Professional Documents
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Aplikasi A2 Dan SPT 1770 S Dan 1770 SS 2023
Aplikasi A2 Dan SPT 1770 S Dan 1770 SS 2023
no tglgaji nip
1 12/1/2023 196505242022212002
2 12/1/2023 196605312022212002
3 12/1/2023 196610022022212001
4 12/1/2023 196610032022212001
5 12/1/2023 196805272022212001
6 12/1/2023 196808172022212006
7 12/1/2023 196812312022211002
8 12/1/2023 196903282022212004
9 12/1/2023 196907102022212001
10 12/1/2023 196910102022212001
11 12/1/2023 197003282022212003
12 12/1/2023 197005252022212006
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14 12/1/2023 197007162022212001
15 12/1/2023 197008182022212008
16 12/1/2023 197008262022211002
17 12/1/2023 197010012022211005
18 12/1/2023 197010312022212001
19 12/1/2023 197103202022211003
20 12/1/2023 197105102022211007
21 12/1/2023 197108252022212002
22 12/1/2023 197109202022211001
23 12/1/2023 197211012022212001
24 12/1/2023 197303102022211001
25 12/1/2023 197311192022211002
26 12/1/2023 197405092022212007
27 12/1/2023 197407022022212001
28 12/1/2023 197407142022212002
29 12/1/2023 197409162022212004
30 12/1/2023 197409172022211001
31 12/1/2023 197412122022212001
32 12/1/2023 197507282022212003
33 12/1/2023 197509172022212005
34 12/1/2023 197510222022212004
35 12/1/2023 197511262022212001
36 12/1/2023 197512152022212005
37 12/1/2023 197601042022212006
38 12/1/2023 197605172022212001
39 12/1/2023 197612252022212011
40 12/1/2023 197704102022211011
41 12/1/2023 197704262022211003
42 12/1/2023 197705142022212002
43 12/1/2023 197706082022211001
44 12/1/2023 197710022022212006
45 12/1/2023 197710162022212007
46 12/1/2023 197712312022212001
47 12/1/2023 197712312022212021
48 12/1/2023 197805022022211006
49 12/1/2023 197806052022212003
50 12/1/2023 197812222022211001
51 12/1/2023 197812312022211018
52 12/1/2023 197812312022212001
53 12/1/2023 197901092022212006
54 12/1/2023 197902032022211004
55 12/1/2023 197902152022212002
56 12/1/2023 197905222022212001
57 12/1/2023 197905262022212012
58 12/1/2023 197906062022212018
59 12/1/2023 197907072022212023
60 12/1/2023 197908042022212002
61 12/1/2023 197910182022211004
62 12/1/2023 197911142022212002
63 12/1/2023 198001202022212001
64 12/1/2023 198003152022211002
65 12/1/2023 198003272022212010
66 12/1/2023 198004012022212001
67 12/1/2023 198004212022212022
68 12/1/2023 198006292022212008
69 12/1/2023 198007222022212016
70 12/1/2023 198009062022212014
71 12/1/2023 198009302022211010
72 12/1/2023 198010222022212013
73 12/1/2023 198010262022212001
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140 12/1/2023 198105032022211001
141 12/1/2023 198105212022212014
142 12/1/2023 198105292022211010
143 12/1/2023 198106062022212031
144 12/1/2023 198109202022212025
145 12/1/2023 198110072022211011
146 12/1/2023 198112312022211004
147 12/1/2023 198202242022211001
148 12/1/2023 198203152022212002
149 12/1/2023 198204202022212022
150 12/1/2023 198204202022212028
151 12/1/2023 198206242022212029
152 12/1/2023 198207212022212003
153 12/1/2023 198208122022212033
154 12/1/2023 198208182022212028
155 12/1/2023 198208252022211003
156 12/1/2023 198210312022212016
157 12/1/2023 198212122022211001
158 12/1/2023 198212182022211010
159 12/1/2023 198212312022211001
160 12/1/2023 198302142022211016
161 12/1/2023 198303052022212025
162 12/1/2023 198303062022212037
163 12/1/2023 198303132022212032
164 12/1/2023 198305092022211003
165 12/1/2023 198306032022212041
166 12/1/2023 198306262022212002
167 12/1/2023 198307112022211009
168 12/1/2023 198307142022211001
169 12/1/2023 198307162022212023
170 12/1/2023 198308122022212030
171 12/1/2023 198308202022212025
172 12/1/2023 198309212022212020
173 12/1/2023 198310302022211008
174 12/1/2023 198311162022211001
175 12/1/2023 198311162022212003
176 12/1/2023 198311222022212001
177 12/1/2023 198311232022211005
178 12/1/2023 198312152022211008
179 12/1/2023 198312302022211007
180 12/1/2023 198312312022212003
181 12/1/2023 198312312022212040
182 12/1/2023 198401072022212003
183 12/1/2023 198401282022211007
184 12/1/2023 198403012022212002
185 12/1/2023 198403172022212015
186 12/1/2023 198403182022212025
187 12/1/2023 198403242022211015
188 12/1/2023 198404082022211020
189 12/1/2023 198404212022211001
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191 12/1/2023 198405032022212025
192 12/1/2023 198405062022211001
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194 12/1/2023 198407082022212003
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197 12/1/2023 198408052022211019
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199 12/1/2023 198408272022211021
200 12/1/2023 198409042022211013
201 12/1/2023 198409082022212020
202 12/1/2023 198409212022211017
203 12/1/2023 198409222022212027
204 12/1/2023 198409222022212028
205 12/1/2023 198410012022211002
206 12/1/2023 198410052022212021
207 12/1/2023 198410242022212001
208 12/1/2023 198411192022212024
209 12/1/2023 198412152022212023
210 12/1/2023 198412152022212026
211 12/1/2023 198412202022212001
212 12/1/2023 198412242022211013
213 12/1/2023 198502052022211019
214 12/1/2023 198502072022211001
215 12/1/2023 198502252022212007
216 12/1/2023 198503102022212041
217 12/1/2023 198503102022212048
218 12/1/2023 198503162022212025
219 12/1/2023 198503232022212047
220 12/1/2023 198503252022211009
221 12/1/2023 198503272022211001
269 12/1/2023 198504212022212028
270 12/1/2023 198504212022212033
271 12/1/2023 198504282022212003
272 12/1/2023 198505192022212001
273 12/1/2023 198505262022212019
274 12/1/2023 198505302022211002
275 12/1/2023 198505302022212024
276 12/1/2023 198506042021211001
277 12/1/2023 198506202022212001
278 12/1/2023 198507042022211003
279 12/1/2023 198508032022212004
280 12/1/2023 198508042022212043
281 12/1/2023 198508132022211021
282 12/1/2023 198508172022211035
283 12/1/2023 198509022022212020
284 12/1/2023 198509122022212004
285 12/1/2023 198509162022212005
286 12/1/2023 198509182022212030
287 12/1/2023 198509212022212003
288 12/1/2023 198509272022211023
289 12/1/2023 198510092022212031
290 12/1/2023 198510172022212031
291 12/1/2023 198511042022212017
292 12/1/2023 198511242022212029
293 12/1/2023 198511302022211001
294 12/1/2023 198512132022212004
295 12/1/2023 198512172022212001
296 12/1/2023 198512312022212058
297 12/1/2023 198601062022212019
298 12/1/2023 198601082022211001
299 12/1/2023 198601162022211002
300 12/1/2023 198601232022211002
301 12/1/2023 198602032022211020
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327 12/1/2023 198609192022212015
328 12/1/2023 198611082022212010
329 12/1/2023 198612162022212001
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339 12/1/2023 198709292022212014
340 12/1/2023 198710152022211005
341 12/1/2023 198711112022212018
342 12/1/2023 198801082022211008
343 12/1/2023 198801132022211007
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428 12/1/2023 199006192022211001
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430 12/1/2023 199007022022211002
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450 12/1/2023 199105082022211001
451 12/1/2023 199105112022211001
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454 12/1/2023 199106102022211011
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456 12/1/2023 199107232022212022
457 12/1/2023 199108032022212021
458 12/1/2023 199108082022211001
459 12/1/2023 199110152022211001
460 12/1/2023 199111032022211005
461 12/1/2023 199111152022211009
462 12/1/2023 199111282022212019
463 12/1/2023 199201072022212010
464 12/1/2023 199202292022212015
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467 12/1/2023 199204192022212012
468 12/1/2023 199205152022211015
469 12/1/2023 199205292022212015
470 12/1/2023 199206192022212026
471 12/1/2023 199208232022212004
472 12/1/2023 199209072022211011
537 12/1/2023 199301022022212015
538 12/1/2023 199302122022211002
539 12/1/2023 199302252022211005
540 12/1/2023 199302252022212003
541 12/1/2023 199305182022212001
542 12/1/2023 199307152022211010
543 12/1/2023 199307292022211001
544 12/1/2023 199308142022211003
545 12/1/2023 199308182022212029
546 12/1/2023 199308222022211007
547 12/1/2023 199309012022212016
548 12/1/2023 199309222022212002
549 12/1/2023 199311272022212001
550 12/1/2023 199312012022212003
551 12/1/2023 199312302022212010
552 12/1/2023 199401042022212018
553 12/1/2023 199402102022211004
554 12/1/2023 199402182022211007
555 12/1/2023 199402252022212016
556 12/1/2023 199403262022211005
557 12/1/2023 199404232022212018
558 12/1/2023 199405302022211001
559 12/1/2023 199407272022212002
560 12/1/2023 199407302022212010
561 12/1/2023 199408052022212003
562 12/1/2023 199412262022212014
563 12/1/2023 199501202022212009
564 12/1/2023 199503272022211005
565 12/1/2023 199505302022212011
566 12/1/2023 199507072022212002
567 12/1/2023 199510232022212010
568 12/1/2023 199510262022211001
569 12/1/2023 199512312022211003
570 12/1/2023 199604112022212001
571 12/1/2023 199607052022211001
572 12/1/2023 199609232022212011
573 12/1/2023 199701112022212005
574 12/1/2023 199909132022212001
EMBER 2023 KABUPATEN SUMBA BARAT DAYA
3,675,600
KOTA TAMBOLAKA
KLU 96301
No Nama Pegawai NIP / NRP NIK
1 2 3 4
MATHEUS KOWE
001 198806082020121004 5318010806880003
NGONGO, S.Pd
STEVANI FLORENTINA
002 198901282014022003 5318016801890004
BUMA, S.Pd
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797
798
799
800
801
802
803
804
805
806
807
808
809
810
811
812
813
814
815
816
817
818
819
820
821
822
823
824
825
826
827
828
829
830
831
832
833
834
835
836
837
838
839
840
841
842
843
844
845
846
847
848
849
850
851
852
853
854
855
856
857
858
859
860
861
862
863
864
865
866
867
868
869
870
871
872
873
874
875
876
877
878
879
880
881
882
883
884
885
886
887
888
889
890
891
892
893
894
895
896
897
898
899
900
901
902
903
904
905
906
907
908
909
910
911
912
913
914
915
916
917
918
919
920
921
922
923
924
925
926
927
928
929
930
931
932
933
934
935
936
937
938
939
940
941
942
943
944
945
946
947
948
949
950
951
952
953
954
955
956
957
958
959
960
961
962
963
964
965
966
967
968
969
970
971
972
973
974
975
976
977
978
979
980
981
982
983
984
985
986
987
988
989
990
991
992
993
994
995
996
997
998
999
1000
DATA PEGAWAI
5 6 7
Jumlah
Masa
Jabatan Jenis Kelamin Status Tanggu
Penghasilan
ngan
8 9 10 12 13
14 15 16 17 18 19
YA PENUH YA 2,660,700
YA PENUH YA 3,861,000
YA PENUH YA
4,847,300
DATA GAJI 1 (SATU) BULAN
20 21 22
- - -
327,000 - -
185,000
327,000
510,000
2 0 2 3
SPT TAHUNAN
1770 S
TAHUN PAJAK
FORMULIR
PAJAK PENGHASILAN WAJIB PAJAK ORANG PRIBADI
BAGI WAJIB PAJAK YANG MEMPUNYAI PENGHASILAN :
KEMENTERIAN KEUANGAN RI • DARI SATU ATAU LEBIH PEMBERI KERJA; SPT PEMBETULAN KE - …
DIREKTORAT JENDERAL PAJAK • DALAM NEGERI LAINNYA; DAN/ATAU
• YANG DIKENAKAN PPh FINAL DAN/ATAU BERSIFAT FINAL.
PERHATIAN • SEBELUM MENGISI BACA DAHULU PETUNJUK PENGISIAN • ISI DENGAN HURUF CETAK /DIKETIK DENGAN TINTA HITAM • BERI TANDA "X" PADA (KOTAK PILIHAN) YANG SESUAI
NPWP : 8 8 9 4 7 0 3 0 8 9 2 6 0 0 0
NAMA WAJIB PAJAK : M A R G A R E T H A N G O N G O
PEKERJAAN : P E G A W A I N E G E R I S I P I L KLU : 9 6 3 0 1
IDENTITAS
STATUS KEWAJIBAN : KK HB PH MT
PERPAJAKAN SUAMI-ISTERI
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.
*) Pengisian kolom-kolom yang berisi nilai rupiah harus tanpa nilai desimal (contoh penulisan lihat petunjuk pengisian halaman 3) RUPIAH *)
1 PENGHASILAN NETO DALAM NEGERI SEHUBUNGAN DENGAN PEKERJAAN ……………………………………………
1 80,456,882
[Diisi akumulasi jumlah penghasilan neto pada setiap Formulir 1721-A1 dan/atau 1721-A2 angka 14 yang dilampirkan atau Bukti Potong Lain]
[Bagi Wajib Pajak dengan status PH atau MT diisi dari Lampiran Perhitungan PPh Terutang sebagaimana dimaksud dalam bagian G: 9 1,322,800
Lampiran huruf d]
12 PPh YANG DIPOTONG/DIPUNGUT PIHAK LAIN/DITANGGUNG PEMERINTAH DAN/ATAU KREDIT PAJAK LUAR
NEGERI DAN/ATAU TERUTANG DI LUAR NEGERI [Diisi dari Formulir 1770 S-I Jumlah Bagian C Kolom (7)]
12 1,322,800
(11-12) 13 -
b. PPh YANG LEBIH DIPOTONG/DIPUNGUT
TGL LUNAS
E. PPh KURANG/LEBIH BAYAR
b. DIPERHITUNGKAN DENGAN d. DIKEMBALIKAN DENGAN SKKPP PASAL 17D (WP yang Memenuhi Persyaratan Tertentu)
UTANG PAJAK
PAJAK BERIKUTNYA
F. ANGSURAN PPh
PASAL 25 TAHUN
MT
b. Surat Setoran Pajak Lembar Ke-3 PPh Pasal 29 e. …………………………………………………………..
PERNYATAAN
Dengan menyadari sepenuhnya akan segala akibatnya termasuk sanksi-sanksi sesuai dengan ketentuan peraturan TANDA TANGAN
perundang-undangan yang berlaku, saya menyatakan bahwa yang telah beritahukan diatas beserta lampiran-lampirannya
adalah benar, lengkap dan jelas.
NAMA LENGKAP : M A R G A R E T H A N G O N G O
NPWP : 8 8 9 4 7 0 3 0 8 9 2 6 0 0 0
F.1.1.32.18
area staples
1. NPWP : A.01 88.947.030.8-926.000 6. JENIS KELAMIN : A.07 LAKI-LAKI A.09 X PEREMPUAN 88947030892600
2. NIP/
196510191988032008 7. NIK : A.09 5318035910650001 19651019198803
NRP : A.02 istri
3. NAMA : A.03 MARGARETHA NGONGO 8. STATUS / JUMLAH TANGGUNGAN KELUARGA UNTUK PTKP MARGARETHA N
4. PANGKAT/
PENATA MUDA / IIIA III / A K/ 2 TK / HB / PEMBINA / IVA
GOLONGAN : A.04 A.05 A.10 A.11 A.12
1. NPWP : A.01 88.947.030.8-926.000 6. JENIS KELAMIN : A.07 LAKI-LAKI A.09 X PEREMPUAN 88947030892600
2. NIP/
196510191988032008 7. NIK : A.09 5318035910650001 19651019198803
NRP : A.02 istri
3. NAMA : A.03 MARGARETHA NGONGO 8. STATUS / JUMLAH TANGGUNGAN KELUARGA UNTUK PTKP MARGARETHA N
4. PANGKAT/
PENATA MUDA / IIIA III / A K/ 2 TK / HB / PEMBINA / IVA
GOLONGAN : A.04 A.05 A.10 A.11 A.12