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8/17/2019 Panduan 1770 S-2015
1/10
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 amendedby regulation the Director General of Taxes Number PER-19/PJ/2014. This form is used forcompletion 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". Thisprinting 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 mandatoryinformation properly (red box ). Taxpayers can contact the tax office where theTaxpayer is registered to ensure their Taxpayer Indentity Number (TIN) or throughapplications 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 anagreement for the separation of property and income; and
d. MT : It is requested by the wife who chooses to meet her tax right and obligationseparately.
5. Complete the attachments form first (green box ). Summation formulas,reduction, connection with certain parts and others have been available in this form, so thatTaxpayers do not need to do a recount (blue box and brown box );
6. Blue boxes and brown boxes shows the results of automaticcalculation. 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, especiallyin 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 willautomatically filled the symbol 0. Next, Taxpayer complete Calculation Income Tax Payablefor 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 inaccordance 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 loadedpreviously. 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 thefile;
13. The HIDE button used to hide the calculation formula so that it can be printed blank form ifyou want to complete it manually;
14. Detailed description of the completing income tax annual tax return please read theInstruction Book.
http://www.pajak.go.id/http://www.pajak.go.id/http://www.pajak.go.id/http://www.pajak.go.id/
8/17/2019 Panduan 1770 S-2015
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FOR TAXPAYER WHO HAVE INCOME:
FROM ONE OR MORE EMPLOYER; AMENDED RETURN
OTHER DOMESTIC INCOME; AND/OR
SUBJECTED TO FINAL AND/OR FINALIZED TAX.
• FOLLOW INSTRUCTION IN THE INSTRUCTION BOOK • • MARK " X " IN THE APPROPRIATE BOX
:
TAXPAYER'S NAME :
OCCUPATION : KLU :
PHONE NUMBER : - FAX. NUMBER : -
: KK HB PH MT
SPOUSE'S TIN :
*) The filing columns of Rupiah value must be without decimal value (see example in page 3 of instructions)
1 … …………………………………
[Total net income from each Form 1721-A1 and/or 1721-A2 attached or other Withholding Tax Receipt]
2 OTHER DOMESTIC NET INCOME ……………………………………………………………………………
[From Form 1770 S-I Total Part A ]
3 FOREIGN NET INCOME ……………………………………………………………………………………………
[Complete it from separate attachment, if any foreign income, see instruction book]
4 TOTAL NET INCOME (1+2+3) ………………………………………………………………………………………
5 ZAKAT/OBLIGATED CHARITY ……………………………………………………………
…………………
7 PERSONAL EXEMPTIONS TK / K / K / I /
8 TAXABLE INCOME (6-7) …………………………………………………………………………………………… 8
9 TAX PAYABLE (TAX RATE ON ARTICLE 17 X LINE 8) …………………………………………………………………
11 TOTAL TAX PAYABLE (9+10) ……………………………………………………………………………………………
12[From Form 1770 S-I Total Part C column (7)]
13 a. TAX DUE AFTER CREDIT3
b. TAX OVERLY WITHHELD
14 a. MONTHLY INSTALLMENT OF INCOME TAX ARTICLE 25
15 TOTAL TAX CREDIT (14a + 14b)
16 a. UNDERPAID TAX (INCOME TAX ARTICLE 29)
b. OVERPAID TAX (INCOME TAX ARTICLE 28 A)
17 REQUEST: Overpaid amount stated in 16.b would be :
a. REFUNDED c. REFUNDED WITH SKPPKP ARTICLE 17 C (COMPLIANCE TAXPAYER)
b. d. REFUNDED WITH SKPPKP ARTICLE 17 D (CERTAIN CRITERIA OF TAXPAYER)
18 MONTHLY INSTALLMENT FOR THE SUBSEQUENT YEAR 18
THE AMOUNT IS CALCULATED BY:
a. 1/12 X THE TOTAL OF LINE 13
b. CALCULATION IN SEPARATE ATTACHMENT
a. Copy of Form 1721-A1 and/or 1721-A2 or Withholding Receipt of Income Tax Art.21 d.
b. Tax Payment Receipt of Income Tax Article 29 e. …………………………………………………………..
c. Power of Attorney (If Needed)
TAXPAYER REPRESENTATIVE DATE
COMPLETE NAME :
TIN :
F.1.1.32.18
D . T A X C R E D I T
1
3
4
TOTAL NET INCOME AFTER ZAKAT/OBLIGATED CHARITY (4-5)
2
5
6
B . T A X A B L E
I N C O M E
………………………………………………………………………………
13
[For Taxpayers with status PH/MT filled from Attachment Calculation of Income Tax Payable as referred to in Section G:
Attachments letter d]
14a
14b
ADJUSTMENT FOR FOREIGN TAX CREDITS REFUNDED AND HAD BEEN CREDITED IN THE PREVIOUS
YEAR RETURN (Income Tax Article 24)
10
2 0
C . T A X P A Y A
B L E
F O R M
OF THE REPUBLIC OF INDONESIA
PRINT OR TYPE WITH CAPITAL LETTER AND BLACK INKATTENTION:
1770 SMINISTRY OF FINANCE
ANNUAL INDIVIDUAL INCOME TAX RETURN
TAXPAYER IDENTIFICATION
NUMBER (TIN)
6
SIGNATURE
A . N E T I N C O M
E
I D E N T I T Y
15
12
COMPENSATED WITH
OUTSTANDING TAX PAYABLE
TAX LIABILITY STATUS OF
MARRIED INDIVIDUAL
(13-15)
…………………………………………………
SETTLED ON
PREPAID TAX:
10
DIRECTORATE GENERAL OF TAXES
Data changes application submitted apart from this Tax Return, by using the Taxpayer Data Change Form and attached with the
required documents.
11
DOMESTIC NET INCOME IN RESPECT OF EMPLOYMENT
(11-12)
TAX WITHHELD BY OTHER PARTY, PAID /WITHHELD IN FOREIGN AND BORNED BY THE GOVERNMENT
T A X A B L E Y E A R
RUPIAH *)
9
7
16
NOTICE OF TAX COLLECTION ON INCOME TAX ARTICLE 25
(PRINCIPAL ONLY)
b.
DD MM
YYMMDD
YY
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.
F . M O N T H L Y
I N S T A L L M E N T O F
I N C O M E T A X A R T I C L E
2 5 F O R
T H E
S U B S E Q U E N T Y E A R
G . A T T A C H -
M E N T S
DECLARATION
E . I N C O M E T A X O V E R / U N D E R
P A I D
Income Tax Calculation For Married Taxpayer with Separation of Property and
Income (PH) or Has Her Own TIN (MT)
SHOW RESET HIDE
0
0
0
0
0
0
0
0
0
0
0
8/17/2019 Panduan 1770 S-2015
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•
•
•
TIN :
TAXPAYER'S NAME :
PART A : OTHER DOMESTIC NET INCOMES
(NOT INCLUDING INCOME SUBJECT TO FINALIZED INCOME TA)
(1)
PART B : NON TAXABLE INCOME
(1)
PART C : LIST OF INCOME TAX WITHHELD BY OTHER PARTIES, PAID/WITHHELD IN FOREIGN AND BORNED BY THE GOVERNMENT
(1)
5.
etc
Copy Total Part C to Form 1770 S Part D Line 12
Catatan :
*) - DTP : BORNED BY THE GOVERNMENT
- 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 C of Attachment I and Annual Tax Return line 3)
Page from pages Attachment-IIF NEEDED, ADDITIONAL PAGES MAY BE ADDED
TPCTOTAL PART C
1.
2.
3.
4.
(3)
AID / DONATION / GRANT
TPA
6.
3.
4.
1.
5.
2.
NO
CLAIM ON HEALTH, ACCIDENT, LIFE, DUAL PURPOSE AND SCHOLARSHIP
1.
RENT
ROYALTIES
AWARDS AND PRIZES
5.
6.
TYPES OF INCOME
GAIN FROM THE SALE/TRANSFER OF PROPERTY
OTHER INCOMES
2.
3.
4.
NO.
1770 S - IMINISTRY OF FINANCE
(7)(6)(2) (5)(3) (4)
TOTAL PART B
DATE
TPB
SCHOLARSHIP
NUMBER
Copy Total Part A to Form 1770 S Part A line 2
TOTAL PART A
INTEREST
INHERITANCE
F O R M
(3)
TOTAL NET INCOME(Rupiah)
T A X A B L E Y E A
OF THE REPUBLIC OF INDONESIA2 0
NO. TYPES OF INCOME
DIRECTORATE GENERAL OF TAXES
ATTACHMENT - I
ANNUAL INDIVIDUAL INCOME TAX RETURN
OTHER DOMESTIC NET INCOMES
NON TAXABLE INCOME
LIST OF INCOME TAX WITHHELD BY OTHER PARTIES, PAID/WITHHELD IN FOREIGN AND BORNED BY
THE GOVERNMENT
(2)
DISTRIBUTION OF PROFIT EARNED BY MEMBER OF PARTNERSHIP WHOSE CAPITAL DOES NOT
CONSIST OF SHARES, PARTNERSHIP, ASSOCIATION, AND FIRM
NAME OF WITHHOLDING AGENT TIN OF WITHHOLDING AGENTWITHHOLDING TAX RECEIPT TYPES OF TAX :
INCOME TAX ARTICLE
21/22/23/24/26/DTP *)
TOTAL OF INCOME TAX
WITHHELD
(Rupiah)
(2)
(Rupiah)
GROSS INCOME
OTHER NON TAXABLE INCOME
0
0
0
8/17/2019 Panduan 1770 S-2015
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• INCOME SUBJECT TO FINAL TAX AND/OR FINALIZED TAX
• ASSETS AT YEAR-END
• LIABILITIES AT YEAR- END
• LIST OF MEMBER OF FAMILY'S DEPENDENT
TIN :
TAXPAYER'S NAME :
PART A : INCOME SUBJECT TO FINAL TAX AND/OR FINALIZED TAX
(1)
: ASSETS AT YEAR-END
NO.
(1)
5.etc
PART C : LIABILITIES AT YEAR- END
(1)
5dst
PART D : LIST OF MEMBER OF FAMILY'S DEPENDENT
NO.
(1)
1
2
3
4
5
Page from pages Attachment-II
TOTAL
4
3
IF NEEDED, ADDITIONAL PAGES MAY BE ADDED
OCCUPATION
(5)
NAME
(2)
IDENTITY NUMBER (NIK)
(3)
RELATIONSHIP IN FAMILY
(4)
2.
YEAR OF
ACQUISITIONDESCRIPTION
(6)(5)
1.
13. WIFE INCOME FROM ONE EMPLOYER
INCOME FROM DERIVATIVE TRANSACTION
NO.
2.
5.
3.
4.
11.
TRANSFER VALUE OF RIGHTS ON LAND AND BUILDING
6.
7.
9.
8.
12.
T A X A B L E Y E A R
(4)
INCOME TAX PAYABLE
HONORARIUM FROM CENTRAL AND LOCAL STATE BUDGET
(Rupiah)
CODE TYPE OF ASSETS
(2) (3)
LOTTERY PRIZES
COST OF ACQUISITION
(Rupiah)
3.
4.
F O R M
OF THE REPUBLIC OF INDONESIA
TYPES OF INCOME
ANNUAL INDIVIDUAL INCOME TAX RETURN
DIRECTORATE GENERAL OF TAXES
ATTACHMENT - II
(2) (3)
1.
(Rupiah)
2 0
TOTAL PART A TPA
(4)
NO. CODE
(3)(2)
14.
PART B
10.
DIVIDEND
LEASE/RENT VALUE ON LAND OR BUILDING
TPB
OTHER INCOME SUBJECT TO FINAL TAX AND OR FINALIZED TAX
LENDER ADDRESS YEAR LENDING
TOTAL PART B
NAME OF LENDER
JUMLAH BAGIAN C
(4) (5) (6)
JBC
2
1
1770 S - IIMINISTRY OF FINANCE
TAX BASE/GROSS INCOME
INTEREST OF DEPOSIT, SAVINGS, DISCOUNT OF CENTRAL BANK'S
CERTIFICATE, STATE SECURITIES
INTEREST/DISCOUNT OF BOND
SALES VALUE OF SHARES TRADED IN THE STOCK
SEVERANCE PAYMENT, RETIREMENT ALLOWANCE AND PENSIONS
PAID IN LUMP SUM
PROPERTY RECEIVED FROM BUILD OPERATE TRANSFER SCHEME
SAVING INTEREST PAID BY COOPERATIVE TO MEMBER
0
0
0
8/17/2019 Panduan 1770 S-2015
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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]
Suami Isteri
0
0
0
0
0 0
0 0
0
0
0
0 0
0 0
0 00 0
0
Suami
Sua0
Isteri
Ister 0
Suami
Isteri
8/17/2019 Panduan 1770 S-2015
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PRINT INCOME TAX ANNUAL TAX RETURN (BAHASA VERSION)
ON THE NEXT PAGES
8/17/2019 Panduan 1770 S-2015
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BAGI WAJIB PAJAK YANG MEMPUNYAI PENGHASILAN :
DARI SATU ATAU LEBIH PEMBERI KERJA; SPT PEMBETULAN KE -
DALAM NEGERI LAINNYA; DAN/ATAU
YANG DIKENAKAN PPh FINAL DAN/ATAU BERSIFAT FINAL.
• SEBELUM MENGISI BACA DAHULU PETUNJUK PENGISIAN • • BERI TANDA "X" PADA (KOTAK PILIHAN) YANG SESUAI
NPWP :
NAMA WAJIB PAJAK :
PEKERJAAN : KLU :
NO. TELEPON : - NO. FAKS : -
: KK HB PH MT
NPWP ISTERI / SUAMI :
*) Pengisian kolom-kolom yang berisi nilai rupiah harus tanpa nilai desimal (contoh penulisan lihat petunjuk pengisian halaman 3)
1 … …………………………………[Diisi akumulasi jumlah penghasilan neto pada setiap Formulir 1721-A1 dan/atau 1721-A2 yang dilampirkan atau Bukti Potong Lain]
2 PENGHASILAN NETO DALAM NEGERI LAINNYA ……………………………………………………………………………
[Diisi sesuai dengan Formulir 1770 S-I Jumlah Bagian A ]
3 PENGHASILAN NETO LUAR NEGERI ……………………………………………………………………………………………
[Apabila memiliki penghasilan dari luar negeri agar diisi dari Lampiran Tersendiri, lihat petunjuk pengisian]
4 JUMLAH PENGHASILAN NETO (1+2+3) ………………………………………………………………………………………
5 ZAKAT/SUMBANGAN KEAGAMAAN YANG SIFATNYA WAJIB ……………………………………………………………
6 …………………
7 PENGHASILAN TIDAK KENA PAJAK TK / K / K / I /
8 PENGHASILAN KENA PAJAK (6-7) …………………………………………………………………………………………… 8
9 PPh TERUTANG (TARIF PASAL 17 UU PPh x ANGKA 8) …………………………………………………………………
10 PENGEMBALIAN / PENGURANGAN PPh PASAL 24 YANG TELAH DIKREDITKAN …………………………………
11 JUMLAH PPh TERUTANG (9+10) ……………………………………………………………………………………………
12
NEGERI DAN/ATAU TERUTANG DI LUAR NEGERI [Diisi dari Formulir 1770 S-I Jumlah Bagian C Kolom (7)]
13 a. PPh YANG HARUS DIBAYAR SENDIRI
b. PPh YANG LEBIH DIPOTONG/DIPUNGUT
14 a. PPh PASAL 25 … …………………………………………………………………
b. STP PPh Pasal 25 (Hanya Pokok Pajak) ………………………………………
15 JUMLAH KREDIT PAJAK (14a + 14b)
16 a. PPh YANG KURANG DIBAYAR (PPh PASAL 29)
b. PPh YANG LEBIH DIBAYAR (PPh PASAL 28 A)
17 PERMOHONAN : PPh Lebih Bayar pada 16b mohon :
a. DIRESTITUSIKAN c. DIKEMBALIKAN DENGAN SKPPKP PASAL 17C (WP dengan Kriteria Tert entu)
b. d. DIKEMBALIKAN DENGAN SKKPP PASAL 17D (W P yang Memenuhi Persyaratan Tertentu)
18 ANGSURAN PPh PASAL 25 TAHUN PAJAK BERIKUTNYA SEBESAR 18
DIHITUNG BERDASARKAN :
a. 1/12 x JUMLAH PADA ANGKA 13
b. PENGHITUNGAN DALAM LAMPIRAN TERSENDIRI
a. Fotokopi Formulir 1721-A1 atau 1721-A2 atau Bukti Potong PPh Pasal 21 d.
b. Surat Setoran Pajak Lembar Ke-3 PPh Pasal 29 e.
c. Surat Kuasa Khusus (Bila dikuasakan)
WAJIB PAJAK KUASA TANGGAL
NAMA LENGKAP :
N P W P :
F.1.1.32.18
D . K R E D I T P A J A K
1
3
4
JUMLAH PENGHASILAN NETO SETELAH PENGURANGAN ZAKAT /SUMBANGAN KEAGAMAAN
YANG SIFATNYA WAJIB (4-5)
2
5
6
B . P E N G H A S I L A N
K E N A
P A J A K
………………………………………………………………………………
13
[Bagi Wajib Pajak dengan status PH atau MT diisi dari Lampiran Perhitungan PPh Terutang sebagaimana dimaksud dalam bagian G:
Lampiran huruf d]
14a
14b
2 0SPT TAHUNAN
C . P P h T E R U T
A N G
F O R M U L I R
KEMENTERIAN KEUANGAN RI
PAJAK PENGHASILAN WAJIB PAJAK ORANG PRIBADI
ISI DENGAN HURUF CE TAK /DIKETIK DENGAN TINTA HITAMPERHATIAN
1770 S
TANDA TANGAN
A . P E N G H A S I L A N
N E T O
I D E N T I T A S
15
12
DIPERHITUNGKAN DENGAN
UTANG PAJAK
STATUS KEWAJIBAN
PERPAJAKAN SUAMI-ISTERI
(13-15)
…………………………………………………
TGL LUNAS
PPh YANG DIBAYAR SENDIRI
10
DIREKTORAT JENDERAL PAJAK
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.
11
PENGHASILAN NETO DALAM NEGERI SEHUBUNGAN DENGAN PEKERJAAN
(11-12)
PPh YANG DIPOTONG/DIPUNGUT PIHAK LAIN/DITANGGUNG PEMERINTAH DAN/ATAU KREDIT PAJAK LUAR
T A H U N
P A J A K
16
RUPIAH *)
9
7
TGL BLN
THNBLNTGL
THN
Dengan menyadari sepenuhnya akan segala akibatnya termasuk sanksi-sanksi sesuai dengan ketentuan peraturan
perundang-undangan yang berlaku, saya menyatakan bahwa yang telah beritahukan diatas beserta lampiran-lampirannya
adalah benar, lengkap dan jelas.
F . A N G S U R A N
P P h
P A S A L 2 5 T A H U N
P A J A K
B E R I K U T N Y A
G . L A M P I R A N
PERNYATAAN
E . P P h K U R A N G / L E B I H
B A Y A R
Perhitungan PPh Terutang bagi Wajib Pajak dengan status perpajakan PH atau MT
SHOW RESET HIDE
0
0
0
0
0
0
0
0
0
0
0
8/17/2019 Panduan 1770 S-2015
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•••
N P W P :
NAMA WAJIB PAJAK :
BAGIAN A : PENGHASILAN NETO DALAM NEGERI LAINNYA
(TIDAK TERMASUK PENGHASILAN DIKENAKAN PPh FINAL DAN/ATAU BERSIFAT FINAL)
(1)
angka (2)
BAGIAN B : PENGHASILAN YANG TIDAK TERMASUK OBJEK PAJAK
(1)
BAGIAN LABA ANGGOTA PERSEROAN KOMANDITER TIDAK ATAS SAHAM,
PERSEKUTUAN, PERKUMPULAN, FIRMA, KONGSI
BAGIAN C : DAFTAR PEMOTONGAN/PEMUNGUTAN PPh OLEH PIHAK LAIN DAN PPh YANG DITANGGUNG PEMERINTAH
(1)
5.
dst
Pindahkan Jumlah Bagian C ke Formulir
Ca a an : Induk 1770 S Bagian D angka 12
*) - DTP : Ditanggung Pemerintah
- Kolom (6) diisi dengan pilihan PPh Pasal 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 I Bagian C dan Induk SPT angka 3)
Halaman ke- dari halaman Lampiran-IJIKA FORMULIR INI TIDAK MENCUKUPI, DAPAT DIBUAT SENDIRI SESUAI DENGAN BENTUK INI
JBCJUMLAH BAGIAN C
1.
2.
3.
4.
(3)
BANTUAN/SUMBANGAN/HIBAH
JBA
6.
3.
4.
1.
5.
2.
NO
KLAIM ASURANSI KESEHATAN, KECELAKAAN, JIWA, DWIGUNA, BEASISWA
PEMUNGUT PAJAK
1.
SEWA
ROYALTI
PENGHARGAAN DAN HADIAH
5.
6.
JENIS PENGHASILAN
KEUNTUNGAN DARI PENJUALAN/PENGALIHAN HARTA
PENGHASILAN LAINNYA
2.
3.
4.
NO.
TANGGAL
PEMUNGUTAN
JBB
BEASISWA
NOMOR
PENGHASILAN LAINNYA YANG TIDAK TERMASUK OBJEK PAJAK
BUKTI PEMOTONGAN/
PEMUNGUT PAJAK
(7)(6)
DIPOTONG / DIPUNGUTPPh PASAL 21/
(2) (5)(3) (4)22/23/24/26/DTP*
JENIS PAJAK : JUMLAH PPh YANG
JUMLAH BAGIAN B
NPWP PEMOTONG/NAMA PEMOTONG/
F O R M U L I R
(3)
JUMLAH PENGHASILAN(Rupiah)
T A H U N
P A J A K
1770 S - IKEMENTERIAN KEUANGAN RI
2 0
NO. JENIS PENGHASILAN
DIREKTORAT JENDERAL PAJAK
LAMPIRAN - I
SPT TAHUNAN PPh WAJIB PAJAK ORANG PRIBADIPENGHASILAN NETO DALAM NEGERI LAINNYA
PENGHASILAN YANG TIDAK TERMASUK OBJEK PAJAK
DAFTAR PEMOTONGAN/PEMUNGUTAN PPh OLEH PIHAK LAIN DAN PPh YANG DITANGGUNG
PEMERINTAH
(2)
(2)
WARISAN
(Rupiah)
JUMLAH PENGHASILAN
Pindahkan Jumlah Bagian A ke Formulir Induk 1770 S Bagian A
JUMLAH BAGIAN A
BUNGA
0
0
0
8/17/2019 Panduan 1770 S-2015
9/10
• PENGHASILAN YANG DIKENAKAN PPh FINAL DAN/ATAU BERSIFAT FINAL• HARTA PADA AKHIR TAHUN• KEWAJIBAN/UTANG PADA AKHIR TAHUN• DAFTAR SUSUNAN ANGGOTA KELUARGA
N P W P :
NAMA WAJIB PAJAK :
BAGIAN A : PENGHASILAN YANG DIKENAKAN PPh FINAL DAN/ATAU BERSIFAT FINAL
(1)
BUNGA DEPOSITO, TABUNGAN, DISKONTO SBI, SURAT
BERHARGA NEGARA
PESANGON, TUNJANGAN HARI TUA DAN TEBUSAN PENSIUN
YANG DIBAYARKAN SEKALIGUS
BANGUNAN YANG DITERIMA DALAM RANGKA BANGUN GUNASERAH
BUNGA SIMPANAN YANG DIBAYARKAN OLEH KOPERASI
KEPADA ANGGOTA KOPERASI
PENGHASILAN LAIN YANG DIKENAKAN PAJAK FINAL
DAN/ATAU BERSIFAT FINAL
: HARTA PADA AKHIR TAHUN
NO.
(1)
5.dst
BAGIAN C : KEWAJIBAN/UTANG PADA AKHIR TAHUN
(1)
5dst
BAGIAN D : DAFTAR SUSUNAN ANGGOTA KELUARGA
NO.
(1)1
2
3
4
5
Halaman ke- dar i halaman Lampiran-I I
4
3
JIKA FORMULIR INI TIDAK MENCUKUPI, DAPAT DIBUAT SENDIRI SESUAI DENGAN BENTUK INI
PEKERJAAN
(5)
NAMA
(2)
NIK
(3)
HUBUNGAN KELUARGA
(4)
6.
7.
9.
8.
12.
JUMLAH BAGIAN B
NAMA PEMBERI PINJAMAN
2.
TAHUN
PEROLEHANKETERANGAN
(6)(5)
1.
JUMLAHPEMBERI PINJAMAN
13. PENGHASILAN ISTERI DARI SATU PEMBERI KERJA
PENGHASILAN DARI TRANSAKSI DERIVATIF
NO.
2.
5.
3.
4.
11.
PENGALIHAN HAK ATAS TANAH DAN/ATAU BANGUNAN
2 0
JUMLAH BAGIAN A JBA
(4)
(Rupiah)
KODE
HARTANAMA HARTA
(2) (3)
HADIAH UNDIAN
T A H U N
P A J A K
(4)
PPh TERUTANG
HONORARIUM ATAS BEBAN APBN/APBD
HARGA PEROLEHAN(Rupiah)
3.
4.
F O R M U L I R
KEMENTERIAN KEUANGAN RI
SUMBER/JENIS PENGHASILAN
SPT TAHUNAN PPh WAJIB PAJAK ORANG PRIBADI
DIREKTORAT JENDERAL PAJAK
1770 S - IILAMPIRAN - II
PENJUALAN SAHAM DI BURSA EFEK
(2) (3)
DASAR PENGENAAN PAJAK/
PENGHASILAN BRUTO
1.
(Rupiah)
BUNGA/DISKONTO OBLIGASI
NO.KODE
UTANG
(3)(2)
14.
BAGIAN B
10.
DIVIDEN
SEWA ATAS TANAH DAN/ATAU BANGUNAN
JBB
PEMINJAMAN
TAHUN ALAMAT
JUMLAH BAGIAN C
(4) (5) (6)
JBC
2
1
0
0
0
8/17/2019 Panduan 1770 S-2015
10/10
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 TERUTANG
BAGI 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 NetoSuami
0
0
0
0
0
0
Isteri
0
0
0
0
0
0 0
0 0
0 0
0 0
0
Suami
Sua0
Isteri
Ister 0
Suami
Isteri