Lampiran PER 25 th 2011

(1)

MINISTRY OF FINANCE

ENGLISH TEMPLATE

OF THE REPUBLIC OF INDONESIA

DIRECTORATE GENERAL OF TAXES

PPh Pasal 4 (2)

-

-:

:

-

-Fill in this column with your Taxable Object Number (NOP).

The address of your Taxable Object as it appears in the Notice of Land and Building Tax Assessment (SPPT).

TAX PAYMENT SLIP

(SSP)

Fill in this column with your Taxpayer Identification Number (NPWP).

TAX ID NUMBER

:

You are not required

to print this page.

NAME

ADDRESS

TAXABLE OBJECT NO. :

Tax Account Code Payment Code

ADDRESS :

Your name as it appears in your TIN (NPWP) card.

Your address as it appears in your TIN (NPWP) card.

Description :

Fill in this column with your Notification Number (STP, SKPKB or SKPKBT).

Amount Paid : Payment currency :

Said :

Date

……….

Place Date

Authorized Signature and Official Seal Authorized Signature and Official Seal

Payment Received by

……….

Payment Done by

To be Filled by Taxpayer/Depositor

/

Jul

To be filled by Bank/Post Office for validation use only, do not write or staple in this space.

Notification Number :

/

To be Filled by Bank/Post Office Teller who Received Payment

/

Place an X inside the appropriate box to mark the Tax Period.

Mar Nov Dec

Fill in this column with Tax Year. Tax Period

Jan Feb Apr May Jun Aug Sep Oct Tax Year

Incorrect or unknown Tax Account Code or Payment Code

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Dollars and Zero Cents

LAMPIRAN I

(2)

KEMENTERIAN KEUANGAN R.I.

DIREKTORAT JENDERAL PAJAK

PPh Pasal 4 (2)

-

-:

:

-

-Diisi sesuai dengan Nomor Objek Pajak

ALAMAT OP

:

Uraian Pembayaran : :

…….………...……….……….………..…

………..……….………....….

Kode Akun Pajak Kode Jenis Setoran

….……….……....

NAMA WP

………..……….………....….

ALAMAT WP

………..……….………....….

NOP

:

SURAT SETORAN PAJAK

LEMBAR

(SSP)

NPWP

Diisi sesuai dengan Nomor Pokok Wajib Pajak yang dimiliki

1 Untuk Arsip Wajib Pajak

Diisi sesuai Nomor Ketetapan: STP, SKPKB atau SKPKBT atau putusan lain

Jumlah Pembayaran : Diisi dengan rupiah penuh

Terbilang :

Tanggal

……...…………..………....

….………....

, Tanggal

….……….

Cap dan tanda tangan

Nama Jelas :

……….

Nama Jelas :

………..

" Terima Kasih Telah Membayar Pajak - Pajak Untuk Pembangunan Bangsa " Ruang Validasi Kantor Penerima Pembayaran

………

……….………...………...…………...………..

………..………...………..………..………..……….

Diterima oleh Kantor Penerima Pembayaran

Wajib Pajak/Penyetor

Des Tahun Pajak

Beri tanda silang ( X ) pada kolom bulan, sesuai dengan pembayaran untuk masa yang berkenaan _{Diisi Tahun terutangnya Pajak}

Nomor Ketetapan :

/

Jun Jul Ags Sep Okt Nov

…….………...……….……….………..…

Masa Pajak

Jan Feb Mar Apr Mei

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LAMPIRAN I

KEMENTERIAN KEUANGAN R.I.

DIREKTORAT JENDERAL PAJAK

PPh Pasal 4 (2)

-

-:

:

-

ALAMAT OP

:

Uraian Pembayaran :

…….………...……….……….………..…

………..……….………....….

NOP

:

………..……….………....….

….……….……....

NPWP

:

NAMA WP

………..……….………....….

ALAMAT WP

………..……….………....….

PERATURAN DIREKTUR JENDERAL PAJAK NOMOR PER- /PJ/2009 TENTANG BENTUK FORMULIR SURAT SETORAN PAJAK

SURAT SETORAN PAJAK

LEMBAR

2

(SSP)

Untuk KPPN

Terbilang :

Tanggal

……...…………..………....

….………....

, Tanggal

….……….

Nama Jelas :

……….

Nama Jelas :

………..

" Terima Kasih Telah Membayar Pajak - Pajak Untuk Pembangunan Bangsa "

Ruang Validasi Kantor Penerima Pembayaran

………

……….………...………...…………...………..

………..………...………..………..………..……….

Diterima oleh Kantor Penerima Pembayaran

Wajib Pajak/Penyetor

/

…….………...……….……….………..…

Masa Pajak

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(4)

LAMPIRAN I

KEMENTERIAN KEUANGAN R.I.

DIREKTORAT JENDERAL PAJAK

PPh Pasal 4 (2)

-

-:

:

-

ALAMAT OP

:

Untuk Dilaporkan oleh

Wajib Pajak ke KPP

…….………...……….……….………..…

NOP

:

………..……….………....….

….……….……....

NAMA WP

………..……….………....….

ALAMAT WP

………..……….………....….

SURAT SETORAN PAJAK

LEMBAR

3

(SSP)

NPWP

:

Terbilang :

Tanggal

……...…………..………....

….………....

, Tanggal

….……….

Nama Jelas :

……….

Nama Jelas :

………..

………

……….………...………...…………...………..

………..………...………..………..………..……….

Diterima oleh Kantor Penerima Pembayaran

Wajib Pajak/Penyetor

/

…….………...……….……….………..…

Masa Pajak

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(5)

LAMPIRAN I

KEMENTERIAN KEUANGAN R.I.

DIREKTORAT JENDERAL PAJAK

PPh Pasal 4 (2)

-

-:

:

-

ALAMAT OP

:

…….………...……….……….………..…

………..……….………....….

NOP

:

………..……….………....….

….……….……....

NPWP

:

NAMA WP

………..……….………....….

ALAMAT WP

………..……….………....….

SURAT SETORAN PAJAK

LEMBAR

4

(SSP)

Untuk Bank Persepsi/

Kantor Pos & Giro

Terbilang :

Tanggal

……...…………..………....

….………....

, Tanggal

….……….

Nama Jelas :

……….

Nama Jelas :

………..

………

……….………...………...…………...………..

………..………...………..………..………..……….

Diterima oleh Kantor Penerima Pembayaran

Wajib Pajak/Penyetor

/

…….………...……….……….………..…

Masa Pajak

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(6)

LAMPIRAN I PERATURAN DIREKTUR JENDERAL PAJAK NOMOR PER

-

/PJ/2009 TENTANG BENTUK FORMULIR SURAT SETORAN PAJAK

TAX PAYMENT SLIP (SSP) FILLING MANUAL

A quick guide on how to use this template.

1. This template is in compliance with the Director General of Taxes Decree No.

Per-38/PJ/2009 as amended with Per-23/PJ/2010 on Tax Payment Slip Form.

2. To optimally use this template, we advise you to use Adobe Reader version 8 or later.

3. All the information you need to fill are located in the first page.

4. If the “highlight fields” option is activated, all the columns that you’re supposed to be filling

will be highlighted in light-blue color.

5. You can use the Reset Form button. Click the button and the form will be cleared from

previous filling.

6. Fill in the Tax ID Number column with your Taxpayer Identification Number (NPWP).

7. Fill in the Name column with your name as it appears in your Taxpayer ID Number (NPWP)

card.

8. Fill in the Address column with your address as it appears in your Taxpayer ID Number

(NPWP) card.

9. If you’re a Taxpayer who hasn’t applied for a Tax ID Number, fill in the Tax ID Number and

the Address column with the following:

a. for Individual Taxpayers, fill with the number 01.000.000.0 – XXX.000 where the

XXX refers to the code of the tax office by which the area of your residence is

administered;

b. for Corporate Taxpayers, fill with the number 04.000.000.0 – XXX.000 where the

XXX refers to the code of the tax office by which the area of your residence is

administered.

c. Fill in the Name and Address column as it appears in your Resident Identity Card

(KTP) or other legal identity cards.

10. The Taxable Object Number (NOP) and Address column are to be filled only for property

related transactions, e.g. Sale or Transfer of Land and/or Building, Self-Construction

Activity, etc. For the Address column, fill in with the address of your Taxable Object as it

appears in your Notice of Land and Building Tax Assessment Notification (SPPT).

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LAMPIRAN I

12. If the Tax Account Code and Payment Code are valid, the description will be automatically

shown in the Description column next to them. We strongly advise you to check whether the

description matches your intended payment purpose.

13. For transactions concerning Income Tax Article 4 Paragraph (2) on Transfer of Property in

the Form of Land and/or Building, you are required to include the name of the buyer. An

additional column will appear once the Tax Account (411128) and the Payment Code (402)

has been inputted. Fill in the column with the name of the buyer.

14. For transactions concerning Income Tax Article 4 Paragraph (2) on Lease of Land and/or

Building, you are required to include the name of the lessee. An additional column will

appear once the Tax Account (411128) and the Payment Code (403) has been inputted. Fill in

the column with the name of the lessee.

15. For the Tax Period column, place an X-mark inside the box to mark the Tax Period. You can

only use one Payment Slip for one Tax Period. Payment for more than one Tax Period can

only be done using different slips. Only Taxpayers who meet certain criteria will be eligible

to deposit Income Tax Article 25 for several Tax Periods using one Payment Slip.

16. Fill in the Tax Year column.

17. Fill in the Tax Notification Number column, if any. Leave this column blank if your payment

isn’t based on Tax Notification (STP, SKPKB or SKPKBT).

18. Fill in the Amount Paid column with the amount of your payment in numbers.

19. Select the currency of your payment from the drop-down box right next to it, either US

Dollar or Rupiah.

20. Upon input, the form will automatically generate the amount of your payment that you’ve

inputted in number into words. We strongly advise you to check whether matches your

intended payment amount.

21. Fill in the Place and Date column with the place and date of your payment transaction.

22. Fill in the Payment Done By column with the name of the person who does the payment

transaction.

23. The next four pages will be automatically filled in accordance with your filling of the first

page.

24. You must at least print the second (slip copy 1), third (slip copy 2), fourth (slip copy 3) and

fifth (slip copy 4) pages for the bank to process your payment transaction. For printing

purpose, use the HVS paper size A4 (210x297mm). Do not fold or rumple the paper.

25. All the pages of the printed form must be signed, and stamped with your company seal (if

any).

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LAMPIRAN II

PERATURAN DIREKTUR JENDERAL PAJAK

NOMOR PER-25/PJ/2011, TENTANG BENTUK DAN TATA CARA PENGGUNAAN TEMPLATE

SURAT SETORAN PAJAK DALAM BAHASA

INGGRIS

TAX ACCOUNT AND PAYMENT CODE LIST

1. Tax Account Code 411121 for Income Tax Article 21

Payment

Code Payment Type Description

100 Income Tax Article 21 Periodic

Payment

Payment to settle tax underpaid in accordance with Income Tax Article 21 Periodic Tax Returns, including amendments, provided that the Director General of Taxes has not commenced an audit.

199 Income Tax Article 21 Prepaid

Payment on Notice of Tax

Assessment

Payment to settle Income Tax Article 21 Notice of Tax Assessment before issuance.

200 Income Tax Article 21 Annual

Payment

Payment to settle tax underpaid in accordance with Income Tax Article 21 Annual Tax Returns.

300 Income Tax Article 21 Payment

on Notice of Tax Collection

Payment to settle amount payable in accordance with Income Tax Article 21 Notice of Tax Collection.

on Notice of Tax Underpayment Assessment

Payment to settle amount underpaid in

accordance with Income Tax Article 21 Notice of Tax Underpayment Assessment.

311 Final Income Tax Article 21

Notice of Tax Underpayment Assessment in terms of Lump

Sum Payment on Pension,

Annuity, and Severance Pay

accordance with Final Income Tax Article 21 Notice of Tax Underpayment Assessment in terms of lump sum payment on pension, annuity, and severance pay.

320 Income Tax Article 21 Notice of

Additional Tax Underpayment Assessment

accordance with Income Tax Article 21 Notice of Additional Tax Underpayment Assessment.

Notice of Additional Tax

Underpayment Assessment in Terms of Lump Sum Payment

on Pension, Annuity, and

Severance Pay

accordance with Final Income Tax Article 21

Notice of Additional Tax Underpayment

Assessment in terms of lump sum payment on pension, annuity, and severance pay.

390 Payment on Notice of

Correction Decision, Decision

on Objection, Decision on

Appeal, or Decision on Review

accordance with Notice of Correction Decision, Decision on Objection, Decision on Appeal, or Decision on Review.

401 Final Income Tax Article 21 in

Terms of Lump Sum Payment

on Pension, Annuity, and

Severance Pay

Payment to settle Final Income Tax Article 21

payable in terms of pension, annuity, and

severance pay.

Terms of Wages, Salaries,

Honoraria, Bonuses, Gratuities,

and Other Remunerations

Received by State Officials, Civil Servants, Members of the Armed Forces, Members of the

Police Forces, and Their

Retirees

Payment to settle Final Income Tax Article 21 Payable in terms of wages, salaries, honoraria, bonuses, gratuities, and other remunerations received by state officials, civil servants, members of the armed forces, members of the police forces, and their retirees.

500 Income Tax Article 21 on

Voluntary Disclosal on

Incorrectness

(9)

501 Income Tax Article 21 on Termination of Investigation on Criminal Tax Offence

Payment to settle Tax payable in accordance with Income Tax Article 21 Tax Returns in terms of Termination of Investigation on Criminal Tax Offence as stated in Article 44B Paragraph (2) of

the Law on General Provisions and Tax

Procedures.

510 Administrative Penalties in the

Form of Fines or Surcharges in Terms of Voluntary Disclosal on Incorrectness

Payment to settle administrative penalties in the form of fines or surcharges in terms of voluntary disclosal on Income Tax Article 21 Tax Returns incorrectness, as stated in Article 8 Paragraph (3) or (5) of the Law on General Provisions and Tax Procedures.

Form of Fines in Terms of Termination of Investigation on Criminal Tax Offence

Payment to settle administrative penalties in the

form of fines in terms of termination of

investigation on criminal tax offence , as stated in Article 44B Paragraph (2) of the Law on General Provisions and Tax Procedures.

Payment

Payment

Payment to settle tax payable in accordance with Income Tax Article 22 Periodic Tax Returns including amendments, provided that the Director General of Taxes has not commenced an audit.

Assessment

Tax Collection

Payment to settle amount payable in accordance with Income Tax Article 22 Notice of Tax Collection.

Tax Underpayment Assessment

accordance with Income Tax Article 22 Notice of Tax Underpayment Assessment.

Notice of Tax Underpayment Assessment

Payment to amount underpaid in accordance with Final Income Tax Article 22 Notice of Tax Underpayment Assessment.

accordance with Income Tax Article 22 Notice of Additional Tax Underpayment Assessment.

Underpayment

Assessment.

390 Payment on Notice of Correction

Decision, Decision on Objection, Decision on Appeal, or Decision on Review

Terms of Petroleum and Natural Gas Redemption

Payment to settle Final Income Tax Article 22 Payable in Terms of Petroleum and Natural Gas Redemption.

Terms of Highly Luxurious

Goods

Payment to settle Final Income Tax Article 22 Payable in Terms of Highly Luxurious Goods.

Incorrectness

(10)

501 Income Tax Article 22 on Termination of Investigation on Criminal Tax Offence

Payment to settle tax payable in accordance with Income Tax Article 22 Periodic Tax Returns in terms of termination of investigation on criminal tax offence as stated in Article 44B Paragraph (2) of the Law on General Provisions and Tax Procedures.

Payment to settle administrative penalties in the form of fines or surcharges in terms of voluntary disclosal on Income Tax Article 22 Periodic Tax Returns incorrectness, as stated in Article 8 Paragraph (3) or (5) of the Law on General Provisions and Tax Procedures.

900 Withholding Income Tax Article

22

Payment to settle Income Tax Article 22 withhold by Witholding Agent.

3. Tax Account Code 411123 for Import Income Tax Article 22

Payment

100 Import Income Tax Article 22

Periodic Payment

Payment to settle tax underpaid in accordance with Import Income Tax Article 22 Periodic Tax Returns, including amendments, provided that

the Director General of Taxes has not

commenced an audit.

Prepaid Payment on Notice of Tax Assessment

Payment to settle Import Income Tax Article 22 Notice of Tax Assessment before issuance.

Notice of Tax Collection STP

Payment to settle amount payable in accordance with Income Tax Article 22 Notice of Tax Collection in terms of import transaction..

accordance with Income Tax Article 22 Notice of Tax Underpayment Assessment in terms of import transaction..

Underpayment Assessment

accordance with Income Tax Article 22 Notice of Additional Tax Underpayment Assessment in terms of import transaction.

Payment to settle tax underpaid in accordance with Notice of Correction Decision, Decision on Objection, Decision on Appeal, or Decision on Review.

500 Import Income Tax Article 22 on

Incorrectness

Payment to settle tax underpaid in accordance with voluntary disclosal on income tax article 22 Periodic Tax Returns incorrectness as stated in Article 8 Paragraph (3) or (5) of the Law on General Provisions and Tax Procedures.

501 Import Income Tax Article 22 on

Termination of Investigation on Criminal Tax Offence

(11)

510 Administrative Penalties in the Form of Fines or Surcharges in Terms of Voluntary Disclosal on Incorrectness

Payment to settle administrative penalties in the form of fines or surcharges in terms of voluntary disclosal on Import Income Tax Article 22 Tax Periodic Returns incorrectness, as stated in Article 8 Paragraph (3) or (5) of the Law on General Provisions and Tax Procedures.

Payment

Payment

Payment to settle tax underpaid in accordance with Income Tax Article 23 Periodic Tax Returns including amendments (other than Income Tax Article 23 in terms of dividend, interest, royalties, and service), provided that the Director General of Taxes has not commenced an audit.

Dividend

Payment to settle tax underpaid in terms of dividend paid to Resident Corporate Taxpayer in terms of Income Tax Article 23 Periodic Tax Returns.

Interest

Payment to settle tax underpaid in terms of interest (including premiums, discounts, and compensation for loan repayment guarantees)

paid to Resident Corporate Taxpayer in

accordance with Income Tax Article 23 Periodic Tax Returns.

Royalties

Payment to settle tax underpaid in terms of royalties paid to Resident Corporate Taxpayer in accordance with Income Tax Article 23 Periodic Tax Returns.

Service

Payment to settle Income Tax Article 23

Underpaid in terms of service paid to Resident Taxpayer in accordance with Income Tax Article 23 Periodic Tax Returns.

Assessment

Tax Collection

Payment to settle amount payable in accordance with Income Tax Article 23 Notice of Tax Collection (other than Income Tax Article 23 Notice of Tax Collection in terms of dividend, interest, royalties, and service).

Tax Collection in Terms of

Dividend, Interest, Royalties, and Service

Payment to settle amount payable in accordance with Income Tax Article 23 Notice of Tax Collection in terms of dividend, interest, royalties, and service.

accordance with Income Tax Article 23 Notice of

Tax Underpayment Assessment (other than

(12)

311 Income Tax Article 23 Notice of Tax Underpayment Assessment in Terms of Dividend, Interest, Royalties, and Service

accordance with Income Tax Article 23 Notice of Tax Underpayment Assessment in terms of dividend, interest, royalties, and service.

accordance with Final Income Tax Article 23 Notice of Tax Underpayment Assessment.

accordance with Income Tax Article 23 Notice of Additional Tax Underpayment Assessment (other than dividend, interest, royalties, and service).

Additional Tax Underpayment

Assessment in Terms of

Dividend, Interest, Royalties, and Service

accordance with Income Tax Article 23 Notice of Additional Tax Underpayment Assessment in terms of dividend, interest, royalties, and service.

Assessment.

Correction Decision, Decision

on Objection, Decision on

Appeal, or Decision on Review

Terms of Savings Interest Paid by a Cooperatives

Payment to settle Final Income Tax Article 23 underpaid in terms of savings interest paid by a cooperatives.

Incorrectness

Payment to settle tax underpaid (including Income Tax Article 23 on dividend, interest, royalties, and service) in accordance with voluntary disclosal on iIncorrectness as stated in Article 8 Paragraph (3) or (5) of the Law on General Provisions and Tax Procedures.

Payment to settle tax payable in accordance with Income Tax Article 23 Tax Returns in terms of termination of investigation on criminal tax offence as stated in Article 44B Paragraph (2) of

Procedures.

Payment to settle administrative penalties in the form of fines or surcharges in terms of voluntary disclosal on Income Tax Article 23 Periodic Tax Returns incorrectness, as stated in Article 8 Paragraph (3) or (5) of the Law on General Provisions and Tax Procedures.

5. Tax Account Code 411125 for Personal Income Tax Article 25/29

Payment

100 Personal Income Tax Article 25

Periodic Payment

(13)

101 Personal Income Tax Article 25 Periodic Payment for Certain Taxpayers

Payment to settle Personal Income Tax Article 25 payable for Certain Taxpayers.

199 Personal Income Tax Prepaid

Assessment

Payment to settle Personal Income Tax Notice of Tax Assessment before issuance.

200 Personal Income Tax Annual

Payment

Payment to settle Personal Income Tax

underpaid in accordance with Personal Income Tax Annual Tax Returns, including amendments, provided that the Director General of Taxes has not commenced an audit.

300 Personal Income Tax Notice of

Tax Collection

Payment to settle amount payable in accordance

with Personal Income Tax Notice of Tax

Collection.

accordance with Personal Income Tax Notice of Tax Underpayment Assessment.

Additional Tax Underpayment

Assessment

accordance with Personal Income Tax Notice of Additional Tax Underpayment Assessment.

500 Personal Income Tax on

Incorrectness

accordance with voluntary disclosal on Personal Income Tax Returns incorrectness as stated in Article 8 Paragraph (3) or (5) of the Law on General Provisions and Tax Procedures.

501 Personal Income Tax on

Payment to settle amount payable in accordance with Personal Income Tax Returns in terms of termination of investigation on criminal tax offence as stated in Article 44B Paragraph (2) of

Procedures.

Payment to settle administrative penalties in the form of fines or surcharges in terms of voluntary disclosal on Personal Income Tax Returns incorrectness, as stated in Article 8 Paragraph (3) or (5) of the Law on General Provisions and Tax Procedures.

6. Tax Account Code 411126 for Corporate Income Tax Article 25/29

Payment

100 Corporate Income Tax Article 25

Periodic Payment

Payment to settle Corporate Periodic Income Tax Article 25 Payable.

199 Corporate Income Tax Prepaid

Assessment

(14)

200 Corporate Income Tax Annual Payment

Payment to settle Corporate Income Tax

underpaid in accordance with Corporate Income Tax Annual Tax Returns, including amendments, provided that the Director General of Taxes has not commenced an audit.

300 Corporate Income Tax Notice of

Tax Collection

with Corporate Income Tax Notice of Tax

Collection.

underpaid in accordance with Corporate Income Tax Notice of Tax Underpayment Assessment.

underpaid in accordance with Corporate Income

Tax Article Notice of Additional Tax

Underpayment Assessment.

Correction Decision, Decision on Objection, Decision on Appeal, or Decision on Review

500 Corporate Income Tax on

Voluntary Disclosal on Incorrectness

Payment to settle amount payable in accordance with Voluntary Disclosal on Corporate Income Tax Returns Incorrectness as stated in Article 8 Paragraph (3) or (5) of the Law on General Provisions and Tax Procedures.

501 Corporate Income Tax on

Payment to settle tax payable in accordance with Corporate Income Tax Article Returns in terms of termination of investigation on criminal tax offence as stated in Article 44B Paragraph (2) of

Procedures.

Payment to settle administrative penalties in the form of fines or surcharges in terms of voluntary disclosal on Corporate Income Tax Returns Incorrectness, as stated in Article 8 Paragraph (3) or (5) of the Law on General Provisions and Tax Procedures.

511 Administrative Penalties in the Form of Fines in Terms of Termination of Investigation on Criminal Tax Offence

7. Tax Account Code 411127 for Corporate Income Tax Article 26

Payment

100 Income Tax Article 26 Periodic Payment

Payment to settle Income Tax Article 26 payable (other than dividend, interest, royalties, service,

and Permanent Establishments’ after-tax

income) in accordance with Income Tax Article 26 Periodic Tax Returns.

Dividend

(15)

102 Income Tax Article 26 on Interest

Payment to settle Income Tax Article 26 payable in terms of interest (including premiums, discounts, swap premiums and compensation in accordance with a loan guarantee) paid to Non-Resident Taxpayer in accordance with Income Tax Article 26 Periodic Tax Returns.

Royalties

Payment to settle Income Tax Article 26 payable in terms of royalties paid to Non-Resident Taxpayer in accordance with Income Tax Article 26 Periodic Tax Returns.

Service

Payment to settle Income Tax Article 26 payable

in terms of service paid to Non-Resident

Taxpayer in accordance with Income Tax Article 26 Periodic Tax Returns.

Permanent Establishment’s After-Tax Income

Payment to settle Income Tax Article 26 payable in terms of a Permanent Establishment’s after-tax income in accordance with Income Tax Article 26 Annual Tax Returns.

Assessment

on Notice ofTax Collection

with Income Tax Article 26 Notice of Tax

Collection (other than Income Tax Article 26

Notice of Tax Collection in terms of dividend, interest, royalties, Service, and Permanent Establishment’s after-tax income).

on Notice ofTax Collectionin Terms of Dividend, Interest, Royalties, Service, and Permanent Establishment’s After-Tax Income

with Income Tax Article 26 Notice of Tax

Collection in Terms of dividend, interest,

royalties, service, and Permanent

Establishment’s after-tax income.

on Notice of Tax Underpayment Assessment

accordance with Income Tax Article 26 Notice of Tax Underpayment Assessment (other than

Income Tax Article 26 Notice of Tax Collection

in terms of dividend, interest, royalties, service,

and Permanent Establishment’s after-tax

income).

on Notice of Tax Underpayment

Assessment in Terms of

Dividend, Interest, Royalties,

Service, and Permanent

Establishment’s After-Tax

Income

accordance with Income Tax Article 26 Notice of Tax Underpayment Assessment in terms of dividend, interest, royalties, service, and Permanent Establishment’s after-tax income.

on Notice of Additional Tax Underpayment Assessment

accordance with Income Tax Article 26 Notice of

(other thanIncome Tax Article 26 Notice ofTax

Collection in Terms of dividend, interest,

royalties, service, and Permanent

(16)

on Notice of Additional Tax

Collection in Terms of Dividend,

Interest, Royalties, Service, and

Permanent Establishment’s

After-Tax Income

accordance with Income Tax Article 26 Notice of Additional Tax Underpayment Assessment in Terms of dividend, interest, royalties, service,

and Permanent Establishment’s after-tax

income.

500 Income Tax Article 26 for

Payment to settle tax payable in accordance with voluntary disclosal on Corporate Income Tax Returns Incorrectness as stated in Article 8 Paragraph (3) or (5) of the Law on General Provisions and Tax Procedures.

501 Income Tax Article 26 for

Payment to settle Income Tax Payable in accordance with Corporate Income Tax Article Returns in terms of Termination of Investigation on Criminal Tax Offence as stated in Article 44B Paragraph (2) of the Law on General Provisions and Tax Procedures.

Payment to settle administrative penalties in the form of fines or surcharges in terms of voluntary disclosal on Income Tax Article 26 Returns Incorrectness, as stated in Article 8 Paragraph (3) or (5) of the Law on General Provisions and Tax Procedures.

8. Tax Account Code 411128 for Final Income Tax

Payment

199 Final Income Tax Prepaid

Assessment

Payment to settle Final Income Tax Notice of Tax Assessment before issuance.

300 Final Income Tax Notice of Tax

Collection

Payment to settle amount payable in accordance with Final Income Tax Notice ofTax Collection.

Paragraph (2) Notice of Tax Underpayment Assessment

accordance with Final Income Tax Article 4 Paragraph (2) Notice of Tax Underpayment Assessment.

Notice of Tax Underpayment

Assessment

Notice of Tax Underpayment

Assessment

Paragraph (2) Notice of Additional Tax Underpayment Assessment

Paragraph (2) Notice of Additional Tax

(17)

Assessment.

Payment to settle amount Underpaid in accordance with Notice of Correction Decision, Decision on Objection, Decision on Appeal, or Decision on Review.

Paragraph (2) on Bond Interest/ Premium and Government Bond.

Payment to settle Final Income Tax Article 4 Paragraph (2) on bond interest/premium and Government Bond.

Paragraph (2) on Transfer of Property in the Form of Land and/or Buildings

Payment to settle Final Income Tax Article 4 Paragraph (2) on transfer of property in the form of land and/or buildings.

Paragraph (2) on Lease of Land and/or Buildings

Payment to settle Final Income Tax Article 4 Paragraph (2) on lease of land and/or buildings.

Paragraph (2) on Interest from

Deposits or Savings, Giro

Service, and BI Certificate

Discount.

Payment to settle Final Income Tax Article 4 Paragraph (2) on interest from deposits or savings, giro service, and BI Certificate discount.

Paragraph (2) on Lottery Prize

Payment to settle Final Income Tax Article 4 Paragraph (2) on lottery prize.

Paragraph (2) on Transaction of Shares and Other Securities at the Stock Exchange

Payment to settle Final Income Tax Article 4 Paragraph (2) on transaction of shares and other securities at the stock exchange.

Paragraph (2) on Founder’s Stock Sale

Payment to settle Final Income Tax Article 4 Paragraph (2) on founder stock’s sale.

Paragraph (2) on Sale of Stocks

Owned by a Joint Venture

Company

Payment to settle Final Income Tax Article 4 Paragraph (2) on sale of stocks owned by a joint venture company.

Paragraph (2) on Construction Service

Payment to settle Final Income Tax Article 4 Paragraph (2) on construction service.

410 Final Income Tax Article 15 on

Domestic Sea Shipping Service

Payment to settle Final Income Tax Article 15 on domestic sea shipping service.

International Sea and/or Air Shipping Service

Payment to settle Final Income Tax Article 15 on international sea and/or air shipping service.

413 Final Income Tax Article 15 on Income Received by Foreign Commerce Representative Office

Payment to settle final Income Tax Article 15 on

income received by foreign commerce

representative office.

Profit Sharing

Payment to settle final Income Tax Article 15 on profit sharing.

BOT Financing

(18)

416 Final Income Tax Article 19 on Revaluation of Fixed Assets

Payment to settle final Income Tax Article 19 on revaluation of fixed assets.

417

Final Income Tax Article 4

Paragraph (2) on Savings Interest Paid by a Cooperatives to its Member

Payment to settle Final Income Tax Article 4 Paragraph (2) on savings interest paid by a cooperatives to its Member.

Paragraph (2) on Transaction of Derivatives at the Capital Market

Payment to settle final Income Tax Article 4 Paragraph (2) on transaction of derivatives at the capital market.

Paragraph (2c) on Dividend

Payment to settle final Income Tax Article 17 Paragraph (2c) on dividend received by resident personal taxpayer.

499 Other Final Income Tax Payment to settle Other Final Income Tax.

500 Final Income Tax for Voluntary

Disclosal on Incorrectness

Payment to settle Final Income Tax payable in accordance with voluntary disclosal on Corporate Income Tax Returns incorrectness as stated in Article 8 Paragraph (3) or (5) of the Law on General Provisions and Tax Procedures.

501 Final Income Tax for Termination

of Investigation on Criminal Tax Offence

Payment to settle Final Income Tax Payable in accordance with Corporate Income Tax Article Returns in terms of termination of investigation on criminal tax offence as stated in Article 44B Paragraph (2) of the Law on General Provisions and Tax Procedures.

Payment to settle administrative penalties in the form of fines or surcharges in terms of voluntary disclosal on Final Income Returns incorrectness, as stated in Article 8 Paragraph (3) or (5) of the Law on General Provisions and Tax Procedures.

9. Tax Account Code 411129 for Other Non Petroleum and Natural Gas Income Payment

100 Other Non Petroleum and

Natural Gas Income Tax

Payment to settle Other Non Petroleum and Natural Gas Income Tax, other than Income Tax Article 15 on chartered domestic air service.

Domestic Air Service

Periodic payment to settle Income Tax Article 15 on chartered domestic air service (non-final).

Natural Gas Income Tax Notice

ofTax Collection

Payment to settle amount payable in accordance with Other Non Petroleum and Natural Gas Income Tax Notice of Tax Collection, other than Income Tax Article 15 on chartered domestic air service.

Tax Collectionon Domestic Air

Service

Payment to settle amount payable in accordance with Income Tax Article 15 Notice of Tax Collection on chartered domestic air service (non-final).

Natural Gas Income Tax Notice of Tax Underpayment

Assessment

(19)

311 Income Tax Article 15 Notice of Tax Underpayment

Assessment on Domestic Air Service

Payment to settle amount underpaid in accordance with Income Tax Article 15 Notice of Additional Tax Underpayment Assessment on chartered domestic air service (non-final).

Natural Gas Income Tax Notice of Additional Tax

Payment to settle amount underpaid in accordance with Other Non Petroleum and Natural Gas Income

Tax Notice of Additional Tax Underpayment

Assessment other than Income Tax Article 15 on chartered domestic air service.

321 Income Tax Article 15 Notice of Additional Tax Underpayment Assessment on Domestic Air Service

Payment to settle amount underpaid in accordance with Income Tax Article 15 on chartered domestic air service (non-final).

Correction Decision, Decision on Objection, Decision on Appeal, or Decision on Review

Payment to settle amount underpaid in accordance with Notice of Correction Decision, Decision on Objection, Decision on Appeal, or Decision on Review.

Natural Gas Income Tax for Voluntary Disclosal on Incorrectness

Payment to settle tax payable in accordance with voluntary disclosal on Other Non Petroleum and Natural Gas Income Tax Returns incorrectness as stated in Article 8 Paragraph (3) or (5) of the Law on General Provisions and Tax Procedures.

Natural Gas Income Tax on Termination of Investigation on Criminal Tax Offence

Payment to settle tax payable in accordance with Other Non Petroleum and Natural Gas Income Tax Returns in terms of termination of investigation on criminal tax offence as stated in Article 44B Paragraph (2) of the Law on General Provisions and Tax Procedures.

Payment to settle administrative penalties in the form of fines or surcharges in terms of voluntary disclosal on Other Non Petroleum and Natural Gas Income Tax Returns Incorrectness, as stated in Article 8 Paragraph (3) or (5) of the Law on General Provisions and Tax Procedures.

Payment to settle administrative penalties in the form of fines in terms of termination of investigation on criminal tax offence , as stated in Article 44B Paragraph (2) of the Law on General Provisions and Tax Procedures.

10. Tax Account Code 411131 for Foreign Fiscal Tax

Payment

100 Foreign Fiscal Payment to settle Foreign Fiscal.

300 Foreign Fiscal Notice ofTax Collection

Payment to settle amount payable in accordance with Foreign Fiscal Notice of Tax Collection.

11. Tax Account Code 411111 for Petroleum Income Tax

Payment

100 Petroleum Income Tax Periodic payment to settle Petroleum Income

Tax.

300 Petroleum Income Tax Notice of

Tax Collection

(20)

310 Petroleum Income Tax Notice of Tax Underpayment Assessment

accordance with Petroleum Income Tax Notice of Tax Underpayment Assessment.

320 Petroleum Income Tax Notice of

accordance with Petroleum Income Tax Notice of Additional Tax Underpayment Assessment.

12. Tax Account Code 411112 for Natural Gas Income Tax

Payment

100 Natural Gas Income Tax Periodic payment to settle Natural Gas Income

Tax.

300 Natural Gas Income Tax Notice

ofTax Collection

Payment to settle amount payable in accordance with Natural Gas Income Tax Notice of Tax Collection.

of Tax Underpayment Assessment

accordance with Natural Gas Income Tax Notice of Tax Underpayment Assessment.

of Additional Tax Underpayment Assessment

accordance with Natural Gas Income Tax Notice of Additional Tax Underpayment Assessment.

13. Tax Account Code 411119 for Other Petroleum and Natural Gas Income Tax

Payment

100 Other Petroleum and Natural

Gas Income Tax

Periodic payment to settle Other Petroleum and Natural Gas Income Tax.

Gas Income Tax Notice ofTax Collection

Payment to settle amount payable in accordance with Other Petroleum and Natural Gas Income Tax Notice of Tax Collection.

Gas Income Tax Notice of Tax Underpayment Assessment

accordance with Other Petroleum and Natural Gas Income Tax Notice of Tax Underpayment Assessment.

Gas Income Tax Notice of Additional Tax Underpayment Assessment

accordance with Other Petroleum and Natural Gas Income Tax Notice of Additional Tax Underpayment Assessment.

(21)

14. Tax Account Code 411211 for Domestic Value Added Tax

Payment

100 Domestic Value Added Tax

Periodic Payment

Payment to settle tax underpaid in accordance with Domestic Value Added Tax Periodic Tax Returns.

101 Value Added Tax Payment on

Intangible Taxable Goods from Outside the Customs Area

Payment to settle tax payable on utilisation of Intangible Taxable Goods from outside the Customs Area.

102 Value Added Tax Payment on

Taxable Service from Outside the Customs Area

Payment to settle tax payable on utilisation of Taxable Service from outside the Customs Area.

103 Payment on Self-Construction

Activities

Payment to settle Value Added Tax Payable on Self-Construction Activities.

104

Payment on Assets Originally Acquired Not for Sale

Payment to settle Value Added Tax Payable on transfer of assets that were not originally acquired for sale.

Payment on Transfer of Assets in Terms of Company

Restructuring

Payment to settle Value Added Tax payable on

transfer of assets in terms of company

restructuring.

Prepaid Payment on Notice of Tax Assessment

Payment to settle Domestic Value Added Tax Notice of Tax Assessment before issuance.

Notice ofTax Collection

Payment to settle amount payable in accordance with Domestic Value Added Tax Notice of Tax Collection.

accordance with Domestic Value Added Tax Notice of Tax Underpayment Assessment.

311 Notice of Tax Underpayment

Assessment in Terms of Value Added Tax on Utilisation of Intangible Taxable Goods from Outside the Customs Area

accordance with Notice of Tax Underpayment Assessment in terms of Value Added Tax on utilisation of intangible taxable goods from outside the customs area.

312 Notice of Tax Underpayment

Assessment in Terms of Utilisation of Value Added Tax on Taxable Service from Outside the Customs Area

accordance with Notice of Tax Underpayment Assessment in terms of Value Added Tax on utilisation of taxable service from outside the customs area.

313 Value Added Tax Notice of Tax

Underpayment Assessment on Self-Construction Activities

accordance with Notice of Tax Underpayment Assessment on Self-Construction Activities.

Notice of Tax Underpayment Assessment for Withholding Agent

accordance with Domestic Value Added Tax Notice of Tax Underpayment Assessment in terms of Withholding Agent’s obligation.

Notice of Additional Tax Underpayment Assessment

accordance with Domestic Value Added Tax

Assessment.

321 Notice of Additional Tax

Underpayment

Assessment in Terms of Value Added Tax on Utilisation of Intangible Taxable Goods from Outside the Customs Area

accordance with Notice of Additional Tax

(22)

322 Notice of Additional Tax Underpayment

Assessment in Terms of Value Added Tax on Utilisation of Taxable Service from Outside the Customs Area

Underpayment Assessment in terms of Value Added Tax on utilisation of taxable service from outside the customs area.

323 Value Added Tax Notice of

Additional Tax Underpayment Assessment on Self-Construction Activities

Underpayment Assessment on Self-Construction Activities.

Assessment for Withholding Agent

accordance with Domestic Value Added Tax

Assessment in terms of Withholding Agent’s obligation.

Payment to settle amount Underpaid in

500 Domestic Value Added Tax for

Payment to settle Domestic Value Added Tax payable in accordance with voluntary disclosal on Value Added Tax Returns incorrectness as stated in Article 8 Paragraph (3) or (5) of the Law on General Provisions and Tax Procedures.

501 Domestic Value Added Tax on

Payment to settle Other Domestic Value Added Tax Payable in accordance with Value Added

Tax returns in terms of termination of

investigation on criminal tax offence as stated in Article 44B Paragraph (2) of the Law on General Provisions and Tax Procedures.

Payment to settle administrative penalties in the form of fines or surcharges in terms of voluntary

disclosal on Value Added Tax Returns

incorrectness, as stated in Article 8 Paragraph (3) or (5) of the Law on General Provisions and Tax Procedures.

900 Withholding Domestic Value

Added Tax

Payment to settle Domestic Value Added Tax withhold by Withholding Agent.

15. Tax Account Code 411212 for Import Value Added Tax

Payment

100 Import Value Added Tax

Periodic Payment

Payment to settle Value Added Tax Payable at the Time of Importing Taxable Goods.

199 Import Value Added Tax Prepaid

Payment on Notice of Tax Assessment

Import Value Added Tax Prepaid Payment on Notice of Tax Assessment.

300 Import Value Added Tax Notice

ofTax Collection

(23)

310 Import Value Added Tax Notice of Tax Underpayment

Assessment

accordance with Import Value Added Tax Notice of Tax Underpayment Assessment.

accordance with Import Value Added Tax Notice of Additional Tax Underpayment Assessment.

500 Import Value Added Tax for

Payment to settle Import Value Added Tax payable in accordance with voluntary disclosal on Value Added Tax Returns incorrectness as stated in Article 8 Paragraph (3) or (5) of the Law on General Provisions and Tax Procedures.

501 Import Value Added Tax on

Payment to settle Other Domestic Value Added Tax Payable in accordance with Value Added

Tax Returns in terms of termination of

Investigation on criminal tax offence as stated in Article 44B Paragraph (2) of the Law on General Provisions and Tax Procedures.

Payment to settle Administrative Penalties in the form of fines or surcharges in terms of voluntary

disclosal on value added tax returns

incorrectness, as stated in Article 8 Paragraph (3) or (5) of the Law on General Provisions and Tax Procedures.

900 Withholding Import Value Added

Tax

Payment to settle Domestic Value Added Tax withhold by Withholding Agent.

16. Tax Account Code 411219 for Other Value Added Tax

Payment

100 Other Value Added Tax Periodic

Payment

Payment to settle Other Value Added Tax Payable.

300 Other Value Added Tax Notice

ofTax Collection

Payment to settle amount payable in accordance with Other Value Added Tax Notice of Tax Collection.

310 Other Value Added Tax Notice

of Tax Underpayment Assessment

accordance with Other Value Added Tax Notice of Tax Underpayment Assessment.

accordance with Other Value Added Tax Notice of Additional Tax Underpayment Assessment.