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SURAT KUASA JAMINAN

Kami yang bertanda tangan dibawah ini :

Nama : ...........................................................................................................................
No. KTP : ...........................................................................................................................
Alamat : ...........................................................................................................................
...........................................................................................................................
Hubungan : ...........................................................................................................................

Dan

Nama : ...........................................................................................................................
No. KTP : ...........................................................................................................................
Alamat : ...........................................................................................................................
...........................................................................................................................
Hubungan : ...........................................................................................................................

Bersama ini mengkuasakan jaminan kepada nama yang tersebut dibawah ini :

Nama : ...........................................................................................................................
No. KTP : ...........................................................................................................................
Alamat : ...........................................................................................................................
...........................................................................................................................
Hubungan : ...........................................................................................................................

Demikianlah Surat Kuasa Jaminan ini dibuat dengan sebenar-benarnya, dalam keadaan sehat
jasmani dan rohani, dan dibuat dan ditanda tangani tanpa adanya paksaan dari pihak
manapun.

........................, .................................... .......

Yang Memberi Kuasa Yang Menerima Kuasa

Materai

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