BUKTI SERAH TERIMA KENDARAAN MASUK

No SKPJ Masa berlaku SKPJ

Sudah terima dari No. Rangka MHYGDN42VAJ346360
Sebagai pemegang unit a.n Kontrak I MADE BUDRA No.Mesin G15AID215680
No.Pinjaman 0450003219 No.Polisi DK1726AAD
1 (satu) Unit kendaraan Warna HITAM METALIK
Merk/Type SUZUKIAPV1.5 GX M/T MNB STNK a/n

Kendaraan tersebut di atas dalam kondisi : JALAN/ TIDAK JALAN*

Rincian Kondisi Unit :
No Sparepart Ada Tidak Keterangan No Sparepart Ada Tidak Keterangan
1 Accu 26 Kunci kontak
2 Ac 27 Kopel
3 As Roda Kanan/Kiri 28 Kopling
4 Bak / Box / Dump* 29 Lampu Depan Ka/Ki
5 Ban 30 Lampu Rem Ka/Ki
6 Ban serep 31 List Plang Ka/Ki
7 Box Sekering 32 Radiator
8 Bemper 33 Panel Depan
9 Boss kit stir 34 Spion ………..
10 Central lock 35 Speedometer
11 Dashboard 36 Steer
12 Delko/Ecu 37 Transmisi/Gear Box
13 Dinamo Ampere 38 Turbo/Bosh Pump
14 Dinamo Stater 39 Velg Std/Racing
15 Dinamo Wiper 40 Variasi
16 Gardan/Shaft Axle 41 Chasis  Utuh  Karatan Keropos
17 Grill  Patah  Sambungan
18 Injection 42 Interior  Rapi  Berantakan
19 Jok 43 Lantai kabin  Utuh  Keropos
20 Kabel Instalasi Surat Kendaraan Ada Tidak Masa Berlaku
21 Kaca Belakang 1 STNK
22 Kap Mesin 2 Pajak
23 Kepala Kabin 3 Buku Keur
24 Kaca Depan 4 Kartu Pengawas
25 Kaca Pintu 5 Ijin Usaha
Kondisi lain :

A. Kendaraan tersebut telah dijaminkan kepada PT.TRUE FINANCE atas Pengakuan Hutang No. ………………….. Tanggal
……………………. BPKB atas
nama ………………………………………………………… dan pada hal ini diserahkan pemakai kendaraan untuk dikuasai PT.TRUE FINANCE. Dan untuk
proses/tindakan selanjutnya atas kendaraan tersebut, berhubung karena kelala
B. ian dalam membayar kewajiban angsuran kepada PT.TRUE FINANCE.

C. Lain-Lain ………………………………………………………………………………………………………………………………

D. Bila dalam waktu …. …. (…………………….) hari Saudara tidak menyelesaikan hutang Saudara, maka kendaraan tersebut di atas KAMI JUAL untuk
diperhitungkan dengan Saldo Hutang saudara.
…………….,……………23
Yang Menyerahkan, Yang Menerima,

( ) ( )
Serah Terima Pool
Unit dengan data tersebut di atas telah diterima di Pool…………………… ……………….,……………23
dengan kondisi SESUAI/ TDK SESUAI dengan seperti yang diterangkan di atas
Yang Menyerahkan, Yang Menerima,

( ) ( )

Gesekan No Rangka (Asli/Tempelan)*

Gesekan No Mesin (Asli/Tempelan)*

 INSTALLMENT SCHEDULE
Branch : TABANAN Tenor : 36
Agreement No : 0450003219 Realization Date : 10/02/2021
Customer Name : I MADE BUDRA Overdue Days : 690
Outstanding AR : 65,406,921.42 OS LC Inst Amount : 98,984,203.9
Unit/Type/Color/Plate : SUZUKI APV1.5 GX M/T MNB OS LC Admin Fee : 0
Color/License Plate : HITAM METALIK/DK1726AAD OS Inst Due Amount : 55,709,721.42
Cust Address BR DINAS BELANBAN RT/RW00/00 Petiga Amount To Be Paid : 154,693,925.32
Marga

Due Date Inst Amount Inst Paid Inst Paid OS AR LC LC Inst Amt LC Inst LC Admin LC Admin
Amount Date Days Paid Amt Fee Fee Paid

1 10/03/2021 2,424,300 2,424,300 10/03/2021 84,850,500 0 0 0 0 0

2 10/04/2021 2,424,300 2,424,300 28/04/2021 82,426,200 18 218,187 218,187 0 0

3 10/05/2021 2,424,300 2,424,300 18/06/2021 80,001,900 39 470,277.21 470,277.21 0 0

4 10/06/2021 2,424,300 2,424,300 18/06/2021 77,577,600 8 96,972 96,972 0 0

5 10/07/2021 2,424,300 2,424,300 20/09/2021 75,153,300 72 866,709.8 866,709.8 0 0

6 10/08/2021 2,424,300 2,424,300 20/09/2021 72,729,000 41 496,981.5 496,981.5 0 0

7 10/09/2021 2,424,300 2,424,300 23/09/2021 70,304,700 13 157,216.91 157,216.91 0 0

8 10/10/2021 2,424,300 2,424,300 27/11/2021 67,880,400 48 569,120.5 569,120.5 0 0

9 10/11/2021 2,424,300 2,424,300 27/11/2021 65,456,100 17 206,065.5 206,065.5 0 0

10 10/12/2021 2,424,300 49,178.58 27/11/2021 63,031,800 690 8,194,168.9 0 0 0

11 10/01/2022 2,424,300 0 - 60,607,500 659 7,988,068.5 0 0 0

12 10/02/2022 2,424,300 0 - 58,183,200 628 7,612,302 0 0 0

13 10/03/2022 2,424,300 0 - 55,758,900 600 7,272,900 0 0 0

14 10/04/2022 2,424,300 0 - 53,334,600 569 6,897,133.5 0 0 0

15 10/05/2022 2,424,300 0 - 50,910,300 539 6,533,488.5 0 0 0

16 10/06/2022 2,424,300 0 - 48,486,000 508 6,157,722 0 0 0

17 10/07/2022 2,424,300 0 - 46,061,700 478 5,794,077 0 0 0

18 10/08/2022 2,424,300 0 - 43,637,400 447 5,418,310.5 0 0 0

19 10/09/2022 2,424,300 0 - 41,213,100 416 5,042,544 0 0 0

20 10/10/2022 2,424,300 0 - 38,788,800 386 4,678,899 0 0 0

21 10/11/2022 2,424,300 0 - 36,364,500 355 4,303,132.5 0 0 0

22 10/12/2022 2,424,300 0 - 33,940,200 325 3,939,487.5 0 0 0

23 10/01/2023 2,424,300 0 - 31,515,900 294 3,563,721 0 0 0

24 10/02/2023 2,424,300 0 - 29,091,600 263 3,187,954.5 0 0 0

25 10/03/2023 2,424,300 0 - 26,667,300 235 2,848,552.5 0 0 0

26 10/04/2023 2,424,300 0 - 24,243,000 204 2,472,786 0 0 0

27 10/05/2023 2,424,300 0 - 21,818,700 174 2,109,141 0 0 0

28 10/06/2023 2,424,300 0 - 19,394,400 143 1,733,374.5 0 0 0

29 10/07/2023 2,424,300 0 - 16,970,100 113 1,369,729.5 0 0 0

30 10/08/2023 2,424,300 0 - 14,545,800 82 993,963 0 0 0

31 10/09/2023 2,424,300 0 - 12,121,500 51 618,196.5 0 0 0

32 10/10/2023 2,424,300 0 - 9,697,200 21 254,551.5 0 0 0

33 10/11/2023 2,424,300 0 - 7,272,900 0 0 0 0 0

Printed by: NI KOMANG ARI SINARSIH

Printed date: 10/31/2023 12:00:00 AM
 INSTALLMENT SCHEDULE
Due Date Inst Amount Inst Paid Inst Paid OS AR LC LC Inst Amt LC Inst LC Admin LC Admin
Amount Date Days Paid Amt Fee Fee Paid

34 10/12/2023 2,424,300 0 - 4,848,600 0 0 0 0 0

35 10/01/2024 2,424,300 0 - 2,424,300 0 0 0 0 0

36 10/02/2024 2,424,300 0 - 0 0 0 0 0 0

Printed by: NI KOMANG ARI SINARSIH

Printed date: 10/31/2023 12:00:00 AM