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langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \dbch \af12 \hich \af11 \loch \f12
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \line }{\fs24 \dbch \af12 \
hich \af11 \loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \par }\
pard \plain \s18 \qc \li0 \ri0 \sa435 \lisa0 \nowidctlpar \adjustright \lin0 \
rin0 \itap0 \fs24 \dbch \af0 \hich \af11 \loch \af0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \cf1 {\b1 \fs24 \dbch \af0 \hich \af12 \loch \f12 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 SURAT PERNYATAAN PENGHASILAN }
{\b1 \fs24 \dbch \af0 \hich \af12 \loch \f12 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \cf1 \par }\pard \plain \s19 \li0 \ri0 \sa380 \lisa0 \nowidctlpar \
adjustright \lin0 \rin0 \itap0 \fs24 \dbch \af0 \hich \af11 \loch \af0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \dbch \af0 \hich \af12 \loch \
f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Yang bertandatangan di
bawah ini: }{\fs22 \dbch \af0 \hich \af12 \loch \f12 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \cf1 \par }\pard \plain \s22 \li0 \ri0 \nowidctlpar \
adjustright \lin0 \rin0 \intbl1 \itap1 \fs24 \dbch \af0 \hich \af11 \loch \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \trowd \trql \trgaph0 \
trrh213 \trleft-108 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108
\trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \cltxlrtb \
cellx2045 \clvertalc \cltxlrtb \cellx8532 {\fs22 \dbch \af0 \hich \af12 \loch \
f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Nama }{\fs22 \dbch \af0 \
hich \af12 \loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \cell }\
pard \plain \s22 \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \
fs24 \dbch \af0 \hich \af11 \loch \af0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \cf1 {\fs22 \dbch \af0 \hich \af12 \loch \f12 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \cf1 : }{\fs22 \dbch \af0 \hich \af12 \loch \f12 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \cf1 \cell }\pard \plain \li0 \ri0 \sa200 \
lisa0 \sl276 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl1
\itap1 \fs22 \dbch \af0 \hich \af10 \loch \af0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \trowd \trql \trgaph0 \trrh213 \trleft-108 \trautofit \trftsWidth1 \
trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3
\trpaddfr3 \clvertalt \cltxlrtb \cellx2045 \clvertalc \cltxlrtb \cellx8532 \row \
pard \plain \s22 \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \
fs24 \dbch \af0 \hich \af11 \loch \af0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \cf1 {\fs22 \dbch \af0 \hich \af12 \loch \f12 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \cf1 Tempat/tgl lahir }{\fs22 \dbch \af0 \hich \af12 \loch
\f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \cell }\pard \plain \
s22 \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs24 \dbch \af0
\hich \af11 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\
fs22 \dbch \af0 \hich \af12 \loch \f12 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \cf1 : }{\fs22 \dbch \af0 \hich \af12 \loch \f12 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \cf1 \cell }\pard \plain \li0 \ri0 \sa200 \lisa0 \sl276 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl1 \itap1 \
fs22 \dbch \af0 \hich \af10 \loch \af0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \trowd \trql \trgaph0 \trrh255 \trleft-108 \trautofit \trftsWidth1 \
trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3
\trpaddfr3 \clvertalc \cltxlrtb \cellx2045 \clvertalc \cltxlrtb \cellx8532 \row \
pard \plain \s22 \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \
fs24 \dbch \af0 \hich \af11 \loch \af0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \cf1 {\fs22 \dbch \af0 \hich \af12 \loch \f12 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \cf1 Pekerjaan }{\fs22 \dbch \af0 \hich \af12 \loch \f12 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \cell }\pard \plain \s22 \li0 \
ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs24 \dbch \af0 \hich \
af11 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \dbch \
af0 \hich \af12 \loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 : }
{\fs22 \dbch \af0 \hich \af12 \loch \f12 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \cf1 \cell }\pard \plain \li0 \ri0 \sa200 \lisa0 \sl276 \slmult1 \
widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl1 \itap1 \fs22 \dbch \
af0 \hich \af10 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \trowd \
trql \trgaph0 \trrh253 \trleft-108 \trautofit \trftsWidth1 \trftsWidthB3 \
trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3
\trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalc \cltxlrtb \cellx2045 \clvertalc \
cltxlrtb \cellx8532 \row \pard \plain \s22 \li0 \ri0 \nowidctlpar \adjustright \
lin0 \rin0 \intbl1 \itap1 \fs24 \dbch \af0 \hich \af11 \loch \af0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \dbch \af0 \hich \af12 \loch \
f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 No. KTP }{\fs22 \dbch \af0
\hich \af12 \loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \
cell }\pard \plain \s22 \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \
itap1 \fs24 \dbch \af0 \hich \af11 \loch \af0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \cf1 {\fs22 \dbch \af0 \hich \af12 \loch \f12 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \cf1 : }{\fs22 \dbch \af0 \hich \af12 \loch \f12 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \cf1 \cell }\pard \plain \li0 \ri0 \sa200 \
lisa0 \sl276 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl1
\itap1 \fs22 \dbch \af0 \hich \af10 \loch \af0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \trowd \trql \trgaph0 \trrh253 \trleft-108 \trautofit \trftsWidth1 \
trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3
\trpaddfr3 \clvertalc \cltxlrtb \cellx2045 \clvertalc \cltxlrtb \cellx8532 \row \
pard \plain \s22 \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \
fs24 \dbch \af0 \hich \af11 \loch \af0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \cf1 {\fs22 \dbch \af0 \hich \af12 \loch \f12 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \cf1 Alamat }{\fs22 \dbch \af0 \hich \af12 \loch \f12 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \cell }\pard \plain \s22 \li0 \
ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs24 \dbch \af0 \hich \
af11 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \dbch \
af0 \hich \af12 \loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 : }
{\fs22 \dbch \af0 \hich \af12 \loch \f12 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \cf1 \cell }\pard \plain \li0 \ri0 \sa200 \lisa0 \sl276 \slmult1 \
widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl1 \itap1 \fs22 \dbch \
af0 \hich \af10 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \trowd \
trql \trgaph0 \trrh210 \trleft-108 \trautofit \trftsWidth1 \trftsWidthB3 \
trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \
clvertalb \cltxlrtb \cellx2045 \clvertalb \cltxlrtb \cellx8532 \row \pard \plain \
s22 \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \itap0 \fs24 \dbch \af0 \hich \
af11 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \dbch \
af12 \hich \af11 \loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf0 \
par }\pard \plain \s20 \qj \li0 \ri0 \sa253 \lisa0 \sl253 \slmult0 \nowidctlpar \
adjustright \lin0 \rin0 \itap0 \fs24 \dbch \af0 \hich \af11 \loch \af0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \dbch \af0 \hich \af12 \loch \
f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Menyatakan dengan
sesungguhnya bahwa sampai saat surat pernyataan ini ditandatangani, saya menyatakan
bahwa jumlah gaji/upah pokok/pendapatan bersih}{\fs22 \dbch \af0 \hich \af12 \
loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \super1 *)}{\fs22 \
dbch \af0 \hich \af12 \loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \
cf1 /upah rata-rata}{\fs22 \dbch \af0 \hich \af12 \loch \f12 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \cf1 \super1 *) }{\fs22 \dbch \af0 \hich \af12
\loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 saya adalah sebesar
Rp. .....}{\fs22 \dbch \af12 \hich \af11 \loch \f12 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \cf1 .......................}{\fs22 \dbch \af0 \hich \af12
\loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 ,- (.....}{\fs22 \
dbch \af12 \hich \af11 \loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \
cf1 ........................................................}{\fs22 \dbch \af0 \
hich \af12 \loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 ) per
bulan.}{\fs22 \dbch \af12 \hich \af11 \loch \f12 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \cf1 \par }\pard \plain \s20 \qj \li0 \ri0 \sa253 \lisa0 \
sl253 \slmult0 \nowidctlpar \adjustright \lin0 \rin0 \itap0 \fs24 \dbch \af0 \
hich \af11 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \
dbch \af0 \hich \af12 \loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \
cf1 Demikian surat pernyataan ini saya buat dengan sebenar-benarnya tanpa paksaan
dari pihak manapun dan apabila di kemudian hari pernyataan saya ini tidak benar,
saya bersedia mengembalikan Fasilitas Likuiditas Pembiayaan Perumahan maupun KPR
Sejahtera Tapak yang saya terima. }{\fs22 \dbch \af0 \hich \af12 \loch \f12 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \par }\pard \plain \s22 \li0 \
ri0 \nowidctlpar \adjustright \lin0 \rin0 \itap0 \fs24 \dbch \af0 \hich \af11 \loch
\af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \dbch \af12 \
hich \af11 \loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \par }\
pard \plain \s22 \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \itap0 \fs24 \dbch
\af0 \hich \af11 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\
fs22 \dbch \af12 \hich \af11 \loch \f12 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \cf1 \par }\pard \plain \s20 \li0 \ri0 \sa0 \lisa0 \nowidctlpar \
adjustright \lin0 \rin0 \intbl1 \itap1 \fs24 \dbch \af0 \hich \af11 \loch \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \trowd \trql \trgaph0 \trleft-
108 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \
trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \cltxlrtb \cellx4320 \
clvertalt \cltxlrtb \cellx5400 \clvertalt \cltxlrtb \cellx9488 {\fs22 \dbch \af12 \
hich \af11 \loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \cell }\
pard \plain \s20 \li0 \ri0 \sa0 \lisa0 \nowidctlpar \adjustright \lin0 \rin0 \
intbl1 \itap1 \fs24 \dbch \af0 \hich \af11 \loch \af0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \cf1 {\fs22 \dbch \af12 \hich \af11 \loch \f12 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \cf1 \cell }\pard \plain \s20 \li0 \ri0 \sa0 \
lisa0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs24 \dbch \af0 \hich \
af11 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \dbch \
af0 \hich \af12 \loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \
uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?.,\uc1
\u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \
u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230
?\uc1 \u8230 ?..}{\fs22 \dbch \af0 \hich \af12 \loch \f12 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \cf1 \par }\pard \plain \s22 \li0 \ri0 \nowidctlpar \
adjustright \lin0 \rin0 \intbl1 \itap1 \fs24 \dbch \af0 \hich \af11 \loch \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs24 \dbch \af11 \hich \
af11 \loch \f11 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \cell }\pard \
plain \li0 \ri0 \sa200 \lisa0 \sl276 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin0 \rin0 \intbl1 \itap1 \fs22 \dbch \af0 \hich \af10 \loch \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \trowd \trql \trgaph0 \trleft-108 \
trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \
trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \cltxlrtb \cellx4320 \
clvertalt \cltxlrtb \cellx5400 \clvertalt \cltxlrtb \cellx9488 \row \pard \plain \
s20 \li0 \ri0 \sa0 \lisa0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \
fs24 \dbch \af0 \hich \af11 \loch \af0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \cf1 {\fs22 \dbch \af0 \hich \af12 \loch \f12 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \cf1 Mengetahui:}{\fs22 \dbch \af0 \hich \af12 \loch \
f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \cell }\pard \plain \s20 \
li0 \ri0 \sa0 \lisa0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs24 \
dbch \af0 \hich \af11 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \
cf1 {\fs22 \dbch \af0 \hich \af12 \loch \f12 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \cf1 \cell }\pard \plain \s20 \li0 \ri0 \sa0 \lisa0 \nowidctlpar \
adjustright \lin0 \rin0 \intbl1 \itap1 \fs24 \dbch \af0 \hich \af11 \loch \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \dbch \af0 \hich \af12 \
loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \cell }\pard \
plain \li0 \ri0 \sa200 \lisa0 \sl276 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin0 \rin0 \intbl1 \itap1 \fs22 \dbch \af0 \hich \af10 \loch \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \trowd \trql \trgaph0 \trleft-108 \
trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \
trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \cltxlrtb \cellx4320 \
clvertalt \cltxlrtb \cellx5400 \clvertalt \cltxlrtb \cellx9488 \row \pard \plain \
s20 \li0 \ri0 \sa0 \lisa0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \
fs24 \dbch \af0 \hich \af11 \loch \af0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \cf1 {\fs22 \dbch \af0 \hich \af12 \loch \f12 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \cf1 Pimpinan Instansi tempat bekerja, }{\fs22
\dbch \af0 \hich \af12 \loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \
cf1 \cell }\pard \plain \s20 \li0 \ri0 \sa0 \lisa0 \nowidctlpar \adjustright \
lin0 \rin0 \intbl1 \itap1 \fs24 \dbch \af0 \hich \af11 \loch \af0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \dbch \af0 \hich \af12 \loch \
f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \cell }\pard \plain \s20 \
li0 \ri0 \sa0 \lisa0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs24 \
dbch \af0 \hich
\af11 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \dbch
\af0 \hich \af12 \loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1
Yang Membuat Pernyataan,}{\fs22 \dbch \af0 \hich \af12 \loch \f12 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \cf1 \cell }\pard \plain \li0 \ri0 \sa200 \
lisa0 \sl276 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl1
\itap1 \fs22 \dbch \af0 \hich \af10 \loch \af0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \trowd \trql \trgaph0 \trleft-108 \trautofit \trftsWidth1 \
trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3
\trpaddfr3 \clvertalt \cltxlrtb \cellx4320 \clvertalt \cltxlrtb \cellx5400 \
clvertalt \cltxlrtb \cellx9488 \row \pard \plain \s20 \li0 \ri0 \sa0 \lisa0 \
nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs24 \dbch \af0 \hich \af11 \
loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \dbch \af0 \
hich \af12 \loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 (Kepala
Desa/Lurah)}{\fs22 \dbch \af0 \hich \af12 \loch \f12 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \cf1 \super1 *)}{\fs22 \dbch \af12 \hich \af11 \loch \
f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \cell }\pard \plain \s20 \
li0 \ri0 \sa0 \lisa0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs24 \
dbch \af0 \hich \af11 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \
cf1 {\fs22 \dbch \af12 \hich \af11 \loch \f12 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \cf1 \cell }\pard \plain \s20 \li0 \ri0 \sa0 \lisa0 \nowidctlpar \
adjustright \lin0 \rin0 \intbl1 \itap1 \fs24 \dbch \af0 \hich \af11 \loch \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs24 \dbch \af0 \hich \af11 \
loch \af11 \lang1024 \langnp1024 \langfe1024 \langfenp1024 \cf1 {\shp {\*\shpinst \
shpleft32 \shptop224 \shpright1472 \shpbottom1094 \shpfhdr0 \shpbxcolumn \
shpbxignore \shpbypara \shpbyignore \shpwr3 \shpwrk0 \shpfblwtxt0 \shpz0 \
shplid1026 {\sp {\sn shapeType}{\sv 202}}{\sp {\sn fFlipH}{\sv 0}}{\sp {\sn fFlipV}
{\sv 0}}{\sp {\sn fLockAgainstGrouping}{\sv 0}}{\sp {\sn fLockText}{\sv 0}}{\sp {\
sn fLockVerticies}{\sv 0}}{\sp {\sn fLockAspectRatio}{\sv 0}}{\sp {\sn
fLockRotation}{\sv 0}}{\sp {\sn WrapText}{\sv 0}}{\sp {\sn fLineOK}{\sv 1}}{\sp {\
sn fShadowOK}{\sv 1}}{\sp {\sn lineStyle}{\sv 0}}{\sp {\sn wzName}{\sv Text Box 2}}
{\sp {\sn fLayoutInCell}{\sv 1}}{\shptxt \pard \plain \li0 \ri0 \sa200 \lisa0 \
sl276 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs22 \
dbch \af0 \hich \af10 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\
fs22 \dbch \af0 \hich \af10 \loch \f10 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 Materai secukupnya}{\fs22 \dbch \af0 \hich \af10 \loch \f10 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }}}{\shprslt {\pict }}}}{\
fs22 \dbch \af12 \hich \af11 \loch \f12 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \cf1 \par }\pard \plain \s22 \li0 \ri0 \nowidctlpar \adjustright \lin0
\rin0 \intbl1 \itap1 \fs24 \dbch \af0 \hich \af11 \loch \af0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \dbch \af12 \hich \af11 \loch \f12
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \par }\pard \plain \s22 \li0 \
ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs24 \dbch \af0 \hich \
af11 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \dbch \
af12 \hich \af11 \loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \
par }\pard \plain \s22 \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \
itap1 \fs24 \dbch \af0 \hich \af11 \loch \af0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \cf1 {\fs22 \dbch \af12 \hich \af11 \loch \f12 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \cf1 \par }\pard \plain \s22 \li0 \ri0 \nowidctlpar \
adjustright \lin0 \rin0 \intbl1 \itap1 \fs24 \dbch \af0 \hich \af11 \loch \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \dbch \af12 \hich \
af11 \loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \cell }\pard \
plain \li0 \ri0 \sa200 \lisa0 \sl276 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin0 \rin0 \intbl1 \itap1 \fs22 \dbch \af0 \hich \af10 \loch \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \trowd \trql \trgaph0 \trleft-108 \
trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \
trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \cltxlrtb \cellx4320 \
clvertalt \cltxlrtb \cellx5400 \clvertalt \cltxlrtb \cellx9488 \row \pard \plain \
s20 \li0 \ri0 \sa0 \lisa0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \
fs24 \dbch \af0 \hich \af11 \loch \af0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \cf1 {\fs22 \dbch \af12 \hich \af11 \loch \f12 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \cf1 \cell }\pard \plain \s20 \li0 \ri0 \sa0 \lisa0 \
nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs24 \dbch \af0 \hich \af11 \
loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \dbch \af12 \
hich \af11 \loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \cell }\
pard \plain \s22 \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \
fs24 \dbch \af0 \hich \af11 \loch \af0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \cf1 {\fs22 \dbch \af12 \hich \af11 \loch \f12 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \cf1 \cell }\pard \plain \li0 \ri0 \sa200 \lisa0 \sl276 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl1 \itap1 \
fs22 \dbch \af0 \hich \af10 \loch \af0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \trowd \trql \trgaph0 \trleft-108 \trautofit \trftsWidth1 \
trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3
\trpaddfr3 \clvertalt \cltxlrtb \cellx4320 \clvertalt \cltxlrtb \cellx5400 \
clvertalt \cltxlrtb \cellx9488 \row \pard \plain \s20 \li0 \ri0 \sa0 \lisa0 \
nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs24 \dbch \af0 \hich \af11 \
loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \dbch \af0 \
hich \af12 \loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 (\uc1 \
u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230
?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?.)}{\fs22 \dbch \
af0 \hich \af12 \loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \
cell }\pard \plain \s20 \li0 \ri0 \sa0 \lisa0 \nowidctlpar \adjustright \lin0 \rin0
\intbl1 \itap1 \fs24 \dbch \af0 \hich \af11 \loch \af0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \cf1 {\fs22 \dbch \af0 \hich \af12 \loch \f12 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \cf1 \cell }\pard \plain \s20 \li0 \ri0 \sa0 \
lisa0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs24 \dbch \af0 \hich \
af11 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \dbch \
af0 \hich \af12 \loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 (\
uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \
u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?.)}{\fs22 \
dbch \af0 \hich \af12 \loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \
cf1 \cell }\pard \plain \li0 \ri0 \sa200 \lisa0 \sl276 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin0 \rin0 \intbl1 \itap1 \fs22 \dbch \af0 \hich \
af10 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \trowd \trql \
trgaph0 \trleft-108 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108
\trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \cltxlrtb \
cellx4320 \clvertalt \cltxlrtb \cellx5400 \clvertalt \cltxlrtb \cellx9488 \row \
pard \plain \s20 \li0 \ri0 \sa0 \lisa0 \nowidctlpar \adjustright \lin0 \rin0 \
intbl1 \itap1 \fs24 \dbch \af0 \hich \af11 \loch \af0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \cf1 {\fs22 \dbch \af0 \hich \af12 \loch \f12 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \cf1 Nama Lengkap dan Jabatan}{\fs22 \dbch \
af0 \hich \af12 \loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \
cell }\pard \plain \s20 \li0 \ri0 \sa0 \lisa0 \nowidctlpar \adjustright \lin0 \rin0
\intbl1 \itap1 \fs24 \dbch \af0 \hich \af11 \loch \af0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \cf1 {\fs22 \dbch \af0 \hich \af12 \loch \f12 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \cf1 \cell }\pard \plain \s20 \li0 \ri0 \sa0 \
lisa0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs24 \dbch \af0 \hich \
af11 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \dbch \
af0 \hich \af12 \loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1
(Nama Lengkap)}{\fs22 \dbch \af0 \hich \af12 \loch \f12 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \cf1 \cell }\pard \plain \li0 \ri0 \sa200 \lisa0 \sl276 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl1 \itap1 \
fs22 \dbch \af0 \hich \af10 \loch \af0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \trowd \trql \trgaph0 \trleft-108 \trautofit \trftsWidth1 \
trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3
\trpaddfr3 \clvertalt \cltxlrtb \cellx4320 \clvertalt \cltxlrtb \cellx5400 \
clvertalt \cltxlrtb \cellx9488 \row \pard \plain \s20 \li0 \ri0 \sa0 \lisa0 \
sl253 \slmult0 \nowidctlpar \adjustright \lin0 \rin0 \itap0 \fs24 \dbch \af0 \
hich \af11 \loch \af0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 {\fs22 \
dbch \af12 \hich \af11 \loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \
cf1 \par }\pard \plain \li0 \ri0 \sa200 \lisa0 \sl276 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin0 \rin0 \itap0 \fs22 \dbch \af0 \hich \af10 \loch \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs22 \dbch \af12 \hich \af10 \loch
\f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0 \
sa200 \lisa0 \sl276 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin0 \rin0 \itap0 \fs22 \dbch \af0 \hich \af10 \loch \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs22 \dbch \af12 \hich \af10 \loch
\f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0 \
sa200 \lisa0 \sl276 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \
rin0 \itap0 \fs22 \dbch \af0 \hich \af10 \loch \af0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 {\fs20 \dbch \af0 \hich \af12 \loch \f12 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \super1 *) }{\fs20 \dbch \af0 \hich \af12 \
loch \f12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Untuk debitur
berpenghasilan tidak tetap}{\fs20 \dbch \af12 \hich \af10 \loch \f12 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \par }}