Oran PEN A Nama : \tubu Gede Gudana Noy + Velar : es. 104 t. Mam Maret 200 dibel- truck ops. HP: 8oojt fl PPN . Boyt ba : So} Mak atar tuk » ROS x ae Sc PMAK ater balan = Coy . “$00- smret 20 145 oon SOL X14» 34-500-000 3) ‘trun = 100 M2004: Bom dpm ak = G34 15 900.000 = RRM bnan Kemal: atas pembelion truk -(Rpl-000.000 tor a* SOsk = 40.000. 000 mrcootces dk = 27500.000 ~ perkirtuanan kembadi atar eahan bare 2Rp2-S00-000 + total perhitunay leemboli > Rp. 2.000.000 b). PK: koojt xio%= 80.000.000 PO: Goojt xXIOT? $0.000.000 x FE% > 34.$00.000 Perlidunson kembale Pm + —3-F00-d00 s farar Per traret 2008 O 000 eee yodane perhitasn lamba = Rp-24-000 000 karing, bayar-7”Ta. Rembelion colar BO0j+ PPM Ref > 201% fmdu » B©.000.000% bO% ; 48.000.000 Om2et total = 80m OMIA ferubonn = BEER SOM a). ved ) Sine yeh A yg A iether pembelin Som . @om * a ewe J. 2.000.006 tmdu » 48000.000 qed, gerhetungon Kembali PM vg dleredit kar cxtoes pembeblay Golar 20) adolah : Rp2-000.@o b)- Pez 8Mx 10% » 400000.000 PM: FoO}t 2 X80.06.000 Yerkutingon Kegmballi = 290.000 Veurang Baxyare|48 000.000 SPT wasa PP Faouar 2018 dy adore pecbubiros kemmbalc hy esror layer \A®. 00.000Pe deh Daa Ra ghia Nana] yg nem ont] A 5 MASA 85 4406 - 20 Vmrannm, Ton Buku: 0: _| ae kw Pets Ke: Dateverrense "Peers = =| oe 1.800.000.000. 2 nye yoy PPN34 a diguyat cde © w 1.122.000-000 » (23 A1O-000 : eee ima ctchvommenre — [) ep BAO. O00-CNO x,_4,4:100-000 see te ey 1) w»_ $ 0-600: 0 Serer tn pg Dw, C00. a namanartnnunsiattss »E 3.2,0), -©00 600 ml So Peyesin L418) Be TT PENGHTTUNGAN FPN RURANG TAVARUERT AVA A: Pa Kehr yng hans pep os ea PN pos LA). ®D & (23.420.00 2 PEND Dis an pe eo ©: Pa Mok it tiga ® x_G2.S80. 2. manna -20 © 30.870.000 ang 5m en comers eh toy eben LD) e230. 840.000 EP ED nated sor nan ees VD] bates) Dad dalam aS ee) 0 2] Sein PRP Po apt eh IN Dtcopositan eink bettys =] Dongen eM Pak TW. FEMBAVARAN KEMUALI PAJAK MASUKAN BAGIPRP GAGAL HERPRODURST V.PRIAK PERIVATAN ATAS BARANG MEWAH A. Fre yg hr pg nls © w, 0.000.000 hanya ang by VA-V) ® 1] | omnes enorme ane m _ eee ms OH lager pf [RS ibe reise Cate [ESE | armies Barman Elmernim ser me El Jsstccmcnomnnncnaomss | gy NO eee ie * kms * S00. 000.000 + 40.000.000 + (0.000.000 2.00 -000.000_ DI" 4s0.000.000 X20 = ISO C00,000 PEN = 150.000.000 xl("%= 16-00. 000STAPLES AREASTAPLES AREASTAPLES AREA STAPLES MMOASTHPLES AREASTAPES MEASTAMES AMEASTAPLES AREA REKAPITULASI PENYERAHAN DAN PEROLEHAN FORMUUIR A111 AB | | | | NAMA Pie ABT Umi mash OF OF - LoD mmm = 2 S4SE} A rer NORMAL URAIAN OPP (Rupiah) | _PPN (Rupiah) | PPnBM (Rupiah) | Rekapitulasi Penyerahan * | tar 86° Benet BHP Tet Benga &]1.800.000 000 © [Pevensie Spe 41. Penyershan Ostar N Fokus Pajok yng Tt ro =] 140¢00.00 “154.3 40.000 | 6 000.000 Tae tam Newer angen Fatt Pak yrg Oguaging (s9.900.000] 6 [00-000 | Rinsan PrrenDur eg 1 ee om PONG ila Taree CURR eg OT GR TR Tt 060.000] \23.420.050 | 60-000. 096 Fa) NR PNR Blom aT oP COROT aaa REGGE PP 310.000.0001 34 00.600 3 Penn rg PEN a PAV Pr I Sag CRN TRF TROT =| 0.000.000 500.000 reyes rg xn epg FP HP cn Fl anu Fs Fes) GI -cmn000| 150.060 TT Rekapiuies Peroehan = a ee Tepe EF Paras BRP Yr BSW OS Sa FOROS TT Soe. a A leat ts Daerah Pabeen Vang PM-nya spat Divesitan 8 [ Phan KH ea Osa Neg ang ys Cu Orman =] 405.000.0044 680.000 [Raa PSR Yang Pa TR Dp ata cana PHOTOS VG = |[-$09.0a9 079) (¢,9-990-Coo ©. | uma wenn 2a 8) 12.214 -eeo0b0] 243.840. 650 PM Yang Dapat ded Tn an - [3 890.0007] [Pek Manan a 1. Farowens kan FPR ae PR SOT 19-060.005 2 Yarperon tan FH res préshin SOT FAN Fak OL LODD WAT ‘000.000 3 Fat Parr Kendal Pak Mansa ng i ean sta orn peg Par WoO & sorih LBT + mB? +B = \$:000.000 ©. J sumiah Pajak Masukan yang Dapat Diperhitungkan{ MLA + WBA) G2.550-000_ Diamar[AREA STAPLES. |AREASTAPLES AREA STAPLES AREASTAPLES AREAGTAPLES AREA STAPLES AREA STAPLES DAFTAR EKSPOR BKP BERWUJUD, BKP TIDAK BERWUJUD, DAN ATAU JKP efORMUUIRITI1AL LAL NAMA PRP. TT AR Urq OS 6 OS 2OLE ermarein Newe OV.234-<6.8- SOF O60 Pentetian Ke NORMAL ‘Nama Pembeli BKP /Penerima Manfaat i Dokumen Tertentu % ore et Te tenor PORTE] OP a 1 im Vein, Bhi Walaygia PES No4e.\\\- O98] 64 -or- 22 00.090. 000. pe 2 Wea Ld Qarar PER Nos I-00 F {.000.000:000) Bice 3 va 3 se s e Z ° 8 +0 - rn 2 ~ 2 “4 15, 16. 7. ‘8 ‘8 7 2 21 2 “JUMLAR,AREASTAPLES AREA STAPLES AREA STAPLES AREA STAPLES AREA STAPLES AREA STAPLES AREA STAPLES DAFTAR PAJAK KELUARAN ATAS PENYERAHAN DALAM NEGERI DENGAN FAKTUR PAJAK FORMULIR 1111A2 |_| i oat nt inn et dn Pe Fer Ura masa O§ 1 Of - 2822 oma “par Pembetulan _ NORMAL __ ve] dentate | wurnene [etiam [om] rv] PB Tammany eure Penesima JKP. Paspor Kotadannonorset [teow] (Raniah) (Rupiah) (Rupiah) 1_ {PT Houre of Electronic 22,00000128 loi-os-22] _200.090.004 _22.000. 2 [ARP Prota Setasplea] lo20. 060.33..ccom0\ 22 {0.020.000 000, 3. {PT Abi Urn [040.000.22 coooo\s 68-0r-22 | #000. 250.060 4. Toko Jay ©1.0c0.12 000c|26 [63-05-22 "33.000.000| _60-000.0a0. 5 [PTR aia 1030 000.12 00000 \2 [te-o¢-22 30-Cop.000 4.360-009, 6 IPT Seyake Seqgar [010 .000.71.00000122 |\\-o-22 | s.0en 000. §80.c09| 7 Tuna Rudi JOW0 .000.2-Coogo it |\2-or- 11. $0-000.0p] ___$.$00.690 @ Vdontiin (0-000. C0903 |13-0F-2 9 @o.000| 490.000 | 6 dia lo20 000.2% c00p31|14-00-22 | \E0000.060/ 16-500. 10. [PT Abi Umi = 22 0000012 |\f-0F-2 $.c00 069] 480-000 x [et [O0: 000 24 acon (23)\e-0r-1| _30000.000) 3. 3m.000} 12 te ina JoR0.00p .22.000p124|13-0F-22 | 200-000.cm| __ 22.000.000] 3 FT Way daa [0 7o. 000.2 ents [(Se5-1e | $0.cap a0 5004 14 [PT Fre oto jouer faeces \o-600-000 see Tagg 600 RLccoen15} [7\-0F2] 25000. cag! te estan et feet ssiivien zonal Ceeseey —Citcon) BL SOR, 17 1060 .000.22 Bo900 28 |23-05-% | 2.¢-0p0 oo] 248.000} 18 Re SSR gmt Sg eg GO — NL | 18 _ = a oa a = - = 21 | - 22 = 2 a 24 = = JUMLA > | VA0F 000.005] 154740000] 60.000-000Ura Drea nmin Dons po une camuns FORMULIR 1111 B41 (iu ka rt tt eto - 3605 - 2022 tomamnm 104.000 Pambetan NORMAL Dokummen Tertentu PP PPaBM Keterangan Nomor (Rupiah) (Rupiah) PIB 00000 360.000-000 | 37.000.660 Cer AREA STAPLES AREA STAPLES AREASTAPLES AREASTAPLES AREASTAPLES AREASTAPLES AREASTAPLES ma!nth GiaPie® AREA STAPLES AREA STAPLES AREA STAPLES. AREA STAPLES AREASTAPLES AREA STAPLES DAFTAR PAJAK MASUKAN YANG DAPAT DIKREDITKAN ATAS PEROLEHAN BKPIJKP DALAM NEGERI FORMULIR 1111 B2 _ ot nt rea es can TAMAR Urn a ‘OS 1 05 2022 mmm — NORMAL __ No] oathatlbenane wwe | Reuncnfonoaser | OPP en [PPB [same erate ees: Kode don Nomor Set | terete] (Rupiah) (Rupiah) (Rupiah) ai 4] PY Keenipana, Mawar ‘0\0.000.12-toog0044 |\-$-22 | 260.000.000 | 2 300.000. 2 FY eat Precteaic LOD .000-72 coctord? |2-¢-2n. |_F0-600.000| _$.$00.000 2. [Rot Sentnru Sepinteca Son] _7S000.000[ 290.000 4 [PT Seater \er-w|Go-Mv0. 600.000 eT 5. YT Pratoma 195-0] C30.000-600) 400.000 . Ora) 29S | 6 z ® + 7] 10 ‘1 2 2 1 rn 18 17 1 rn 2 2 2 7 24 % SUMALATT TED | 495.008.0004 $50.000"DAFTAR PAJAK MASUKAN YANG TIDAK DAPAT DIKREDITKAN ATAU YANG MENDAPAT FASILITAS FORMULIR 1114 B3 | HAMA FI FT Abi Umi {es aca ta tk pt arn Masa OS sa.OS - 2022 tmannn A FBASet-* “604.000 rene aman Nara Peril x@ aor Pujacoken Toten Na axe Feng NeWP Rewnta Pentair PP PPN ember KP Kode danNomor Set [grea | (Rupiah) (Rupiah) i . ioe 10.000 Owii Dh 9.060.000] 166-000. jV}-000 pererard amare 7. 7" i