803 KPM Banyuwangi Kota 7 Januari 2020

PT.
BNI LIFE INSURANCE

COMMISSION SLIP
PEMBAYARAN TANGGAL : 07/01/2020
No. Agen : 0000048174 ASM : -

Name : RIZA UMAMI ABM : -
Level : AGENCY DIRECTOR AD : RIZA UMAMI
Branch : KPM. BANYUWANGI KOTA NPWP : 85.308.206.3-627.000
Dalam : RUPIAH
KOMISI : 0.00
OR : 51,762.00
BONUS RECRUITMENT (BR) : 0.00
KPM ALLOWANCE : 0.00
GENERATION FEE (GF)
GENERATION FEE (GF) I : 0.00
GENERATION FEE (GF) II : 0.00
GENERATION FEE (GF) III : 0.00
BONUS AGENCY NEW MODEL

PRODUCER QUARTERLY BONUS (PQB) : 0.00 80%
ANNUAL BONUS (AB) : 0.00 80%
LEADER ANNUAL BONUS (LAB) : 0.00 80%
TOTAL : 51,762.00
PEMBAYARAN BRUTO : 51,762.00

NORMA 50%(yang dihitung pajak) : 25,881.00
AKUMULASI PENGHASILAN KENA PAJAK BULANAN : 380,401.00

AKUMULASI PENGHASILAN KENA PAJAK TAHUNAN : 0.00
PTKP BULANAN : 0.00
DASAR PENGENAAN PAJAK : 0.00
PPH : 0.00
PEMBAYARAN SETELAH PAJAK : 51,762.00

POTONGAN : 0.00
PEMBAYARAN NET : 51,762.00
BANK : CIMB NIAGA CAB. BANYUWANGI

NAMA REKENING : RIZA UMAMI
NO REKENING : 5260122373112
Keterangan
Pengenaan rate/tarif pajak dilihat dari lapisan Akumulasi Penghasilan Kena Pajak :
Lapisan Penghasilan NPWP NON NPWP

Rp. 0 s/d Rp. 50.000.000 5% 6%
> Rp. 50.000.000 s/d Rp. 250.000.000 15% 18%
> Rp. 250.000.000 s/d Rp. 500.000.000 25% 30%
> Rp. 500.000.000 30% 36%
PT. BNI LIFE INSURANCE
COMMISSION FEE SLIP
Payment Period : 04/03/2019 s/d 27/12/2019
Process Date : 31/12/2019
No. Agen : 0000048174 ASM : -

Name : RIZA UMAMI ABM : -
Level : AGENCY DIRECTOR AD : RIZA UMAMI
Dalam : RUPIAH
No. Policy # Policy Holder Kode AIT Issued Payment Product Th Term Premium Commission OR RB
/ No Agen Date Date
1 BLSE5189009351 BAMBANG WALUYO 0000049747 18/09/2018 18/12/2019 BLSE 2 16 200,000 0 1,700 0
3 BLSE5189009362 EDI PURNOMO 0000048470 22/10/2018 23/12/2019 BLSE 2 15 300,000 0 2,100 0
4 BLSE5199001958 YUSRON 0000048228 24/04/2019 27/12/2019 BLSE 1 9 300,000 0 16,538 0
5 BLSP5199001954 RUDI HARTONO 0000048242 05/03/2019 16/12/2019 BCP 1 9 32,490 0 1,462 0
6 BLSP5199001954 RUDI HARTONO 0000048242 05/03/2019 16/12/2019 BLSP 1 9 300,000 0 13,500 0
7 BLSP5199001954 RUDI HARTONO 0000048242 05/03/2019 16/12/2019 BCP 1 10 32,490 0 1,462 0
Total 1,964,980 0 51,762 0

COMMISSION SLIP
No. Agen : 0000048228 ASM : DIAN FIYANTARA

Name : DIAN FIYANTARA ABM : -
Level : AGENCY SALES MANAGER AD : ARIANTO GUNAWAN
Dalam : RUPIAH
KOMISI : 89,250.00
OR : 26,775.00
GENERATION FEE (GF)

TOTAL : 116,025.00


PTKP BULANAN : 0.00
PPH : 0.00

POTONGAN : 0.00
BANK : BNI BANYUWANGI

NAMA REKENING : DIAN FIYANTARA
NO REKENING : 0718871178
Keterangan

Rp. 0 s/d Rp. 50.000.000 5% 6%
> Rp. 50.000.000 s/d Rp. 250.000.000 15% 18%
> Rp. 250.000.000 s/d Rp. 500.000.000 25% 30%
> Rp. 500.000.000 30% 36%
COMMISSION FEE SLIP
No. Agen : 0000048228 ASM : DIAN FIYANTARA

Name : DIAN FIYANTARA ABM : -
Dalam : RUPIAH
/ No Agen Date Date
1 BLSE5199001957 AMIN KHOIRUDIN 0000048228 13/03/2019 16/12/2019 BLSE 1 10 300,000 0 15,750 0
2 BLSE5199001957 AMIN KHOIRUDIN 0000048228 13/03/2019 16/12/2019 BLSE 1 10 300,000 52,500 0 0
3 BLSE5199001958 YUSRON 0000048228 24/04/2019 27/12/2019 BLSE 1 9 300,000 0 11,025 0
4 BLSE5199001958 YUSRON 0000048228 24/04/2019 27/12/2019 BLSE 1 9 300,000 36,750 0 0
Total 1,200,000 89,250 26,775 0

COMMISSION SLIP
No. Agen : 0000048242 ASM : JUNAIDI ABDULLAH 2

Name : JUNAIDI ABDULLAH 2 ABM : -
Dalam : RUPIAH
KOMISI : 66,498.00
OR : 19,950.00
GENERATION FEE (GF)

TOTAL : 86,448.00


AKUMULASI PENGHASILAN KENA PAJAK TAHUNAN : 43,224.00
PTKP BULANAN : 0.00
DASAR PENGENAAN PAJAK : 43,224.00
PPH : 2,161.00

POTONGAN : 0.00
BANK : BNI CAB. BANYUWANGI

NAMA REKENING : JUNAIDI ABDULLAH
Keterangan

Rp. 0 s/d Rp. 50.000.000 5% 6%
> Rp. 50.000.000 s/d Rp. 250.000.000 15% 18%
> Rp. 250.000.000 s/d Rp. 500.000.000 25% 30%
> Rp. 500.000.000 30% 36%
COMMISSION FEE SLIP
No. Agen : 0000048242 ASM : JUNAIDI ABDULLAH 2

Name : JUNAIDI ABDULLAH 2 ABM : -
Dalam : RUPIAH
/ No Agen Date Date
1 BLSP5199001954 RUDI HARTONO 0000048242 05/03/2019 16/12/2019 BCP 1 9 32,490 0 975 0
2 BLSP5199001954 RUDI HARTONO 0000048242 05/03/2019 16/12/2019 BCP 1 9 32,490 3,249 0 0
4 BLSP5199001954 RUDI HARTONO 0000048242 05/03/2019 16/12/2019 BLSP 1 9 300,000 30,000 0 0
5 BLSP5199001954 RUDI HARTONO 0000048242 05/03/2019 16/12/2019 BCP 1 10 32,490 0 975 0
6 BLSP5199001954 RUDI HARTONO 0000048242 05/03/2019 16/12/2019 BCP 1 10 32,490 3,249 0 0
8 BLSP5199001954 RUDI HARTONO 0000048242 05/03/2019 16/12/2019 BLSP 1 10 300,000 30,000 0 0
Total 1,329,960 66,498 19,950 0

COMMISSION SLIP
No. Agen : 0000049747 ASM : -

Name : SITI SAFUROH ABM : SITI SAFUROH
Level : AGENCY BRANCH MANAGER AD : ARIANTO GUNAWAN
Dalam : RUPIAH
KOMISI : 64,000.00
OR : 26,600.00
GENERATION FEE (GF)

TOTAL : 90,600.00


PTKP BULANAN : 0.00
PPH : 0.00

POTONGAN : 0.00

NAMA REKENING : SITI SAFUROH
Keterangan

Rp. 0 s/d Rp. 50.000.000 5% 6%
> Rp. 50.000.000 s/d Rp. 250.000.000 15% 18%
> Rp. 250.000.000 s/d Rp. 500.000.000 25% 30%
> Rp. 500.000.000 30% 36%
COMMISSION FEE SLIP
No. Agen : 0000049747 ASM : -

Name : SITI SAFUROH ABM : SITI SAFUROH
Dalam : RUPIAH
/ No Agen Date Date
2 BLSE5189009351 BAMBANG WALUYO 0000049747 18/09/2018 18/12/2019 BLSE 2 16 200,000 34,000 0 0
4 BLSE5189009352 BAMBANG WALUYO 0000049747 18/09/2018 18/12/2019 BLSE 2 16 500,000 30,000 0 0
5 BLSE5189009362 EDI PURNOMO 0000048470 22/10/2018 23/12/2019 BLSE 2 15 300,000 0 4,200 0
Total 1,700,000 64,000 26,600 0

COMMISSION SLIP
No. Agen : 0000053085 ASM : MARLIA CHANDRA KIRANA

Name : MARLIA CHANDRA KIRANA ABM : -
Dalam : RUPIAH
KOMISI : 320,000.00
OR : 96,000.00
GENERATION FEE (GF)

TOTAL : 416,000.00


PTKP BULANAN : 0.00
PPH : 0.00

POTONGAN : 0.00
BANK : MANDIRI ROGOJAMPI

NAMA REKENING : MARLIA CHANDRA KIRANA
NO REKENING : 1430015617937
Keterangan

Rp. 0 s/d Rp. 50.000.000 5% 6%
> Rp. 50.000.000 s/d Rp. 250.000.000 15% 18%
> Rp. 250.000.000 s/d Rp. 500.000.000 25% 30%
> Rp. 500.000.000 30% 36%
COMMISSION FEE SLIP
No. Agen : 0000053085 ASM : MARLIA CHANDRA KIRANA

Name : MARLIA CHANDRA KIRANA ABM : -
Dalam : RUPIAH
/ No Agen Date Date
1 BLDP5199004644 KURNIA CAHYA SAMANHUDI 0000053085 01/08/2019 19/12/2019 BLDP 1 2 500,000 0 30,000 0
2 BLDP5199004644 KURNIA CAHYA SAMANHUDI 0000053085 01/08/2019 19/12/2019 BLDP 1 2 500,000 100,000 0 0
4 BLDP5199004644 KURNIA CAHYA SAMANHUDI 0000053085 01/08/2019 19/12/2019 BLDP 1 3 500,000 100,000 0 0
5 BLSE5199001964 HANDOKO SAPUTRO 0000053085 25/06/2019 27/12/2019 BLSE 1 7 200,000 0 12,000 0
6 BLSE5199001964 HANDOKO SAPUTRO 0000053085 25/06/2019 27/12/2019 BLSE 1 7 200,000 40,000 0 0
8 BLSE5199001969 HANDOKO SAPUTRO 0000053085 21/06/2019 26/12/2019 BLSE 1 7 200,000 40,000 0 0
9 BLSE5199004627 PANTHO TRIMARYONO 0000053085 17/07/2019 18/12/2019 BLSE 1 5 200,000 0 12,000 0
10 BLSE5199004627 PANTHO TRIMARYONO 0000053085 17/07/2019 18/12/2019 BLSE 1 5 200,000 40,000 0 0
Total 3,200,000 320,000 96,000 0

COMMISSION SLIP
No. Agen : 0000053236 ASM : -

Name : ARIANTO GUNAWAN ABM : -
Level : AGENCY DIRECTOR AD : ARIANTO GUNAWAN
Dalam : RUPIAH
KOMISI : 0.00
OR : 206,375.00
GENERATION FEE (GF)

TOTAL : 206,375.00


PTKP BULANAN : 0.00
PPH : 0.00

POTONGAN : 0.00
BANK : CIMB NIAGA BANYUWANGI

NAMA REKENING : ARIANTO GUNAWAN
NO REKENING : 760665479900
Keterangan

Rp. 0 s/d Rp. 50.000.000 5% 6%
> Rp. 50.000.000 s/d Rp. 250.000.000 15% 18%
> Rp. 250.000.000 s/d Rp. 500.000.000 25% 30%
> Rp. 500.000.000 30% 36%
COMMISSION FEE SLIP
No. Agen : 0000053236 ASM : -

Name : ARIANTO GUNAWAN ABM : -
Level : AGENCY DIRECTOR AD : ARIANTO GUNAWAN
Dalam : RUPIAH
/ No Agen Date Date
3 BLDP5199010469 FRANSISKUS WAWAN SLAMET RIYADI

0000053240 25/11/2019 23/12/2019 BLDP 1 2 2,000,000 0 30,000 0
4 BLSE5199001957 AMIN KHOIRUDIN 0000048228 13/03/2019 16/12/2019 BLSE 1 10 300,000 0 23,625 0
7 BLSE5199004627 PANTHO TRIMARYONO 0000053085 17/07/2019 18/12/2019 BLSE 1 5 200,000 0 18,000 0
8 BLSE5199010470 LUTFIA WARDANI 0000053240 26/11/2019 27/12/2019 BLSE 1 2 500,000 0 8,750 0
Total 4,400,000 0 206,375 0

COMMISSION SLIP
No. Agen : 0000053240 ASM : -

Name : RIKA BAHARI ABM : RIKA BAHARI
Dalam : RUPIAH
KOMISI : 193,750.00
OR : 106,563.00
GENERATION FEE (GF)

TOTAL : 300,313.00


AKUMULASI PENGHASILAN KENA PAJAK TAHUNAN : 150,157.00
PTKP BULANAN : 0.00
DASAR PENGENAAN PAJAK : 150,157.00
PPH : 9,009.00

POTONGAN : 0.00

NAMA REKENING : RIKA BAHARI
Keterangan

Rp. 0 s/d Rp. 50.000.000 5% 6%
> Rp. 50.000.000 s/d Rp. 250.000.000 15% 18%
> Rp. 250.000.000 s/d Rp. 500.000.000 25% 30%
> Rp. 500.000.000 30% 36%
COMMISSION FEE SLIP
No. Agen : 0000053240 ASM : -

Name : RIKA BAHARI ABM : RIKA BAHARI
Dalam : RUPIAH
/ No Agen Date Date
0000053240 25/11/2019 23/12/2019 BLDP 1 2 2,000,000 0 82,500 0

0000053240 25/11/2019 23/12/2019 BLDP 1 2 2,000,000 150,000 0 0
3 BLSE5199010470 LUTFIA WARDANI 0000053240 26/11/2019 27/12/2019 BLSE 1 2 500,000 0 24,063 0
4 BLSE5199010470 LUTFIA WARDANI 0000053240 26/11/2019 27/12/2019 BLSE 1 2 500,000 43,750 0 0
Total 5,000,000 193,750 106,563 0

803 KPM Banyuwangi Kota 7 Januari 2020

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803 KPM Banyuwangi Kota 7 Januari 2020

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PT.

BNI LIFE INSURANCE

No. Agen : 0000048174 ASM : -

BONUS AGENCY NEW MODEL

PEMBAYARAN BRUTO : 51,762.00

AKUMULASI PENGHASILAN KENA PAJAK BULANAN : 380,401.00

PEMBAYARAN SETELAH PAJAK : 51,762.00

BANK : CIMB NIAGA CAB. BANYUWANGI

Lapisan Penghasilan NPWP NON NPWP

No. Agen : 0000048174 ASM : -

2 BLSE5189009352 BAMBANG WALUYO 0000049747 18/09/2018 18/12/2019 BLSE 2 16 500,000 0 1,500 0

3 BLSE5189009362 EDI PURNOMO 0000048470 22/10/2018 23/12/2019 BLSE 2 15 300,000 0 2,100 0

4 BLSE5199001958 YUSRON 0000048228 24/04/2019 27/12/2019 BLSE 1 9 300,000 0 16,538 0

5 BLSP5199001954 RUDI HARTONO 0000048242 05/03/2019 16/12/2019 BCP 1 9 32,490 0 1,462 0

6 BLSP5199001954 RUDI HARTONO 0000048242 05/03/2019 16/12/2019 BLSP 1 9 300,000 0 13,500 0

7 BLSP5199001954 RUDI HARTONO 0000048242 05/03/2019 16/12/2019 BCP 1 10 32,490 0 1,462 0

8 BLSP5199001954 RUDI HARTONO 0000048242 05/03/2019 16/12/2019 BLSP 1 10 300,000 0 13,500 0

Total 1,964,980 0 51,762 0

No. Agen : 0000048228 ASM : DIAN FIYANTARA

BONUS AGENCY NEW MODEL

PEMBAYARAN BRUTO : 116,025.00

AKUMULASI PENGHASILAN KENA PAJAK BULANAN : 58,013.00

PEMBAYARAN SETELAH PAJAK : 116,025.00

BANK : BNI BANYUWANGI

Lapisan Penghasilan NPWP NON NPWP

No. Agen : 0000048228 ASM : DIAN FIYANTARA

2 BLSE5199001957 AMIN KHOIRUDIN 0000048228 13/03/2019 16/12/2019 BLSE 1 10 300,000 52,500 0 0

3 BLSE5199001958 YUSRON 0000048228 24/04/2019 27/12/2019 BLSE 1 9 300,000 0 11,025 0

4 BLSE5199001958 YUSRON 0000048228 24/04/2019 27/12/2019 BLSE 1 9 300,000 36,750 0 0

Total 1,200,000 89,250 26,775 0

No. Agen : 0000048242 ASM : JUNAIDI ABDULLAH 2

BONUS AGENCY NEW MODEL

PEMBAYARAN BRUTO : 86,448.00

AKUMULASI PENGHASILAN KENA PAJAK BULANAN : 43,224.00

PEMBAYARAN SETELAH PAJAK : 84,287.00

BANK : BNI CAB. BANYUWANGI

Lapisan Penghasilan NPWP NON NPWP

No. Agen : 0000048242 ASM : JUNAIDI ABDULLAH 2

2 BLSP5199001954 RUDI HARTONO 0000048242 05/03/2019 16/12/2019 BCP 1 9 32,490 3,249 0 0

3 BLSP5199001954 RUDI HARTONO 0000048242 05/03/2019 16/12/2019 BLSP 1 9 300,000 0 9,000 0

4 BLSP5199001954 RUDI HARTONO 0000048242 05/03/2019 16/12/2019 BLSP 1 9 300,000 30,000 0 0

5 BLSP5199001954 RUDI HARTONO 0000048242 05/03/2019 16/12/2019 BCP 1 10 32,490 0 975 0

6 BLSP5199001954 RUDI HARTONO 0000048242 05/03/2019 16/12/2019 BCP 1 10 32,490 3,249 0 0

7 BLSP5199001954 RUDI HARTONO 0000048242 05/03/2019 16/12/2019 BLSP 1 10 300,000 0 9,000 0

8 BLSP5199001954 RUDI HARTONO 0000048242 05/03/2019 16/12/2019 BLSP 1 10 300,000 30,000 0 0

Total 1,329,960 66,498 19,950 0

No. Agen : 0000049747 ASM : -

BONUS AGENCY NEW MODEL

PEMBAYARAN BRUTO : 90,600.00

AKUMULASI PENGHASILAN KENA PAJAK BULANAN : 45,300.00

PEMBAYARAN SETELAH PAJAK : 90,600.00

BANK : BNI BANYUWANGI

Lapisan Penghasilan NPWP NON NPWP

No. Agen : 0000049747 ASM : -

2 BLSE5189009351 BAMBANG WALUYO 0000049747 18/09/2018 18/12/2019 BLSE 2 16 200,000 34,000 0 0

3 BLSE5189009352 BAMBANG WALUYO 0000049747 18/09/2018 18/12/2019 BLSE 2 16 500,000 0 10,500 0

4 BLSE5189009352 BAMBANG WALUYO 0000049747 18/09/2018 18/12/2019 BLSE 2 16 500,000 30,000 0 0

5 BLSE5189009362 EDI PURNOMO 0000048470 22/10/2018 23/12/2019 BLSE 2 15 300,000 0 4,200 0

Total 1,700,000 64,000 26,600 0

No. Agen : 0000053085 ASM : MARLIA CHANDRA KIRANA

BONUS AGENCY NEW MODEL

PEMBAYARAN BRUTO : 416,000.00

AKUMULASI PENGHASILAN KENA PAJAK BULANAN : 208,000.00

PEMBAYARAN SETELAH PAJAK : 416,000.00