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DIPA PETIKAN HALAMAN III. RENCANA PENARIKAN DANA DAN PERKIRAAN PENERIMAAN (999.05)
DAFTAR ISIAN PELAKSANAAN ANGGARAN
BENDAHARA UMUM NEGARA
TAHUN ANGGARAN 20XX
NOMOR : DIPA- aaa.bb.c.dddddd/2XXX
III. RENCANA PENARIKAN DANA DAN PERKIRAAN PENERIMAAN DIGITAL STAMP

Kementerian Negara/Lembaga : (XXX) XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Unit Organisasi : (XX) XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Provinsi : (XX) XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Kode/Nama Satker : (XXXXXX) XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Halaman : III.xx
( dalam ribuan rupiah )
NO KODE RENCANA PENARIKAN PENGELUARAN/PERKIRAAN PENERIMAAN
URAIAN SATKER Jumlah
Januari Pebruari Maret April Mei Juni Juli Agustus September Oktober Nopember Desember
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1. (xxxxxx) xxxxxxxxxxxxxxxxxxxx
Rencana Penarikan Dana 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999
XX XXXXXXX XXXXXXX 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999
XX XXXXXXX XXXXXXX 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999
XX XXXXXXX XXXXXXX 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999
XX XXXXXXX XXXXXXX 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999

xxxx xxxxxxxxxxxxxxxxxxxx 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999
XX XXXXXXX XXXXXXX 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999
XX XXXXXXX XXXXXXX 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999
XX XXXXXXX XXXXXXX 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999
XX XXXXXXX XXXXXXX 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999

Perkiraan Penerimaan 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999
- Perpajakan 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999
- Bea Cukai 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999
- PNBP 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999
- Hibah 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999
- Penerimaan Pembiayaan 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999 999.999.999

xxxxxxxxxx, xx xxxxxxxxxxxxxxxx xxxx
Pemimpin Pembantu Pengguna Anggaran
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ttd.
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NIP. …………………………………………….