LAMPIRAN III
  PERATURAN    MENTERI   KEUANGAN
  NOMOR    63/PMK.05/2010   TENTANG
  MEKANISME      PELAKSANAAN    DAN
  PERTANGGUNGJAWABAN  ATAS  BEA
 

MASUK DITANGGUNG PEMERINTAH

 

 

  

 

 

LAPORAN REALISASI ANGGARAN PENDAPATAN NEGARA DAN HIBAH

 

PENDAPATAN NEGARA DAN HIBAH SATUAN KERJA MELALUI KPPN DAN/ATAU BUN

 

UNTUK BULAN YANG BERAKHIR XX-XXXXXXXXX-XXXX

 

(DALAM RUPIAH)

 

 

KEMENTERIAN/LEMBAGA

:  (015)                  

KEUANGAN

 

 

KODE LAP    :  XXXXXX

 

 

ESELON I

:  (05)                

DITJEN BEA DAN CUKAI

 

 

TANGGAL    :  XX/XX/XXXX

 

 

WILAYAH/PROPINSI        

:  (0100)             

DKI JAKARTA

 

 

 

HAL                 :  XX

 

 

 

SATUAN KERJA

:  XXXXXX            

KANTOR XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

 

PROG ID        :

 

 

 

JENIS SATUAN KERJA

:  (KP)                   

KANTOR PUSAT

 

 

 

 

 

KODE

URAIAN

ESTIMASI PENDAPATAN

R E A L I S A S I    P E N D A P A T A N

%             

REAL PEND.

 

  JUMLAH SAMPAI DENGAN BULAN LALU

BULAN INI

JUMLAH SAMPAI DENGAN  BULAN INI

 
 

1

2

3

4

5

6

7

 

I

Penerimaan Dalam Negeri  

 

 

 

 

 

 

XX

 TRANSAKSI KAS

 Penerimaan Perpajakan

 

 

 

 

 

 

 

XXX

  Pendapatan Pajak Perdagangan Internasional

 

 

 

 

 

 

XXXX

  Pendapatan Bea Masuk

 

 

 

 

 

 

 

XXXXX

  Pendapatan Bea Masuk

 

 

 

 

 

 

 

XXXXXX

  Uraian Mata Anggaran

 

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99999.99

 

 

           Jumlah Pendapatan XXXXX

 

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99999.99

 

 

        Jumlah Pendapatan XXXX

 

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99999.99

 

 

      Jumlah Pendapatan XXX

 

 

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99999.99

 

 

   Jumlah Pendapatan XX

 

 

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99999.99

 

 

  

II

Pendapatan Hibah

 

 

 

 

 

 

 

XX

 Pendapatan Hibah

 

 

 

 

 

 

 

XXX

 Pendapatan Hibah

 

 

 

 

 

 

 

XXXX

 Pendapatan Hibah Dalam Negeri

 

 

 

 

 

 

XXXXX

  Pendapatan Hibah Dalam Negeri

 

 

 

 

 

 

XXXXXX

  Uraian Mata Anggaran

 

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99999.99

 

           Jumlah Pendapatan XXXXX

 

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99999.99

 

        Jumlah Pendapatan XXXX

 

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99999.99

 

      Jumlah Pendapatan XXX

 

 

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99999.99

 

   Jumlah Pendapatan XX

 

 

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99999.99

 

Jumlah Pendapatan Hibah

 

 

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99999.99

 

JUMLAH PENDAPATAN NEGARA DAN HIBAH

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99999.99

 

TRANSAKSI NON KAS

 

 

 

 

 

 

 

XXXX

 Pendapatan Bea Masuk

 

 

 

 

 

 

 

XXXXX

  Pendapatan Bea Masuk

 

 

 

 

 

 

 

XXXXXX

  Pendapatan Bea Masuk Ditanggung Pemerintah

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99999.99

 

Jumlah Transaksi Non Kas

 

 

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99999.99

 

JUMLAH PENDAPATAN, HIBAH, (TRANSAKSI KAS DAN NON KAS)

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99999.99

 

 

 

 

LAPORAN REALISASI ANGGARAN BELANJA

BELANJA SATUAN KERJA MELALUI KPPN DAN BUN

UNTUK BULAN YANG BERAKHIR  XX XXXXXX XXXX

(DALAM RUPIAH)

 

 

 

 

 

 

 

 

 

 

KEMENTERIAN/LEMBAGA

: (999)                  

BEND. UMUM NEGARA

 

 

 

 

 

 

ESELON I         

: (06)                

BSBL

 

 

 

 

 

KODE LAP.

  XXXXXX

WILAYAH/PROPINSI                       

: (0100)             

DKI JAKARTA

 

 

 

TANGGAL

: XX/XX/XXXX

SATUAN KERJA

: XXXXXX            

KANTOR XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

 

HALAMAN

: XX

JENIS SATUAN KERJA

: (KP)                   

KANTOR PUSAT

 

 

 

 

PROG. ID

: XXXXXXXX

 

 

 

 

 

 

 

 

 

 

 

KODE

URAIAN

ANGGARAN SEMULA

ANGGARAN SETELAH REVISI

REALISASI BELANJA

% REAL.        ANGG.

SISA ANGGARAN

 JUMLAH SAMPAI DENGAN      BULAN LALU

BULAN INI

 JUMLAH SAMPAI DENGAN       BULAN INI

 
 

1

2

3

4

5

6

7

8

9

 

 TRANSAKSI KAS

 

 

 

 

 

 

 

XX

Uraian Sumber Dana

 

 

 

 

 

 

 

 

 

X

Uraian Cara penarikan

 

 

 

 

 

 

 

 

XX

 Uraian Fungsi

 

 

 

 

 

 

 

 

 

XX

  Uraian Sub Fungsi

 

 

 

 

 

 

 

 

 

XXXX

   Uraian Program

 

 

 

 

 

 

 

 

 

XXXX

     Uraian Kegiatan

 

 

 

 

 

 

 

 

 

XXXXX

     Uraian Sub Kegiatan

 

 

 

 

 

 

 

 

XX

 Uraian Jenis Belanja

 

 

 

 

 

 

 

 

 

 

XXXX

Uraian Jenis Belanja

 

 

 

 

 

 

 

 

 

 

XXXXXX

   Uraian MA

 

 

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99,999.99

999,999,999,999

 

XXXXXX

   Uraian MA

 

 

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99,999.99

999,999,999,999

 

 

       JUMLAH BELANJA XXXX

 

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99,999.99

999,999,999,999

 

 

      JUMLAH BELANJA XX

 

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99,999.99

999,999,999,999

 
                                 

 

 

 

 

 

JUMLAH  BELANJA SUB KEGIATAN XXXX.XXXX

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99,999.99

999,999,999,999

 

JUMLAH  BELANJA KEGIATAN XXXX

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99,999.99

999,999,999,999

 

JUMLAH BELANJA PROGRAM XX.XX.XXXX

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99,999.99

999,999,999,999

 

JUMLAH BELANJA SUBFUNGSI XX.XX

 

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99,999.99

999,999,999,999

 

JUMLAH BELANJA FUNGSI XX

 

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99,999.99

999,999,999,999

 

JUMLAH BELANJA CARA PENARIKAN X

 

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99,999.99

999,999,999,999

 

JUMLAH BELANJA SUMBER DANA  XX

 

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99,999.99

999,999,999,999

 

JUMLAHBELANJA

 

 

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99,999.99

999,999,999,999

 

Transaksi Non Kas

 

 

 

 

 

 

 

 

 

 

Belanja Subsidi

 

 

 

 

 

 

 

 

 

XX

Uraian Sumber Dana

 

 

 

 

 

 

 

 

X

Uraian Cara penarikan

 

 

 

 

 

 

 

XX

 Uraian Fungsi

 

 

 

 

 

 

 

 

XX

  Uraian Sub Fungsi

 

 

 

 

 

 

 

 

XXXX

   Uraian Program

 

 

 

 

 

 

 

 

XXXX

     Uraian Kegiatan

 

 

 

 

 

 

 

 

XXXX

     Uraian Sub Kegiatan

 

 

 

 

 

 

 

 

XXXX

Uraian Jenis Belanja

 

 

 

 

 

 

 

 

 

XXXXXX

   Uraian MA

 

 

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99,999.99

999,999,999,999

XXXXXX

   Uraian MA

 

 

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99,999.99

999,999,999,999

 

        JUMLAH BELANJA XXXX

 

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99,999.99

999,999,999,999

 

Jumlah Transaksi Non Kas

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99,999.99

999,999,999,999

 

JUMLAH BELANJA (TRANSAKSI KAS DAN  TRANSAKSI NON KAS)

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

999,999,999,999

99,999.99

999,999,999,999


 

 

 

 

  MENTERI KEUANGAN,
   
   
  SRI MULYANI INDRAWATI