to
DEEMED ACCOUNTING
• •
PRINT OR TYPE WITH CAPITAL LETTER OR BLACK INK•
T I N :
TAXPAYER'S NAME :
PART A :
(1)
1.
2.
3.
4.
5.
6.
7.
8.
9
10.
11.
12.
13.
14.
15.
etc
*)
- =- Fill column (6) with following options: 21/22/23/24/26/DTP (Example: 21, 22, 23, 24, 26, DTP)
- If there is a Tax Credit of Income Tax Article 24, the column should be filled with maximum creditable amount according to separate attachment (Follow the Instruction Book related to Part A of Attachment II and Annual Tax Return line 4)
pages of Attachment-II BORNE BY THE GOVERNMENT
TOTAL PART A
YY YY
MARK " X " IN THE
MINISTRY OF FINANCE
LIST OF INCOME TAX WITHHELD BY OTHER PARTY, PAID/WITHHELD IN FOREIGN COUNTRY AND BORNE BY THE GOVERNMENT
TAXABLE YEAR
INDIVIDUAL ANNUAL INCOME TAX RETURN 2
TYPE OF TAX : INCOME TAX ARTICLE 21/
22/23/24/26/DTP *)
LIST OF INCOME TAX WITHHELD BY OTHER PARTIES, PAID/WITHHELD IN FOREIGN COUNTRY AND BORNE BY THE GOVERNMENT
APPROPRIATE BOX DIRECTORATE GENERAL OF TAXES
MM
0
DATE
(2) (3)
1770 - II
ATTACHMENT - II
ATTENTION
TOTAL OF INCOME TAX WITHHELD (IDR)
MM
FORM
NO NAME OF WITHHOLDING AGENT
TIN OF WITHHOLDING AGENT
NUMBER
WITHHOLDING TAX RECEIPT
DTP
(5)
TPA
FOLLOW INSTRUCTION IN THE MANUAL
Copy Total Part A Column 7 to Formulir 1770 line 15
IF NEEDED, ADDITIONAL PAGES MAY BE ADDED Page - from
(7) (6)
(4)
