Contoh Surat Kuasa Pengurusan Pajak Bumi dan Bangunan

 

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Oleh:

Tim Hukumindo

Pada kesempatan yang lalu platform www.hukumindo.com telah membahas mengenai "Contoh Surat Kuasa Pemohon Perselisihan Hasil Pemilu Kepala Daerah Di Mahkamah Konstitusi", "Contoh Surat Pencabutan Kuasa" dan "Contoh Surat Kuasa Untuk Mengurus Balik Nama Sertifikat", pada kesempatan ini akan dibahas mengenai 'Contoh Surat Kuasa Pengurusan Pajak Bumi dan Bangunan'.

SURAT KUASA

Yang bertanda tangan diawah ini :

Nama Wajib Pajak : ..........................................................................................................................

Alamat : ..........................................................................................................................

..........................................................................................................................

..........................................................................................................................

Nomor Identitas : .............................................................. .KTP/SIM/Lainnya .........................*)

Dengan ini memberi kuasa kepada :

Nama (Lengkap) : ..........................................................................................................................

Alamat : ..........................................................................................................................

 ..........................................................................................................................

 ..........................................................................................................................

Nomor Identitas : ............................................................... KTP/SIM/Lainnya .........................*)

Untuk melakukan hak dan / atau memenuhi kewajiban Pajak Bumi dan Bangunan Perdesaan & Perkotaan

Berupa pengurusan : ..........................................................................................................................

 ..........................................................................................................................

Pada Kantor Badan Pengelolaan Pendapatan Daerah Kabupaten Bogor Demikian surat kuasa ini dibuat dengan sesungguhnya untuk dipergunakan dengan penuh tanggung jawab.

Penerima Kuasa,                                             Pemberi Kuasa,

                                                                        Meterai Rp. 10.000,-

..............................................                         ..............................................

____________________

Reference:

1. "SURAT KUASA", bappenda.bogorkab.go.id., Diakses pada tanggal 18 Juli 2023, Link: https://bappenda.bogorkab.go.id/wp-content/uploads/2021/01/SURAT-KUASA.pdf

Contoh Surat Kuasa Pemohon Perselisihan Hasil Pemilu Kepala Daerah Di Mahkamah Konstitusi

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Oleh:

Tim Hukumindo

Pada kesempatan yang lalu platform www.hukumindo.com telah membahas mengenai "Supreme Court of Indonesia Prohibits Judges to Grant Application for Registration of Interfaith Marriages", "Contoh Blangko Surat Permohonan Perselisihan Hasil Pilkada" dan "Pilihan Upaya Hukum atas Polemik Pengangkatan Pjs Gubernur Jawa Barat", pada kesempatan ini akan dibahas mengenai 'Contoh Surat Kuasa Pemohon Perselisihan Hasil Pemilu Kepala Daerah Di Mahkamah Konstitusi '. Perhatikan contoh berikut ini:[1]

SURAT KUASA

Yang bertanda tangan dibawah ini :

1. Nama: Drs. DEDI JUNAEDI, S.H.

Tempat/tanggal lahir: Subang, 04 September 1959

Pekerjaan: Wiraswasta

Alamat: Jln. Otista, Gg. Cendrawasih, RT/RW: 008/002, Kelurahan: Soklat, Kecamatan: Subang,  Kabupaten: Subang, Jawa Barat.

2. Nama: DR. Drs. H, BUDI SETIADI

Tempat/tanggal lahir: Tasikmalaya, 02 Oktober 1965

Pekerjaan: Pensiunan

Alamat: RSS. Sidodadi Blok B, No. 222, Kel/Desa: Pasirkareumbi, Kecamatan: Subang, Kabupaten: Subang, Jawa Barat.

Untuk selanjutnya direbut Pemberi Kuasa.

Dengan ini menerangkan memberikan kuasa kepada :

1. HENDY NOVIANDY, S.H.

2. YANUAR PRAYOGA WARSADI, S.H.

3. RUSMIN RISIFU, S.H., M.H

Advokat, konsultan hukum dari "Kantor Hukum HENDY NOVIANDY, S.H., DAN REKAN" beralamat di Jalan Raya Ciwastra No: 119 (lantai. 2), Margasari, Buah Batu, Kota Bandung, untuk selanjutrnya disebut "Penerima Kuasa".

---------------------------------------KHUSUS---------------------------------------

Baik bersama-sama maupun sendiri-sendiri Penerima Kuasa diberi kuasa bertindak untuk dan atas nama Pemberi Kuasa, mewakili, mendampingi Pemberi Kuasa sebagai Pemohon dalam perkara Permohonan Perselisihan Hasil Pemilihan Bupati dan Wakil Bupati Kabupaten Subang di Mahkamah Konstitusi yang terdaftar dalam Akta Pengajuan Permohonan Pemohon Nomor : 57/1/PAN.MK/2018, tanggal 08 Juli 2018.

Untuk maksud tersebut Penerima Kuasa diberi kuasa untuk mewakili, mendampingi Pemberi Kuasa Untuk menghadap dan berhubungan dengan Hakim-hakim, para pejabat - pejabat, para staf-staf dan para karyawan yang berada di lingkungan Mahkamah Konstitusi R.I., sepanjang ada kaitannya dengan kepentingan perkaranya pemberi Kuasa; serta meminta dan/atau memberikan keterangan yang diperlukan, membuat dan menandatangani serta mengajukan Permohonan, Replik, mencabut Permohonan, meminta, menerima dan / atau menolak alat-alat bukti, mengajukan saksi-saksi, menolak saksi saksi, membuat dan mengajukan tanggapan-tanggapan terhadap bukti, membuat kesimpulan, membuat surat-surat permohonan, membalas surat-surat, meminta, menerima putusan-putusan dan pelaksanaan putusan, Singkatnya yang diberi kuasa dapat menjalankan segala sesuatu pekerjaan yang umumnya dapat dikerjakan oleh seorang kuasa atau wakil, dalam arti yang seluas-luasnya dan tidak ada yang dikecualikan;

Kuasa ini diberikan dengan hak substitusi baik sebagian maupun seluruhnya.

Subang, 11 Juli 2018

Penerima Kuasa                                                             Pemberi Kuasa

                                                                                       Meterai Rp. 6.000,-

Ttd.                                                                                 Ttd.

HENDY NOVIANDY, S.H.                                         Drs. DEDI JUNAEDI, S.H.

Ttd.                                                                                 Ttd.

YANUAR PRAYOGA WARSADI, S.H.                     DR. Drs. H, BUDI SETIADI

Ttd.

RUSMIN RISIFU, S.H., M.H

____________________

Reference:

1. "Surat Kuasa", www.mkri.id., Diakses pada tanggal 18 Juli 2023, Link: https://www.mkri.id/public/berkas/27840_SURAT%20KUASA.pdf

Supreme Court of Indonesia Prohibits Judges to Grant Application for Registration of Interfaith Marriages

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By:

Team of Hukumindo

Previously, the www.hukumindo.com platform has talk about "The Case of the Money Multiplier Shaman in Indonesia: Yohanes Suryono", "Central Jakarta District Court Permits Marriage for Muslim-Christian Couples, Here Are the Legal Considerations", you may read also "Contoh Permohonan Penetapan Perkawinan Beda Agama" and on this occasion we will discuss about 'Supreme Court of Indonesia Prohibits Judges to Grant Application for Registration of Interfaith Marriages'.

The Supreme Court of the Republic of Indonesia finally issued a circular letter prohibiting judges from granting requests for the registration of interfaith marriages. This letter is to respond to the polemic on the determination of judges in breaking up interfaith marriages in various regions. Supreme Court Circular Letter (SEMA) Number 2 of 2023 concerning Guidelines for Judges in Trialing Cases for Requests for Registration of Inter-Religious Marriages of Different Religions and Beliefs. The SEMA (Supreme Court Circular Letter) was signed by Chief of Supreme Court, Muhammad Syarifuddin.[1]

The following is the contents of the SEMA (Supreme Court Circular Letter) as referred to:[2]

"In order to provide certainty and legal unity in adjudicating applications for the registration of marriages between people of different religions and beliefs, judges must be guided by the following provisions: 

1. A valid marriage is one that is carried out according to the laws of each religion and belief, in accordance with Article 2 paragraph 1 and Article 8 letter f of Law Number 1 of 1974 concerning Marriage.

2. The court did not grant the application for the registration of marriages between people of different religions and beliefs."

 

And if you have any legal issue in Indonesia territory, contact us then, feel free in 24 hour, we will be glad to assist you. 

*) For further information please contact:

Mahmud Kusuma Advocate

Law Office

Jakarta - Indonesia.

E-mail: mahmudkusuma22@gmail.com

________________

References:

1. "MA Larang Hakim Kabulkan Permohonan Nikah Beda Agama", www.detik.com., Diakses pada tanggal 21 Juli 2023, Link: https://www.detik.com/sulsel/berita/d-6829810/ma-larang-hakim-kabulkan-permohonan-nikah-beda-agama

2. Ibid.

The Case of the Money Multiplier Shaman in Indonesia: Yohanes Suryono

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By:

Team of Hukumindo

Previously, the www.hukumindo.com platform has talk about "The Case of the Money Multiplier Shaman in Indonesia: Dimas Kanjeng", "How to Open a Police Report in Indonesia?", you may read also "How To Report Online Scammer Or Fraud To The Police In Indonesia" and on this occasion we will discuss about 'The Case of the Money Multiplier Shaman in Indonesia: Yohanes Suryono'. This is the last article on the theme of Money Multiplier Shaman in Indonesia.

Our platform has also discussed cases of other money multiplier shamans, namely: Dukun AS, Dukun Usep and Wowon Cs. The following links can be accessed: "7 Most Sadistic Serial Killer Cases in Indonesia: Wowon Cs.", "7 Most Sadistic Serial Killer Cases in Indonesia: Dukun Usep", and "7 Most Sadistic Serial Killer Cases in Indonesia: Dukun AS".

Yohanes Suryono (51), a shaman who multiplied money and killed two victims, was arrested by Satreskrim Polres Garut. Yohanes was arrested by the Police for carrying out a money-making ritual at Santolo Beach, Cikelet District, Garut Regency, West Java. Garut Police Chief AKBP Wirdhanto Hadicaksono said the perpetrator claimed to be a shaman who had the expertise to bring supernatural money to his victims. "This perpetrator carried out a ritual practice of doubling money, the suspect YS alias Abah U is a resident of Banjar," he said when exposing the case at the Garut Police Headquarters, Friday (24/12/2021).[1]

Wirdhanto said that in carrying out this action, the suspect was unable to bring what he promised to his victim. The victim was then disappointed and then went to the suspect's house and cursed the suspect's child with words that hurt him. "The three victims came to the house of the suspect's family and scolded their children and said the suspect was just pretending or a liar," he said.[2]

The suspect then felt hurt when he heard that his son was being scolded by the victim and then invited the victim to carry out the ritual on the south coast of Garut Regency. "Then finally on December 15 in Santolo South Garut, the suspect performed a ritual with three of his victims," ​​said Wirdhanto. In this ritual, the suspect ordered the victim to eat 1.5 kg of goat meat that had been provided. It turned out that the goat meat had been poisoned by the suspect using rat poison, causing two patients to die and one critical.[3]

"It happened at 9.30 pm, the three victims consumed the meat which apparently had previously been mixed with tenik rat poison,". "So that in the end the three of them reacted which resulted in two victims dying and one critical," said Wirdhanto.[4] And if you have any legal issue in Indonesia territory, contact us then, feel free in 24 hour, we will be glad to assist you. 

*) For further information please contact:

Mahmud Kusuma Advocate

Law Office

Jakarta - Indonesia.

E-mail: mahmudkusuma22@gmail.com

________________

References:

1. "Seorang Dukun Pengganda Uang Habisi Nyawa Pasiennya Gunakan Racun, Alasannya Ternyata Karena Ini", jabar.tribunnews.com., Sidqi Al Ghifari, Diakses pada tanggal 20 Juli 2023, Link: https://jabar.tribunnews.com/2021/12/24/seorang-dukun-pengganda-uang-habisi-nyawa-pasiennya-gunakan-racun-alasannya-ternyata-karena-ini

2. Ibid.

3. Ibid.

4. Ibid.

The Case of the Money Multiplier Shaman in Indonesia: Dimas Kanjeng

 

(antaranews.com)

By:

Team of Hukumindo

Previously, the www.hukumindo.com platform has talk about "The Case of the Money Multiplier Shaman in Indonesia: Abah Yanto", "How to Open a Police Report in Indonesia?", you may read also "How To Report Online Scammer Or Fraud To The Police In Indonesia" and on this occasion we will discuss about 'The Case of the Money Multiplier Shaman in Indonesia: Dimas Kanjeng'.

Our platform has also discussed cases of other money multiplier shamans, namely: Dukun AS, Dukun Usep and Wowon Cs. The following links can be accessed: "7 Most Sadistic Serial Killer Cases in Indonesia: Wowon Cs.", "7 Most Sadistic Serial Killer Cases in Indonesia: Dukun Usep", and "7 Most Sadistic Serial Killer Cases in Indonesia: Dukun AS".

This case of money multiplier shaman which leading to murder is not the first time has happened in Indonesia. One of the money multiplier shaman cases that has shocked the public is 'Taat Pribadi' alias Dimas Kanjeng. Dimas Kanjeng was arrested on September 22, 2016. Dimas Kanjeng's cover was exposed after he ordered people to kill two of his followers, Ismail Hidayah and Abdul Gani. The reason was because Ismail was considered to have harmed the Dimas Kanjeng Taat Pribadi Padepokan (a place for learning and training, as well as a residence for warriors in the world of martial arts), namely exposing the hermitage's disgrace.[1]

On 2 February 2015, Ismail was finally killed on Paiton Street, Probolinggo. After that, Ismail's body was buried in Tegalsono Village, Probolinggo, in a burial pit that had been prepared beforehand. As it turned out, on February 5, 2015, residents found Ismail's body. Slowly, the murder case was revealed. This gang of murders ordered by Dimas Kanjeng caused a commotion and exposed the cover of Padepokan Dimas Kanjeng. Apart from Ismail, Dimas Kanjeng also killed Abdul Gani. He is the Chairman of the Padepokan Dimas Kanjeng Foundation. Abdul Gani's body was found on April 14 2016 in the Gajah Mungkur Reservoir, Wonogiri, Central Java. The day before, he was killed in Probolinggo.[2]

It took about 5 months for the Police to uncover. The perpetrators admitted that they dumped Abdul Gani's body in Wonogiri because the victim Ismal Hidayat, who was killed and buried in Probolinggo, was found out. Abdul Gani was killed for tarnishing the good name of the Dimas Kanjeng hermitage. "The victim often bad-mouthed the leader of Dimas Kanjeng outside the hermitage by saying that there were many people who obeyed the person, but they were not given it to the person who lent the money to double it. If the money was there, why not just give it? That's what the victim said to other people," explained the Head of Sub-Directorate for Jatanras Diteskrimum Polda Jatim at that time, AKBP Taufik Herdiansyah. The nine perpetrators of the murder were ordered by Dimas Kanjeng. They are members of the Protection Team who become Dimas Kanjeng's trusted people. They got paid IDR 320 million. Each perpetrator received IDR 30-40 million.[3]

The arrest of Dimas Kanjeng was recorded to have occurred during the era of the East Java Regional Police Chief Inspector General Anton Setiadji. In his confession, Anton admitted that it was indeed difficult to catch Dimas Kanjeng. This is because the risk of clashing with his followers and causing casualties is very likely to occur. To catch Dimas Kanjeng, Anton said he had launched a 'silent operation'. This operation has even been prepared in detail for two months before the execution. The goal is to avoid casualties from both sides.[4] And if you have any legal issue in Indonesia territory, contact us then, feel free in 24 hour, we will be happy to assist you. 

*) For further information please contact:

Mahmud Kusuma Advocate

Law Office

Jakarta - Indonesia.

E-mail: mahmudkusuma22@gmail.com

________________

References:

1. "Kedok Keji Dimas Kanjeng Dukun Pengganda Uang Sekaligus Otak Pembunuhan", www.detik.com., Diakses pada tanggal 20 Juli 2023, Link: https://www.detik.com/jatim/berita/d-6662252/kedok-keji-dimas-kanjeng-dukun-pengganda-uang-sekaligus-otak-pembunuhan

2. Ibid.

3. Ibid.

4. Ibid.

The Case of the Money Multiplier Shaman in Indonesia: Abah Yanto

 

(TribunJatim.com)

By:

Team of Hukumindo

Previously, the www.hukumindo.com platform has talk about "The Case of the Money Multiplier Shaman in Indonesia: Slamet Tohari", "How to Open a Police Report in Indonesia?", you may read also "How To Report Online Scammer Or Fraud To The Police In Indonesia" and on this occasion we will discuss about 'The Case of the Money Multiplier Shaman in Indonesia: Abah Yanto'.

Our platform has also discussed cases of other money multiplier shamans, namely: Dukun AS, Dukun Usep and Wowon Cs. The following links can be accessed: "7 Most Sadistic Serial Killer Cases in Indonesia: Wowon Cs.", "7 Most Sadistic Serial Killer Cases in Indonesia: Dukun Usep", and "7 Most Sadistic Serial Killer Cases in Indonesia: Dukun AS".

The Figure of Abah Yanto

Abah Yanto (initial MY) apparently performed a money doubling ritual in Ngabetan Village, Cerme, Gresik. Meanwhile, the house of the Police visited was where he lived. There, he lived with Aimatul Choiriyah (31), who is known to be his young wife. Mentioned that the back room of Abah Yanto's house, was used as a place to receive his patients. He is also known to have a new car and a driver. This was revealed by the Chairman of the Perum Grand Verona Association, Edo Prasetya Saputra.[1]

Edo added that every day, Abah Yanto used a wheelchair because he had a stroke. Every morning, he said, the shaman was basking in the hot sun. Its existence is said to have made residents uneasy. This is because patients who come and go do not know the time, including early in the morning. Even though he had been warned, Abah Yanto remained silent. He was also, called by Edo, did not submit population data and was not active in citizen activities.[2]

Abah Yanto Known as a Money Multiplier Shaman

Abah Yanto is known as a shaman who can multiply money with 'blood rituals'. He claimed to have followers in several cities in East Java. Instead of multiple the money, he actually deceived his victims who hoped that their money would be multiplied. So, what kind of blood ritual was performed by Abah Yanto to double the money?[3]

When arresting Abah Yanto at his rented house, on Tuesday (10/1/2023) early morning, the Police found dozens of bags of blood. It is known, there were around 34 bags of human blood measuring 200 cc and 250 cc which were confiscated. Not only that, the Police also found fake toy money that was used by Abah Yanto to return the victim's money. Later, a number of daggers were also found that were used by the shaman in performing rituals. Based on the interim investigation, Abah Yanto admitted to the Police that the blood was used as an offering for 'jenglot' (miniature humans as amulets in shamanic rituals). This statement was conveyed by Head of the Gresik Police, Lutfi Hadi, at the Gresik Police Headquarters, Wednesday (11/1/2023).[4]

Abah Yanto Involved in Fraud and Embezzlement of Funds. In fact, MY was arrested on suspicion of fraud and embezzlement. This action was only revealed after one of the victims reported it to the Police. The victim had handed over IDR 565 million in two months. Abah Yanto promised to double the money to IDR. 3.9 billion in September 2022. However, he refused and only returned the victim's money of IDR. 170 million. In refunded money, the top and bottom are real money. While the rest is fake toy money.[5] And if you have any legal issue in Indonesia territory, contact us then, feel free in 24 hour, we will be happy to assist you. 

*) For further information please contact:

Mahmud Kusuma Advocate

Law Office

Jakarta - Indonesia.

E-mail: mahmudkusuma22@gmail.com

________________

References:

1. "Fakta-fakta Ritual Darah Abah Yanto, Dukun Pengganda Uang di Gresik Seret Nama PMI", www.suara.com., Farah Nabila, Sabtu, 14 Januari 2023, Diakses pada tanggal 18 Juli 2023, Link: https://www.suara.com/news/2023/01/14/133830/fakta-fakta-ritual-darah-abah-yanto-dukun-pengganda-uang-di-gresik-seret-nama-pmi?page=all

2. Ibid.

3. Ibid.

4. Ibid.

5. Ibid.

The Case of the Money Multiplier Shaman in Indonesia: Slamet Tohari

 

(Gatra.com)

By:

Team of Hukumindo

Previously, the www.hukumindo.com platform has talk about "Contoh Surat Kuasa Pengambilan Dokumen", "How to Open a Police Report in Indonesia?", you may read also "How To Report Online Scammer Or Fraud To The Police In Indonesia" and on this occasion we will discuss about 'The Case of the Money Multiplier Shaman in Indonesia: Slamet Tohari'. 

Our platform has also discussed cases of other money multiplier shamans, namely: Dukun AS, Dukun Usep and Wowon Cs. The following links can be accessed: "7 Most Sadistic Serial Killer Cases in Indonesia: Wowon Cs.", "7 Most Sadistic Serial Killer Cases in Indonesia: Dukun Usep", and "7 Most Sadistic Serial Killer Cases in Indonesia: Dukun AS".

The Central Java Regional Police revealed a number of new facts related to the serial murder victim of a money-making shaman in Banjarnegara. One of them is Paryanto's last message, a victim from Sukabumi, to his son. The Central Java Police Chief, Inspector General of Police Ahmad Luthfi said Pariyanto, the victim of the serial murder of a money-making shaman in Banjarnegara, Slamet Tohari, had sent messages via the WhatsApp application to his son before being killed. In the message, Pariyanto asked his family to pick him up at Tohari's house, if he was caught not returning home.[1]

"Initially the disclosure of this case was a report by Gridas, the son of the first victim, Pariyanto. Reported that his father was missing, then reported in Banjarnegara followed up by an examination of the Banjarnegara Criminal Investigation Office that it was true that Tohari, who was a shaman, admitted that at that time he had killed Pariyanto's brother, " said Inspector General of Police Ahmad Luthfi, Wednesday (5/4/2023). "So on Pariyanto's cellphone, WA was found before being killed, the sound of which read at Mr. Slamet Tohari's house. He said if there was anything, on Sunday Father did not return, please look for me with the authorities at Mr. Slamet Tohari's house. This is the entrance to uncover the murder that was committed brother Tohari," added Ahmad Luthfi.[2]

According to the Kapolda (Regional Police Chief), the message was also the main starting point for the investigation into the serial killings. After receiving the evidence, the Police interrogated Tohari, who initially admitted to having committed the murders 5 times. Then, on Monday (3/4/2023) the Police interrogated Slamet Tohari. At that time he admitted to having killed 5 people, whose crime scenes were the same, on Jalan Setapak in Gulem Hamlet, Banjarnegara. "Admitted 5, after dismantling we found 9 bodies. Finally we dismantled again, there were 2 to 12," said Ahmad Luthfi. However, when a search was carried out at the TKP (Crime scene) in Balun village, Wanayasa District, Banjarnegara, 10 bodies were found, and then 2 victims, bringing the total to 12 victims.[3]

From the results of the research by the Central Java Police team it was also known that the age range of the victims ranged from 25 to 50 years. The cause of death was non-violent suffocation from poison, with an estimated time of death of six to 24 months. It is known that the dozens of victims came from various regions, such as Gunung Kidul, Jakarta, Sukabumi, to Palembang.[4] And if you have any legal issue in Indonesia territory, contact us then, feel free in 24 hour, we will be happy to assist you. 

*) For further information please contact:

Mahmud Kusuma Advocate

Law Office

Jakarta - Indonesia.

E-mail: mahmudkusuma22@gmail.com

________________

References:

1. "Ini Kronologi Terungkapnya Pembunuhan 12 Orang oleh Dukun Pengganda Uang Banjarnegara", mediaindonesia.com., Galih Saputra, Diakses pada tanggal 15 Juli 2023, Link: https://mediaindonesia.com/nusantara/571571/ini-kronologi-terungkapnya-pembunuhan-12-orang-oleh-dukun-pengganda-uang-banjarnegara

2. Ibid.

3. Ibid.

4. Ibid.

Contoh Surat Kuasa Pengambilan Dokumen

 

(iStock)

Oleh:

Tim Hukumindo

Pada kesempatan yang lalu platform www.hukumindo.com telah membahas mengenai "Contoh Surat Pengunduran Diri Sebagai Karyawan", "Contoh Surat Pencabutan Kuasa" dan "Contoh Surat Kuasa Menyewakan Rumah", pada kesempatan ini akan dibahas mengenai 'Contoh Surat Kuasa Pengambilan Dokumen'.

Yang bertanda tangan di bawah ini,

Nama : .............................

Tempat/Tanggal Lahir : .............................

Alamat: .............................

NIK: .............................

Nomor Telp.: .............................

Memberi kuasa kepada,

Nama : .............................

Tempat/Tanggal Lahir : .............................

Alamat: .............................

NIK: .............................

Nomor Telp.: .............................

Untuk mengambil dokumen ............................. dikarenakan saya selaku Pemberi Kuasa sedang sakit/ke luar kota/dsb.

Demikian surat kuasa ini saya buat dengan penuh kesadaran dan tanpa ada paksaan dari pihak manapun untuk dapat dipergunakan sebagaimana mestinya.

....., .......... 2021

Penerima Kuasa Pemberi Kuasa

Ttd.                 Ttd.

                Meterai Rp. 10.000,-

(..................)                 (..................)

____________________

Reference:

1. "Ini 13 Contoh Surat Kuasa yang Paling Sering Digunakan", www.akseleran.co.id., Niko Ramadhani, Diakses pada tanggal 15 Juli 2023, Link: https://www.akseleran.co.id/blog/contoh-surat-kuasa/