FORMULIR PERMOHONAN CETAK ULANG Yth. Kepala Kantor ...

FORMULIR PERMOHONAN CETAK ULANG

Yth. Kepala Kantor Pelayanan Pajak Pratama Tulungagung di Jl Ki Mangun Sarkoro No. 17 Tulungagung

Saya yang bertanda tangan di bawah ini:

Nama

: ................................................................................................................................

NPWP

: ................................................................................................................................

Alamat

: ................................................................................................................................

Telepon/HP : ...............................................................................................................................

Email

: ...............................................................................................................................

Dengan ini mengajukan permohonan cetak ulang:

Kartu NPWP

Surat Keterangan Terdaftar

Surat pengukuhan Pengusaha Kena Pajak

atas nama Wajib Pajak:

Nama

: ................................................................................................................................

NPWP

: ................................................................................................................................

Alamat

: ................................................................................................................................

Adapun alasan pencetakan ulang tersebut adalah: ........................................................................................................................................................

Untuk itu, bersama inin saya lampirkan: Foto Copy KTP

Foto Copy Akta Pendirian Perusahaan dan perubahannya

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Demikian permohonan ini saya buat dengan sesungguhnya

.................,...................... Pemohon,

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