32022, 7:19PM ‘Gmail - [e-Form] Bukti Penerimaan Elektronik M Gmail filling pajak [e-Form] Bukti Penerimaan Elektronik efiling@pajak.go.id To: efinefillingpajak+6987 @gmail.com ‘Thu, Mar 24, 2022 at 7:19 PM Penyampaian SPT Elektronik @ Direktorat Jenderal Pajak Berikut ini adalah Bukti Penerimaan Elektronik Anda. Nama : M SISKA TRISANTI ‘Tanggal Penyampaian : 24/03/2022 ‘Nomor Tanda Terima Elektronik : 91136307076228924121 ‘Terima kasih telah menyampaikan Laporan SPT Anda. penne Scanned with CamScanner[svsur 2d4 2 oO SE enya weer oe eee Ton Ors FAL Sr rear Formuti Perubahan Data Walb Pajek ween Sa 2 eal Sa a TT a= ia na NEGER OWT Us GanATAU FEED CEOS o 543.349.010) 5], Rae eect : a ERNOUASUW NETO CACM necem ont 2 C} ale heroes eet 3 594.901.029 To Lala | aren ToNaaureunutan rr cumrrmaniam | & & Pen vate paatantsrarsna Sone cee CLG « Grom y ees syszames i a PERIATAN ~Sacun vGia BoA PURPOSES ewe Peserarassmron PANAWAUBPALAK WAGOALENA SSKATRIGMAT | SSrmreraetrossciraim ciara Pa on auonan oa RSS 1 ee = MAAPEMCTOSOPEMNGST | WHE PeoToxgy | —_EETRRTORT San ye 2 Pa remmerns [rower] rwcan | eit Seaesiee, | Aauupprnae 16. YAY. RS RK. chaRrTaglo 190.882.9060 soroarozt | Pasal24 87.250 1 [YAY RS RK CHARITASO.t301062.808.00d1-9.8.21.] svosranzt | Pasa ar 3.927.160 18. [YAY. RS RK.CHARITAS|OT.190.1802.908,00 {308.219 soezoes | pasatan 582.000 {6 [YAY RS RK CHARITAS|1.130.199.2-s000001-¢-0721<) averneat | Pasa 4.997.400 @ [2 feerseccuntaghisosesneglsaead amaner| meas) re 2 [YAY RS RK -CHARITAS)1 130.100200800d1-90021. sooon02i | peealz1 74550 % [YAY RS RK.CHARTTAS}. 1901862080011 21g) sinooes | Pasal21 1.326.600 %. [YAY RS RK chaRrTaglo. 1201862306 00d1-3-11.210] sontzazt | paeaaa 1.887.300 2 fo na crag no waco avai] pwam | rows 25, [PT-LINTANG LaKSANA [s0.470.366 1.903.001.4021. sinoaoat | paca 2.607.541 Se PEUNTING Acca soca seesosogd tard sonvaset| —_pesaln 2.061.208 JUMLAH BAGIAN A BA 62.679.423, ‘Tenbah [Hsp Jats ke-r Prev Ron 1 To 2 of Pett nt bom eg Ea ee arn nme emia nem, Seneca es sat nus carson te oe ‘Satpenm pra trg anetan Bagh — ———=siScanned with CamScanner'es ee et ea mise 'TEMPAT USANA DAN em ; ae 2013 DAN ATAU PP 23 TAMUN 2018 = |_88-187.118.6-307.000 Hanuari HL HANG JEBAT NO. 111 65.672.343 328.362 98.187.1136-907.000 rebar ji HANGJEBATNO. 1164 47279982 za00 98.157.113.6-307.000 |Maret. JL. HANG JEBAT NO. 111 55.181.254 275.906 98.157.113.6-307,000 HL. HANG JEBAT NO. 111 45.727.956 228.640 98.187.1136-307.000 i er 207.482 98.157.113.6-307.000 [Juni IL. HANG JEBAT NO. 11 45.280.393 226.402 90.187.1136907.000 at lu WANG JEBAT NO. 1164 3470047 ‘vase 98.157.113.6-307.000 PAsustus HL HANG JEBAT NO. 11¢ (28.271.359 141.357 eo $2.1571136307.00 [ober fu wane JeBATWO. 116 1.610708 257.504 [ PEREDARAN BRUTO [537285100 __[smairenrnatvancomarn| 2606076 ma) on © 8 a PINDAHCAN NLA KE LAMPIRAN I? [Ge Oak Scanned with CamScannerwos {oHASILAN BRUTO DAN PEMBAYARA, PER MASA PAJAK SERTA DA [2 HANG JEBATINO. 1164 PaLenaane WW PPh FINAL BEROASARXAN Pe 48 TAMUN: IASING TEMPAT USANA i aa |MAGOALENA SISKA TRISANTI am 7013 DAN ATAUPP 23 AMUN 2ot8 — or a — = a 7.000 November e057. 118690 oe =e ae7.1136907.000 [pesember |i nanGueaatno ved soaoaaee ae a eREDRAN BRITO Fanaa _ [amnion moo aa mane [ieee Foss] oe: [2 PINOAHKAN NLAIKE LAMPIRANI? [ox om] Scanned with CamScannerLAMPIRAN - SPT TAHUNAN PPh WAJIB PAJAK ORANG PR [AGUN A PENGHASLAN YANO DRENMKANPAIAK FNAL DQNATAL BEREAN = SNS FEUSLUN DISPENSE FRTRTAS ] now = = [BuNca DEPOsrTO, TABUNGAN, 1, |BUNGA DEPOITO. TABUNGAN, ISKONTO SB 2.060389] 613.8 2. [BUNGAPISKONTO OBLIGASI ‘3. |PENJUALAN SAHAM DI BURSA EFEK 4, |HADIAH UNDAN 5, [PESANGON, TUNJANGAN HaRdTUA DAN TEBUSAN JPENSIUN YANG DAYAR SEKALIGUS 6, |HONORARIUM ATAS BEBAN APBN/ APBD. elelele 6 7. |PENGALIHAN HAK ATAS TANAH DANATAU BANGUNAN} a. [BANSUNAN YANG DITERIVA DALAM RANGHA |BANGUNAN GUNA SERAH ',|SEWA ATAS TANAH DANATAU BANGUNAN 410, [USAHA.ASA KONSTRUXS! elelole 11, [PeNVALURDEALERIAGEN PRODUK BOM (GA SPANANYANG DBAYARYAN OLEH 12. [ROBE st emADAANDODTA KOPERAS! 13, |PENGHAGILAN DARI TRANSAKSI DERIVATIF oO oe |PENGHASI (2.686.416) ———— = 16. IDANIATAU BERSIFAT FINAL ‘PPABIZ3 3.300.284) eS = 0, ENS PENGHASLAN [___punerenousan our ——— = tL eerie 3. _|pERKUMPULAN, FIRMA KONGS! a ‘ ce ee ‘ec PENOLA NTRS ViN0 ORIYA PAL BEEARA TERM [pcniGHASILAW NETO ISTERUSUAMI YANG DIKENAKAN PALAK GECARA TERPISAH Scanned with CamScanner[NAMA WALI PAIAK _[MAGDALENA SISKA TRISANTI BAQUNA HARTA PAD “aaa ane SREWAEARNTANG PAD MAR SAFTARSUSUNAN aNOGOTANEL ato TAHUN PAJA [o.t87.118.6.307,000, meen Tapa Ola oa a | 61 - Tanah dan/atau BangyRUMAH 120/160 M2, JL. swanny 2010 400,000.00 NOP iereowey| 043 - Mobil MOBIL TOYOTA INNOVA 2013 senon0.000 | BPKE 07894678 O51 -Logam Mulia LAGAM MULIA 2016 26.000.000 Jo11 - Uang Tuna UANG TUNA 2020 0.000.000 112 - Tabungan TABUNGAN 2021 481,960,833, lo1o-Setara Kas Laimya | SETARAKAS LAINNYA aor | 1.264.00.000 @ ee | oreo 2017 400.000.000 jos2-Tanah dawatau Bang] TANAHDIRADENFaTAH | 2019 | _1.600,000.000 |033 - Obligasi Perusahaan OBLIGASI SR 015 2024 4.000.000.000 PERMATA losa-bigasi Perusahaan | OBLIGASIEUROBONDs | 2021 148,00.000 PERMATA aM BAGAA 5,256,060. Tanah Tae] ome: fo inpot Data ac REVASBANATIN PICK AER THER, pe At SENDER PRIMUN [ALANATPEMBERIPRUAMAN] rounremunan | SMLAHPEMNAMAN KODE UTANG l,o1 - Utang Bank/Lemb| _- HUTANG BANK BN PALEMBANG 2018 ° AMLAHBAGN 5 Tanta Tapa) ome. i Rom 1 To 4 Off NAMA ANGGOTAELUARGA, ro Tana 2 = Rom 0 To 0 Of 0 Scanned with CamScannerfertrntne | amt aonanee = re emis aaa] v ae amon mals ea mane moe or Ee vin ca mal = canon] me = ra mao ad ad ey 1aaas| = 45427.019] 227.135| ~ = 51518.798| as7soa) ~ se ae assy bec -38.694.205| ‘s98.71|/ mani = Scanned with CamScanner~~ —~—AS! PEREDARAN BRU NAMA WP TO PEKERJAAN BERAS ? MAGDALENA. SISK, NPWP $98.157.113.6-307. 000. nica TAHUN 22021 BULAN TJASADOKTER —] JAN Rp. 47.060.556 FEB Rp. 58.369,022 MAR. Rp. 87.882.555 APR [Rp. | 67.746.899 MEL Rp. 126.292.574 JUN Rp. 45.087.100 JUL Rp. 57.187.600 |AGUST Rp. 69.275.660 SEP. Rp. 53.752.864 OKT Rp. 173.147.249 INOP Rp. 209.306.3641 IDES Rp. 91.589.580 [TOTAL Rp. 41.086.698.020 Scanned with CamScanner