SURAT PERNYATAAN
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Saya yang bertanda tangan di bawah ini : Nama :
NPWP : Jabatan :
Nomor telepon :
Bertindak selaku : Wajib Pajak Kuasa Wakil
dari Wajib Pajak : Nama :
NPWP : Alamat :
Dengan ini secara sadar menyatakan bahwa wajib pajak tersebut diatas adalah benar ingin dilakukan Pencabutan Pengusaha Kena Pajak (PKP) dengan alasan :
Demikian surat pernyataan ini dibuat sebagai dokumen pendukung persyaratan permohonan pencabutan PKP agar dapat dipertimbangkan.
Wajib Pajak/Wakil/Kuasa
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