INDUSTRIAL COMPANIES
8B-1
TIN :
TAXPAYER'S NAME :
I. ELEMENTS FROM BALANCE SHEET
NO. NO.
1. CASH AND EQUIVALENT 1. ACCOUNT PAYABLE - THIRD PARTIES
2. TEMPORARY INVESTMENTS 2.
3. ACCOUNT RECEIVABLE - THIRD PARTIES 3. INTEREST PAYABLE
4. 4. TAXES PAYABLE
5. OTHER RECEIVABLE - THIRD PARTIES 5. DIVIDENDS PAYABLE
6. 6. ACCRUED EXPENSES
7. ALLOWANCE FOR DOUBTFUL ACCOUNTS 7. SHORT - TERM BANK LOANS
8. INVENTORIES 8.
9. PREPAID EXPENSES 9. ADVANCES
10. ADVANCES 10. OTHER CURRENT LIABILITIES
11. OTHER CURRENT ASSETS 11. LONG - TERM DEBT - BANK LOANS
12. LONG-TERM RECEIVABLES 12.
13. LAND AND BUILDINGS 13.
14. OTHER FIXED ASSETS 14. DEFFERED TAX LIABILITIES
15. LESS: ACCUMULATED DEPRECIATION 15. OTHER NON-CURRENT LIABILITIES
16. INVESMENT IN ASSOCIATES 16. CAPITAL STOCK
17. OTHER LONG-TERM INVESTMENTS 17.
18. INTANGIBLE ASSETS 18.
19. DEFERRED TAX ASSET 19. RETAINED EARNINGS
20. OTHER NON - CURRENT ASSETS 20. OTHER EQUITY
TOTAL ASSETS
II. ELEMENTS FROM INCOME STATEMENT NO.
1. NET SALES 2. MATERIALS 3. DIRECT LABOUR 4. FACTORY OVERHEAD 5. MANUFACTURING COST (2 + 3 + 4) 6. WORK IN PROCESS - BEGINNING 7. WORK IN PROCESS - ENDING 8. COST OF GOOD MANUFACTURE (5 + 6 - 7) 9. FINISHED GOODS - BEGINNING 10. FINISHED GOODS - ENDING 11. COST OF GOOD SOLD (8 + 9 - 10) 12. GROSS PROFIT (1 - 11) 13. SELLING EXPENSES
14. GENERAL AND ADMINISTRATIVE EXPENSES 15. PROFIT (12 - 13 - 14)
16. OTHERS INCOME (EXPENSES) 17. NET EARNINGS OF ASSOCIATES
18. INCOME BEFORE INCOME TAX BENEFIT/ (EXPENSE) (15 + 16 + 17) 19. INCOME TAX BENEFIT / (EXPENSE)
20. NET EARNINGS FROM NORMAL ACTIVITIES (18 - 19) 21. EXTRA ORDINARY ITEMS
22. INCOME BEFORE MINORITY INTEREST IN NET EARNINGS OF SUBSIDIARIES (20 + 21) 23. MINORITY INTEREST IN NET EARNINGS OF SUBSIDIARIES
24. NET PROFIT (22 - 23)
III. TRANSACTION WITH RELATED PARTIES UNDER FINANCIAL ACCOUNTING STANDARD GUIDELINES (PSAK) NUMBER 7 NO.
2
0
a.
….………,
(Place)
b. TAXPAYER AUTHORIZED/REPRESENTATIVE
c.FULL NAME OF MANAGEMENT/REPRESENTATIVE
TRANSCRIPT OF ELEMENTS CITATION OF
FINANCIAL STATEMENT
(year) (date) (month)
RETAINED EARNINGS FROM PREVIOUS YEARS
VALUE (IDR) LONG-TERM DEBT-THIRD PARTIES
ADDITONAL PAID - IN CAPITAL LONG-TERM DEBT-RELATED PARTIES LONG - TERM DEBTS-CURRENT MATURITIES ACCOUNT RECEIVABLE - RELATED PARTIES
OTHER RECEIVABLE - RELATED PARTIES
VALUE (IDR)
DESCRIPTION DESCRIPTION
ACCOUNT PAYABLE - RELATED PARTIES VALUE (IDR)
TOTAL LIABILITIES AND OWNERS' EQUITY
Understanding All The Sanctions Provided by The Law and Regulations, I Hereby Declare that The Information Stated in this Return, Including All Attachments Provided, are True, Complete, Clear, and Under No Circumstances Whatsoever.
DECLARATION
TYPES OF TRANSACTION TRANSACTION VALUE (IDR)
PARTIES
TAXABLE YEAR
8B-1
CORPORATE ANNUAL INCOME TAX RETURNSPECIAL ATTACHMENT2
DESCRIPTION
8B-2
TRADING COMPANIES
TIN
:TAXPAYER'S NAME
:I. ELEMENT FROM BALANCE SHEET
NO. NO.
1. CASH AND EQUIVALENT 1. ACCOUNT PAYABLE -THIRD PARTIES
2. TEMPORARY INVESTMENTS 2.
3. ACCOUNT RECEIVABLE - THIRD PARTIES 3. INTEREST PAYABLE
4. 4. TAXES PAYABLE
5. OTHER RECEIVABLE - THIRD PARTIES 5. DIVIDEND PAYABLE
6. 6. ACCRUED EXPENSES
7. ALLOWANCE FOR DOUBTFUL ACCOUNTS 7. SHORT - TERM BANK LOANS
8. INVENTORIES 8.
9. PREPAID EXPENSES 9. ADVANCES
10. ADVANCES 10. OTHER CURRENT LIABILITIES
11. OTHER CURRENT ASSET 11. LONG - TERM DEBT - BANK LOANS
12. LONG - TERM RECEIVABLES 12.
13. LAND AND BUILDINGS 13.
14. OTHER FIXED ASSETS 14. DEFFERED TAX LIABILITIES
15. LESS: ACCUMULATED DEPRECIATION 15. OTHER LONG - TERM LIABILITIES
16. INVESTMENTS IN ASOCIATES 16. CAPITAL STOCK
17. OTHER LONG - TERM INVESTMENTS 17.
18. INTANGIBLE ASSETS 18.
19. DEFERRED TAX ASSET 19. RETAINED EARNINGS
20. OTHER NON - CURRENT ASSET 20. OTHER EQUITY
TOTAL ASSETS
II. ELEMENTS FROM INCOME STATEMENT
NO.
1. NET SALES 2. PURCHASE
3. MERCHANDISE INVENTORY- BEGINNING 4. MERCHANDISE INVENTORY- ENDING 5. COST OF GOOD SOLD (2 + 3 - 4) 6. GROSS PROFIT (1 - 5) 7. SALES EXPENSE
8. GENERAL AND ADMINISTRATIVE EXPENSES 9. PROFIT (6 - 7 - 8)
10. INCOME/(EXPENSE) OTHER 11. NET EARNINGS OF ASSOCIATES 12. INCOME BEFORE INCOME TAX (9 + 10 + 11) 13. INCOME TAX BENEFIT (EXPENSE)
14. NET EARNINGS FROM NORMAL ACTIVITIES (12 - 13) 15. EXTRAORDINARY ITEMS
16. GAIN/LOSS BEFORE MINORITY INTEREST (14 + 15) 17. MINORITY INTEREST IN NET EARNIGS OF SUBSIDIARIES 18. NET PROFIT (16 - 17)
III. TRANSACTION WITH RELATED PARTIES UNDER FINANCIAL ACCOUNTING STANDARD GUIDELINES (PSAK) NUMBER 7
NO.
a.
….………,
2
0
(Place)
b. TAXPAYER AUTHORIZED/REPRESENTATIVE
c.FULL NAME OF MANAGEMENT/REPRESENTATIVE
TYPES OF TRANSACTION TRANSACTION VALUE (IDR)
DECLARATION
(d. Signature and Company Seal)
(date) (month) (year)
PARTIES
Understanding All The Sanctions Provided by The Law and Regulations, I Hereby Declare that The Information Stated in this Return, Including All Attachments Provided, are True, Complete, Clear, and Under No Circumstances Whatsoever.
SPECIAL ATTACHMENT
DESCRIPTION VALUE (IDR) DESCRIPTION VALUE (IDR)
8B-2
CORPORATE ANNUAL INCOME TAX RETURN
TRANSCRIPT OF ELEMENTS CITATION OF
FINANCIAL STATEMENT
TAXABLE YEAR
ACCOUNT RECEIVABLE - RELATED PARTIES
OTHER RECEIVABLE - RELATED PARTIES
DESCRIPTION VALUE (IDR)
ADDITIONAL PAID-IN CAPITAL
TOTAL LIABILITIES AND OWNERS' EQUITY ACCOUNT PAYABLE - RELATED PARTIES
LONG - TERM DEBTS-CURRENT MATURITIES
LONG - TERM DEBT - THIRD PARTIES
LONG -TERM DEBT - RELATED PARTIES
RETAINED EARNINGS FROM PREVIOUS YEARS
8B-3
CONVENTIONAL BANKS
TAXABLE YEAR
TIN
:
TAXPAYER'S NAME
:
I. ELEMENTS FROM BALANCE SHEET
NO.
NO.
1. CASH 1. OBLIGATION DUE IMMEDIATELY
2. GIRO AT CENTRAL BANK 2.
3. GIRO AT OTHER BANK - NET 3.
4. 4. DEPOSITS FROM OTHER BANKS
5. 5.
6. 6. DERIVATIVE PAYABLES
7. 7. ACCEPTANCE PAYABLES
8. 8. TAXES PAYABLE
9. DERIVATIVE RECEIVABLES, NET OF ALLOWANCE 9. MARKETABLE SECURITIES ISSUED
10. LOANS, NET OF ALLOWANCE 10. LOAN RECEIVED
11. 11.
12. ACCEPTANCE RECEIVABLES, NET OF ALLOWANCE 12. DEFFERED TAX LIABILITIES
13. GOVERNMENT BONDS 13. ACCRUALS LIABILITIES
14. INVESTMENTS, NET OF ALLOWANCE 14. OTHER LIABILITIES
15. GOODWILL - NET OF ACCUMULATED AMORTIZATION 15. SUBORDINATED DEBTS
16. FIXED ASSET 16. CAPITAL STOCK
17. LESS: ACCUMULATED DEPRECIATION 17.
18. DEFFERED TAX ASSET 18.
19. PREPAID EXPENSES 19. RETAINED EARNINGS
20. OTHER ASSETS 20. OTHER EQUITY
TOTAL ASSETS
II. ELEMENTS FROM INCOME STATEMENT
NO.
1. INTEREST INCOME 2. INTEREST EXPENSE 3. NET INTEREST INCOME (1 - 2) 4. OTHER OPERATING INCOME 5. OTHER OPERATING EXPENSES 6. INCOME FROM OPERATIONS (3 + 4 - 5) 7. NON-OPERATING INCOME
8. NON-OPERATING EXPENSES 9. NON-OPERATING INCOME - NET (7 - 8) 10. NET EARNINGS OF ASSOCIATES
11. INCOME BEFORE INCOME TAX (3 + 6 + 9 + 10) 12. INCOME TAX BENEFIT (EXPENSE)
13. NET EARNINGS FROM NORMAL ACTIVITIES ( 11 - 12) 14. EXTRAORDINARY ITEMS
15. INCOME BEFORE MINORITY INTEREST IN NET EARNIGS OF SUBSIDIARIES (13-14) 16. MINORITY INTEREST IN NET EARNIGS OF SUBSIDIARIES
17. NET PROFIT (15 - 16)
III. TRANSACTION WITH RELATED PARTIES UNDER FINANCIAL ACCOUNTING STANDARD GUIDELINES (PSAK) NUMBER 7
NO.
2 0
a.
….………,
(Place)
b.
TAXPAYER AUTHORIZED/REPRESENTATIVEUnderstanding All The Sanctions Provided by The Law and Regulations, I Hereby Declare that The Information Stated in this Return, Including All Attachments Provided, are True,
Complete, Clear, and Under No Circumstances Whatsoever.
DESCRIPTION
VALUE (IDR)
PARTIES
TYPES OF TRANSACTION
TRANSACTION VALUE (IDR)
DECLARATION
(date) (month) (year)
ADDITIONAL PAID - IN CAPITAL MARKETABLE SECURITIES - THIRD PARTIES
MARKETABLE SECURITIES PURCHASED UNDER RESALE AGREEMENT, NET OF ALLOWANCE
CONSUMER FINANCING RECEIVABLES, NET OF ALLOWANCE
DESCRIPTION
VALUE (IDR)
DESCRIPTION
VALUE (IDR)
PLACEMENTS ON CENTRAL BANK - NET
PLACEMENTS ON OTHER BANKS - NET
MARKETABLE SECURITIES - RELATED PARTIES
MARKETABLE SECURITIES SOLD UNDER REPURCHASE AGREEMENTS, NET OF ALLOWANCE
ESTIMATED LOSSES ON COMMITMENTS AND CONTIGENCIES
TOTAL LIABILITIES AND OWNERS' EQUITY
8B-3
CORPORATE ANNUAL INCOME TAX RETURN
SPECIAL ATTACHMENT
RETAINED EARNINGS FROM PREVIOUS YEARS
DEPOSITS FROM CUSTOMERS - THIRD PARTIES
DEPOSITS FROM CUSTOMERS - RELATED PARTIES
2
0
SHARIA
8B-4
BANKS
TIN
:
TAXPAYER'S NAME
:
I. ELEMENTS FROM BALANCE SHEET
NO.
NO.
1. CASH AND EQUIVALENT 1. OBLIGATION DUE IMMEDIATELY
2. PLACEMENTS ON CENTRAL BANK 2.
3. GIRO ON OTHER BANKS - NET 3.
4. 4. LIABILITIY TO OTHER BANK
5. 5.
6. 6.
7. 7. ZAKAT PAYABLE
8. 8. TAX PAYABLE
9. INVENTORIES (ASSET FOR RESALES) 9. DEFERRED TAX LIABILITIES
10. ASSETS ACQUIRED FOR IJARAH 10. OTHER PAYABLE
11. ASSET OF ISTISHNA IN COMPLETION 11.
12. INVESTMENT 12.
13. FIXED ASSET 13. CAPITAL STOCK
14. LESS: ACCUMULATED DEPRECIATION 14.
15. DEFERRED TAX ASSETS 15.
16. PREPAID EXPENSES 16. RETAINED EARNING FOR THIS YEAR
17. OTHER ASSETS 17. OTHER EQUITY
TOTAL ASSETS
II. ELEMENTS FROM INCOME STATEMENT
NO.
1. OPERATING REVENUE
2. RIGHT OF THIRD PARTIES ON THE UNRELATED INVESTMENT RETURN 3. MAJOR OPERATIONS INCOME - NET (1 - 2)
4. OTHER OPERATING REVENUES 5. OTHER OPERATING EXPENSES 6. INCOME FROM OPERATIONS (3 + 4 - 5) 7. NON-OPERATING REVENUE 8. NON OPERATING EXPENSES 9. NET EARNINGS OF ASSOCIATES
10. INCOME BEFORE INCOME TAX (6 + 7 - 8 + 9) 11. INCOME TAX BENEFIT (EXPENSE)
12. NET EARNINGS FROM NORMAL ACTIVITIES (10 - 11) 13. EXTRAORDINARY ITEMS
14. INCOME BEFORE MINORITY INTEREST IN NET EARNIGS OF SUBSIDIARIES (12-13) 15. MINORITY INTEREST IN NET EARNIGS OF SUBSIDIARIES
16. NET PROFIT (14 - 15)
III. TRANSACTION WITH RELATED PARTIES UNDER FINANCIAL ACCOUNTING STANDARD GUIDELINES (PSAK) NUMBER 7
NO.
2
0
a.
….………,
(Place)b.
TAXPAYER AUTHORIZED/REPRESENTATIVEc.
FULL NAME OF MANAGEMENT/REPRESENTATIVE RECEIVABLES (MURABAHAH, SALAM, ISTISHNA, IJAROH, ETC)VALUE (IDR)
TRANSCRIPT OF ELEMENTS CITATION OF
FINANCIAL STATEMENT
2
0
MUDHARABAH FINANCING PLACEMENT ON OTHER BANK - NET
SECURITIES RECEIVED FINANCING
SPECIAL ATTACHMENT
8B-4
VALUE (IDR)
DESCRIPTION
DESCRIPTION
DEPOSIT (WADIAH SAVING AND GIRO) OTHER LIABILITY (SALAM LIABILITY AND ISTISHNA LIABILITY)
Understanding All The Sanctions Provided by The Law and Regulations, I Hereby Declare that The Information Stated in this Return, Including All Attachments Provided, are True,
Complete, Clear, and Under No Circumstances Whatsoever.
UNDISTRIBUTED OF PROFIT ANNOUNCED
PARTIES
TYPES OF TRANSACTION
TRANSACTION VALUE (IDR)
(MUDAROBAH DEPOSIT AND SAVING) NON BANK
(month) (year)
(d. Signature and Company Seal)
DECLARATION
(date)
ADDITIONAL PAID-IN CAPITAL PREVIOUS RETAINED EARNING
(MUDHARABAH DEPOSIT AND SAVING) BANK MUSYAROKAH FINANCING
VALUE (IDR)
DESCRIPTION
TAXABLE YEAR
CORPORATE ANNUAL INCOME TAX RETURN
INSURANCE COMPANY
8B-5
TAXABLE YEAR
TIN :
TAXPAYER'S NAME :
I. ELEMENTS FROM BALANCE SHEET
NO. NO.
1. INVESTMENTS - TIME DEPOSITS 1. OBLIGATION TO POLICYHOLDER
2. INVESTMENTS IN SHARES OF STOCK 2. OBLIGATION FOR FUTURE POLICY BENEFITS
3. INVESTMENTS - BONDS 3. ESTIMATED OWN RETENTION CLAIMS
4. INVESTMENTS - TRADING SECURITIES 4. CLAIMS PAYABLE
5. INVESMENTS-DIRECT SHARE 5.
6. INVESTMENTS- LAND AND BUILDING 6.
7. INVESTMENTS- MORTGAGES LOAN 7. DEPOSIT PREMIUMS
8. INVESTMENTS- INSURANCE POLICY LOANS 8. COMMISION PAYABLES
9. OTHER INVESTMENTS 9. RE-INSURANCE PAYABLES
10. CASH ON HAND AND IN BANKS 10. ACCRUED EXPENSES
11. PREMIUM RECEIVABLES 11. TAXES PAYABLE
12. RE-INSURANCE RECEIVABLES 12. DEFFERED TAX LIABILITIES
13. INVESTMENT RETURN RECEIVABLES 13. OTHER LIABILITIES
14. OTHER ACCOUNT RECEIVABLES 14. CAPITAL STOCK
15. PREPAID EXPENSES 15. ADDITIONAL PAID-IN CAPITAL
16. DEFFERED TAX ASSETS 16.
17. FIXED ASSETS 17.
18. LESS: ACCUMULATED DEPRECIATION 18.
19. DEFERRED ACQUISITION COST – NET 19. RETAINED EARNINGS
20. OTHER ASSETS 20. OTHER EQUITY
TOTAL ASSETS
II. ELEMENTS FROM INCOME STATEMENT NO.
1. GROSS PREMIUMS 2. REINSURANCE PREMIUMS
3. DECREASE (INCREASE) IN UNEARNED PREMIUMS 4. TOTAL PREMIUMS INCOME (1 + 2 + 3)
5. NET INCOME FROM INVESTMENTS 6. OTHERS
7. TOTAL INCOME (4 + 5 + 6) 8. CLAIMS AND BENEFITS 9. RE-INSURANCE CLAIMS
10. INCREASE IN FUTURE POLICYHOLDER BENEFIT LIABILITIES AND ESTIMATED CLAIMS LIABILITIES 11. ACQUISITION COST
12. OPERATING EXPENSES 13. SELLING EXPENSES
14. GENERAL AND ADMINISTRATIVE EXPENSE 15. OTHER EXPENSES
16. TOTAL EXPENSES (TOTAL 8 TO 15) 17. INCOME FROM OPERATIONS (7 - 16) 18. NET EARNINGS OF ASSOCIATES
19. INCOME BEFORE INCOME TAX BENEFIT/(EXPENSE)(17+ 18) 20. INCOME TAX BENEFIT / (EXPENSE)
21. GAINS (LOSSES) FROM NORMAL ACTIVITIES (19 - 20) 22. EXTRA ORDINARY ITEMS
23. INCOME BEFORE MINORITY INTEREST IN NET EARNIGS OF SUBSIDIARIES (21 + 22) 24. MINORITY INTEREST IN NET EARNIGSSOF SUBSIDIARIES
25. NET PROFIT (23 - 24)
III. TRANSACTION WITH RELATED PARTIES UNDER FINANCIAL ACCOUNTING STANDARD GUIDELINES (PSAK) NUMBER 7 NO.
2
0
a.
….………,
(Place)
b. TAXPAYER AUTHORIZED/REPRESENTATIVE
Understanding All The Sanctions Provided by The Law and Regulations, I Hereby Declare that The Information Stated in this Return, Including All Attachments Provided, are True, Complete, Clear, and Under No Circumstances Whatsoever.
SPECIAL ATTACHMENT
TRANSCRIPT OF ELEMENTS CITATION OF
FINANCIAL STATEMENT
DESCRIPTION
UNEARNED PREMIUMS
TOTAL OBLIGATION TO POLICYHOLDER
DIFFERENCE ON REVALUATION OF FIXED ASSET
DIFFERENCE IN VALUE RESULTING FROM RESTUCTURING TRANSACTION WITH ENTITIES UNDER COMMON CONTROL
NET UNREALIZED GAIN (LOSS) ON INCREASE (DECREASE) IN FAIR VALUE OF AVAILABLE FOR SALE SECURITIES
DESCRIPTION
TOTAL LIABILITIES AND OWNERS' EQUITY
PARTIES TYPES OF TRANSACTION TRANSACTION VALUE (IDR)
DECLARATION
DESCRIPTION VALUE (IDR)
(date) (month) (year)
8B-5
CORPORATE ANNUAL INCOME TAX RETURN2
0
VALUE (IDR)
NON-
8B-6
QUALIFICATION
TAXABLE YEAR
TIN
:TAXPAYER'S NAME
:I. ELEMENTS FROM BALANCE SHEET
NO. NO.
1. CASH AND EQUIVALENT 1. ACCOUNT PAYABLE - THIRD PARTY
2. TEMPORARY INVESTMENT 2.
3. ACCOUNT RECEIVABLE - THIRD PARTIES 3. INTEREST PAYABLE
4. 4. INTEREST TAXES
5. OTHER ACCOUNT RECEIVABLE - THIRD PARTIES 5. DIVIDEND PAYABLE
6. 6. ACCRUED EXPENSES
7. ALLOWANCE FOR DOUBTFUL ACCOUNTS 7. BANK PAYABLES
8. INVENTORIES 8.
9. PREPAID EXPENSES 9. ADVANCES
10. PURCHASING DOWN PAYMENT 10. OTHER CURRENT LIABILITIES
11. OTHER CURRENT ASSETS 11. LONG - TERM DEBT-BANK LOANS
12. LONG - TERM RECEIVABLE 12.
13. LAND AND BUILDING 13.
14. OTHER FIXED ASSETS 14. DEFERRED TAX LIABILITIES
15. ACCUMULATED DEPRECIATION 15. OTHER NON CURRENT LIABILITIES
16. INVESTMENT IN ASSOCIATION COMPANIES 16. CAPITAL STOCK
17. OTHER LONG - TERM INVESTMENTS 17.
18. INTANGIBLE ASSETS 18.
19. DEFERRED TAX ASSETS 19. RETAINED EARNINGS
20. OTHER NON CURRENT ASSETS 20. OTHER EQUITY
TOTAL ASSETS
II. ELEMENTS FROM INCOME STATEMENT NO.
1. NET SALES
2. BEGINNING INVENTORY 3. PURCHASE
4. ENDING INVENTORY 5. COST OF GOOD SOLD (2 + 3 - 4) 6. GROSS PROFIT (1 - 5) 7. SALES EXPENSE
8. GENERAL AND ADMINISTRATION EXPENSE 9. PROFIT (6 - 7 - 8)
10. INCOME/ (EXPENSE) OTHER 11. NET EARNINGS FROM ASSOCIATES 12. INCOME BEFORE INCOME TAX (9 + 10 + 11) 13. INCOME TAX BENEFIT( EXPENSE)
14. GAIN (LOSS) FROM NORMAL ACTIVITIES (12 - 13) 15. EXTRAORDINARY ITEMS
16. GAIN/LOSS BEFORE MINORITY INTEREST (14 + 15) 17. MINORITY INTEREST IN NET EARNING OF SUBSIDIARIES 18. NET PROFIT (16 - 17)
III. TRANSACTION WITH RELATED PARTIES UNDER FINANCIAL ACCOUNTING STANDARD GUIDELINES (PSAK) NUMBER 7
NO.
2
0
a.….………,
(Place)
b. TAXPAYER AUTHORIZED/REPRESENTATIVE
c.FULL NAME OF MANAGEMENT/REPRESENTATIVE
PARTIES TYPES OF TRANSACTION TRANSACTION VALUE (IDR)
LONG - TERM DEBT-THIRD PARTIES
DECLARATION
(date) (month) (year)
(d. Signature and Company Seal) Understanding All The Sanctions Provided by The Law and Regulations, I Hereby Declare that The Information Stated in this
Return, Including All Attachments Provided, are True, Complete, Clear, and Under No Circumstances Whatsoever.
LONG -TERM DEBT-RELATED PARTIES LONG - TERM DEBTS-CURRENT MATURITIES ACCOUNT RECEIVABLE - RELATED PARTIES
OTHER RECEIVABLE WITH RELATED PARTIES
DESCRIPTION VALUE (IDR) VALUE (IDR)
ACCOUNT PAYABLE - RELATED PARTIES
ADDITIONAL PAID-IN CAPITAL
RETAINED EARNING FROM PREVIOUS YEAR
TOTAL LIABILITY AND OWNER'S EQUITY
DESCRIPTION VALUE (IDR)
SPECIAL ATTACHMENT
DESCRIPTION
8B-6
CORPORATE ANNUAL INCOME TAX RETURN
2
0
8B-7
TAXABLE YEAR
TIN
:TAXPAYER'S NAME
:I. ELEMENT FROM BALANCE SHEET
NO. NO.
INVESTMENT (Acquisition Cost) 1. ACTUARIAL LIABILITIES
1. DEPOSIT ON CALL 2.
2. TIME DEPOSIT NON ACTUARIAL LIABILITIES
3. 3. MATURE PENSION BENEFIT DEBTS
4. CERTIFICATES OF CENTRAL BANK 4. INVESTMENT PAYABLE
5. 5. PREPAID INCOME
6. BOND 6. ACCRUED EXPENSE
7. INVESTMENT IN MUTUAL FUND UNIT 7.
8. GOVERNMENT SECURITIES 9. COLLECTIVE INVESTMENT UNIT 10. DIRECT PLACEMENT 11. LETTER OF DEBT 12. LAND AND BUILDING (Net) 13. OTHER ALLOWED INVESTMENT
14. DIFFRENCE ON INVESTMENT CURRENT ASSETS NON INVESTMENT CURRENT ASSETS 15. CASH AND BANK
16. CONTRIBUTIONS - NORMAL EMPLOYEE 17. CONTRIBUTIONS - NORMAL PARTICIPANT 18. CONTRIBUTIONS - ADDITIONAL PARTICIPANT 19. LATE PREMIUM INTEREST RECEIVABLE 20. PREPAID EXPENSE
21. INVESTMENT RECEIVABLE 22. INVESTMENT REVENUE RECEIVABLE 23. OTHER RECEIVABLE
OPERATING ASSETS 24. LAND AND BUILDING (Net) 25. OTHER OPERATING ASSETS (Net)
TOTAL ASSETS
II. ELEMENT FROM INCOME STATEMENT NO.
1. INVESTMENT EARNING 2. INVESTMENT EXPENSE 3. RETURN ON INVESTMENT (1 - 2)
OPERATING EXPENSES :
4. SALARY/HONORARIUM OF EMPLOYEE , MANAGEMENT AND SUPERVISORY BOARD 5. OFFICE EXPENSES
6. MAINTENANCE EXPENSES 7. DEPRECIATION EXPENSES
8. EXPENSES OF THIRD PARTY'S SERVICE 9. OTHER OPERATING EXPENSES
10. TOTAL OPERATING EXPENSES (4 + 5 + 6 + 7 + 8 + 9) 11. OTHER INCOMES
12. OTHER EXPENSES 13. NET PROFIT (3 - 10 + 11 - 12)
III. TRANSACTION WITH RELATED PARTIES UNDER FINANCIAL ACCOUNTING STANDARD GUIDELINES (PSAK) NUMBER 7
NO.
a.
….………,
2
0
(Place)
b. TAXPAYER AUTHORIZED/REPRESENTATIF
c.FULL NAME OF MANAGEMENT/REPRESENTATIF
(date) (month) (year)
PARTIES TYPES OF TRANSACTION TRANSACTION VALUE (IDR)
DECLARATION
Understanding All The Sanctions Provided by The Law and Regulations, I Hereby Declare that The Information Stated in this Return, Including All Attachments Provided, are True, Complete, Clear, and Under No Circumstances Whatsoever.
DESCRIPTON VALUE (IDR)
TOTAL LIABILITES AND EQUITIES OTHER NON ACTUARIAL LIABILITIES
SHARE
CERTIFICATE ON DEPOSIT
DIFFERENCE ON ACTUARIAL LIABILITIS
DESCRIPTION VALUE (IDR) DESCRIPTION VALUE(IDR)
TRANSCRIPT OF ELEMENTS CITATION OF
FINANCIAL STATEMENT
8B-7
PENSION FUND
SPECIAL ATTACHMENT
CORPORATE ANNUAL INCOME TAX RETURN
FINANCING
8B-8
COMPANY
TAXABLE YEAR
TIN
:TAXPAYER'S NAME
:I. ELEMENT FROM BALANCE SHEET
NO. NO.
CASH AND EQUIVALENT 1. LIABILITIES PAID IMMEDIATELY
1. CASH 2.
2. DOMESTIC BANK LOANS
3. 3. DOMESTIC
4. SHORT-TERM INVESTMENT IN SECURITIES 4. FOREIGN
5. SECURITIES ISSUED
5. LEASING 6. LIABILITIES OF DEFERRED TAX
6. FACTORING
7. CREDIT CARD 7. DOMESTIC
8. CONSUMEN FINANCE 8. FOREIGN
CAPITAL INVESTMENTS 9. OTHER LIABILITIES
9. BANK
10. OTHER FINANCE SERVICE COMPANY 10.
11. LONG-TERM INVESMENT IN SECURITIES 11. PREMIUM
12. OPERATING LEASE - NET 12. DISAGIO
FIXED ASSET AND INVENTORY - NET 13. COMMERCIAL RESERVE
13. LAND AND BUILDING 14.
14. FIXED ASSET OTHER THAN LAND AND BUILDING 15.
15. DEFFERED TAX ASSET 16. BALANCE- GAIN (LOSS)
16. OTHER ASSETS 17. GAIN (LOSSI) IN CURRENT YEAR
TOTAL ASSETS
II. ELEMENT FROM INCOME STATEMENT
NO.
OPERATING INCOME : 1. LEASING 2. FACTORING 3. CREDIT CARD 4. CONSUMEN FINANCING
5. INCOME FROM FINANCING DISTRIBUTION 6. TOTAL OPERATING INCOME (1 + 2 + 3 + 4 + 5)
OPERATING EXPENSES : 7. INTEREST 16. NON OPERATING INCOME
17. NON OPERATING EXPENSE 13. NET PROFIT (3 - 10 + 11 - 12)
III. TRANSACTION WITH RELATED PARTIES UNDER FINANCIAL ACCOUNTING STANDARD GUIDELINES (PSAK) NUMBER 7
NO.
a.
….………,
2
0
(Place)
b. TAXPAYER AUTHORIZED/REPRESENTATIF
c.FULL NAME OF MANAGEMENT/REPRESENTATIF
(date) (month) (year)
(d. Signature and Company Seal)
TYPES OF TRANSACTION TRANSACTION VALUE (IDR)
DECLARATION PARTIES
TOTAL LIABILITES AND EQUITIES
DESCRIPTION VALUE (IDR)
APPROPRIATED RESERVE
REVALUATION RESERVE CAPITAL
PAID IN CAPITAL SUBORDINATED DEBT FINANCING RECEIVABLE - NET
BANK-OVERSEAS
DESCRIPTION VALUE (IDR) DESCRIPTION VALUE (IDR)
TRANSCRIPT OF ELEMENTS CITATION OF
FINANCIAL STATEMENT
8B-8
SPECIAL ATTACHMENT
CORPORATE ANNUAL INCOME TAX RETURN
2
Understanding All The Sanctions Provided by The Law and Regulations, I Hereby Declare that The Information Stated in this Return, Including All Attachments Provided, are True, Complete, Clear, and Under No Circumstances Whatsoever.
TAX PAYABLE
