1 9 8 . N A M A P E M I N J A M B A G I A N B : K o l o m

( 2 )

K a r a k te r

1 9 9 . N P W P P E M I N J A M B A G I A N B : K o l o m

( 3 )

9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

d a l a m h a l p e m in ja m



2 0 0 . J U M L A H P I N J A M A N B A G I A N B : K o l o m

( 4 )

M i n im a l 0

2 0 1 . T A H U N P I N J A M A N B A G I A N B : K o l o m

( 5 )

T T T T ( T a h u n )

2 0 2 . B U N G A P E R T A H U N B A G I A N B : K o l o m

( 6 )

M in im a l 0 ,0 0

B A G I A N B . D A F T A R P I N J A M A N ( U T A N G )

D A R I P E M E G A N G S A H A M D A N A T A U





2 0 3 . N A M A P E M I N J A M B A G I A N B : K o l o m

( 2 )

M in im a l 0 ,0 0

2 0 4 . N P W P P E M I N J A M B A G I A N B : K o l o m

( 3 )

9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

d a l a m h a l p e m in ja m



2 0 5 . J U M L A H P I N J A M A N B A G I A N B : K o l o m

( 4 )

M in im a l 0


2 0 6 . T A H U N P I N J A M A N B A G I A N B : K o l o m

( 5 )


2 0 7 . B U N G A P E R T A H U N B A G I A N B : K o l o m

( 6 )

M in im a l 0 ,0 0




N O M O R : S E - 2 / P J / 2 0 1 1




P E T U N J U K P E R E K A M A N S P T T A H U N A N P P h W P B A D A N B A G I W A J I B P A J A K

Y A N G D I I Z I N K A N M E N Y E L E N G G A R A K A N P E M B U K U A N

D A L A M M A T A U A N G D O L L A R A M E R I K A S E R I K A T



F O R M U L I R 1 7 7 1

1 . T A H U N P A J A K P a d a k o ta k s u d u t

k a n a n a t a s


2 P E M B E T U L A N K E - . . . . M i n im a l 0

3 . N P W P P a d a k o l o m b a g ia n

a t a s

9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

4 . N A M A W P D ia m b i l d a r i d a t a



5 . J E N I S U S A H A D ia m b i l d a r i d a t a


6 . K L U D ia m b i l d a r i d a t a


7 . N O . T E L P D ia m b i l d a r i d a t a


8 . N O . F A K S D ia m b i l d a r i d a t a


9 . P E R IO D E P E M B U K U A N D ia m b i l d a r i d a t a


M M - Y Y s / d . M M - Y Y

1 0 . N E G A R A D O M IS I L I K A N T O R P U S A T

( K H U S U S B U T )

P a d a k o l o m

b a g i a n a t a s

K a r a k te r , k h u s u s u n t u k

B U T , d i is i d e n g a n n a m a

N e g a r a D o m is i l i W P

1 1 . P E R S E T U J U A N P E M B U K U A N D A L A M M A T A U A N G

D O L L A R A S :

N O M O R

T A N G G A L

M U L A I T A H U N P A J A K

P a d a k o l o m


1 2 . P E M B U K U A N / L A P O R A N K E U A N G A N P a d a k o l o m


D i is i :

1 = d i a u d i t


1 3 . O P IN I A K U N T A N P U B L I K P a d a k o l o m


D i is i :


p e n g e c u a l i a n

2 = w a ja r d e n g a n




1 4 . N A M A K A N T O R A K U N T A N P U B L IK P a d a k o l o m


N a m a k a n to r a k u n ta n

p u b l i k

1 5 . N P W P K A N T O R A K U N T A N P U B L I K P a d a k o l o m


N P W P A k u n t a n P u b l ik

9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

1 6 . N A M A A K U N T A N P U B L I K P a d a k o l o m


1 7 . N P W P A K U N T A N P U B L IK P a d a k o l o m


1 8 . N A M A K A N T O R K O N S U L T A N P A J A K P a d a k o l o m


N a m a k a n to r k o n s u lt a n

p a j a k

1 9 . N P W P K A N T O R K O N S U L T A N P A J A K P a d a k o l o m



9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

2 0 . N A M A K O N S U L T A N P A J A K P a d a k o l o m


N a m a k o n s u l t a n p a j a k

2 1 . N P W P K O N S U L T A N P A J A K P a d a k o l o m



9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

A . P E N G H A S I L A N K E N A P A J A K

2 2 . 1 . P E N G H A S I L A N N E T O F IS K A L U S $ K o l o m A .1 . ( 3 ) A l l v a l u e s , = k o lo m 6 .( 3 ) .

f o rm u l i r 1 7 7 1 - 1

2 3 . 1 . P E N G H A S I L A N N E T O F IS K A L R U P I A H K o l o m A .1 . ( 4 )

2 4 . 2 . K O M P E N S A S I K E R U G I A N F I S K A L U S $ K o l o m A .2 . ( 3 ) M i n im a l 0 , t i d a k b o le h

l e b i h b e s a r d a r i A .1 .

2 5 . 2 . K O M P E N S A S I K E R U G I A N F I S K A L R U P I A H K o l o m A .2 . ( 4 )

2 6 . 3 . P E N G H A S I L A N K E N A P A J A K ( 1 - 2 ) U S $ K o l o m A .3 . ( 3 ) M i n im a l 0 , ( A .1 . - A . 2 .)

2 7 . 3 . P E N G H A S I L A N K E N A P A J A K ( 1 - 2 ) R U P I A H K o l o m A .3 . ( 4 )

B . P P h T E R U T A N G

2 8 . 4 . P P h Y A N G T E R U T A N G U S $ K o l o m B . 4 .( 3 ) M i n im a l 0 ,


( T a r i f 1 7 ( 1 ) a

1 7 ( 2 b )

3 1 E ( 1 ) X A .3 . )

2 9 . 4 . P P h Y A N G T E R U T A N G R U P IA H K o l o m B . 4 .( 4 )

3 0 . 5 . P E N G E M B A L I A N / P E N G U R A N G A N

K R E D I T P A J A K L U A R N E G E R I ( P P h P s . 2 4 )

Y A N G T E L A H D IP E R H IT U N G K A N T A H U N L A L U U S $

K o l o m B . 5 .( 3 ) M i n im a l 0

3 1 . 5 . P E N G E M B A L I A N / P E N G U R A N G A N

K R E D I T P A J A K L U A R N E G E R I ( P P h P s . 2 4 )

Y A N G T E L A H D IP E R H IT U N G K A N T A H U N L A L U R U P I A H

K o l o m B . 5 .( 4 )

3 2 . 6 . J U M L A H P P h Y A N G T E R U T A N G U S $ K o l o m B . 6 .( 3 ) M i n im a l 0 , ( B .4 . + B .5 .)

3 3 . 6 . J U M L A H P P h Y A N G T E R U T A N G R U P I A H K o l o m B . 6 .( 4 )

C . K R E D I T P A J A K

3 4 . 7 . P P h D I T A N G G U N G P E M E R I N T A H

( P R O Y E K B A N T U A N L U A R N E G E R I) U S $

K o l o m C .7 .( 3 ) M i n im a l 0

3 5 . 7 . P P h D I T A N G G U N G P E M E R I N T A H

( P R O Y E K B A N T U A N L U A R N E G E R I) R U P I A H

K o l o m C .7 .( 4 ) M i n im a l 0

3 6 . 8 . A . K R E D I T P A J A K D A L A M N E G E R I K o l o m C .8 .a . ( 3 ) M i n im a l 0 , = J U M L A H

k o lo m ( 5 ) f o rm u l i 1 7 7 1 - I I

3 7 . 8 . A . K R E D I T P A J A K D A L A M N E G E R I K o l o m C .8 .a . ( 4 )

3 8 . 8 . B . K R E D I T P A J A K L U A R N E G E R I U S $ K o l o m C .8 . b .( 3 ) M i n im a l 0 , = J U M L A H

k o lo m ( 7 ) f o rm u l i r

1 7 7 1 - I I I

3 9 . 8 . B . K R E D I T P A J A K L U A R N E G E R I R U P I A H K o l o m C .8 . b .( 4 )

4 0 . J U M L A H ( a + b ) U S $ K o l o m C .8 .J U M L A H M i n im a l 0 , ( C .8 .a . +

C . 8 . b .

4 1 . J U M L A H ( a + b ) R U P I A H K o l o m C .8 .J U M L A H

4 2 . P P h Y A N G H A R U S D I B A Y A R S E N D I R I a t a u

P P h Y A N G L E B I H D I P O T O N G / D I P U N G U T U S $

K o l o m C .9 .( 3 ) M i n im l a 0 ,

= ( B .6 . - ( C .7 . + C .8 .) ) ,

a t a u

= ( ( C .7 . + C .8 . ) - B .6 . )

4 3 . R U P IA H K o l o m C .9 .( 4 )

4 4 . P P h Y A N G H A R U S D I B A Y A R S E N D I R I U S $ K o l o m C .9 .a . ( 3 ) D i is i :

0 , j ik a : B .6 . = ( C . 7 . +

C . 8 . )

1 , j ik a : B .6 . > ( C . 7 . +

C . 8 . )

2 , j ik a : B .6 . < ( C . 7 . +

C . 8 . )

4 5 . R U P IA H K o l o m C .9 .a . ( 4 )

4 6 . P P h Y A N G L E B I H D I P O T O N G / D I P U N G U T U S $ K o l o m C .9 . b .( 3 )

4 7 . R U P IA H K o l o m C .9 . b .( 4 )

4 8 . P P h Y A N G D I B A Y A R S E N D IR I U S $ K o l o m C .1 0 .( 3 )

4 9 . R U P IA H K o l o m C .1 0 .( 4 )

5 0 . P P h P A S A L 2 5 B U L A N A N U S $ K o l o m C .1 0 .a . ( 3 ) M i n im a l 0

5 1 . R U P IA H K o l o m C .1 0 .a . ( 4 )

5 2 . S T P P P h P A S A L 2 5 ( H A N Y A P O K O K P A J A K ) U S $ K o l o m C .1 0 . b .( 3 ) M i n im a l 0

5 3 . R U P IA H K o l o m C .1 0 . b .( 4 )

5 4 . J U M L A H ( 1 0 a + 1 0 b ) K o l o m C .1 0 .c . ( 3 ) M i n im a l 0 , ( C .1 0 a .

+ C . 1 0 . b .)

5 5 . R U P IA H K o l o m C .1 0 .c . ( 4 )

D . P P h K U R A N G / L E B I H B A Y A R



K o l o m D .1 1 .( 3 ) M i n im a l 0 , ( C .9 . - J u m l a h

C . 1 0 . ) a t a u

( J u m l a h C .1 0 . - C . 9 )

5 7 . R U P IA H K o l o m D .1 1 .( 4 )

5 8 . P P h Y A N G K U R A N G D I B A Y A R P A D A A N G K A 1 1 . a

D I S E T O R T A N G G A L

K o l o m D .1 2

5 9 .

6 0 . P P h Y A N G L E B I H D I B A Y A R P A D A A N G K A 1 1 . b

M O H O N :

A . D I R E S T I T U S I K A N

K o l o m D .1 3 .a 1 = d i r e s t it u s i

0 = t i d a k d i r e s t it u s i

6 1 . B . D IP E R H I T U N G K A N D E N G A N U T A N G P A J A K K o l o m D .1 3 . b 1 = d i p e r h i t u n g k a n


6 2 . P E N G E M B A L I A N P E N D A H U L U A N ( P A S A L 1 7 C A T A U

P A S A L 1 7 D U U K U P

K o l o m D .1 3 1 = d i p e r h i t u n g k a n


E . A N G S U R A N P P h P A S A L 2 5 T A H U N

B E R J A L A N

6 3 . P E N G H A S I L A N Y A N G M E N J A D I D A S A R

P E N G H IT U N G A N A N G S U R A N

K o l o m E .1 4 .a . ( 3 ) M i n im a l 0

6 4 . R U P IA H K o l o m E .1 4 .a . ( 4 )

6 5 . K O M P E N S A S I K E R U G I A N F I S K A L K o l o m E .1 4 . b .( 3 ) M i n im a l 0 , = K o lo m A .2 .

6 6 . R U P IA H K o l o m E .1 4 . b .( 4 )

6 7 . P E N G H A S I L A N K E N A P A J A K K o l o m E .1 4 .c . ( 3 ) M i n im a l 0 , ( F .a - F . b .)

6 8 . R U P IA H K o l o m E .1 4 .c . ( 4 )

6 9 . P P h Y A N G T E R U T A N G K o l o m E .1 4 . d .( 3 ) M i n im a l 0 , ( T a r i f 1 7 ( 1 ) a

1 7 ( 2 b )


3 1 E ( 1 ) X F .c . )

7 0 . R U P IA H K o l o m E .1 4 . d .( 4 )

7 1 . K R E D I T P A J A K T A H U N P A J A K Y A N G L A L U A T A S

P E N G H A S I L A N Y A N G T E R M A S U K D A L A M A N G K A 1 4 a

Y A N G D IP O T O N G / D I P U N G U T O L E H P I H A K L A IN

K o l o m E .1 4 .e . ( 3 ) M i n im a l 0

7 2 . R U P IA H K o l o m E .1 4 .e . ( 4 )

7 3 . P P h Y A N G H A R U S D I B A Y A R S E N D I R I ( d - e ) K o l o m E .1 4 . f .( 3 ) M i n im a l 0 , ( F .d . - F . e .)

7 4 . R U P IA H K o l o m E .1 4 . f .( 4 )

7 5 . P P h P A S A L 2 5 : ( 1 / 1 2 H U R U F f) K o l o m E .1 4 . g .( 3 ) M i n im a l 0 , ( 1 / 1 2 X F . f .)

7 6 . R U P IA H K o l o m E .1 4 . g .( 4 )

F . P P h F I N A L D A N P E N G H A S I L A N B U K A N

O B J E K P A J A K

7 7 . P P h F I N A L K o l o m F .1 5 . a .( 3 ) M i n im a l 0 ,

= J u m la h K O L O M B A G I A N

I V . A . ( 5 )

7 8 . R U P IA H K o l o m F .1 5 . a .( 4 )

7 9 . P E N G H A S I L A N Y A N G T ID A K T E R M A S U K O B J E K P A J A K ,

P E N G H A S I L A N B R U T O

K o l o m F .1 5 . b .( 3 ) M i n im a l 0 ,

= J u m la h K O L O M B A G I A N

I V . A . ( 3 )

8 0 . R U P IA H K o l o m F .1 5 . b .( 4 )

G . P E R N Y A T A A N T R A N S A K S I D A L A M

H U B U N G A N I S T I M E W A

8 1 . A D A T R A N S A K S I D A L A M H U B U N G A N I S T IM E W A

D A N / A T A U T R A N S A K S I D E N G A N P I H A K Y A N G

M E R U P A K A N P E N D U D U K N E G A R A T A X H A V E N

C O U N T R Y

1 6 . a D i is i :

1 = a d a

0 = t i d a k a d a

8 2 . T I D A K A D A T R A N S A K S I D A L A M H U B U N G A N

I S T IM E W A D A N / A T A U T R A N S A K S I D E N G A N P IH A K

Y A N G M E R U P A K A N P E N D U D U K N E G A R A T A X H A V E N

C O U N T R Y

D i is i :

1 = a d a

0 = t i d a k a d a

H . L A M P I R A N

8 3 . S E L A I N L A M P I R A N 1 7 7 1 - I , 1 7 7 1 - I I , 1 7 7 1 - I I I ,

1 7 7 1 - I V , 1 7 7 1 - V , 1 7 7 1 , V I , B E R S A M A IN I

D I L A M P I R K A N P U L A :

A . S U R A T S E T O R A N P A J A K

K o l o m G .1 6 .a D i is i :

1 = a d a

0 = t i d a k a d a

8 4 . B L A P O R A N K E U A N G A N ( W a j i b b a g i s e m u a W a j ib

P a ja k )

K o l o m G .1 6 . b D i is i :

1 = a d a

0 = t i d a k a d a

C . T R A N S K I P K U T IP A N E L E M E N - E L E M E N D A R I

L A P O R A N K E U A N G A N

D i is i :

1 = a d a

0 = t i d a k a d a

8 5 . D . D A F T A R P E N Y U S U T A N D A N A M O R T IS A S I F I S K A L

( W a j i b b a g i s e m u a W a j ib P a ja k , b e n t u k f o rm u li r

s e s u a i d e n g a n L a m p i r a n K h u s u s 1 A p a d a B u k u

P e t u n j u k P e n g i s ia n S P T )

K o l o m G .1 6 .c D i is i :

1 = a d a

0 = t i d a k a d a

8 6 . E . P E N G H IT U N G A N K O M P E N S A S I K E R U G I A N F I S K A L

( L a m p i r a n K h u s u s 2 A B u k u P e t u n j u k P e n g is ia n

S P T )

K o l o m G .1 6 . d D i is i :

1 = a d a

0 = t i d a k a d a

8 7 . F . D A F T A R F A S I L I T A S P E N A N A M A N M O D A L

( L a m p i r a n K h u s u s 4 A B u k u P e t u n j u k P e n g i s i a n

S P T )

K o l o m G .1 6 . f D i is i :

1 = a d a

0 = t i d a k a d a

8 8 . G . D A F T A R C A B A N G U T A M A P E R U S A H A A N ( L a m p i ra n

K h u s u s 5 A B u k u P e t u n j u k P e n g i s ia n S P T )

K o l o m G .1 6 . g D i is i :

1 = a d a

0 = t i d a k a d a

8 9 . H . S U R A T S E T O R A N P A J A K L E M B A R K E - 3 P P h P A S A L

2 6 A Y A T ( 4 ) ( K h u s u s B U T )

K o l o m G .1 6 . h D i is i :

1 = a d a

0 = t i d a k a d a

9 0 . I . P E R H I T U N G A N P P h P A S A L 2 6 A Y A T ( 4 ) ( K h u s u s

B U T ) ( L a m p i ra n K h u s u s 6 A B u k u P e t u n j u k

P e n g is ia n S P T )

K o l o m G .1 6 . i D i is i :

1 = a d a

0 = t i d a k a d a

9 1 . J . K R E D I T P A J A K L U A R N E G E R I ( L a m p i ra n K h u s u s

7 A B u k u P e t u n j u k P e n g is i a n S P T )

K o l o m G .1 6 . j D i is i :

1 = a d a

0 = t i d a k a d a

9 2 . K . S U R A T K U A S A K H U S U S ( B i la d ik u a s a k a n ) K o l o m G .1 6 .k D i is i :

1 = a d a

0 = t i d a k a d a

P E N G H I T U N G A N P E N G H A S I L A N N E T O F I S K A L L A M P I R A N - I

F O R M U L I R 1 7 7 1 - I

1 . P E N G H A S I L A N N E T O K O M E R S I A L D A L A M

N E G E R I

9 3 . P E R E D A R A N U S A H A U S $ K o l o m 1 .a . ( 3 ) M i n im a l 0

9 4 . H A R G A P O K O K P E N J U A L A N U S $ K o l o m 1 . b .( 3 ) M i n im a l 0

9 5 . B I A Y A U S A H A L A I N N Y A U S $ K o l o m 1 .c . ( 3 )

9 6 . P E N G H A S I L A N N E T O D A R I U S A H A U S $ K o l o m 1 . d .( 3 ) M i n im a l 0

9 7 . P E N G H A S I L A N D A R I L U A R U S A H A U S $ K o l o m 1 .e . ( 3 ) M i n im a l 0


9 8 . B I A Y A D A R I L U A R U S A H A U S $ K o l o m 1 . f .( 3 ) M i n im a l 0

9 9 . P E N G H A S I L A N N E T O D A R I L U A R U S A H A U S $ K o l o m 1 . g .( 3 ) M i n im a l 0

1 0 0 . J U M L A H U S $ K o l o m 1 . h .( 3 ) A l l v a l u e S ,

( 1 . d . + 1 . e .)

2 . P E N G H A S I L A N N E T O K O M E R S I A L L U A R

N E G E R I U S $

K o l o m 2

3 . J U M L A H P E N G H A S I L A N N E T O K O M E R S I A L

U S $

K o l o m 3

4 . P E N G H A S I L A N Y A N G D I K E N A K A N P P h

F I N A L D A N Y A N G T I D A K T E R M A S U K

O B J E K

P A J A K U S $

K o l o m 4

1 0 1 . 5 . P E N Y E S U A I A N F I S K A L P O S I T I F

1 0 2 . B I A Y A Y A N G D IB E B A N K A N / D IK E L U A R K A N U N T U K

K E P E N T IN G A N P E M E G A N G S A H A M , S E K U T U A T A U

A N G G O T A U S $

K o l o m 5 .a . ( 3 ) . M i n im a l 0

1 0 3 . P E M B E N T U K A N A T A U P E M U P U K A N D A N A C A D A N G A N

U S $

K o l o m 5 . b .( 3 ) . M i n im a l 0

1 0 4 . P E N G G A N T I A N A T A U IM B A L A N P E K E R J A A N A T A U

J A S A D A L A M B E N T U K N A T U R A D A N K E N I K M A T A N U S $

K o l o m 5 .c . ( 3 ) . M i n im a l 0

1 0 5 . J U M L A H Y A N G M E L E B I H I K E W A J A R A N Y A N G

D I B A Y A R K A N K E P A D A P E M E G A N G S A H A M / P I H A K

Y A N G M E M P U N Y A I H U B U N G A N I S T IM E W A

S E H U B U N G A N D E N G A N P E K E R J A A N U S $

K o l o m 5 . d .( 3 ) . M i n im a l 0

1 0 6 . H A R T A Y A N G D I H IB A H K A N , B A N T U A N A T A U

S U M B A N G A N U S $

K o l o m 5 .e . ( 3 ) . M i n im a l 0

1 0 7 . P A J A K P E N G H A S I L A N U S $ K o l o m 5 . f .( 3 ) . M i n im a l 0

1 0 8 . G A J I Y A N G D I B A Y A R K E P A D A A N G G O T A

P E R S E K U T U A N , F I R M A A T A U C V Y A N G M O D A L N Y A

T I D A K T E R B A G I A T A S S A H A M U S $

K o l o m 5 . g .( 3 ) . M i n im a l 0

1 0 9 . S A N K S I A D M IN I S T R A S I U S $ K o l o m 5 . h .( 3 ) . M i n im a l 0

1 1 0 . S E L I S I H P E N Y U S U T A N K O M E R S I A L D I A T A S

P E N Y U S U T A N F I S K A L U S $

K o l o m 5 . i .( 3 ) . M i n im a l 0

1 1 1 . S E L I S I A M O R T I S A S I K O M E R S IA L D I A T A S

A M O R T I S A S I F I S K A L U S $

K o l o m 5 . j .( 3 ) . M i n im a l 0

1 1 2 . B I A Y A Y A N G D IT A N G G U H K A N P E N G A K U A N N Y A U S $ K o l o m 5 .k . ( 3 ) . M i n im a l 0

1 1 3 . P E N Y E S U A I F IS K A L P O S I T IF L A I N N Y A U S $ K o l o m 5 . l .( 3 ) . M i n im a l 0

1 1 4 . J U M L A H 5 a . s . d . 5 l U S $ K o l o m 3 .m .( 3 ) . M i n im a l 0


1 1 5 . S E L I S I H P E N Y U S U T A N K O M E R S I A L D I B A W A H

P E N Y U S U T A N F I S K A L U S $

K o l o m 6 .a . ( 3 ) . M i n im a l 0

1 1 6 . S E L I S I H A M O R T I S A S I K O M E R S I A L D I B A W A H

A M O R T I S A S I F I S K A L U S $

K o l o m 6 . b .( 3 ) . M i n im a l 0

1 1 7 . P E N G H A S I L A N Y A N G D I T A N G G U H K A N

P E N G A K U A N N Y A U S $

K o l o m 6 .c . ( 3 ) . M i n im a l 0

1 1 8 . P E N Y E S U A I A N F IS K A L N E G A T IF L A I N N Y A U S $ K o l o m 6 . d .( 3 ) . M i n im a l 0

1 1 9 . J U M L A H 6 a . s . d . 6 d . U S $ K o l o m 6 .e . ( 3 ) . M i n im a l 0

7 . F A S I L I T A S P E N A N A M A N M O D A L

B E R U P A P E N G U R A N G A N P E N G H A S I L A N

N E T O T A H U N K E . . .

K o l o m 7 .a . ( 2 ) .

1 2 0 . ( D i is i d a r i L a m p i r a n K h u s u s 4 A a n g k a 5 b ) K o l o m 7 . b .( 3 ) .

8 . P E N G H A S I L A N N E T O F I S K A L U S $ K o l o m 8 .( 3 ) . A l l v a l u e s , ( J u m la h 1 . ( 3 ) -

J u m l a h 2 . ( 3 ) + J u m l a h

3 . ( 3 ) - J u m la h 4 . ( 3 ) -

J u m l a h 5 .( 3 ) .

P E R I N C I A N H A R G A P O K O K P E N J U A L A N ,

B I A Y A U S A H A L A I N N Y A D A N B I A Y A D A R I L U A R

U S A H A

L A M P I R A N - I

F O R M U L I R 1 7 7 1 - I

I D E N T I T A S

1 2 1 . N P W P B a g ia n a t a s t e n g a h

k o lo m

O to m a t is d i a m b i l d a r i

m a s t e r f il e

1 2 2 . N A M A W A J I B P A J A K B a g ia n a t a s t e n g a h

k o lo m

O to m a t is d i a m b i l d a r i

m a s t e r f il e

1 2 3 . P E R IO D E P E M B U K U A N B a g ia n a t a s t e n g a h

k o lo m

M M - Y Y s / d . M M - Y Y

1 2 4 . 1 . P E M B E L I A N B A H A N / B A R A N G D A G A N G A N

H A R G A P O K O K P E N J U A L A N U S $ K O L O M 1 ( 3 ) M i n im a l 0

B I A Y A U S A H A L A I N N Y A U S $ K O L O M 1 ( 4 ) M i n im a l 0

B I A Y A D A R I L U A R U S A H A U S $ K O L O M 1 ( 5 ) M i n im a l 0

J U M L A H U S $ K O L O M 1 ( 6 ) M i n im a l 0

1 2 5 . 2 . G A J I , U P A H , B O N U S , G R A T I F I K A S I ,

H O N O R A R IU M , T J R , d s b





1 2 6 . 3 . B I A Y A T R A N S P O R T A S I






1 2 7 . 4 . B I A Y A P E N Y U S U T A N D A N A M O R T I S A S I





1 2 8 . 5 . B I A Y A S E W A





1 2 9 . 6 . B I A Y A B U N G A P IN J A M A N





1 3 0 . 7 . B I A Y A S E H U B U N G A N D E N G A N J A S A





1 3 1 . 8 . B I A Y A P I U T A N G T A K T E R T A G IH





1 3 2 . 9 . B I A Y A R O Y A L T I





1 3 3 . 1 0 . B I A Y A P E M A S A R A N / P R O M O S I





1 3 4 . 1 1 . B I A Y A L A I N - L A IN





1 3 5 . 1 2 . P E R S E D I A A N A W A L





1 3 6 . 1 3 . P E R S E D I A A N A K H I R





1 3 7 . 1 4 . J U M L A H 1 S .D . 1 2 D IK U R A N G I 1 3






F O R M U L I R 1 7 7 1 - I I I

I D E N T I T A S


k o lo m

O to m a t is t e r i s i d a r i

m a s t e r f il e


k o lo m


m a s t e r f il e


k o lo m

M M - Y Y s / d . M M - Y Y

1 4 1 . N A M A P E M O T O N G / P E M U N G U T P A J A K K O L O M ( 2 )

1 4 2 . N P W P P E M O T O N G / P E M U N G U T P A J A K K O L O M ( 3 )

1 4 3 . O B J E K P E M O T O N G P E M U N G U T A N M i n im a l 0

1 4 4 . J E N I S P E N G H A S I L A N / T R A N S A K S I K O L O M ( 4 ) M i n im a l 0

1 4 5 . U S $ K O L O M ( 5 ) M i n im a l 0

1 4 6 . P A J A K P E N G H A S I L A N Y A N G M i n im a l 0


D IP O T O N G / D I P U N G U T U S $

1 4 7 . B U K T I

P E M O T O N G A N / P E M U N G U T A N / S S P / S S P C P

K O L O M ( 6 ) K a r a k te r

1 4 8 . N O M O R K O L O M ( 7 ) K a r a k te r

1 4 9 . T A N G G A L K O L O M ( 8 ) D a te

P P h F I N A L D A N P E N G H A S I L A N Y A N G T I D A K



F O R M U L I R 1 7 7 1 - I V

I D E N T I T A S


k o lo m


m a s t e r f il e


k o lo m


m a s t e r f il e


k o lo m

M M - Y Y s / d . M M - Y Y

1 5 3 . B A G I A N A . P P h F I N A L

1 5 4 . 1 . B U N G A D E P O S I T O / T A B U N G A N D A N

D I S K O N T O S B I / S B N U S $

B A G I A N A : K o l o m

1 . ( 2 ) .

D A S A R P E N G E N A A N P A J A K U S $ B A G I A N A : K o l o m

1 . ( 3 ) .

M i n im a l 0


1 . ( 4 ) .

M i n im a l 0

P P h T E R U T A N G U S $ B A G I A N A : K o l o m

1 . ( 5 ) .

M i n im a l 0

1 5 5 . 2 . B U N G A / D IS K O N T O O B L IG A S I


1 . ( 3 ) .

M i n im a l 0


1 . ( 4 ) .

M i n im a l 0


1 . ( 5 ) .

M i n im a l 0

1 5 6 . 3 . P E N G H A S I L A N P E N J U A L A N S A H A M Y A N G

D IP E R D A G A N G K A N D I B U R S A E F E K


1 . ( 3 ) .

M i n im a l 0


1 . ( 4 ) .

M i n im a l 0


1 . ( 5 ) .

M i n im a l 0

1 5 7 . 4 . P E N G H A S I L A N P E N J U A L A N S A H A M M I L IK

P E R U S A H A A N M O D A L V E N T U R A


1 . ( 3 ) .

M i n im a l 0


1 . ( 4 ) .

M i n im a l 0


1 . ( 5 ) .

M i n im a l 0

1 5 8 . 5 . P E N G H A S I L A N U S A H A P E N Y A L U R / D E A L E R /

A G E N P R O D U K B B M


1 . ( 3 ) .

M i n im a l 0


1 . ( 4 ) .

M i n im a l 0


1 . ( 5 ) .

M i n im a l 0

1 5 9 . 6 . P E N G H A S I L A N P E N G A L I H A N H A K A T A S

T A N A H / B A N G U N A N


1 . ( 3 ) .

M i n im a l 0


1 . ( 4 ) .

M i n im a l 0


1 . ( 5 ) .

M i n im a l 0

1 6 0 . 7 . P E N G H A S I L A N P E R S E W A A N A T A S T A N A H /

B A N G U N A N


1 . ( 3 ) .

M i n im a l 0


1 . ( 4 ) .

M i n im a l 0


1 . ( 5 ) .

M i n im a l 0

1 6 1 . 8 . I M B A L A N J A S A K O N S T R U K S I

A . P E L A K S A N A K O N S T R U K S I


1 . ( 3 ) .

M i n im a l 0


1 . ( 4 ) .

M i n im a l 0

P P h T E R U T A N G U S $ B A G I A N A : K o l o m M i n im a l 0


1 . ( 5 ) .

1 6 2 . B . P E R E N C A N A K O N S T R U K S I


1 . ( 3 ) .

M i n im a l 0


1 . ( 4 ) .

M i n im a l 0


1 . ( 5 ) .

M i n im a l 0

1 6 3 . C . P E N G A W A S K O N S T R U K S I


1 . ( 3 ) .

M i n im a l 0


1 . ( 4 ) .

M i n im a l 0


1 . ( 5 ) .

M i n im a l 0

1 6 4 . 9 . P E R W A K I L A N D A G A N G A S I N G


1 . ( 3 ) .

M i n im a l 0


1 . ( 4 ) .

M i n im a l 0


1 . ( 5 ) .

M i n im a l 0

1 6 5 . 1 0 . P E L A Y A R A N / P E N E R B A N G A N A S I N G


1 . ( 3 ) .

M i n im a l 0


1 . ( 4 ) .

M i n im a l 0


1 . ( 5 ) .

M i n im a l 0

1 6 6 . 1 1 . P E L A Y A R A N D A L A M N E G E R I


1 . ( 3 ) .

M i n im a l 0


1 . ( 4 ) .

M i n im a l 0


1 . ( 5 ) .

M i n im a l 0

1 6 7 . 1 2 . P E N I L A IA N K E M B A L I A K T I V A T E T A P


1 . ( 3 ) .

M i n im a l 0


1 . ( 4 ) .

M i n im a l 0


1 . ( 5 ) .

M i n im a l 0

B A G I A N : B P E N G H A S I L A N Y A N G T I D A K


1 6 8 . D I V ID E N / B A G I A N L A B A D A R I P N Y E R T A A N

M O D A L P A D A B A D A N U S A H A D I IN D O N E S IA

( P a s a l 4 a y a t ( 3 ) h u r u f f U U P P h ) U S $


1 . ( 3 ) .

M i n im a l 0

1 6 9 . S I S A L E B I H Y A N G D I T E R IM A A T A U D IP E R O L E H

B A D A N A T A U L E M B A G A N I R L A B A


2 . ( 3 ) .

M i n im a l 0

1 7 0 . . . . . . . . . . . ( L A I N N Y A - 3 ) U S $ B A G I A N B : K o l o m

3 . ( 3 ) .

M i n im a l 0

1 7 1 . J U M L A H B A G I A N B B A G I A N B . ( 3 ) .


M O D A L D A N S E J U M L A H D I V I D E N Y A N G

D I B A G I K A N

D A F T A R S U S U N A N P E N G U R U S D A N

K O M I S A R I S

L A M P I R A N - V

F O R M U L I R 1 7 7 1 - V

A . D A F T A R P E M E G A N G S A H A M / P E M I L I K


D I B A G I K A N

1 7 2 . N A M A k o lo m B A G IA N A . ( 2 ) . K a r a k te r

1 7 3 . A L A M A T k o lo m B A G IA N A . ( 3 ) . K a r a k te r

1 7 4 . N P W P k o lo m B A G IA N A . ( 3 ) .

1 7 5 . J U M L A H M O D A L D I S E T O R U S $ J U M L A H k o lo m

B A G I A N A . ( 5 ) .

M i n im a l 0

1 7 6 . D I V ID E N U S $ k o lo m B A G IA N A . ( 5 ) . M i n im a l 0

1 7 7 . J U M L A H B A G I A N U S $ J U M L A H k o lo m

B A G I A N A . ( 5 ) . D A N A . ( 7 ) .

M i n im a l 0

B . D A F T A R S U S U N A N P E N G U R U S D A N

K O M I S A R I S

1 7 8 . N A M A k o lo m B A G IA N B . ( 2 ) . K a r a k te r

1 7 9 . A L A M A T k o lo m B A G IA N B . ( 3 ) . K a r a k te r

1 8 0 . N P W P k o lo m B A G IA N B . ( 4 ) . 9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

1 8 1 . J A B A T A N k o lo m B A G IA N B . ( 5 ) . K a r a k te r







F O R M U L I R 1 7 7 1 - V I

1 8 2 . N P W P B a g ia n a t a s O to m a t is d a r i m a s te r f i l e

1 8 3 . N A M A W A J I B P A J A K B a g ia n a t a s O to m a t is d a r i m a s te r f i l e

1 8 4 . P E R IO D E P E M B U K U A N B a g ia n a t a s M M - Y Y s / d . M M - Y Y

B A G I A N : A D A F T A R P E N Y E R T A A N M O D A L

P A D A P E R U S A H A A N A F I L I A S I



1 8 6 . N A M A K o l o m B A G I A N A .( 2 ) . K a r a k te r

1 8 7 . A L A M A T B a g ia n A . ( 3 ) K a r a k te r

1 8 8 . N P W P B a g ia n A . ( 4 ) 9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

1 8 9 . J U M L A H P E N Y E R T A A N M O D A L U S $ B a g ia n A . ( 5 ) M i n im a l 0

1 9 0 . % B a g ia n A . ( 6 )

B A G I A N : B D A F T A R P I N J A M A N ( U T A N G )

D A R I P E M E G A N G S A H A M D A N / A T A U




1 9 2 . N A M A B A G I A N B . ( 2 ) . K a r a k te r

1 9 3 . N P W P B A G I A N B . ( 3 ) . 9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

1 9 4 . J U M L A H P I N J A M A N U S $ B A G I A N B . ( 4 ) . M i n im a l 0

1 9 5 . T A H U N B A G I A N B . ( 5 ) . T T T T ( T a h u n )

1 9 6 . B U N G A / T H N % B A G I A N B . ( 6 ) .

B A G I A N : C D A F T A R P I N J A M A N ( P I U T A N G )

D A R I P E M E G A N G S A H A M D A N / A T A U




1 9 8 . N A M A B A G I A N C . ( 2 ) . K a r a k te r

1 9 9 . N P W P B A G I A N C . ( 3 ) . 9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

2 0 0 . J U M L A H P I N J A M A N U S $ B A G I A N C . ( 4 ) . M i n im a l 0

2 0 1 . T A H U N B A G I A N C . ( 5 ) . T T T T ( T a h u n )

2 0 2 . B U N G A / T H N % B A G I A N C . ( 6 ) . M i n im a l 0

P E R E K A M A N D A T A L A M P I R A N S P T T A H U N A N P P h W P B A D A N


F O R M U L I R 1 7 7 1 - I I I / $




2 0 3 . N A M A P E M O T O N G / P E M U N G U T P A J A K K o l o m ( 2 ) K a r a k te r

2 0 4 . N P W P P E M O T O N G / P E M U N G U T P A J A K K o l o m ( 3 ) 9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9


J E N I S P E N G H A S I L A N

K o l o m ( 4 ) K a r a k te r

2 0 6 . O B J E K P E M O T O N G A N / P E M U N G U T A N K o l o m ( 5 ) ( U S $ ) M i n im a l 0

2 0 7 . P A J A K P E N G H A S I L A N Y A N G D I P O T O N G /

D IP U N G U T

K o l o m ( 6 ) ( U S $ )

U n t u k P P h P a s a l 2 2 d a n 2 3

M i n im a l 0

2 0 8 . P A J A K P E N G H A S I L A N Y A N G D I P O T O N G /

D IP U N G U T ( R U P IA H )

K o l o m ( 7 ) ( R U P IA H )

U n t u k P P h P a s a l 2 2 d a n 2 3

M i n im a l 0

2 0 9 . B U K T I P O T O N G / P U N G U T : N O M O R K o l o m ( 8 ) K a r a k te r

2 1 0 . B U K T I P O T O N G / P U N G U T : T A N G G A L K o l o m ( 9 ) D a te

K R E D I T P A J A K L U A R N E G E R I L A M P I R A N

K H U S U S 7 A / 7 B

F O R M U L I R 1 7 7 1




2 1 1 . N A M A P E M O T O N G P A J A K D I L U A R N E G E R I K o l o m ( 2 ) K a r a k te r

2 1 2 . A L A M A T P E M O T O N G P A J A K D I L U A R N E G E R I K o l o m ( 3 ) K a r a k te r

2 1 3 . J E N I S P E N G H A S I L A N K o l o m ( 4 ) K a r a k te r

2 1 4 . J U M L A H N E T O K o l o m ( 5 ) ( U S $ ) M i n im a l 0

2 1 5 . P A J A K Y A N G T E R U T A N G / D I B A Y A R D I L U A R

N E G E R I

K o l o m ( 6 ) ( U S $ ) M i n im a l 0

2 1 6 . P A J A K Y A N G T E R U T A N G / D I B A Y A R D I L U A R

N E G E R I

K o l o m ( 7 ) ( V A L A S ) M i n im a l 0

2 1 7 . K R E D I T P A J A K Y A N G D A P A T D IP E R H IT U N G K A N K o l o m ( 8 ) ( U S $ ) M i n im a l 0


M O D A L D A N D A F T A R S U S U N A N P E N G U R U S

D A N K O M I S A R I S

L A M P I R A N - V

F O R M U L I R 1 7 7 1 -

V / $




B A G I A N A . D A F T A R P E M E G A N G S A H A M /

P E M I L I K M O D A L

B A G I A N A .

2 1 8 . N A M A P E M E G A N G S A H A M B A G I A N : A K o l o m

( 2 )

K a r a k te r

2 1 9 . A L A M A T P E M E G A N G S A H A M B A G I A N : A K o l o m

( 3 )

K a r a k te r


2 2 0 . N P W P P E M E G A N G S A H A M B A G I A N : A K o l o m

( 4 )

9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

d a l a m h a l p e m e g a n g

s a h a m / p e m i l i k b u k a n W P

l u a r n e g e r i a t a u b u k a n

p u b l i k , m a k a N P W P h a r u s

d i i s i

2 2 1 . J U M L A H M O D A L D I S E T O R B A G I A N : A K o l o m

( 5 ) ( U S $ )

M i n im a l 0

2 2 2 . % J U M L A H M O D A L D IS E T O R ( % ) B A G I A N : A K o l o m

( 6 )

M i n im a l 0 ,0 0

B A G I A N B . D A F T A R S U S U N A N

P E N G U R U S D A N K O M I S A R I S

B A G I A N B .

2 2 3 . N A M A P E N G U R U S / K O M I S A R IS B A G I A N : B K o l o m ( 2 ) K a r a k te r

2 2 4 . A L A M A T P E N G U R U S / K O M I S A R I S B A G I A N : B K o l o m ( 3 ) K a r a k te r

2 2 5 . N P W P P E N G U R U S / K O M I S A R I S B A G I A N : B K o l o m ( 4 ) 9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

d a l a m h a l

p e n g u r u s / k o m i s a r i s b u k a n



2 2 6 . J A B A T A N P E N G U R U S / K O M I S A R I S B A G I A N : B K o l o m ( 5 ) K a r a k te r






F O R M U L I R 1 7 7 0 -

V I / $




B A G I A N A . D A F T A R P E N Y E R T A A N M O D A L

P A D A P E R U S A H A A N A F I L I A S I

2 2 7 . N A M A P E R U S A H A A N B A G I A N : A K o l o m ( 2 ) K a r a k te r

2 2 8 . A L A M A T P E R U S A H A A N B A G I A N : A K o l o m ( 3 ) K a r a k te r

2 2 9 . N P W P P E R U S A H A A N B A G I A N : A K o l o m ( 4 ) 9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

d a l a m h a l p e r u s a h a a n



2 3 0 . J U M L A H P E N Y E R T A A N M O D A L B A G I A N : A K o l o m ( 5 )

( U S $ )

M i n im a l 0

2 3 1 . % J U M L A H P E N Y E R T A A N M O D A L B A G I A N : A K o l o m ( 6 ) M i n im a l 0 ,0 0

B A G I A N B . D A F T A R P I N J A M A N D A R I /

K E P A D A P E M E G A N G S A H A M D A N A T A U


B A G I A N B .

2 3 2 . N A M A P E M I N J A M B A G I A N : B K o l o m

( 2 )

K a r a k te r

2 3 3 . A L A M A T P E M I N J A M B A G I A N : B K o l o m

( 2 )

K a r a k te r

2 3 4 . N P W P P E M I N J A M B A G I A N : B K o l o m

( 3 )

9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

d a l a m h a l p e m in j a m b u k a n



2 3 5 . J U M L A H P I N J A M A N B A G I A N : B K o l o m

( 4 ) ( U S $ )

M i n im a l 0

2 3 6 . T A H U N P I N J A M A N B A G I A N : B K o l o m

( 5 )


2 3 7 . B U N G A P E R T A H U N B A G I A N : B K o l o m

( 6 )

M i n im a l 0 ,0 0




N O M O R : S E - 2 / P J / 2 0 1 1

T E N T A N G :

P E T U N J U K T E K N IS

T A T A C A R A P E N E R IM A A N

D A N P E N G O L A H A N S P T

T A H U N A N


P A D A T E M P A T P E L A Y A N A N T E R P A D U


I N D U K S P T ( F O R M U L I R 1 7 7 0 ) I N D U K S P T

F O R M U L I R 1 7 7 0

1 . T A N G G A L S P T D I T E R IM A T a n g g a l S P T d it e r im a H H - B - T T T T

( T a n g g a l- B u la n - T a h u n )

H a n y a d i is i j ik a t i d a k

d i t e r im a la n g s u n g d a r i W P

2 . T A H U N P A J A K P a d a k o ta k s u d u t k a n a n

a t a s

T T T T

3 . T A H U N B U K U P a d a k o ta k s u d u t k a n a n

a t a s

B B - T T s . d . B B - T T

4 . N P W P P a d a k o l o m b a g ia n a t a s 9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

5 . N A M A W P , A L A M A T , J E N I S U S A H A D ia m b i l d a r i d a t a M a s te r

F i le W P


6 . C A R A P E N G H IT U N G A N P E N G H A S I L A N N E T O K o l o m A ( k o ta k ) . D i is i :

0 = n o rm a

1 = d i a u d i t

2 = o p i n i a k u n t a n


7 . J U M L A H P E N G H A S I L A N N E T O S E T E L A H

K O M P E N S A S I K E R U G I A N

K o l o m B . 9 . A l l v a l u e s ,

( A .7 . - B .8 .)

8 . S T A T U S K E L U A R G A


K o l o m B . 1 0 . ( T A N D A P A D A

K O T A K )

D i is i :

0 = t i d a k d i b e r i t a n d a

X = w a r i s a n y a n g b e l u m

t e r b a g i

1 = T K = t i d a k k a w i n ,

2 = K = k a w i n ,

3 = K / l = k a w i n i s t r i


4 = P H = k a w i n p i s a h h a rt a


5 = H B = k a w i n , h i d u p

b e r p is a h

9 . J U M L A H T A N G G U N G A N P E N G H A S I L A N T ID A K

K E N A P A J A K

K o l o m B . 1 0 . ( . . . . . . . ) D i is i :

0 = t i d a k a d a t a n g g u n g a n

1 = 1 a n a k

2 = 2 a n a k

3 = 3 a n a k

1 0 . P E N G H A S I L A N T ID A K K E N A P A J A K K o l o m B . 1 0 . M i n im a l 0 , s e s u a i d e n g a n


1 1 . P E N G H A S I L A N K E N A P A J A K K o l o m B . 1 1 . M i n im a l 0 , ( B .9 - B .1 0 )


( C .1 2 . + C .1 3 . )

1 3 . P P h P A S A L 2 5 B U L A N A N K o l o m D .1 7 .a . M i n im a l 0



K o l o m E .1 9 . M i n im a l 0 ,

( D .1 6 . - J u m l a h K o lo m

D .1 7 . ) a t a u

( J u m l a h K o l o m D .1 7 . -

D .1 6 . )


2 9 ) a t a u P P h Y A N G L E B I H D I B A Y A R ( P P h P A S A L

2 8 A )

K o l o m E .1 9 . ( K O T A K ) . D i is i :

0 , j ik a : D .1 6 = J u m la h

K o l o m D .1 7 .

1 , j ik a : D .1 6 > J u m la h

K o l o m D .1 7 .

2 , j ik a j u m l a h k o lo m D .1 6 .

< J u m la h K o l o m D .1 7 .

1 6 . P E R M O H O N A N P P h Y A N G L E B IH D I B A Y A R P A D A

A N G K A 1 9 . b M O H O N :

K o l o m E . D i is i :

0 = t i d a k d i i s i


2 = d i p e r h i t u n g k a n d e n g a n

u t a n g p a j a k


B E R I K U T N Y A

K o l o m F . M i n im a l 0



B E R I K U T


0 = 1 / 1 2 J U M L A H P A D A

A N G K A 1 6 .a .

1 = P E N G H I T U N G A N

D A L A M L A M P I R A N

T E R S E N D IR I

1 9 . P E R E D A R A N U S A H A K o l o m 1 .a . M i n im a l 0


( d a r i S S P P P h P A S A L 2 9 )

D a te , d a r i S S P P P h P a s a l

2 9 , j ik a K O D E E .1 9 = 1

2 1 . J U M L A H P P h K U R A N G B A Y A R K o l o m E .1 9 . ( d a r i S S P P P h

P A S A L 2 9 )

M i n im a l 0 , d a r i S S P P P h

P a s a l 2 9 , j ik a K O D E

E . 1 9 = 1



Y A N G T I D A K M E L A K U K A N K E G I A T A N U S A H A / P E K E R J A A N B E B A S




P R I B A D I Y A N G T I D A K M E L A K U K A N

K E G I A T A N U S A H A / P E K E R J A A N B E B A S

I N D U K S P T

F O R M U L I R 1 7 7 0 S






a t a s

T T T T

3 . N P W P P a d a k o l o m b a g ia n

a t a s

9 9 9 9 9 9 9 9 9 - 9 9 9 . 9 9 9

4 . N A M A , W P , A L A M A T , J E N I S U S A H A D ia m b i l d a r i d a t a M a s te r

F i le W P


5 . J U M L A H P E N G H A S I L A N N E T O K o l o m A .4 . A l l v a l u e s ,

A . 1 . + A .2 . + A .3 .)

6 . S T A T U S K E L U A R G A


K o l o m B . 6 . ( T A N D A P A D A

K O T A K )

D i is i :

0 = t i d a k d i b e r i t a n d a

X = w a r i s a n y a n g b e l u m

t e r b a g i

1 = T K = t i d a k k a w i n ,

2 = K = k a w i n ,

3 = K / l = k a w i n i s t r i


4 = P H = k a w i n p i s a h h a rt a


5 = H B = k a w i n , h i d u p

b e r p is a h

7 . J U M L A H T A N G G U N G A N P E N G H A S IL A N T ID A K

K E N A P A J A K

K o l o m B . 6 . ( . . . . . . . ) D i is i :

0 = t i d a k a d a t a n g g u n g a n

1 = 1 a n a k

2 = 2 a n a k

3 = 3 a n a k

8 . P E N G H A S I L A N T ID A K K E N A P A J A K K o l o m B . 6 . M i n im a l 0 , s e s u a i d e n g a n


9 . P E N G H A S I L A N K E N A P A J A K K o l o m B . 7 . M i n im a l 0 , ( B .4 - B .7 )


( C .9 . + C .1 0 . )

1 1 . P P h P A S A L 2 5 a y a t ( 1 ) K o l o m D .1 4 .a . M i n im a l 0



K o l o m E .1 5 . M i n im a l 0 ,

( D .1 3 . - J u m l a h K o lo m

D .1 4 . ) a t a u

( J u m l a h K o l o m D .1 4 . -

D .1 3 . )


2 9 ) a t a u P P h Y A N G L E B I H D I B A Y A R ( P P h P A S A L

2 8 A )

K o l o m E .1 5 . ( K O T A K ) . D i is i :

0 , j ik a : D .1 3 = J u m la h

K o l o m D .1 4 .

1 , j ik a : D .1 3 > J u m la h

K o l o m D .1 4 .

2 , j ik a j u m l a h k o lo m D .1 3 .

< J u m la h K o l o m D .1 4 .


M O H O N :




2 = d i p e r h i t u n g k a n d e n g a n

u t a n g p a j a k


B E R I K U T N Y A

K o l o m G . M i n im a l 0 ,


B E R I K U T

K o l o m G . ( K o t a k ) D i is i :

0 = 1 / 1 2 J U M L A H P A D A

A N G K A 1 6 .a .

1 = P E N G H I T U N G A N

D A L A M L A M P I R A N

T E R S E N D IR



D a te , d a r i S S P P P h P a s a l

2 9 , j ik a K O D E F .1 5 = 1



M i n im a l 0 , d a r i S S P P P h

P a s a l 2 9 , j ik a K O D E

F .1 5 = 1


P E T U N J U K P E R E K A M A N S P T T A H U N A N P P h W P O R A N G P R I B A D I S A N G A T S E D E R H A N A




P R I B A D I Y A N G M E M P U N Y A I P E N G H A S I L A N

D A R I S A T U P E M B E R I K E R J A D A N T I D A K

M E M I L I K I P E N G H A S I L A N L A I N N Y A K E C U A L I

B U N G A B A N K D A N / A T A U B U N G A K O P E R A S I

I N D U K S P T

F O R M U L I R 1 7 7 0 S S






a t a s

T T T T


4 . N A M A W P , P E K E R J A A N , K L A S IF I K A S I J E N I S

U S A H A , N O . T E L E P O N & N O . F A K S IM I L I

D ia m b i l d a r i d a t a M a s t e r

F i le W P



6 . J U M L A H A N K E S E L U R U H A N H A R T A Y A N G D IM I L I K I


- M i n im a l 0 , s e s u a i d a r i h a r t a

y a n g d i p u n y a i

7 . J U M L A H K E S E L U R U H A N

K E W A J I B A N / U T A N G P A D A A K H I R T A H U N

- M i n im a l 0 , s e s u a i d e n g a n

k e w a j ib a n / u ta n g y a n g

d im i l i k i


P E T U N J U K P E R E K A M A N S P T T A H U N A N P P h W P B A D A N




F O R M U L I R 1 7 7 1



H a n y a d ii s i j i k a t i d a k



a t a s




F i le W P


P E R IO D E P E M B U K U A N

5 . P E M B U K U A N / L A P O R A N K E U A N G A N P a d a k o l o m


D i is i :

1 = d i a u d i t


6 . O P IN I A K U N T A N P U B L I K P a d a k o l o m


D i is i :







7 . P E N G H A S I L A N N E T O F IS K A L K o l o m A .1 . A l l v a l u e s

8 . P E N G H A S I L A N K E N A P A J A K ( 1 - 2 ) K o l o m A .3 . M i n im a l 0

9 . J U M L A H P P h Y A N G T E R U T A N G K o l o m B . 6 . M i n im a l 0

1 0 . P P h P A S A L 2 5 B U L A N A N K o l o m C .1 0 .a . M i n im a l 0


P P h Y A N G L E B I H D I B A Y A R ( 9 - 1 0 )

K o l o m D .1 1 . M i n im a l 0 , = ( C .9 . - J u m la h

C . 1 0 . ) , a t a u ( j u m l a h C .1 0 .

- C .9 . )


M O H O N

K o l o m D .1 3 . D i is i :



d i p e r h it u n g k a n d e n g a n

u t a n g p a j a k

1 3 . P P h P A S A L 2 5 : ( 1 / 1 2 H U R U F f) K o l o m E .1 4 g . M i n im a l 0 , ( 1 / 2 X F . f .)

1 4 . P E R E D A R A N U S A H A K o l o m 1 .a . ( 3 ) . 1 7 7 1 - l M i n im a l 0

1 5 . T A N G G A L P E M B A Y A R A N P P h P A S A L 2 9 S S P P P h P A S A L 2 9 D a te

1 6 . J U M L A H P P h P A S A L 2 9 S S P P P h P A S A L 2 9 M i n im a l 0 , d i is i > j ik a

K O D E K o l o m D . 1 1 . = 1

( K u r a n g B a y a r)


P E T U N J U K P E R E K A M A N S P T T A H U N A N P P h W P B A D A N B A G I W A J I B P A J A K

Y A N G D I I Z I N K A N M E N Y E L E N G G A R A K A N P E M B U K U A N D A L A M M A T A U A N G

D O L L A R A M E R I K A S E R I K A T P A D A T E M P A T P E L A Y A N A N T E R P A D U


S P T T A H U A N P P h W P B A D A N B A G I W A J I B

P A J A K Y A N G D I I Z I N K A N

M E N Y E L E N G G A R A K A N P E M B U K U A N D A L A M

M A T A U A N G D O L L A R A M E R I K A S E R I K A T

I N D U K S P T

F O R M U L I R 1 7 7 1 / $



H a n y a d ii s i j i k a t i d a k



a t a s

B B - T T s . d . B B - T T ( B u la n

T a h u n s . d . B u l a n T a h u n )



F i le W P


5 . P E R S E T U J U A N P E M B U K U A N D A L A M M A T A U A N G

D O L L A R A S : N O M O R

P a d a k o l o m


K a r a k te r

6 . P E R S E T U J U A N P E M B U K U A N D A L A M M A T A U A N G

D O L L A R A S : T A N G G A L

P a d a k o l o m


D a te

7 . M U L A I T A H U N P A J A K P a d a k o l o m


T T T T

8 . P E M B U K U A N / L A P O R A N K E U A N G A N P a d a k o l o m


D i is i :

1 = d i a u d i t


9 . O P IN I A K U N T A N P U B L I K P a d a k o l o m


D i is i :







1 0 . P E N G H A S I L A N N E T O F IS K A L K o l o m A .1 . U S $ A l l v a l u e s = k o l o m 6

f o rm u l i r 1 7 7 1 - I

1 1 . P E N G H A S I L A N N E T O F IS K A L K o l o m A .1 . R U P I A H A l l v a l u e s

1 2 . P E N G H A S I L A N K E N A P A J A K ( 1 - 2 ) K o l o m A .3 . U S $ M i n im a l 0 , ( A .1 . - A . 2 .)

1 3 . P E N G H A S I L A N K E N A P A J A K ( 1 - 2 ) K o l o m A .3 . R U P I A H M i n im a l 0

1 4 . J U M L A H P P h Y A N G T E R U T A N G K o l o m B . 6 . U S $ M i n im a l 0 , ( B .4 . + B .5 .)

1 5 . J U M L A H P P h Y A N G T E R U T A N G K o l o m B . 6 . R U P I A H M i n im a l 0

1 6 . P P h P A S A L 2 5 B U L A N A N K o l o m C .1 0 .a U S $ M i n im a l 0

1 7 . P P h P A S A L 2 5 B U L A N A N K o l o m C .1 0 .a R U P I A H M i n im a l 0



K o l o m D .1 1 . U S $ M i n im a l 0 , = ( C .9 . - J u m la h

C . 1 0 . ) , a t a u ( J u m la h C .1 0 .

- C .9 . )


P P h Y A N G L E B I H D I B A Y A R ( 9 - 1 0 )

K o l o m D .1 1 . R U P IA H M i n im a l 0

2 0 . P P h Y A N G L E B IH D I B A Y A R P A D A A N G K A 1 1 . b

M O H O N

K o l o m E .

J i k a C .9 . < J u m la h C .1 0 .

D i is i :



d i p e r h it u n g k a n d e n g a n

u t a n g p a j a k

2 1 . P P h P A S A L 2 5 : ( 1 / 1 2 H U R U F f) K o l o m E . g .U S $ M i n im a l 0 , ( 1 / 1 2 X F . f .)

2 2 . P P h P A S A L 2 5 : ( 1 / 1 2 H U R U F f) K o l o m E . g . R IB U A N R U P IA H M i n im a l 0

2 3 . P E R E D A R A N U S A H A K o l o m 1 .a . ( 3 ) . 1 7 7 1 - l$ M i n im a l 0

2 4 . T A N G G A L P E M B A Y A R A N P P h P A S A L 2 9 S S P P P h P A S A L 2 9 D a te

2 5 . J U M L A H P P h P A S A L 2 9 S S P P P h P A S A L 2 9 M i n im a l 0 , d i is i > j ik a

K O D E K o l o m D . 1 1 . = 1

( K u r a n g B a y a r)


L A M P IR A N I I I . 8


N O M O R : S E - 2 / P J / 2 0 1 1

T E N T A N G :

P E T U N J U K T E K N IS

T A T A C A R A P E N E R IM A A N

D A N P E N G O L A H A N S P T

T A H U N A N

L E M B A R P E N E L I T I A N S P T 1 7 7 0

D E N G A N K O M P U T E R

N P W P :

N A M A W P : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

T A H U N P A J A K : . . . . . . . . . . . . . . . . . . . . . . . . . . . .

I . U n s u r - u n s u r d a la m S P T y a n g s a l a h / s e h a ru s n y a d ii s i :

F o rm 1 7 7 0 - l

B a g ia n A :

J u m l a h 1 .c . # ( 1 . a . - 1 . b )

J u m l a h 1 .e . # ( 1 . c . - 1 . d )

J u m l a h 2 . l . # ( 2 .a . + 2 . b . + . . . . . . . + 2 . j . + 2 . k .)

J u m l a h 3 .d . # ( 3 .a . + 3 . b . + 3 .c . )

J u m l a h 4 . # J u m l a h ( 1 . e . + 2 . l - 3 . d .)

B a g ia n B :

J u m l a h ( 3 ) . # ( 1 . ( 3 ) . + 2 . ( 3 ) . + 3 . ( 3 ) . + 4 .( 3 ) . + 5 . ( 3 ) . )

J u m l a h ( 5 ) . # ( 1 . ( 5 ) . + 2 . ( 5 ) . + 3 . ( 5 ) . + 4 .( 5 ) . + 5 . ( 5 ) . )

B a g ia n C :

J u m l a h ( 5 ) . # ( 1 . ( 5 ) . + 2 . ( 5 ) . + 3 . ( 5 ) . + 4 .( 5 ) . + 5 . ( 5 ) . + 6 . ( 5 ) . )

B a g ia n D :

J u m l a h ( 3 ) . # p e n j u m la h a n it e m p a d a k o lo m ( 3 )

F o rm 1 7 7 0 - l l

B a g ia n A :

J u m l a h ( 7 ) . # p e n j u m la h a n it e m p a d a k o lo m ( 7 )

F o rm 1 7 7 0 - l l l

B a g ia n A :

J u m l a h ( 4 ) . # j u m la h ( l .1 . ( 4 ) . + . . . + l .1 1 . ( 4 ) . + l .1 2 . ( 4 ) . + l .1 4 .( 4 ) . + l . 1 5 .( 4 ) . + l .1 6 . ( 4 ) . )

B a g ia n B :

J u m l a h ( 3 ) . # ( 1 . ( 3 ) . + 2 . ( 3 ) . + 3 . ( 3 ) . + 4 .( 3 ) . + 5 . ( 3 ) . + 6 . ( 3 ) . )

B a g ia n C :

# P e n j u m l a h a n

F o rm 1 7 7 0

A . 1 . # 1 7 7 0 - l B a g ia n A . a t a u B a g i a n B .( 5 ) .

A . 2 . # 1 7 7 0 - l B a g ia n C . J U M L A H . ( 5 ) .

A . 3 . # 1 7 7 0 - l B a g ia n D . J U M L A H . ( 3 ) .

A . 4 . # 1 7 7 0 - l l B a g ia n A . J U M L A H .( 7 ) .

A . 5 . # ( A .1 . + A .2 . + A .3 . + A .4 . )


A . 7 . # ( A .5 . - A .6 . )

B . 9 . # ( A .7 . - B .8 . )

B . 1 0 . # n i l a i P T K P

B . 1 1 . # ( B .9 . - B .1 0 . )

C . 1 2 . # P E N E R A P A N T A R IF P a s a l 1 7 x B .1 1 .

C . 1 4 . # C .1 2 + C .1 3 .

D .1 5 . # 1 7 7 0 - l l B a g ia n A . ( 7 )

D .1 6 . . # ( C .1 4 . - D .1 5 . ) a t a u D .1 6 . # ( D .1 5 . - C .1 4 . )

D .1 7 . # ( D .1 7 . a . + D .1 7 . b . + D .1 7 . c . . )

D .1 9 . a . # ( D .1 6 . - D . 1 8 .) a t a u D .1 9 . b . # ( D .1 7 . - D .1 8 . )

F # ( 1 6 . / 1 2 )

I I . K e t e t a p a n w a k t u p e n y a m p a ia n S P T d a n p e n y e t o ra n P P h P a s a l 2 9 :

1 . T a n g g a l M a s u k S P T : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( t e p a t w a k t u / t e r l a m b a t )

2 . T a n g g a l P e m b a y a r a n P P h : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( t e p a t w a k t u / t e r l a m b a t )

P a s a l 2 9

. . . . . . . . . . . . . . . . ,

. . . . - . . . . . . . . . . . . . . . . . . . . . - 2 0 . . . . . . . . .

O p e r a to r D a t a E n t r y ,

. . . . . . . . . . . . . . . . . . . . . . . . . . . .

N I P . . . . . . . . . . . . . . . . . . . . . . . .

B e r i t a n d a √ d a l a m y a n g s e s u a i

D . 1 .1 .2 2 . 0 2


L E M B A R P E N E L I T I A N S P T 1 7 7 0 S


N P W P :

N A M A W P : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

T A H U N P A J A K : . . . . . . . . . . . . . . . . . . . . . . . . . . . .


L a m p i r a n I F o rm 1 7 7 0 S

B a g ia n A :

J u m l a h B a g i a n A .( 3 ) # p e n j u m la h a n it e m p a d a k o lo m A .( 3 ) .

B a g ia n B :

J u m l a h B a g i a n B .( 3 ) # p e n j u m la h a n it e m p a d a k o l o m A . ( 3 ) .

B a g ia n C :

J u m l a h B a g i a n C .( 7 ) # p e n j u m l a h a n it e m p a d a k o l o m C . ( 7 ) .

L a m p i r a n I I F o rm 1 7 7 0 S

B a g ia n A :

J u m l a h B a g i a n A .( 4 ) # p e n j u m la h a n it e m p a d a k o lo m A .( 4 ) .

B a g ia n B :

J u m l a h B a g i a n B .( 4 ) # p e n j u m la h a n it e m p a d a k o l o m B . ( 4 ) .

B a g ia n C :

J u m l a h B a g i a n C .( 4 ) # p e n j u m l a h a n it e m p a d a k o l o m C . ( 4 ) .

F o rm 1 7 7 0 S

A . 1 . # A k u m u l a s i j u m l a h p e n g h a s i la n n e t o p a d a s e t i a p F o rm u l i r 1 7 2 1 - A 1 / 1 7 2 1 - A 2 a n g k a 1 4

A . 2 . # L a m p i r a n l 1 7 7 0 S J u m l a h B a g ia n A

A . 4 . # ( A .1 . + A .2 . + A .3 .)

A . 6 . # ( A .4 . - A .5 . )

B . 7 . # n i l a i P T K P

B . 8 . # ( A .6 . - B .7 . )

C . 9 . # P E N E R A P A N T A R IF P a s a l 1 7 x B .8 .

C . 1 1 . # C .9 + C .1 0 .

D .1 2 . # 1 7 7 0 S - l J u m la h B a g i a n C . ( 7 )

D .1 3 . # ( C .1 1 - D .1 2 ) a t a u D .1 3 . # ( D .1 2 . - C .1 1 . )

D .1 5 . # ( D .1 4 . a + D . 1 4 . b . + D .1 4 . c .)

E . 1 6 . # ( D .1 3 . - D .1 5 .) a t a u E . 1 6 . # ( D .1 5 . - D .1 3 . )

F # ( 1 3 . / 1 2 )

I I . K e t e t a p a n w a k t u p e n y a m p a ia n S P T d a n p e n y e t o ra n P P h P a s a l 2 9 :



P a s a l 2 9

. . . . . . . . . . . . . . . . ,

. . . . - . . . . . . . . . . . . . . . . . . . . . - 2 0 . . . . . . . . .


. . . . . . . . . . . . . . . . . . . . . . . . . . . .

N I P . . . . . . . . . . . . . . . . . . . . . . . .

D . 1 .1 .2 2 . 0 3


L E M B A R P E N E L I T I A N S P T 1 7 7 0 S S


N P W P :

N A M A W P : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

T A H U N P A J A K : . . . . . . . . . . . . . . . . . . . . . . . . . . . .


F o rm 1 7 7 0 S S

# J u m la h k e s e l u r u h a n h a r t a y a n g d im il i k i p a d a a k h i r t a h u n .

# J u m la h k e s e l u r u h a n k e w a j ib a n / u ta n g p a d a a k h i r t a h u n .

I I . K e t e p a t a n w a k t u p e n y a m p a ia n S P T d a n p e n y e t o ra n P P h P a s a l 2 9 :


. . . . . . . . . . . . . . . . ,

. . . . - . . . . . . . . . . . . . . . . . . . . . - 2 0 . . . . . . . . .


. . . . . . . . . . . . . . . . . . . . . . . . . . . .

N I P . . . . . . . . . . . . . . . . . . . . . . . .

B e r i t a n d a √ d a la m y a n g s e s u a i

D . 1 .1 .2 2 . 0 2


L E M B A R P E N E L I T I A N S P T 1 7 7 1


N P W P :

N A M A W P : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

T A H U N P A J A K : . . . . . . . . . . . . . . . . . . . . . . . . . . . .


F o rm 1 7 7 1 - l

J u m l a h 1 .d . # ( 1 .a . - 1 . b . - 1 . c .)

J u m l a h 1 .d d a n e # ( 1 . d . + 1 .e . )

J u m l a h 5 .a s .d l # ( 5 . a . + 5 . b . + . . . + 5 . k . + 5 . l .)

J u m l a h 6 .a s .d d # ( 6 . a . + 6 . b . + 6 . c . + 6 . d .)

J u m l a h 8 # J u m l a h ( 1 . - 4 . + 5 . - 6 . - 7 . )

F o rm 1 7 7 1 - l l

J u m l a h P P h P a s a l 2 2 . ( 5 ) . # p e n j u m la h a n it e m P P h P a s a l 2 2 . ( 5 ) .


J u m l a h # J u m l a h P P h P a s a l 2 2 .( 5 ) . + J u m la h P P h P a s a l 2 3 .( 5 ) .

F o rm 1 7 7 1 - l l l

J u m l a h k o l o m ( 5 ) . # p e n j u m la h a n it e m p a d a k o l o m ( 5 )


F o rm 1 7 7 1 - l V

J u m l a h B a g i a n A ( 5 ) . # J u m l a h ( A .1 . + A .2 . + . . . . . + A .1 2 . )

J u m l a h B a g i a n B ( 3 ) . # J u m l a h ( B .1 . + B .2 . + B .3 . + . . . . . + B .7 . )

F o rm 1 7 7 1 - V

J u m l a h B a g i a n A ( 5 ) . # p e n j u m la h a n it e m p a d a k o lo m ( 5 ) d a n k o l o m ( 7 ) .

F o rm 1 7 7 1 - V l

J u m l a h B a g i a n A ( 5 ) . # p e n j u m la h a n it e m p a d a k o lo m ( 5 ) .

F o rm 1 7 7 1

A . 1 . # 1 7 7 1 - l k o lo m 8 . ( 3 ) .

C . 8 . a . # 1 7 7 1 - l ll k o l o m J U M L A H .( 5 )

C . 8 . b . # L a m p i ra n K h u s u s 7 A k o l o m ( 7 ) .

E . a . # 1 7 7 1 - IV B a g i a n A . J U M L A H .( 5 ) .

E . b . # 1 7 7 1 - I V B a g ia n B .J U M L A H .( 3 ) .

A . 3 . # ( A .1 . - A .2 . )

B . 4 . # p e n e r a p a n t a r i f P a s a l 1 7 x A .3 .

B . 6 . # ( B .4 . + B .5 . )

C . 8 . c # J u m l a h ( C .8 . a . + C .8 . b . )

C . 9 . a . # B .6 . - ( C .7 . + C .8 . c .) a t a u C .9 . b # ( C .7 . + C .8 . c . ) - B .6 .

C . 1 0 . c # ( C . 1 0 .a . + C .1 0 . b . )

D .1 1 . a . # ( C .9 . - C .1 0 . e ) a t a u D .1 1 . b # ( C .1 0 . e . - C .9 . )

E . 1 4 . c . # ( E .1 4 . a . - E .1 4 . b . )

E . 1 4 . d . # p e n e r a p a n t a r i f P a s a l 1 7 x E .1 4 . c .

E . 1 4 . f . # ( E .1 4 . d . - E .1 4 . e .)

E . 1 4 . g . # ( E .1 4 . f . / 1 2 )


1 . T a n g g a l M a s u k : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( t e p a t w a k t u / t e r l a m b a t )


P a s a l 2 9

. . . . . . . . . . . . . . . . ,

. . . . - . . . . . . . . . . . . . . . . . . . . . - 2 0 . . . . . . . . .

O p e ra t o r D a ta E n t ry ,

. . . . . . . . . . . . . . . . . . . . . . . . . . . .

N I P . . . . . . . . . . . . . . . . . . . . . . . .

B e r i t a n d a √ p a d a k o ta k y a n g d ip e r l u k a n

D . 1 .1 .2 2 . 0 4

L E M B A R P E N E L I T I A N S P T 1 7 7 1 / $



N P W P :

N A M A W P : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

T A H U N P A J A K : . . . . . . . . . . . . . . . . . . . . . . . . . . . .


F o rm 1 7 7 1 - l / $

J u m l a h 1 .d . # ( 1 .a . - 1 . b . - 1 . c .)

J u m l a h 1 .d d a n e # ( 1 . d . + 1 .e . )

J u m l a h 5 .a s .d 1 # ( 5 . a . + 5 . b . + . . . + 5 . k . + 5 . l .)

J u m l a h 6 .a s .d d # ( 6 . a . + 6 . b . + 6 . c . + 6 . d .)

J u m l a h 8 # J u m l a h ( 1 . - 4 . + 5 . - 6 . - 7 . )

F o rm 1 7 7 1 - l l / $



J u m l a h # J u m l a h P P h P a s a l 2 2 .( 5 ) . + J u m la h P P h P a s a l 2 3 .( 5 ) .

F o rm 1 7 7 1 - l l l / $


F o rm 1 7 7 1 - l V / $

J u m l a h B a g i a n A ( 5 ) . # J u m l a h ( A .1 . + A .2 . + . . . . . + A .1 2 . )

J u m l a h B a g i a n B ( 3 ) . # J u m l a h ( B .1 . + B .2 . + B .3 . + . . . . . + B .7 . )

F o rm 1 7 7 1 - V / $

J u m l a h B a g i a n A ( 5 ) . # p e n j u m la h a n it e m p a d a k o lo m ( 5 ) d a n k o l o m ( 7 ) .

F o rm 1 7 7 1 - V l / $

J u m l a h B a g i a n A ( 5 ) . # p e n j u m la h a n it e m p a d a k o lo m ( 5 ) .

F o rm 1 7 7 1

A . 1 . # 1 7 7 1 - l/ $ k o l o m 8 . ( 3 ) .

C . 8 . a . # 1 7 7 1 - l ll / $ k o lo m J U M L A H . ( 5 )

C . 8 . b . # L a m p i ra n K h u s u s 7 A k o l o m ( 7 ) .

E . a . # 1 7 7 1 - lV / $ B a g ia n A .J U M L A H .( 5 ) .

E . b . # 1 7 7 1 - l V / $ B a g ia n B . J U M L A H . ( 3 ) .

A . 3 . # ( A .1 . - A .2 . )

B . 4 . # p e n e r a p a n t a r i f P a s a l 1 7 x A .3 .

B . 6 . # ( B .4 . + B .5 . )

C . 8 . # J u m la h ( C .8 .a . + C .8 . b . )

C . 9 . a . # B .6 . - ( C .7 . + C .8 . ) a t a u C .9 . b # ( C .7 . + C .8 .) - B .6 .

C . 1 0 . # ( C .1 0 . a . + C . 1 0 . b .)

D .1 1 . a . # ( C .9 . - C .1 0 . ) a t a u C . 1 1 . b # ( C . 1 0 . - C .9 . )

E . 1 4 . c . # ( E .1 4 . a . - E .1 4 . b . )

E . 1 4 . d . # p e n e r a p a n t a r i f P a s a l 1 7 x E .1 4 . c .

E . 1 4 . f . # ( E .1 4 . d . - E .1 4 . e .)

E . 1 4 . g . # ( E .1 4 . f . / 1 2 )


1 . T a n g g a l M a s u k : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( t e p a t w a k t u / t e r l a m b a t )


P a s a l 2 9

. . . . . . . . . . . . . . . . ,

. . . . - . . . . . . . . . . . . . . . . . . . . . - 2 0 . . . . . . . . .

O p e ra t o r D a ta E n t ry ,

. . . . . . . . . . . . . . . . . . . . . . . . . . . .

N I P . . . . . . . . . . . . . . . . . . . . . . . .

B e r i t a n d a √ p a d a k o t a k y a n g d ip e r l u k a n

D . 1 .1 .2 2 . 0 5

l a m p ir a n i s u r a t ed a r a n d ir ek t … page : 3 [email protected] lampiran i.1...

Documents