Commission Claim Form
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B/WWIS-MIKSR/V/2023,
Gr730003445 Jroensl.abic
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"Bose OOS [ium 2035 _|SPVaRHSEVPAESSERS| 7e0.00.050| 62500005 | 652500060 | GO. Ta0O035T7 | OO FIR/ Wis MISR/V TROD
Voucher ‘Date [Payment Tvoice Date [ 18 uni 2025,
"TaCA2-72050730_| 79 Mei 7005 | 165.000.000 Payment Date 16 Juni 2025
Taca2-25050101 | 31 met 2073 | 334.500.000 ey
“racaz-73060078 [36 Juni 2023 | 323,000,000
152,500,000
ae ae ats oer i 0. 75. ie abe]
i ANOR arse OOS | “juni 2905 | arremrsccendsoess| 750 oon abo | ez 300.00 | 52.500. 000| 50130005537 | oor Pe] Wis MRER/V/I025]C-250003687
Voutier ‘Date [_ Payment Tmoice baie | Hun 2005]
‘ocA 23060078 | 79]uni 2075 | @32.500.000 Payment Date] 29,unt 2023 3Wisma Indomobil 1 Lt. 4
Ji. MT. Haryono Kav 8 Bidara Cina
Bidara Cina - Jatinegara
Jakarta Timur 13330
Date
U-40-SO-230003527-2
18-06-2023
INDONESIA
Phone : 021-8569789
Fax 021-8516579
Salesman Zainal Abidin
Customer DANI ANDRIANZAH
Product Group : John Deere
Quantity 12
Model / Variant : O45JUPY / 5075E OOS
Validity Pricing 2 05-07-2023
Currency 2 IDR
Sales Term : Franco lumajang
Term of Payment + 100% CBD
PUB :
[Description cy Estimation ——_%|_ Actual Difference|
Landed Cost Unit 52.72 790,767,892 0.00) 0 -790,767,892)
Landed Cost Attachment 16.7, 251,477,779 0.00 oj -251,477,779|
‘Total Landed Cost _ 1,042,245,671, 0.00] a 0 -1,042,245,674
FreeService if 20,000,000, 0.00) _ 0 20,000,000)
EXP - Assembly & Srut 20,000,000 0.00] 0) -20,000,000)
EXP - Assembly & Srut __ 600,000, 0.00) 0. "-600,000,
FreeParts 16,716,450 0.00) oO 16,716,450)
Total COGS 7,099,562,121, 0.00, SO) ——1,009,562,121)
Sales 4,500,000,000| _0.00| 0 -1,500,000,000,
Gross Margin 400,437,879, 0.00) oj -400,437,879)
INCENTIVE 15,000,000 0.00) o ~15,000,000,
TRAINING 1,200,000, _0.00| 0} ~-1,200,000)
PDI __ 300, 0.00] =) 300,000
Total Expense 16,500,000 0.00, 0, -16,500,000
[Net Margin 383,937,879 0.00) 0] -383,937,879,
Prepared by Approve
Product Manager coo CEOSB GB sins seonoonn “arcs: SpeePT WAHANA INT] SELARAS
JOHN DEERE
Invoice
Invotce to: No G-40-c1-230003448,
DANI ANDRIANZAH Date 18:Jun-2023
DUSUN KOTOKAN RT. 001 RW. 010
JATIROTO JATIROTO KAB, LUMAJANG
AWA TIMUR 67355
INDONESIA Sf EO)
Ain. Ref PJB — : OO7IPJBAVIS-NKSRIVI2023
NPWP : 98,290.713.1-625 000 Cureney :1DR
POD
TOP Cash Before Delivery
Due Date
ines Description ay Unit Price ‘Amount
“JOHN DEERE S075E OOS >
‘BULL CANE GRABER { sD 00, 000.08 '750,000,000.00
CChesis/SNIVIN : 1PY5075EVPAS35885 Engine number: PY3025T316430 SJU : PS-290005317
Notes
Total Before VAT "750,000,000.00
var 82,500,000.00
‘Total After VAT 1832,500,000.00
BBN +STNK 0.00
Total 1832,500,000.00
For and on Beal of Bank info
PT. WAHANA INTI SELARAS.
PT. WAHANA INTI SELARAS.
Bank DBS Indonesia
a DBS Bank Tower, Jl. Prot Dr. Stro Kev. 3-5,
IDR Account no. 030-1553-596
\ Selaras
‘Adsum Lenggana Witiarsa
Chief Operating Offcor
SF. ndomod Tower pero Sti: ear
SLT Hargono Kav. 1, oka 13890, ven Secay Bape Blok GS 3 0.38 o
indonesta coke Cincey Te aior ire ee” INDOMOBIL
Tat 822105 9799 (unas) “esd 2960 2009/2089 2113
Fax, sea ast 6578 ‘wiselgreup.indomabico idPT WAHANA INTI SELARAS
Joun DEERE
Invoice
Invoice to: No + G-40.c1-290000447
DANI ANDRIANZAH Date = 2ttun-2028
DUSUN KOTOKAN RT. 001 RW. 010
JATIROTO JATIROTO KAB, LUMAJANG
JAWA TIMUR 67355
INDONESIA are
bia Ref PUB: OO7/PJBMIS-MKSRIVI2028
NPWP : 98.290.713.1-626,000 Currency :1DR
Pop
TOP Cash Before Delivery
Due Date
Lines Description Qty Unit Price ‘Amount
JOHN DEERE S075E OOS +
* BULL CANE GRABER Ht 750,000,000.00 750,000,000.00
CChasie/SNIVIN : 1PYS07SECPAB39684 Engine number : PY30287316428 SU: PS-290006918
Notes
“otal Before VAT 780,000,000.00
vat £82,500,000.00
Total Ater VAT '832,500,000.00
BBN +STNK 0.00
Total £832,500,000.00
For and on Bohai of Bank info
PT, WAHANA INTI SELARAS
\ PT. WAHANA INTI SELARAS.
Bank DBS Indonesia
DBS Bank Tower, ul. Prof. Dr. Satio Kav. 3.5
IDR Account no, 030-1853-596
Be
Selaras
Breconcamnone
‘Adsum Lenggana Widiarsa
Chief Operating Oficer
6F. Indomobil Tower
Operational Offer: Seo
SLA Horono Ka. 1; sekarta 3990 ‘room Soda Bipar Bok CS 3 No.38 INDOMOBIL
indonesia 8 Calaing Cnn Tar Aaya Ke. 2, Jers 13810
Tet 218500709 (Huntng) Tls62 2 985 2085/2989 2113
Fax, 46221 851 6579 ‘wiselgroup indomobikcodPT WAHANA INTI SELARAS
PERJANJIAN JUAL BEL! JOHN DEERE
No : 007/PUBIWIS-MKSRIV/2023
Pada hari iniSenin tanggal 29 bulan Mei Tahun 2023 (‘tanggal efektif"), ditandatangani Surat
Perjanjian Jual-Beli Unit (“Perjanjian”) oleh dan antara
1. Adsum L. Widiarsa, Chief Operating Officer, dalam hel ini bertindak untuk dan atas nama PT.
Wahana Inti Selaras yang berkedudukan di JI. MT.Haryono Kay. 6, Jakarta 13330, selanjutnya
disebut PENJUAL.
2. Dani Andrianzah,dalam hal ini bertindak untuk dan atas nama Dani Andrianzah, yang
berkedudukan di Dusun Ketokan, RT.001, RW.010, Kel.Jatiroto, Kec.Jatiroto , Kab.Lumajang Jawa
‘Timur selanjutnya disebut sebagai PEMBEL!.
Selanjutnya secara bersama-sama disebut Para Pihak dan masing-masing disebut sebagai Penjual
dan Pembeli
Para Pihak sepakat dan setuju untuk mengikatkan diri pada Perjanjian dengan ketentuan di bawah
PASAL!
JENIS BARANG& HARGA
rte i repageentanaeae
— Junit John Deere 5075E OOS + Bull Cane 750.000.000,- ] 4.500.000.000,-
PPN 11% 165.000.000,-
TOTAL —1.665.000.000,-
PASALIL
PENYERAHAN BARANG
2.1, Serah terima Barang tersebut akandilakukan setelah Perjanjian Juel Bell ini ditanda tangani dan wang
muka (down payment) senilal (Rp 489.500.000,.inc| PPN 11%) dan Pelunasan senilal Rp.1.165.500.000,-
(Satu Milliar Seratus Enam Puluh Lima Juta Lima Ratus Ribu Rupiah) sudah termasuk PPN 11%,diterima
Penjual
2.2. Franco Dsn.Kotokan RT.001,RW.010, Kel.Jatiroto,Kec.Jatiroto, Kab.Lumajeng JawaTimur, dengan
penandatanganan Berita Acara Seran Terima Barang (BAST) oleh Para Pihak.
Ww
Too Operations Ofie: f.
cee suey Bopha 8 3 Nase oO
‘Jl, Cakung Cilincing Timur Raya Km. 2, Jakarta 13910. INDOMOBIL
O'S an oe oantna voll basse ss a
fa taanecn cavipncemc sis