[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-171812-113":3,"detail-sidebar-cat-1-id-113":75,"doc-detail-171812-id":109},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":68,"head_meta":70,"extra_data":72,"updated_unix":74},113,"id","parents-income-declaration-letter","Surat Pernyataan Penghasilan Orang Tua","","Surat Pernyataan Penghasilan Orang Tua digunakan untuk menyatakan bahwa penandatangan adalah orang tua atau wali dari calon penerima yang tidak memiliki KIP untuk Program Indonesia Pintar (PIP) serta program-program seperti KKS, PKH, atau KJP. Dokumen menetapkan pernyataan ketidakmampuan ekonomi, termasuk batas pendapatan kotor gabungan di bawah Rp4.000.000,00 dan pendapatan kotor per anggota keluarga di bawah Rp750.000,00. Terdapat pernyataan kesediaan menerima sanksi bila melanggar ketentuan yang dinyatakan, dengan bagian persetujuan pejabat desa/kelurahan dan tanda tangan serta stempel.",{"@graph":14,"@context":67},[15,34,50],{"@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/parents-income-declaration-letter/171812/",4,{"url":32,"name":10,"@type":35,"author":36,"headline":10,"publisher":39,"fileFormat":42,"inLanguage":8,"description":12,"dateModified":43,"datePublished":44,"encodingFormat":42,"isAccessibleForFree":45,"interactionStatistic":46},"DigitalDocument",{"name":37,"@type":38},"Riley","Person",{"url":19,"name":40,"@type":41},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-09-06","2026-09-01",true,{"@type":47,"interactionType":48,"userInteractionCount":22},"InteractionCounter",{"@type":49},"ViewAction",{"@type":51,"mainEntity":52},"FAQPage",[53,59,63],{"name":54,"@type":55,"acceptedAnswer":56},"Siapa yang menandatangani Surat Pernyataan Penghasilan Orang Tua ini?","Question",{"text":57,"@type":58},"Penandatangan adalah orang tua/wali bagi calon penerima yang tidak memiliki KIP untuk PIP/KKS/PKH/KJP.","Answer",{"name":60,"@type":55,"acceptedAnswer":61},"Apa syarat utama yang dinyatakan terkait pendapatan?",{"text":62,"@type":58},"Penandatangan menyatakan tidak mampu secara ekonomi dengan pendapatan kotor gabungan di bawah Rp4.000.000,00 dan pendapatan kotor per jumlah anggota keluarga di bawah Rp750.000,00.",{"name":64,"@type":55,"acceptedAnswer":65},"Apa konsekuensi jika pernyataan tidak sesuai?",{"text":66,"@type":58},"Jika melanggar hal-hal yang dinyatakan dalam surat, penandatangan bersedia dikenakan sanksi sesuai ketentuan yang berlaku.","https://schema.org",{"og:url":32,"og:type":69,"og:title":10,"og:site_name":40,"og:description":12},"article",{"robots":71,"canonical":32},"index,follow",{"doc_id":73,"site_id":7},171812,1788287153,{"code":4,"msg":76,"data":77},"success",[78,82,85,89,93,97,101,105],{"id":79,"doc_module":22,"doc_module_name":25,"category_name":80,"show_sort_weight":4,"slug":81},178,"Faktur","faktur",{"id":83,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":4,"slug":84},192,"formulir-192",{"id":86,"doc_module":22,"doc_module_name":25,"category_name":87,"show_sort_weight":4,"slug":88},180,"Media Sosial","media-sosial",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":4,"slug":92},179,"Poster","poster",{"id":94,"doc_module":22,"doc_module_name":25,"category_name":95,"show_sort_weight":4,"slug":96},176,"Presentasi","presentasi",{"id":98,"doc_module":22,"doc_module_name":25,"category_name":99,"show_sort_weight":4,"slug":100},177,"Resume","resume",{"id":102,"doc_module":22,"doc_module_name":25,"category_name":103,"show_sort_weight":4,"slug":104},182,"Surat","surat-a95d00d3aaf04f3b854ecf140f00d385",{"id":106,"doc_module":22,"doc_module_name":25,"category_name":107,"show_sort_weight":4,"slug":108},183,"Umum","umum-07d1ff437201438088836b2b1ed3c90f",{"code":4,"msg":76,"data":110},{"doc_id":73,"user_id":111,"nickname":37,"user_avatar":112,"doc_module":22,"category_id":83,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":113,"file_id":114,"file_url":115,"file_type":116,"file_size":117,"view_count":22,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":118,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":119,"faqs":120,"seo_title":121,"seo_description":12,"update_tm":74,"read_time":4},1374391975076,"https://ap-avatar.wpscdn.com/avatar/14000253ca4ec9f6853?x-image-process=image/resize,m_fixed,w_180,h_180&k=1783305029341752051","SURAT PERNYATAAN\nPENGHASILAN ORANG TUA\nSaya yang bertanda tangan di bawah ini :\nNama\t\t\t\t: …………………………………………………..\nNIK.\t\t\t\t: …………………………………………………..\nTempat, Tgl. Lahir\t\t: …………………………………………………..\nAlamat \t\t\t: …………………………………………………..\nNo.HP/WA\t\t\t: …………………………………………………..\nadalah orang tua/wali bagi calon penerima yang tidak memiliki Kartu Indonesia Pintar (KIP) untuk Program Indonesia Pintar (PIP)/ Kartu Keluarga Sejahtera (KKS)/  Program Keluarga Harapan PKH/ Kartu Jakarta Pintar (KJP) dari mahasiswa/i:\nNama\t\t\t\t: …………………………………………………..\nNIK.\t\t\t\t: …………………………………………………..\nTempat, Tgl. Lahir\t\t: …………………………………………………..\nAlamat \t\t\t: …………………………………………………..\nNo.HP/WA\t\t\t: …………………………………………………..\nDengan ini menyatakan bahwa saya:\nTidak mampu secara ekonomi\npendapatan kotor gabungan kami di bawah Rp4.000.000,00 (empat juta rupiah);\nPendapatan kotor gabungan kami dibagi jumlah anggota keluarga di bawah Rp750.000,00 (tujuh ratus lima puluh ribu rupiah).\nApabila saya melanggar hal-hal yang telah saya nyatakan dalam Surat Pernyatan ini, saya bersedia dikenakan sanksi sesuai dengan ketentuan yang berlaku.\nMengetahui;\t\t\t\t\t…………………………..2024\nKepala Desa/ Lurah/ RW/ RT\t\t\tHormat saya\nTtd & Stempel\t\t\t\t\t\tTtd & Stempel\nMeterai 10000\n_________________________________________\t\t___________________________________________","cbCaij3cj5MjgnbO","https://ap.wps.com/l/cbCaij3cj5MjgnbO","docx",15949,"Indonesian","# Identitas Penandatangan\n## Identitas Orang Tua/Wali\n# Identitas Calon Penerima\n## Keterangan Calon Penerima\n# Pernyataan dan Kesediaan Sanksi\n## Pernyataan tidak mampu ekonomi\n# Tanda Tangan dan Pengesahan","[{\"question\":\"Siapa yang menandatangani Surat Pernyataan Penghasilan Orang Tua ini?\",\"answer\":\"Penandatangan adalah orang tua/wali bagi calon penerima yang tidak memiliki KIP untuk PIP/KKS/PKH/KJP.\"},{\"question\":\"Apa syarat utama yang dinyatakan terkait pendapatan?\",\"answer\":\"Penandatangan menyatakan tidak mampu secara ekonomi dengan pendapatan kotor gabungan di bawah Rp4.000.000,00 dan pendapatan kotor per jumlah anggota keluarga di bawah Rp750.000,00.\"},{\"question\":\"Apa konsekuensi jika pernyataan tidak sesuai?\",\"answer\":\"Jika melanggar hal-hal yang dinyatakan dalam surat, penandatangan bersedia dikenakan sanksi sesuai ketentuan yang berlaku.\"}]","Surat Pernyataan Penghasilan Orang Tua | DOCX"]