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Dokumen juga menyertakan peringatan pembayaran melalui Kas Daerah dan ketentuan sanksi administrasi bila terlambat, termasuk ruang tanda tangan petugas penerima dan penyetor.",{"@graph":14,"@context":72},[15,34,55],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/id/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/id/template/formulir/","Formulir",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/id/template/example-forms-skrd-skrdlb-strd-ssrd/235179/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/example-forms-skrd-skrdlb-strd-ssrd/235179.png","ImageObject",442,249,{"name":42,"@type":43},"8796093062539","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-09-20","2026-09-11",true,{"@type":52,"interactionType":53,"userInteractionCount":30},"InteractionCounter",{"@type":54},"ViewAction",{"@type":56,"mainEntity":57},"FAQPage",[58,64,68],{"name":59,"@type":60,"acceptedAnswer":61},"SKRD, SKRDLB, STRD, dan SSRD digunakan untuk tujuan apa?","Question",{"text":62,"@type":63},"SKRD digunakan untuk Surat Ketetapan Retribusi Daerah, SKRDLB untuk ketetapan lebih bayar, STRD untuk Surat Tagihan Retribusi Daerah, dan SSRD untuk Surat Setoran Retribusi Daerah.","Answer",{"name":65,"@type":60,"acceptedAnswer":66},"Data apa saja yang umumnya dicantumkan pada form-form retribusi daerah?",{"text":67,"@type":63},"Umumnya terdapat identitas wajib retribusi seperti nama, alamat, NPWRD, informasi masa/tahun retribusi, nomor urut, serta rincian jenis retribusi beserta jumlah (dalam rupiah).",{"name":69,"@type":60,"acceptedAnswer":70},"Apa ketentuan sanksi administrasi bila terjadi keterlambatan pembayaran?",{"text":71,"@type":63},"Form memuat peringatan bahwa pembayaran dilakukan melalui Kas Daerah (Bank Sulselbar) menggunakan dokumen terkait. Jika tidak atau kurang dibayar setelah lewat waktu paling lama 30 hari sejak dokumen diterima, dikenakan sanksi administrasi berupa bunga sebesar 2% per bulan.","https://schema.org",{"og:url":32,"og:type":74,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":76,"canonical":32},"index,follow",{"doc_id":78,"site_id":7},235179,1789095542,{"code":4,"msg":81,"data":82},"success",[83,87,90,94,98,102,106,110],{"id":84,"doc_module":22,"doc_module_name":25,"category_name":85,"show_sort_weight":4,"slug":86},178,"Faktur","faktur",{"id":88,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":4,"slug":89},192,"formulir-192",{"id":91,"doc_module":22,"doc_module_name":25,"category_name":92,"show_sort_weight":4,"slug":93},180,"Media 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SKRD,SKRDLB,STRD,SSRD  \nCONTOH FORM SKRD  \n| Pemerintah Kabupaten Majene  \u003Cbr>SEKRETARIAT DAERAH  \u003Cbr>JIn.Gatot Subroto No.59 Majene  \u003Cbr>Telp.(0422)21001   |  |  |  | SKRD  \u003Cbr>Surat Ketetapan Retribusi Daerah  \u003Cbr>Masa Retribusi:…………  \u003Cbr>Tahun  \u003Cbr>:……………   | No.Urut   |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- |\n|  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |\n| N am a  \u003Cbr>…………………………………  ……………………  …  \u003Cbr>Alamat  \u003Cbr>:……  …………  ……  ………………………  ……  \u003Cbr>NPWRD  \u003Cbr>Tanggal Jatuh Tempo   |  |  |  |  |  |  |  |\n| No   | Ayat   | Jenis Retribusi Daerah   |  |  |  | jumlah(RpJ   |  |\n|  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |\n| Dengan Huruf   |  | Jumlah Ketetapan Pokok   |  |  |  |  |  |\n|  |  | Jumlah Sanksi :a.Bunga   |  |  |  |  |  |\n|  |  | b.Kenaikan.   |  |  |  |  |  |\n|  |  | jumlah Keseluruhan   |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |\n| PER  \u003Cbr>1.  \u003Cbr>2.   | HATIAN  \u003Cbr>Harap penyetoran dilakukan melalui Kas Daerah(Bank Sulsebar)dengan menggunakan SKRD ini.  \u003Cbr>Apabila SKRD ini tidak atau kurang dibayar setelah lewat waktu paling lama 30 hari sejak SKRD ini diterima  \u003Cbr>dikenakan sanksi administrasi berupa bunga sebesar 2%(dua persen)per bulan   |  |  |  |  |  |  |\n| Majene,………  ………Tahun………  \u003Cbr>Kepala/An.Kepala SKPD*)  \u003Cbr>(N a m a)  \u003Cbr>NIP.   |  |  |  |  |  |  |  |\n| RuanguntukTeraan/Kas  \u003Cbr>Register/Tanda Tangan  \u003Cbr>Petugas Penerima   |  |  | Diterima oleh:  \u003Cbr>PetugasTempat Pembayaran  \u003Cbr>Tanggal  \u003Cbr>Tanda Tangan :  \u003Cbr>Nama Terang:   |  |  | Penyetor  \u003Cbr>(…  …..)   |  |\n| Model:DPD-10G  \u003Cbr>-------------gunting disini----------------------------------   |  |  |  |  |  |  |  |\n| No.SKRD  \u003Cbr>TANDA TERIMA  \u003Cbr>NPWRD  \u003Cbr>NAMA  \u003Cbr>Alamat  \u003Cbr>Majene,  \u003Cbr>Tahun  \u003Cbr>Yang Menerima  \u003Cbr>(        )   |  |  |  |  |  |  |  |\n\n# CONTOH FORM SKRDLB\n\n| Pemerintah Kabupaten Majene  \u003Cbr>Sekretariat Daerah  \u003Cbr>JIn.Gatot Subroto No.59 Majene  \u003Cbr>Telp.(0422)21001   |  |  |  | SKRDLB  \u003Cbr>Surat Ketetapan Retribusi Daerah Lebih Bayar  \u003Cbr>Masa Retribusi:……………  \u003Cbr>Tahun  \u003Cbr>…………   | No.Urut   |  |\n| --- | --- | --- | --- | --- | --- | --- |\n|  |  |  |  |  |  |  |\n| Nama  \u003Cbr>…………………………  ……………………   …  \u003Cbr>Alamat  \u003Cbr>:………………………………………………………………………  \u003Cbr>NPWRD  \u003Cbr>Tanggal Jatuh Tempo   |  |  |  |  |  |  |\n| No   | Ayat   | Jenis Retribusi Daerah   |  |  | Jumlah(Rp)   |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n| DenganHuruf   |  | Jumlah Ketetapan Pokok   |  |  |  |  |\n|  |  | :a.Bunga  \u003Cbr>Jumlah Sanksi   |  |  |  |  |\n|  |  | b.Kenaikan.   |  |  |  |  |\n|  |  | JumlahK eseluruhan   |  |  |  |  |\n|  |  |  |  |  |  |  |\n| PER  \u003Cbr>1.  \u003Cbr>2.   | HATIAN  \u003Cbr>Harap penyetoran dilakukan melalui Kas Daerah(Bank Sulselbar)dengan menggunakan SKRDLB ini.  \u003Cbr>Apabila SKRD ini tidak atau kurang dibayar setelah lewat waktu paling lama 30 hari sejak SKRDLB ini diterima  \u003Cbr>dikenakan sanksi administrasi berupa bunga sebesar2%(dua persen)per bulan   |  |  |  |  |  |\n| Majene,…………     …Tahun………  \u003Cbr>Kepala/An.Kepala SKPD  \u003Cbr>(N a m a)  \u003Cbr>NIP.   |  |  |  |  |  |  |\n| RuanguntukTeraan/Kas  \u003Cbr>Register/Tanda Tangan  \u003Cbr>Petugas Penerima   |  |  | Diterima oleh:  \u003Cbr>Petugas Tempat Pembayaran  \u003Cbr>Tanggal  \u003Cbr>TandaTangan  \u003Cbr>Nama Terang:   |  |  | Penyetor  \u003Cbr>(……….)   |\n| Model:DPD-10H  \u003Cbr>-gunting disini---------   |  |  |  |  |  |  |\n| No.SKRD  \u003Cbr>:…………  \u003Cbr>TANDA TERIMA  \u003Cbr>NPWRD  \u003Cbr>NAMA  \u003Cbr>Alamat  \u003Cbr>Tahun  \u003Cbr>Majene,  \u003Cbr>Yang Menerima  \u003Cbr>(          )   |  |  |  |  |  |  |\n\nModel :DPD-IOH  \n# CONTOH SSRD\n\n\n| Pemerintah Kabupaten Majene  \u003Cbr>Sekretariat Daerah  \u003Cbr>JIn.Jend.Gatot Subroto No.59  \u003Cbr>Telp.(0422)21001   |  |  |  | SSRD  \u003Cbr>(SURAT SETORAN RETRIBUSI DAERAH)  \u003Cbr>Tahun………   …   |  |  |\n| --- | --- | --- | --- | --- | --- | --- |\n| N ama  \u003Cbr>Alamat  \u003Cbr>NPWRD   |  |  |  | ………………………………………………………………   |  | …………………………   |\n| STRD  \u003Cbr>SKRD  \u003Cbr>Menyetor berdasarkan*):","cbCaipVk632cBnFS","https://ap.wps.com/l/cbCaipVk632cBnFS","pdf",527160,5,"Indonesian","# CONTOH FORM SKRD\n# CONTOH FORM SKRDLB\n# CONTOH SSRD\n# CONTOH FORM STRD","[{\"question\":\"SKRD, SKRDLB, STRD, dan SSRD digunakan untuk tujuan apa?\",\"answer\":\"SKRD digunakan untuk Surat Ketetapan Retribusi Daerah, SKRDLB untuk ketetapan lebih bayar, STRD untuk Surat Tagihan Retribusi Daerah, dan SSRD untuk Surat Setoran Retribusi Daerah.\"},{\"question\":\"Data apa saja yang umumnya dicantumkan pada form-form retribusi daerah?\",\"answer\":\"Umumnya terdapat identitas wajib retribusi seperti nama, alamat, NPWRD, informasi masa/tahun retribusi, nomor urut, serta rincian jenis retribusi beserta jumlah (dalam rupiah).\"},{\"question\":\"Apa ketentuan sanksi administrasi bila terjadi keterlambatan pembayaran?\",\"answer\":\"Form memuat peringatan bahwa pembayaran dilakukan melalui Kas Daerah (Bank Sulselbar) menggunakan dokumen terkait. Jika tidak atau kurang dibayar setelah lewat waktu paling lama 30 hari sejak dokumen diterima, dikenakan sanksi administrasi berupa bunga sebesar 2% per bulan.\"}]","CONTOH FORM SKRD - SKRDLB - STRD - SSRD | PDF"]