TUAN :
GAJI PERBULAN Rp................................
TUNJANGAN TRANSPORT Rp................................
PREMI ASURANSI KECELAKAAN KERJA (PAKK) Rp................................
PREMI ASURANSI KEMATIAN (PAK) Rp................................ +
X Rp............................. = Rp................................
X Rp............................. = Rp................................
X Rp............................. = Rp................................
X Rp............................. = Rp................................ +
X Rp..............................= Rp................................
X Rp..............................= Rp................................
X Rp..............................= Rp................................
X Rp..............................= Rp................................ +
PAJAK PENGHASILAN PASAL 21 ATAS GAJI SETAHUN ATAS GAJI DAN BONUS Rp................................
PPH PASAL 21 SETAHUN ATAS GAJI Rp................................
Rp................................