16
GENERAL INSTRUCTIONS FOR THE COMPLETION SPT 1770 DIGITAL FORM 1. This form is in compliance with the regulations the Director General of Taxes Number PER- 34/PJ/2010 about Income Tax Annual Return Form and General Instructions as amended by regulation the Director General of Taxes Number PER-19/PJ/2014. This form is used for completion income tax annual tax return for Taxable Year 2014 and onwards; 2. This form is printed with a scale of 98% (not printed in mode "fit size" or "shrink size". This printing results must be signed and must not be folded or crumpled. Use HVS paper size: a. F4/Folio/US Folio/Government Legal (8,5 X 13 inch); b. Minimum weight 70 gr; 3. To be able to use this form optimally, use the application Adobe Reader version 8 or newer; 4. Complete the Taxable Year, the identity of the Taxpayer and the other mandatory information properly (red box ). Taxpayers can contact the tax office where the Taxpayer is registered to ensure their Taxpayer Indentity Number (TIN) or through applications on the site www.pajak.go.id . Description of status of married individual are as follows: a. KK : Tax rights and obligations undertaken by the head of the family; b. HB : Spouse have lived separated based on a court decision; c. PH : It is requested in writing by both the husband and wife on the basis of an agreement for the separation of property and income; and d. MT : It is requested by the wife who chooses to meet her tax right and obligation separately. 5. Complete the attachments form first (green box ). Summation formulas, reduction, connection with certain parts and others have been available in this form, so that Taxpayers do not need to do a recount (blue box and brown box ); 6. Blue boxes and brown boxes shows the results of automatic calculation. There are times when automatic calculation is too late to execute. Taxpayer is expected to keep doing re-checking the results of calculations on this tax return, especially in the blue boxes dan brown boxes ; 7. After all attachments completed, complete the main form on the yellow boxes . 8. In case the taxpayer status is PH or MT, the Personal Exemption and Taxable Income will automatically filled the symbol 0. Next, Taxpayer complete Calculation Income Tax Payable for Taxpayers with status PH or MT in the pink boxes ; 9. In case the taxpayer status is KK or HB, the Personal Exemption filled by the taxpayer in accordance with the provisions; 10. Completion the main form continued in purple boxes until finished; 11. The SHOW button used to show calculation formulas in completing digital tax return; 12. The RESET button used to clear the data of digital tax return form that have been loaded previously. After completing the tax return and print it, do not forget to save it to another file (Save-as and name different from the original file), then use the RESET button to clear the file; 13. The HIDE button used to hide the calculation formula so that it can be printed blank form if you want to complete it manually; 14. Detailed description of the completing income tax annual tax return please read the Instruction Book.

Spt tahunan pph wajib pajak orang pribadi formulir 1770

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Page 1: Spt tahunan pph wajib pajak orang pribadi formulir 1770

GENERAL INSTRUCTIONS FOR THE COMPLETION SPT 1770 DIGITAL FORM

1. This form is in compliance with the regulations the Director General of Taxes Number PER- 34/PJ/2010 about Income Tax Annual Return Form and General Instructions as amended by regulation the Director General of Taxes Number PER-19/PJ/2014. This form is used for completion income tax annual tax return for Taxable Year 2014 and onwards;

2. This form is printed with a scale of 98% (not printed in mode "fit size" or "shrink size". This printing results must be signed and must not be folded or crumpled. Use HVS paper size:

a. F4/Folio/US Folio/Government Legal (8,5 X 13 inch);

b. Minimum weight 70 gr;

3. To be able to use this form optimally, use the application Adobe Reader version 8 or newer;

4. Complete the Taxable Year, the identity of the Taxpayer and the other mandatory information properly (red box ). Taxpayers can contact the tax office where the Taxpayer is registered to ensure their Taxpayer Indentity Number (TIN) or through applications on the site www.pajak.go.id.

Description of status of married individual are as follows:

a. KK : Tax rights and obligations undertaken by the head of the family;

b. HB : Spouse have lived separated based on a court decision;

c. PH : It is requested in writing by both the husband and wife on the basis of an agreement for the separation of property and income; and

d. MT : It is requested by the wife who chooses to meet her tax right and obligation separately.

5. Complete the attachments form first (green box ). Summation formulas, reduction, connection with certain parts and others have been available in this form, so that Taxpayers do not need to do a recount (blue box and brown box );

6. Blue boxes and brown boxes shows the results of automatic calculation. There are times when automatic calculation is too late to execute. Taxpayer is expected to keep doing re-checking the results of calculations on this tax return, especially in the blue boxes dan brown boxes ;

7. After all attachments completed, complete the main form on the yellow boxes .

8. In case the taxpayer status is PH or MT, the Personal Exemption and Taxable Income will automatically filled the symbol 0. Next, Taxpayer complete Calculation Income Tax Payable for Taxpayers with status PH or MT in the pink boxes ;

9. In case the taxpayer status is KK or HB, the Personal Exemption filled by the taxpayer in accordance with the provisions;

10. Completion the main form continued in purple boxes until finished;

11. The SHOW button used to show calculation formulas in completing digital tax return;

12. The RESET button used to clear the data of digital tax return form that have been loaded previously. After completing the tax return and print it, do not forget to save it to another file (Save-as and name different from the original file), then use the RESET button to clear the file;

13. The HIDE button used to hide the calculation formula so that it can be printed blank form if you want to complete it manually;

14. Detailed description of the completing income tax annual tax return please read the Instruction Book.

Page 2: Spt tahunan pph wajib pajak orang pribadi formulir 1770

FOR TAXPAYER WHO HAVE INCOME:

•• FROM ONE OR MORE EMPLOYER;

• SUBJECTED TO FINAL AND/OR FINALIZED TAX; AND/OR BOOKKEEPING RECORDING

• OTHER DOMESTIC INCOME/FOREIGN INCOME.

AMENDED RETURN

• • PRINT OR TYPE WITH CAPITAL LETTER AND BLACK INK •

:

TAXPAYER'S NAME :

:

TELEPHONE /FAX NUMBERS : /

: KK HB PH MT

SPOUSE'S TIN :

1.1

2.2

3.3

4.4

5.5

…………………………………………………………………………………………………………………………..6.

6

7. TOTAL NET INCOME AFTER ZAKAT/OBLIGATED CHARITY (5 - 6) ��������������������������

8.8

9.9

10. PERSONAL EXEMPTIONSTK / K / K / I / 10

11.11

12.12

14.14

15.15

16. a. TAX DUE AFTER CREDIT

b. TAX OVERLY WITHHELD

17. a.17a

b.17b

18.18

a. UNDERPAID TAX (INCOME TAX ARTICLE 29)

b. OVERPAID TAX (INCOME TAX ARTICLE 28 A)

20. REQUEST: Overpaid amount stated in 19.b would be

THE AMOUNT IS CALCULATED BY:

a. 1/12 X THE TOTAL OF LINE 16 c. CALCULATION IN SEPARATE ATTACHMENT

b. CALCULATION OF INDIVIDUAL TAXPAYER AS CERTAIN ENTERPRENEUR

OTHER THAN FORM OF 1770 - I TO 1770 - IV (WHETHER FILLED OR THAT ARE NOT FILLED) WITH THIS ALSO ATTACHED:

a. POWER OF ATTORNEY (IF NEEDED) g.

b. THIRD COPY OF TAX PAYMENT RECEIPT OF INCOME TAX ARTICLE 29 h.

c. i.

d. CALCULATION OF FISCAL LOSS CARRY FORWARD j.

e. k.

f. COPY OF FORM 1721-A1 AND/OR 1721-A2 ( Pages) l.

TAXPAYER REPRESENTATIVE

F.1.1.32.16

D. T

AX

CR

ED

IT

PREPAID TAX:

TAX LIABILITY STATUS OF MARRIED

INDIVIDUAL

to

21. MONTHLY INSTALLMENT FOR THE SUBSEQUENT YEAR

TAXABLE INCOME (9 -10)

ZAKAT/OBLIGATED CHARITY

*) The filing columns of Rupiah value must be without decimal value (see example in page 3 of instructions)

FOREIGN NET INCOME [Complete it from separate attachment, if any foreign income, see instruction book]

TAX PAYABLE (TAX RATE ON ARTICLE 17 X LINE 11) [For Taxpayers with status PH/MT filled from Attachment Calculation of Income Tax Payable as referred to in Section G: Attachments letter i]

C. T

AX

PA

YA

BL

E

B. T

AX

AB

LE

INC

OM

E

TOTAL TAX PAYABLE ( 12 + 13)

TOTAL NET INCOME AFTER LOSS CARRY FORWARD (7 - 8)

TOTAL TAX CREDIT (17a+17b)

13.

TOTAL NET INCOME (1 + 2 + 3 + 4)

NOTICE OF TAX COLLECTION ON INCOME TAX ARTICLE 25

(PRINCIPAL ONLY)

16 (14-15)

c.

RECEIPTS OF WITHHOLDING TAX/TAX BORNED BY THE GOVERNMENT/TAX PAID AND WITHHELD IN

FOREIGN

a.REFUNDED WITH SKPPKP ARTICLE 17 C (COMPLIANCE

TAXPAYER)

REFUNDED WITH SKPPKP ARTICLE 17 D (CERTAIN

CRITERIA OF TAXPAYER)d.

MONTHLY INSTALLMENT OF INCOME TAX ARTICLE 25

LIST OF INCOME AND PAYMENT OF INCOME TAX ARTICLE 25 (ONLY FOR INDIVIDUAL

TAXPAYER AS CERTAIN ENTERPRENEUR)

(16-18)

BALANCE SHEET AND INCOME STATEMENT, OR RECAPITULATION OF MONTHLY GROSS REVENUE

REFUNDED

LIST OF TOTAL GROSS INCOME AND FINAL TAX PAYMENT BASED ON GR 46/2013

FOR EACH TAX PERIOD AND PLACE OF BUSINESS

1770 2

OF THE REPUBLIC OF INDONESIA

IDE

NT

ITY

FROM BUSINESS ACTIVITY/INDEPENDENT PERSONAL SERVICES;

YY

FO

RM

ATTENTION: FOLLOW INSTRUCTION IN THE INSTRUCTION BOOK

DIRECTORATE GENERAL OF TAXES

BUSINESS FIELD CLASSIFICATION/

INDEPENDENT PERSONAL SERVICE

TAXPAYER IDENTIFICATION NUMBER (TIN)

INCOME TAX CALCULATION FOR MARRIED TAXPAYER WITH SEPARATION OF

PROPERTY AND INCOME (PH) OR HAS HER OWN TIN (MT)

21

b.

7

TAX WITHHELD BY OTHER PARTY, PAID /WITHHELD IN FOREIGN AND BORNED BY THE GOVERNMENT

[From Form 1770 -II Total Part A column 7]

MM

13

LOSS CARRY FORWARD

OTHER DOMESTIC NET INCOME [From Form 1770 - I page 2 Total Part D column 3]

DOMESTIC NET INCOME IN RESPECT OF EMPLOYMENT [From Form 1770 - I page 2 Total Part C column 5]

MMMINISTRY OF FINANCE

A. N

ET

IN

CO

ME

YY

Data changes application submitted apart from this Tax Return, by using the Taxpayer Data Change Form and attached with the

required documents.

TIN :

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 true, complete, clear, and under no circumtances whatsoever.

E. IN

CO

ME

TA

X

OV

ER

/UN

DE

R P

AID 19.

DATE:

19dd mm

SETTLED

ON

SIGNATURE

DECLARATION

COMPLETE NAME :

F. M

ON

TH

LY

INS

TA

LL

ME

NT

OF

INC

OM

E T

AX

AR

TIC

LE

25

FO

R T

HE

SU

BS

EQ

UE

NT

YE

AR

G.

AT

TA

CH

ME

NT

S

yy

DOMESTIC NET INCOME FROM BUSINESS ACTIVITIES AND/OR INDEPENDENT PERSONAL SERVICE [From Form 1770 - I page 1 total part A or Form 1770 - I page 2 Total Part B column 5]

ADJUSTMENT FOR FOREIGN TAX CREDITS REFUNDED AND HAD BEEN CREDITED IN THE PREVIOUS

YEAR RETURN (Income Tax Article 24)

COMPENSATED WITH OUTSTANDING

TAX PAYABLE

CALCULATION OF INSTALLMENT OF INCOME TAX ARTICLE 25 FOR THE

SUBSEQUENT YEAR

APPROPRIATE BOXMARK " X " IN THE

TA

XA

BL

E Y

EA

R 0

KLU :

RUPIAH *)

ANNUAL INDIVIDUAL INCOME TAX RETURN

Page 3: Spt tahunan pph wajib pajak orang pribadi formulir 1770

to

BOOKKEEPING RECORDING

• • PRINT OR TYPE WITH CAPITAL LETTER AND BLACK INK •

TIN :

TAXPAYER'S NAME :

DOMESTIC NET INCOME FROM BUSINESS ACTIVITIES AND/OR INDEPENDENT PERSONAL SERVICE

: AUDITED ACCOUNTANT OPINION: UNAUDITED

NAME OF PUBLIC ACCOUNTANT :

TIN OF PUBLIC ACCOUNTANT:

NAME OF CPA :

TIN OF CPA:

NAME OF TAX CONSULTANT:

TIN OF TAX CONSULTANT:

NAME OF TAX CONSULTING FIRM :

TIN OF TAX CONSULTING FIRM:

a. 1a

b. 1b

c. 1c

d. 1d

e. 1e

2.

a.2a

b.2b

c.2c

d.2d

e. 2e

f. 2f

g. 2g

h. 2h

i.2i

j.2j

k. 2k

l. 2l

a.3a

b.3b

c. 3c

d. 3d

4 4

Copy total part A (line 4) to Form 1770 line 1

OF THE REPUBLIC OF INDONESIA

DIRECTORATE GENERAL OF TAXES

PAGE 1 2 0

TA

XA

BL

E Y

EA

R

MM

ANNUAL INDIVIDUAL INCOME TAX RETURN

ATTACHMENT - I

YY

CALCULATION OF DOMESTIC NET INCOME FROM BUSINESS ACTIVITIES

AND/OR INDEPENDENT PERSONAL SERVICE FOR TAXPAYER APPLYING

BOOKKEEPING SYSTEM

YY

GROSS INCOME

RUPIAH

ATTENTION: MARK " X " IN THE

1. INCOME FROM BUSINESS ACTIVITIES AND/OR INDEPENDENT PERSONAL

SERVICE BASED ON COMMERCIAL FINANCIAL STATEMENT:

PART A:

(FOR TAXPAYER APPLYING BOOKKEEPING SYSTEM)

APPROPRIATE BOXFOLLOW INSTRUCTION IN THE INSTRUCTION BOOK

MM

ADMINISTRATIVE PENALTY

POSSITIVE DIFFERENCE OF COMMERCIAL OVER FISCAL DEPRECIATION/AMORTIZATION

EXPENSES TO EARN, TO COLLECT AND SECURE INCOME SUBJECT TO FINALIZED INCOME TAX

AND NON TAXABLE INCOME

OTHERS POSITIVE FISCAL ADJUSTMENT

TOTAL (2a to 2k)

INCOME SUBJECT TO FINAL WITHHOLDING TAX AND NON TAXABLE INCOME BUT INCLUDED IN

GROSS INCOME

TOTAL (3a to 3c)

TOTAL PART A (1e + 2l - 3d)

NEGATIVE DIFFERENCE OF COMMERCIAL OVER FISCAL DEPRECIATION/AMORTIZATION

COST OF GOOD SOLD

OPERATING INCOME (1a - 1b)

POSITIVE FISCAL ADJUSTMENTS

COST INCURRED FOR THE PERSONAL BENEFIT OF A TAXPAYER OR HIS DEPENDENTS

OPERATING EXPENSE

3. NEGATIVE FISCAL ADJUSTMENT:

GIFTS, AID AND DONATIONS

INSURANCE PREMIUMS FOR HEALTH, ACCIDENT, LIFE, DUAL PURPOSE AND EDUCATION

INSURANCE WHICH ARE PAID BY AN INDIVIDUAL TAXPAYER

CONSIDERATION OR REMUNERATION RELATED TO EMPLOYMENT OR SERVICES GIVEN IN THE

FORM OF BENEFIT IN KIND

INCOME TAX

OTHERS NEGATIVE FISCAL ADJUSTMENT

SALARIES PAID TO BUSINESS OWNER/TAXPAYERS DEPENDENT

EXCESSIVE COMPENSATIONAM PAID TO ASSOCIATED PARTIES AS A CONSIDERATION OF

WORK PERFORMED

NET INCOME (1c - 1d)

1770 - I

BOOKKEEPING SYSTEM/ FINANCIAL

STATEMENT

FO

RM

MINISTRY OF FINANCE

Page 4: Spt tahunan pph wajib pajak orang pribadi formulir 1770

• to

•• CALCULATION OF OTHER DOMESTIC INCOME BOOKKEEPING RECORDING

ATTENTION: • • PRINT OR TYPE WITH CAPITAL LETTER AND BLACK INK •

TIN :

TAXPAYER'S NAME :

PART B: DOMESTIC NET INCOME FROM BUSINESS ACTIVITIES AND/OR INDEPENDENT PERSONAL SERVICE

Copy Total Part B column (5) to Form 1770 line 1

PART C : DOMESTIC NET INCOME IN RESPECT OF EMPLOYMENT

(NOT INCLUDING INCOME SUBJECT TO FINALIZED INCOME TAX)

Copy Total Part C Column (5) to Form 1770 line 2

PART D : OTHER DOMESTIC NET INCOMES

(NOT INCLUDING INCOME SUBJECT TO FINALIZED INCOME TAX)

Copy Total Part D to Form 1770 line 3

OF THE REPUBLIC OF INDONESIA

2

pagesPage fromIF NEEDED, ADDITIONAL PAGES MAY BE ADDED

3

6

INTEREST

TOTAL PART D

OTHER INCOMES

YY

TA

XA

BL

E Y

EA

R

MM

0

YY

DIRECTORATE GENERAL OF TAXES

PAGE 2

(FOR TAXPAYER APPLYING RECORDING)

(3)

MARK " X " IN THE APPROPRIATE BOX

CALCULATION OF DOMESTIC NET INCOME IN RESPECT OF EMPLOYMENT

2

CALCULATION OF DOMESTIC NET INCOME FROM BUSINESS ACTIVITIES AND/OR

INDEPENDENT PERSONAL SERVICE FOR TAXPAYER APPLYING RECORDING

ANNUAL INDIVIDUAL INCOME TAX RETURN

MM

ATTACHMENT - I

1

FOLLOW INSTRUCTION IN THE INSTRUCTION BOOK

4

NO.

2

5

(1)

(2)

TYPES OF INCOME

3

4

5

(1)

RENT

AWARDS AND PRIZES

TOTAL PART C

(4)

(5)

GROSS INCOME

(4)

NET INCOME (Rupiah)

NO.

TRADING

INDUSTRY

SERVICE

INDEPENDENT PERSONAL SERVICE

(Rupiah)

NAME AND TIN OF EMPLOYERNET INCOME

(Rupiah)

TYPES OF BUSINESSDEEMED

(%)

GROSS INCOME

(Rupiah)

TPB

(3)

2

NO.

(2)

DEDUCTION GROSS INCOME/COST

TPD

GAIN FROM THE SALE/TRANSFER OF PROPERTY

ROYALTIES

OTHERS

TOTAL PART B

1

5

6

(1)

1

3

4

1770 - IFO

RM

MINISTRY OF FINANCE

(Rupiah)

(2) (5)

TPC

(3)

TOTAL NET INCOME

(Rupiah)

Page 5: Spt tahunan pph wajib pajak orang pribadi formulir 1770

to

BOOKKEEPING RECORDING

ATTENTION: • • PRINT OR TYPE WITH CAPITAL LETTER AND BLACK INK •

TIN :

TAXPAYER'S NAME :

PART A :

(1)

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

etc

*) - =

- Fill column (6) with following options: 21/22/23/24/26/DTP (Example: 21, 22, 23, 24, 26, DTP)

- If there is a Tax Credit of Income Tax Article 24, the column should be filled with maximum creditable amount according to separate attachment

(Follow the Instruction related to Part A of Attachment II and Annual Tax Return line 4)

from pages of Attachment-II

02

FOLLOW INSTRUCTION IN THE INSTRUCTION BOOK

PageIF NEEDED, ADDITIONAL PAGES MAY BE ADDED

TPA

DTP

TOTAL PART A

Copy Total Part A Column 7 to Formulir 1770 line 15

BORNED BY THE GOVERNMENT

(2) (3)

NONAME OF WITHHOLDING

AGENT

LIST OF INCOME TAX WITHHELD BY OTHER PARTIES, PAID/WITHHELD IN FOREIGN AND BORNED BY THE GOVERNMENT

APPROPRIATE BOX

DIRECTORATE GENERAL OF TAXES

MM

WITHHOLDING TAX RECEIPT

DATE

TOTAL OF INCOME TAX WITHHELD

(Rupiah)

1770 - IIATTACHMENT - II

ANNUAL INDIVIDUAL INCOME TAX RETURN

TYPES OF TAX : INCOME

TAX ARTICLE

21/22/23/24/26/DTP *)

TIN OF WITHHOLDING

AGENT

LIST OF INCOME TAX WITHHELD BY OTHER PARTY, PAID/WITHHELD

IN FOREIGN AND BORNED BY THE GOVERNMENT

TA

XA

BL

E Y

EA

R

YYMM

NUMBER

(7)(6)(4) (5)

MARK " X " IN THE

YY

FO

RM

MINISTRY OF FINANCE OF THE REPUBLIC OF

INDONESIA

Page 6: Spt tahunan pph wajib pajak orang pribadi formulir 1770

• to

•• BOOKKEEPING RECORDING

ATTENTION: • • PRINT OR TYPE WITH CAPITAL LETTER AND BLACK INK •TIN :

TAXPAYER'S NAME :

PART A :

NO

(1)

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

PART B : NON TAXABLE INCOME

NO

(1)

1.

2.

3.

4.

5.

6.

PART C : SPOUSE'S INCOME SHALL BE TAXED SEPARATELY

APPROPRIATE BOXMARK " X " IN THE

PROPERTY RECEIVED FROM BUILD OPERATE TRANSFER

SCHEME

LEASE/RENT VALUE ON LAND OR BUILDING

SALES VALUE OF SHARES TRADED IN THE STOCK

EXCHANGE

TYPES OF INCOME TAX BASE/GROSS INCOME

(2)

TRANSFER VALUE OF RIGHTS ON LAND AND BUILDING

YYMM YY MM

LOTTERY PRIZES

SEVERANCE PAYMENT, RETIREMENT ALLOWANCE AND

PENSIONS PAID IN LUMP SUM

INTEREST OF DEPOSIT, SAVINGS, DISCOUNT OF CENTRAL BANK'S

CERTIFICATE, STATE SECURITIES

HONORARIUM FROM CENTRAL AND LOCAL STATE BUDGET

INTEREST/DISCOUNT OF BOND

(3)

INCOME TAX PAYABLE

(Rupiah)

INCOME SUBJECT TO FINAL TAX AND/OR FINALIZED TAX

02INDIVIDUAL ANNUAL INCOME TAX RETURN

ATTACHMENT - III

TA

XA

BL

E Y

EA

R

NON TAXABLE INCOME

SPOUSE'S INCOME SHALL BE TAXED SEPARATELY

INCOME SUBJECT TO FINAL TAX AND/OR FINALIZED TAX

DIVIDEND

CONSTRUCTION FEES

DISTRIBUTOR/DEALER/AGENTS OF OIL PRODUCTS

1770 - III

DIRECTORATE GENERAL OF TAXES

FOLLOW INSTRUCTION IN THE INSTRUCTION BOOK

FO

RM

MINISTRY OF FINANCE OF THE

REPUBLIC OF INDONESIA

(4)

SAVING INTEREST PAID BY COOPERATIVE TO MEMBER

SPOUSE'S NET INCOME SHALL BE TAXED SEPARATELY

OTHER INCOME SUBJECT TO FINAL TAX AND OR FINALIZED TAX

GROSS INCOME

(Rupiah)

(3)

TOTAL (1 to 16)

(2)

(Rupiah)

SCHOLARSHIP

TOTAL PART B

INHERITANCE

CLAIM ON HEALTH, ACCIDENT, LIFE, DUAL PURPOSE AND SCHOLARSHIP

TPB

OTHER NON TAXABLE INCOME

AID / DONATION / GRANT

DISTRIBUTION OF PROFIT EARNED BY MEMBER OF PARTNERSHIP WHOSE CAPITAL DOES NOT CONSIST OF

SHARES, PARTNERSHIP, ASSOCIATION, AND FIRM

WIFE INCOME FROM ONE EMPLOYER

TYPES OF INCOME

INCOME FROM DERIVATIVE TRANSACTION

Page 7: Spt tahunan pph wajib pajak orang pribadi formulir 1770

• to

• BOOKKEEPING RECORDING

ATTENTION: • FOLLOW INSTRUCTION IN THE INSTRUCTION BOOK • PRINT OR TYPE WITH CAPITAL LETTER AND BLACK INK • MARK " X " IN THE

TIN :

TAXPAYER'S NAME :

PART A :

PART B : LIABILITIES AT YEAR- END

(3)

PART C : LIST OF MEMBER OF FAMILY'S DEPENDENT

from pages of Attachment-IV

(5)

5

etc

4

1

(4)(1) (3)

ASSETS AT YEAR-END

ATTACHMENT - IV

TA

XA

BL

E Y

EA

R

(2)

TOTAL

(Rupiah)

LIST OF MEMBER OF FAMILY'S DEPENDENT

MM YYYY

YEAR LENDING

TOTAL PART A

8

9

1770 - IV

APPROPRIATE BOX

ASSETS AT YEAR-END

(6)(5)

(5)

TPA

NAME OF LENDER

02

(4)

LENDER ADDRESS

(6)

NAME

•DIRECTORATE GENERAL OF TAXESLIABILITIES AT YEAR- END

MM

CODE TYPE OF ASSETS

4

5

COST OF ACQUISITION

(Rupiah)DESCRIPTION

1

(2)

OCCUPATIONNO.

TOTAL PART B TPB

RELATIONSHIP IN FAMILY

3

IDENTITY NUMBER (NIK)

7

(1)

NO. YEAR OF ACQUISITION

(3)

6

10 etc

FO

RM

MINISTRY OF FINANCE OF THE

REPUBLIC OF INDONESIA

ANNUAL INDIVIDUAL INCOME TAX RETURN

Page

8

9

10 etc

NO.

(1)

1

2

3

4

5

6

7

2

3

(4)

2

IF NEEDED, ADDITIONAL PAGES MAY BE ADDED

CODE

(2)

Page 8: Spt tahunan pph wajib pajak orang pribadi formulir 1770

No. 's Net Income

(1) (3)

A

1 DOMESTIC NET INCOME FROM BUSINESS ACTIVITIES AND/OR INDEPENDENT PERSONAL SERVICE

[From Form 1770 Part A line 1]

2 DOMESTIC NET INCOME IN RESPECT OF EMPLOYMENT

[From Form 1770 Part A Line 2 or Form 1770 S Part A Line 1]

3 OTHER DOMESTIC NET INCOME

[From Form 1770 Part A line 3 or Form 1770 S Part A line 2]

4 FOREIGN NET INCOME

[From Form 1770 Part A line 4 or Form 1770 S Part A line 3]

5 ZAKAT/OBLIGATED CHARITY

[From Form 1770 Part A line 6 or Form 1770 S Part A line 5]

6 TOTAL ( 1 + 2 + 3 + 4 - 5 )

7 LOSS CARRY FORWARD

[Only for Individual Taxpayer who applying bookkeeping system. From Form 1770 Part A line 8]

8 TOTAL NET INCOME ( 6 - 7 )

No

(1)

B

C

D

E

1 5% x

2 15% x

3 25% x

4 30% x

F

G

Name :

TIN :

Signature

Name :

TIN :

Signature

(2) (4)

WORKPAPER OF INCOME TAX PAYABLE CALCULATION

Description 's Net Income

FOR MARRIED INDIVIDUAL WHO HAVE TAX LIABILITY STATUS MARRIED WITH AN AGREEMENT FOR THE SEPARATION OF PROPERTY AND

INCOME (PH) OR THE WIFE CHOOSE TO MEET HER TAX RIGHT AND OBLIGATION SEPARATELY (MT)

NET INCOME

Description Value

(2) (3)

TOTAL HUSBAND AND WIFE'S NET INCOME [ A.8.(3) + A.8.(4) ]

PERSONAL EXEMPTIONS

TAXABLE INCOME [ B - C ]

INCOME TAX PAYABLE (COMBINED)

TOTAL INCOME TAX PAYABLE (COMBINED)

PORTION INCOME TAX PAYABLE FOR [ (A.8.(3) / B) x E ]

[Copy to 's Tax Return Part C Line 12 Form 1770 or Part C Line 9 Form 1770 S]

PORTION INCOME TAX PAYABLE FOR [ (A.8.(4) / B) x E ]

[Copy to 's Tax Return Part C Line 12 Form 1770 or Part C Line 9 Form 1770 S]

060101301
Typewritten Text
060101301
Typewritten Text
Page 9: Spt tahunan pph wajib pajak orang pribadi formulir 1770

PRINT INCOME TAX ANNUAL TAX RETURN (BAHASA VERSION)

ON THE NEXT PAGES

Page 10: Spt tahunan pph wajib pajak orang pribadi formulir 1770

BAGI WAJIB PAJAK YANG MEMPUNYAI PENGHASILAN :

•• DARI SATU ATAU LEBIH PEMBERI KERJA;

• YANG DIKENAKAN PPh FINAL DAN/ATAU BERSIFAT FINAL; DAN/ATAU PEMBUKUAN PENCATATAN• DALAM NEGERI LAINNYA/LUAR NEGERI.

SPT PEMBETULAN KE -

• • ISI DENGAN HURUF CETAK / DIKETIK DENGAN TINTA HITAM •NPWP :

NAMA WAJIB PAJAK :

JENIS USAHA/PEKERJAAN BEBAS :

NO. TELEPON/FAKSIMILI : /

: KK HB PH MT

NPWP ISTERI/SUAMI :

1. 1

2. 2

3. 3

4 4. 4

5. 5…………………………………………………………………………………………………………………………..6. 6

7. JUMLAH PENGHASILAN NETO SETELAH PENGURANGAN ZAKAT /SUMBANGAN KEAGAMAAN YANG SIFATNYA WAJIB ( 5- 6)

8. 8

9. 9

10. PENGHASILAN TIDAK KENA PAJAK TK / K / K / I / 10

11. 11

12. 12

14. 14

15. 15

16. a. PPh YANG HARUS DIBAYAR SENDIRI

b. PPh YANG LEBIH DIPOTONG/DIPUNGUT

17. a. 17a

b. 17b

18. 18

a. PPh YANG KURANG DIBAYAR (PPh PASAL 29)

b. PPh YANG LEBIH DIBAYAR (PPh PASAL 28 A)

20. PERMOHONAN : PPh Lebih Bayar pada 19.b mohon

DIPERHITUNGKAN DENGAN UTANG PAJAK

DIHITUNG BERDASARKAN :

a. 1/12 X JUMLAH PADA ANGKA 16 c. PERHITUNGAN DALAM LAMPIRAN TERSENDIRI

b. PERHITUNGAN WAJIB PAJAK ORANG PRIBADI PENGUSAHA TERTENTU

SELAIN FORMULIR 1770 - I SAMPAI DENGAN 1770 - IV (BAIK YANG DIISI MAUPUN YANG TIDAK DIISI) HARUS DILAMPIRKAN PULA :

a. SURAT KUASA KHUSUS (BILA DIKUASAKAN) g. PERHITUNGAN ANGSURAN PPh PASAL 25 TAHUN PAJAK BERIKUTNYA

b. SSP LEMBAR KE-3 PPh PASAL 29 h.

c. i.

d. PERHITUNGAN KOMPENSASI KERUGIAN FISKAL j.

e. k.

f. FOTOKOPI FORMULIR 1721-A1 DAN/ATAU 1721-A2 (............LEMBAR) l.

WAJIB PAJAK KUASA

F.1.1.32.16

(KOTAK PILIHAN) YANG SESUAIBERI TANDA " X " DALAM

TAH

UN

PA

JAK 0

KLU :

RUPIAH *)

SPT TAHUNAN PPh WAJIB PAJAK ORANG PRIBADI

NPWP :

Dengan menyadari sepenuhnya akan segala akibatnya termasuk sanksi-sanksi sesuai dengan ketentuan perundang-undangan yang berlaku, saya menyatakan bahwa apa yang telah saya beritahukan di atas beserta lampiran-lampirannya adalah benar, lengkap dan jelas.

E. P

Ph K

UR

AN

G/ L

EBIH

B

AYA

R

19.

TANGGAL:

19tgl bln

TGL LUNAS

TANDA TANGANPERNYATAAN

NAMA LENGKAP :

F. A

NG

SUR

AN

PPh

PA

SAL

25 T

AH

UN

PA

JAK

B

ERIK

UTN

YAG

. LA

MPI

RA

N

thn

PERHITUNGAN PPh TERUTANG BAGI WAJIB PAJAK DENGAN STATUS PERPAJAKAN PH ATAU MT

21

b.

7

PPh YANG DIPOTONG / DIPUNGUT OLEH PIHAK LAIN, PPh YANG DIBAYAR / DIPOTONG DI LUAR NEGERI DAN PPh DITANGGUNG PEMERINTAH [Diisi dari formulir 1770 -II Jumlah Bagian A Kolom 7]

BL

13

KOMPENSASI KERUGIAN

PENGHASILAN NETO DALAM NEGERI DARI USAHA DAN/ATAU PEKERJAAN BEBAS [Diisi dari Formulir 1770 - I Halaman 1 Jumlah Bagian A atau Formulir 1770 - I Halaman 2 Jumlah Bagian B Kolom 5]

PENGHASILAN NETO DALAM NEGERI LAINNYA [Diisi dari Formulir 1770 - I Halaman 2 Jumlah Bagian D Kolom 3]

PENGHASILAN NETO DALAM NEGERI SEHUBUNGAN DENGAN PEKERJAAN [Diisi dari Formulir 1770 - I Halaman 2 Jumlah Bagian C Kolom 5]

BLKEMENTERIAN KEUANGAN RIA

. PEN

GH

ASI

LAN

NET

OTH

Permohonan perubahan data disampaikan terpisah dari pelaporan SPT Tahunan PPh Orang Pribadi ini, dengan menggunakan Formulir Perubahan Data Wajib Pajak dan dilengkapi dokumen yang disyaratkan.

1770 2

DIREKTORAT JENDERAL PAJAK

IDEN

TITA

SDARI USAHA/PEKERJAAN BEBAS;

TH

FOR

MU

LIR

PERHATIAN SEBELUM MENGISI BACALAH PETUNJUK PENGISIAN

c.

BUKTI PEMOTONGAN/PEMUNGUTAN OLEH PIHAK LAIN/DITANGGUNG PEMERINTAH DAN YANG DIBAYAR/DIPOTONG DI LUAR NEGERI

a. DIKEMBALIKAN DENGAN SKPPKP PASAL 17C (WP dengan Kriteria Tertentu)

DIKEMBALIKAN DENGAN SKPPKP PASAL 17D (WP yang Memenuhi Persyaratan Tertentu)d.

PPh PASAL 25 BULANAN

DAFTAR JUMLAH PENGHASILAN DAN PEMBAYARAN PPh PASAL 25 (KHUSUS UNTUK ORANG PRIBADI PENGUSAHA TERTENTU)

(16-18)

NERACA DAN LAP. LABA RUGI / REKAPITULASI BULANAN PEREDARAN BRUTO DAN/ATAU PENGHASILAN LAIN DAN BIAYA

DIRESTITUSIKAN

DAFTAR JUMLAH PEREDARAN BRUTO DAN PEMBAYARAN PPh FINAL BERDASARKAN PP 46 TAHUN 2013 PER MASA PAJAK DAN PER TEMPAT USAHA

D. K

RED

IT P

AJA

K

PPh YANG DIBAYAR SENDIRI

STATUS KEWAJIBAN PERPAJAKAN SUAMI-ISTERI

s.d

21. ANGSURAN PPh PASAL 25 TAHUN PAJAK BERIKUTNYA DIHITUNG SEBESAR

PENGHASILAN KENA PAJAK (9 -10)

ZAKAT / SUMBANGAN KEAGAMAAN YANG BERSIFAT WAJIB

*) Pengisian kolom-kolom yang berisi nilai rupiah harus tanpa nilai desimal (contoh penulisan lihat petunjuk pengisian halaman 3)

PENGHASILAN NETO LUAR NEGERI [Apabila memiliki penghasilan dari luar negeri agar diisi dari Lampiran Tersendiri, lihat petunjuk pengisian]

PPh TERUTANG (TARIF PASAL 17 UU PPh X ANGKA 11) [Bagi Wajib Pajak dengan status PH / MT diisi dari Lampiran Perhitungan PPh Terutang sebagaimana dimaksud dalam bagian G: Lampiran huruf i]

PENGEMBALIAN/PENGURANGAN PPh PASAL 24 YANG TELAH DIKREDITKAN

C. P

Ph

TER

UTA

NG

B. P

ENG

HA

SILA

N

KEN

A P

AJA

K

JUMLAH PPh TERUTANG ( 12 + 13)

JUMLAH PENGHASILAN NETO SETELAH KOMPENSASI KERUGIAN (7 - 8)

JUMLAH KREDIT PAJAK (17a+17b)

13.

JUMLAH PENGHASILAN NETO (1 + 2 + 3 + 4)

STP PPh PASAL 25 (HANYA POKOK PAJAK)

16 (14-15)

Page 11: Spt tahunan pph wajib pajak orang pribadi formulir 1770

s.d

PEMBUKUAN PENCATATAN

• • ISI DENGAN HURUF CETAK / DIKETIK DENGAN TINTA HITAM •NPWP :

NAMA WAJIB PAJAK :

PENGHASILAN NETO DALAM NEGERI DARI USAHA DAN/ATAU PEKERJAAN BEBAS

PEMBUKUAN / LAPORAN KEUANGAN : DIAUDIT OPINI AKUNTAN : TIDAK DIAUDIT

NAMA AKUNTAN PUBLIK :

NPWP AKUNTAN PUBLIK:

NAMA KANTOR AKUNTAN PUBLIK :

NPWP KANTOR AKUNTAN PUBLIK:

NAMA KONSULTAN PAJAK :

NPWP KONSULTAN PAJAK:

NAMA KANTOR KONSULTAN PAJAK :

NPWP KANTOR KONSULTAN PAJAK:

a. 1a

b. 1b

c. 1c

d. 1d

e. 1e

2.a. 2a

b. 2b

c. 2c

d.2d

e. 2e

f. 2f

g. 2g

h. 2h

i. 2i

j. 2j

k. 2k

l. 2l

a. 3a

b. 3b

c. 3c

d. 3d

4 4

Pindahkan Jumlah Bagian A (angka 4) ke Formulir 1770 Angka 1

PENGHASILAN NETO (1c - 1d)

PENYESUAIAN FISKAL NEGATIF LAINNYA

GAJI YANG DIBAYARKAN KEPADA PEMILIK / ORANG YANG MENJADI TANGGUNGANNYA

JUMLAH YANG MELEBIHI KEWAJARAN YANG DIBAYARKAN KEPADA PIHAK YANG MEMPUNYAI HUBUNGAN ISTIMEWA SEHUBUNGAN DENGAN PEKERJAAN YANG DILAKUKAN

3. PENYESUAIAN FISKAL NEGATIF:

HARTA YANG DIHIBAHKAN, BANTUAN ATAU SUMBANGAN

PREMI ASURANSI KESEHATAN, ASURANSI KECELAKAAN, ASURANSI JIWA, ASURANSI DWIGUNA, DAN ASURANSI BEASISWA YANG DIBAYAR OLEH WAJIB PAJAK

PENGGANTIAN ATAU IMBALAN SEHUBUNGAN DENGAN PEKERJAAN ATAU JASA YANG DIBERIKAN DALAM BENTUK NATURA ATAU KENIKMATAN

PAJAK PENGHASILAN

BL

SANKSI ADMINISTRASI

SELISIH PENYUSUTAN/AMORTISASI KOMERSIAL DIATAS PENYUSUTAN/ AMORTISASI FISKAL BIAYA UNTUK MENDAPATKAN, MENAGIH DAN MEMELIHARA PENGHASILAN YANG DIKENAKAN PPh FINAL DAN PENGHASILAN YANG TIDAK TERMASUK OBJEK PAJAK PENYESUAIAN FISKAL POSITIF LAINNYA

JUMLAH (2a s.d. 2k)

PENGHASILAN YANG DIKENAKAN PPh FINAL DAN PENGHASILAN YANG TIDAK TERMASUK OBJEK PAJAK TETAPI TERMASUK DALAM PEREDARAN USAHA

JUMLAH (3a s.d. 3c)

JUMLAH BAGIAN A (1e + 2l - 3d)

SELISIH PENYUSUTAN / AMORTISASI KOMERSIAL DI BAWAH PENYUSUTAN AMORTISASI FISKAL

HARGA POKOK PENJUALAN

LABA/RUGI BRUTO USAHA (1a - 1b)

PENYESUAIAN FISKAL POSITIFBIAYA YANG DIBEBANKAN/DIKELUARKAN UNTUK KEPENTINGAN PRIBADI WAJIB PAJAK ATAU ORANG YANG MENJADI TANGGUNGANNYA

BIAYA USAHA

PEREDARAN USAHA

RUPIAH

PERHATIAN: BERI TANDA " X " DALAM

1. PENGHASILAN DARI USAHA DAN/ATAU PEKERJAAN BEBAS BERDASARKAN LAPORAN KEUANGAN KOMERSIAL :

BAGIAN A:(BAGI WAJIB PAJAK YANG MENYELENGGARAKAN PEMBUKUAN)

(KOTAK PILIHAN) YANG SESUAISEBELUM MENGISI BACALAH PETUNJUK PENGISIAN

KEMENTERIAN KEUANGAN RIDIREKTORAT JENDERAL PAJAK

FOR

MU

LIR HALAMAN 1

1770 - I 2 0

TAH

UN

PA

JAK

BL

SPT TAHUNAN PPh WAJIB PAJAK ORANG PRIBADILAMPIRAN - I

THPENGHITUNGAN PENGHASILAN NETO DALAM NEGERI DARI USAHA

DAN/ATAU PEKERJAAN BEBAS BAGI WAJIB PAJAK YANG MENYELENGGARAKAN PEMBUKUAN

TH

Page 12: Spt tahunan pph wajib pajak orang pribadi formulir 1770

• s.d

•• PENGHITUNGAN PENGHASILAN DALAM NEGERI LAINNYA PEMBUKUAN PENCATATAN

PERHATIAN : • • ISI DENGAN HURUF CETAK / DIKETIK DENGAN TINTA HITAM •NPWP :

NAMA WAJIB PAJAK :

BAGIAN B: PENGHASILAN NETO DALAM NEGERI DARI USAHA DAN/ATAU PEKERJAAN BEBAS

Pindahkan Jumlah Bagian B Kolom (5) ke Formulir 1770 Angka 1

BAGIAN C : PENGHASILAN NETO DALAM NEGERI SEHUBUNGAN DENGAN PEKERJAAN(TIDAK TERMASUK PENGHASILAN YANG DIKENAKAN PPh BERSIFAT FINAL)

Pindahkan Jumlah Bagian C Kolom (5) ke Formulir 1770 Angka 2

BAGIAN D : PENGHASILAN NETO DALAM NEGERI LAINNYA(TIDAK TERMASUK PENGHASILAN YANG DIKENAKAN PPh BERSIFAT FINAL)

Pindahkan Jumlah Bagian D ke Formulir 1770 Angka 3

(Rupiah)(2) (5)

JBC

(3)

JUMLAH PENGHASILAN NETO (Rupiah)

PENGURANGAN PENGHASILAN BRUTO/BIAYA

JBD

KEUNTUNGAN DARI PENJUALAN/PENGALIHAN HARTA

ROYALTI

USAHA LAINNYA

JUMLAH BAGIAN B

1

5

6

(1)

1

3

4

2

NO.

(2)

PENGHASILAN NETO (Rupiah)

NO.

DAGANG

INDUSTRI

JASA

PEKERJAAN BEBAS

(Rupiah)

NAMA DAN NPWPPEMBERI KERJA

PENGHASILAN NETO

(Rupiah)

JENIS USAHA NORMA (%)

PEREDARAN USAHA (Rupiah)

JBB

(3)

4

NO.

2

5

(1)

(2)

JENIS PENGHASILAN

3

4

5

(1)

SEWA

PENGHARGAAN DAN HADIAH

JUMLAH BAGIAN C

(4)

(5)

PENGHASILAN BRUTO

(4)

TAH

UN

PA

JAK

BL

0

TH

DIREKTORAT JENDERAL PAJAK

HALAMAN 2

(BAGI WAJIB PAJAK YANG MENYELENGGARAKAN PENCATATAN)

(3)

BERI TANDA " X " DALAM (KOTAK PILIHAN) YANG SESUAI

PENGHITUNGAN PENGHASILAN NETO DALAM NEGERI SEHUBUNGAN DENGAN PEKERJAAN

1770 - I2

PENGHITUNGAN PENGHASILAN NETO DALAM NEGERI DARI USAHA DAN/ATAU PEKERJAAN BEBAS BAGI WAJIB PAJAK YANG MENYELENGGARAKAN PENCATATAN

SPT TAHUNAN PPh WAJIB PAJAK ORANG PRIBADI

BL

LAMPIRAN - I

1

SEBELUM MENGISI BACALAH PETUNJUK PENGISIAN

FOR

MU

LIR

KEMENTERIAN KEUANGAN RI

2

halaman Lampiran -IIHalaman ke - dariJIKA FORMULIR INI TIDAK MENCUKUPI, DAPAT DIBUAT SENDIRI SESUAI DENGAN BENTUK INI

3

6

BUNGA

JUMLAH BAGIAN D

PENGHASILAN LAINNYA

TH

Page 13: Spt tahunan pph wajib pajak orang pribadi formulir 1770

s.d

PEMBUKUAN PENCATATAN

PERHATIAN : • • ISI DENGAN HURUF CETAK / DIKETIK DENGAN TINTA HITAM •NPWP :

NAMA WAJIB PAJAK :

BAGIAN A :

(1)

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15 dst

*) - =

- Kolom (6) diisi dengan pilihan sebagai berikut : 21 / 22 / 23 / 24 /26/ DTP (Contoh : ditulis 21, 22, 23, 24, 26, DTP)- Jika terdapat kredit pajak PPh Pasal 24, maka jumlah yang diisi adalah maksimum yang dapat dikreditkan sesuai lampiran tersendiri

(lihat petunjuk pengisian tentang Lampiran II Bagian A dan Induk SPT angka 4)

dari halaman Lampiran-II

THBL

NOMOR(7)(6)(4) (5)

BERI TANDA " X " DALAM

TH

1770 - IILAMPIRAN - II

FOR

MU

LIR

SPT TAHUNAN PPh WAJIB PAJAK ORANG PRIBADI

JENIS PAJAK : PPh PASAL 21/ 22/23/24/26/DTP *)

NPWP PEMOTONG/PEMUNGUT

PAJAK

KEMENTERIAN KEUANGAN RI

DAFTAR PEMOTONGAN/PEMUNGUTAN PPh OLEH PIHAK LAIN,PPh YANG DIBAYAR/DIPOTONG DI LUAR NEGERI DAN

PPh DITANGGUNG PEMERINTAH TAH

UN

PA

JAK

NONAMA

PEMOTONG/PEMUNGUT PAJAK

DAFTAR PEMOTONGAN/PEMUNGUTAN PPh OLEH PIHAK LAIN, PPh YANG DIBAYAR / DIPOTONG DI LUAR NEGERI DAN PPh DITANGGUNG PEMERINTAH

(KOTAK PILIHAN) YANG SESUAI

DIREKTORAT JENDERAL PAJAK

BL

BUKTI PEMOTONGAN/PEMUNGUTAN

TANGGAL

JUMLAH PPh YANG DIPOTONG / DIPUNGUT

(Rupiah)

02

SEBELUM MENGISI BACALAH PETUNJUK PENGISIAN

Halaman ke -JIKA FORMULIR INI TIDAK MENCUKUPI, DAPAT DIBUAT SENDIRI SESUAI DENGAN BENTUK INI

JBA

DTP

JUMLAH BAGIAN A

Pindahkan Jumlah Bagian A Kolom 7 ke Formulir 1770 Angka 15

PPh Ditanggung Pemerintah

(2) (3)

Page 14: Spt tahunan pph wajib pajak orang pribadi formulir 1770

• s.d

•• PEMBUKUAN PENCATATAN

PERHATIAN : • • ISI DENGAN HURUF CETAK / DIKETIK DENGAN TINTA HITAM •NPWP :

NAMA WAJIB PAJAK :

BAGIAN A :

NO

(1)

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

BAGIAN B : PENGHASILAN YANG TIDAK TERMASUK OBJEK PAJAK

NO

(1)

1.

2.

3.

4.

5.

6.

BAGIAN C : PENGHASILAN ISTERI/SUAMI YANG DIKENAKAN PAJAK SECARA TERPISAH

PENGHASILAN LAIN YANG TIDAK TERMASUK OBJEK PAJAK

BANTUAN / SUMBANGAN / HIBAH

BAGIAN LABA ANGGOTA PERSEROAN KOMANDITER TIDAK ATAS SAHAM, PERSEKUTUAN, PERKUMPULAN, FIRMA, KONGSI

PENGHASILAN ISTERI DARI SATU PEMBERI KERJA

SUMBER/JENIS PENGHASILAN

PENGHASILAN DARI TRANSAKSI DERIVATIF

PENGHASILAN NETO ISTERI/SUAMI YANG DIKENAKAN PAJAK SECARA TERPISAH

PENGHASILAN LAIN YANG DIKENAKAN PAJAK FINAL DAN/ATAU BERSIFAT FINAL

PENGHASILAN BRUTO (Rupiah)

(3)

JUMLAH (1 s.d. 16)

(2)

(Rupiah)

BEASISWA

JUMLAH BAGIAN B

WARISAN

KLAIM ASURANSI KESEHATAN, KECELAKAAN, JIWA, DWIGUNA, BEASISWA

JBB

(4)

BUNGA SIMPANAN YANG DIBAYARKAN OLEH KOPERASI KEPADA ANGGOTA KOPERASI

DIVIDEN

USAHA JASA KONSTRUKSI

PENYALUR/DEALER/AGEN PRODUK BBM

FOR

MU

LIR 1770 - III

DIREKTORAT JENDERAL PAJAKKEMENTERIAN KEUANGAN RI

SEBELUM MENGISI BACALAH PETUNJUK PENGISIAN

02SPT TAHUNAN PPh WAJIB PAJAK ORANG PRIBADI

LAMPIRAN - III

TAH

UN

PA

JAK

PENGHASILAN YANG TIDAK TERMASUK OBJEK PAJAKPENGHASILAN ISTERI/SUAMI YANG DIKENAKAN PAJAK SECARATERPISAH

PENGHASILAN YANG DIKENAKAN PAJAK FINAL DAN/ATAUBERSIFAT FINAL

PENGALIHAN HAK ATAS TANAH DAN/ATAU BANGUNAN

THBL TH BL

HADIAH UNDIAN

PESANGON, TUNJANGAN HARI TUA DAN TEBUSANPENSIUN YANG DIBAYAR SEKALIGUS

BUNGA DEPOSITO, TABUNGAN, DISKONTO SBI, SURAT BERHARGA NEGARA

HONORARIUM ATAS BEBAN APBN / APBD

BUNGA/DISKONTO OBLIGASI

(3)

PPh TERUTANG (Rupiah)

PENGHASILAN YANG DIKENAKAN PAJAK FINAL DAN/ATAU BERSIFAT FINAL

(KOTAK PILIHAN) YANG SESUAIBERI TANDA " X " DALAM

BANGUNAN YANG DITERIMA DALAM RANGKA BANGUNAN GUNA SERAH

SEWA ATAS TANAH DAN/ATAU BANGUNAN

PENJUALAN SAHAM DI BURSA EFEK

JENIS PENGHASILAN DASAR PENGENAAN PAJAK/PENGHASILAN BRUTO

(2)

Page 15: Spt tahunan pph wajib pajak orang pribadi formulir 1770

SPT TAHUNAN PPh WAJIB PAJAK ORANG PRIBADI

• s.d

• PEMBUKUAN PENCATATAN

PERHATIAN • SEBELUM MENGISI BACALAH PETUNJUK PENGISIAN • ISI DENGAN HURUF CETAK / DIKETIK DENGAN TINTA HITAM • BERI TANDA " X " DALAM

NPWP :

NAMA WAJIB PAJAK :

BAGIAN A :

BAGIAN B : KEWAJIBAN/UTANG PADA AKHIR TAHUN

(3)

BAGIAN C : DAFTAR SUSUNAN ANGGOTA KELUARGA

Halaman ke- dari halaman Lampiran-IV

8

9

10 dst

NO.

(1)

1

2

3

4

5

6

7

2

3

(4)

7

(1)

NO. TAHUN PEROLEHAN

(3)

6

10 dst

2

PEKERJAANNO.

JUMLAH BAGIAN B JBB

HUBUNGAN KELUARGA

3

02

(4)

ALAMAT PEMBERI PINJAMAN

(6)

NAMA ANGGOTA KELUARGA

•KEMENTERIAN KEUANGAN RIDIREKTORAT JENDERAL PAJAK KEWAJIBAN/UTANG PADA AKHIR TAHUN BL

KODE HARTA NAMA HARTA

4

5

HARGA PEROLEHAN (Rupiah) KETERANGAN

1

(2)

NIK

HARTA PADA AKHIR TAHUN

(6)(5)

(5)

JBA

HARTA PADA AKHIR TAHUN

LAMPIRAN - IV

TAH

UN

PA

JAK

(2)

JUMLAH (Rupiah)

DAFTAR SUSUNAN ANGGOTA KELUARGA

BL THTH

TAHUN PEMINJAMAN

JUMLAH BAGIAN A

8

9

FOR

MU

LIR

1770 - IV

(KOTAK PILIHAN) YANG SESUAI

JIKA FORMULIR INI TIDAK MENCUKUPI, DAPAT DIBUAT SENDIRI SESUAI DENGAN BENTUK INI

NAMA PEMBERI PINJAMANKODE UTANG

(2)

(5)

5dst

4

1

(4)(1) (3)

Page 16: Spt tahunan pph wajib pajak orang pribadi formulir 1770

No. Penghasilan Neto(1) (3)

A

1 PENGHASILAN NETO DALAM NEGERI DARI USAHA DAN/ATAU PEKERJAAN BEBAS[Diisi dari Formulir 1770 Bagian A angka 1]

2 PENGHASILAN NETO DALAM NEGERI SEHUBUNGAN DENGAN PEKERJAAN[Diisi dari Formulir 1770 Bagian A angka 2 atau Formulir 1770 S Bagian A angka 1]

3 PENGHASILAN NETO DALAM NEGERI LAINNYA[Diisi dari Formulir 1770 Bagian A angka 3 atau Formulir 1770 S Bagian A angka 2]

4 PENGHASILAN NETO LUAR NEGERI[Diisi dari Formulir 1770 Bagian A angka 4 atau Formulir 1770 S Bagian A angka 3]

5 ZAKAT / SUMBANGAN KEAGAMAAN YANG BERSIFAT WAJIB[Diisi dari Formulir 1770 Bagian A angka 6 atau Formulir 1770 S Bagian A angka 5]

6 JUMLAH ( 1 + 2 + 3 + 4 - 5 )

7 KOMPENSASI KERUGIAN[Khusus Bagi WP OP yang menyelenggarakan pembukuan. Diisi dari Formulir 1770 Bagian A angka 8]

8 JUMLAH PENGHASILAN NETO ( 6 - 7 )

No(1)

B

C

D

E

1 5% x

2 15% x

3 25% x

4 30% x

F

G

Nama :

NPWP :

Tanda Tangan

Nama :

NPWP :

Tanda Tangan

JUMLAH PAJAK PENGHASILAN TERUTANG (GABUNGAN)

PPh TERUTANG YANG DITANGGUNG [ (A.8.(3) / B) x E ][Pindahkan nilai pada bagian ini ke SPT bagian C angka 12 Formulir 1770 atau ke bagian C angka 9 Formulir 1770 S]

PPh TERUTANG YANG DITANGGUNG [ (A.8.(4) / B) x E ][Pindahkan nilai pada bagian ini ke SPT bagian C angka 12 Formulir 1770 atau ke bagian C angka 9 Formulir 1770 S]

,

(2) (3)

JUMLAH PENGHASILAN NETO SUAMI DAN ISTERI [ A.8.(3) + A.8.(4) ]

PENGHASILAN TIDAK KENA PAJAK

PENGHASILAN KENA PAJAK [ B - C ]

PAJAK PENGHASILAN TERUTANG (GABUNGAN)

Uraian Nilai

PENGHASILAN NETO(2) (4)

LEMBAR PENGHITUNGAN PAJAK PENGHASILAN TERUTANGBAGI WAJIB PAJAK YANG KAWIN DENGAN STATUS PERPAJAKAN SUAMI-ISTERI PISAH HARTA DAN PENGHASILAN (PH) ATAU

ISTERI YANG MENGHENDAKI UNTUK MENJALANKAN HAK DAN KEWAJIBAN PERPAJAKANNYA SENDIRI (MT)

Uraian Penghasilan Neto

060101301
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