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Form 1770 PDF
Form 1770 PDF
TAXABLE YEAR
FORM WITH INCOME:
to
FROM BUSINESS/SELF-EMPLOYMENT THAT IMPLEMENT ACCOUNTING OR
MINISTRY OF FINANCE DEEMED NET INCOME MM YY MM YY
DIRECTORATE GENERAL OF TAXES
FROM EMPLOYMENT FOR ONE OR MORE EMPLOYER(S) DEEMED ACCOUNTING
SUBJECT TO FINAL AND/OR FINALIZED TAX
FROM OTHER INCOME .. AMENDED RETURN
ATTENTION:
FOLLOW INSTRUCTION IN THE MANUAL
PRINT OR TYPE WITH CAPITAL LETTER AND BLACK INK
MARK " X " IN THE APPROPRIATE BOX
TIN :
IDENTITY
TAXPAYER'S NAME :
BUSINESS CLASSIFICATION/SELF : KLU :
EMPLOYMENT
TELEPHONE /FAX NO : /
*) The filling columns of Rupiah value must be without decimal value (see example in instruction book page 3) IDR *)
1. DOMESTIC NET INCOME FROM BUSINESS AND/OR SELF EMPLOYMENT
[From Form 1770 - I page 1 total part A or Form 1770 - I page 2 Total Part B column 5]
1
13. ADJUSTMENT FOR FOREIGN TAX CREDITS REFUNDED AND HAD BEEN CREDITED IN THE PREVIOUS
YEAR RETURN (Income Tax Article 24)
13
15. TAX WITHHELD BY OTHER PARTY/PAID /WITHHELD BY FOREIGN COUNTRIES AND BORNE BY THE
GOVERNMENT [From Form 1770 -II Total Part A column 7] 15
SETTLED
19. a. UNDERPAID TAX (INCOME TAX ARTICLE 29)
OVER/UNDER PAID
(16-18) ON 19
E. INCOME TAX
20. REQUEST: Overpaid amount stated in 19.b would be a. REFUNDED c. REFUNDED WITH SKPPKP ARTICLE 17 C (COMPLIANCE TAXPAYER)
YEAR
b. THIRD COPY OF TAX PAYMENT RECEIPT OF INCOME TAX ARTICLE 29 h. COPY OF RECEIPT OF INCOME TAX PAID ON THE DEPARTURE (FISCAL)
INCOME TAX CALCULATION FOR MARRIED TAXPAYER WITH SPLIT ESTATE AND/OR
c.
BALANCE SHEET AND INCOME STATEMENT, OR RECAPITULATION OF MONTHLY GROSS REVENUE i. HAS HER OWN TIN
G.
DETAILS OF INCOME AND PAYMENT OF INCOME TAX ARTICLE 25 (only for particular
d. CALCULATION OF TAX LOSS COMPENSATION j. Taxpayer)
RECEIPTS OF WITHHOLDING TAX/TAX BORNE BY THE GOVERNMENT/TAX PAID AND WITHELD IN FOREIGN
e. COUNTRY
k.
f. COPY OF FORM 1721-A1 AND/OR 1721-A2 (.Pages) l.
DECLARATION
Understanding all the sanctions provided by the law and regulations, i hereby declare that the information stated in this return, including all attachments provided, are SIGNATURE
true, complete, clear, and under no circumtances whatsoever
TIN
F.1.1.32.16