Certificate of Domicile for Non Resident Tax in Indonesia
This document is the Certificate of Domicile for non-residents wishing to claim tax relief in Indonesia. It outlines the procedures required for completion. This form is vital for financial institutions and individuals dealing with Indonesia’s taxation.
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How do I fill this out?
To fill out this form, begin by providing accurate personal and tax identification details. Ensure that all declarations are made truthfully and completely. After filling, submit the form for certification by the competent authority.

How to fill out the Certificate of Domicile for Non Resident Tax in Indonesia?
1
Provide your personal details including name, address, and tax ID.
2
Declare your residency status and beneficial ownership.
3
Sign the form to certify the information is correct.
4
Ensure the form is certified by a competent authority.
5
Submit the completed and certified form to the custodian.
Who needs the Certificate of Domicile for Non Resident Tax in Indonesia?
1
Banking institutions needing to claim tax exemptions.
2
Foreign investors earning income through Indonesian financial instruments.
3
Non-resident taxpayers requiring certification for tax relief.
4
Businesses engaging in transactions subjected to Indonesian tax regulations.
5
Tax advisors and consultants handling cross-border taxation matters.
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What are the instructions for submitting this form?
To submit this form, ensure it is completed accurately and certified by the competent authority in your country. You can send the form via email to the local tax office or submit it physically at designated tax submission points. Ensure to keep a copy for your records as proof of submission.
What are the important dates for this form in 2024 and 2025?
Keep in mind that tax filings and certifications might align with the end of the fiscal year, typically December 31st. Deadlines for tax relief submissions may vary, so ensure timely compliance by checking regularly with tax authorities.

What is the purpose of this form?
The purpose of this form is to certify that a non-resident taxpayer is eligible for tax relief under the Double Taxation Convention between their resident country and Indonesia. This ensures that the tax authorities can accurately assess and apply any benefits that the taxpayer is entitled to. Properly completing this form is essential for availing the tax advantages allocated under international tax agreements.

Tell me about this form and its components and fields line-by-line.

- 1. Name of the Country of Income Recipient: State the country where the income recipient is a tax resident.
- 2. Name of the Income Recipient: Enter the full name of the income recipient.
- 3. Tax ID number: Provide the taxpayer identification number issued in the country.
- 4. Address: Include the complete address of the income recipient.
- 5. Declaration by the Income Recipient: Sections for the income recipient to declare their residency and correct information.
- 6. Certification by Competent Authority: Part confirming residency status by the tax office in the country of residence.
What happens if I fail to submit this form?
Failure to submit this form may result in the inability to claim tax relief, leading to potential tax liabilities. It's important to ensure that this form is submitted accurately to avoid fines or additional tax charges.
- Tax Liability: Without this form, taxpayers may end up paying more tax than necessary.
- Legal Penalties: Failure to submit can result in fines and penalties as enforced by tax authorities.
- Ineligibility for Tax Benefits: Submitting late or not at all could lead to losing out on entitled tax reliefs.
How do I know when to use this form?

- 1. Investment Income: When you earn investment income from Indonesian sources.
- 2. Transaction Reporting: During any transactions in the Indonesian financial market.
- 3. Tax Residency Confirmation: As a requirement to verify tax residency under DTC agreements.
Frequently Asked Questions
How do I fill out the Certificate of Domicile?
Start by entering your personal information and tax ID. Follow by completing residency declarations and obtaining certification.
Where can I download the Certificate of Domicile?
You can download the form directly from our resources page.
Is there a deadline for submitting the Certificate?
It is recommended to submit the certificate soon after completion to avoid tax complications.
Can I save my edited PDF?
You can download your edited PDF after making changes, ensuring you retain a copy.
What if I'm not a resident taxpayer in Indonesia?
This form is specifically for non-resident individuals seeking tax benefits in Indonesia.
Do I need to print this form?
No, you can complete and sign it digitally on our platform.
Can businesses use this form as well?
Yes, businesses that deal with Indonesian taxable income must fill this out.
What details are required on the PDF?
Include your name, address, tax ID, and declarations about residency.
How long is the certificate valid?
The certificate is valid for twelve months from the date of certification.
What if I make a mistake while editing?
You can easily undo changes or edit again before finalizing your PDF.
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