Certificate of Domicile for Non-Resident Tax Relief
This file provides a comprehensive guide for non-residents seeking withholding tax relief in Indonesia. It includes detailed instructions and sections to be filled out by individuals and entities. Use this form to ensure compliance with the Double Taxation Convention and facilitate tax relief efficiently.
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How do I fill this out?
To fill out the form, start by entering the income recipient's details including their name and tax ID number. Ensure that the necessary sections corresponding to the type of income recipient are completed. Submit the form after obtaining the required certification from the competent authority.

How to fill out the Certificate of Domicile for Non-Resident Tax Relief?
1
Enter the income recipient's tax ID number and personal details.
2
Complete the relevant sections based on whether you are an individual or non-individual.
3
Obtain necessary certification from your country's tax authority.
4
Review the form for accuracy and completeness.
5
Submit the completed form to the Indonesian withholding agent.
Who needs the Certificate of Domicile for Non-Resident Tax Relief?
1
Individuals residing outside Indonesia who receive income sourced from Indonesia.
2
Companies and corporate entities registered in a country with a DTC with Indonesia.
3
Banking institutions seeking tax relief on interest income.
4
Pension funds needing to certify their non-resident status for tax purposes.
5
Tax advisors assisting clients in claiming withholding tax relief.
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What are the instructions for submitting this form?
For submission, email the completed form to the designated tax authority in Indonesia. Alternatively, you may fax the completed document to the appropriate department. Ensure all relevant signatures are included before sending.
What are the important dates for this form in 2024 and 2025?
Ensure you are aware of tax deadlines relevant to your submissions in 2024 and 2025. Check with your local tax office for specific due dates pertaining to tax filings and relief requests. Always plan ahead to avoid delays in your tax relief applications.

What is the purpose of this form?
The purpose of this form is to certify the non-resident status of individuals or entities receiving income from Indonesia. By completing this form, taxpayers can apply for relief from withholding tax under the Double Taxation Convention. Ensuring proper completion helps avoid issues with tax compliance and facilitates smoother transactions.

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

- 1. Income Recipient: Details of the income recipient including name, ID number, and contact information.
- 2. Certification by Competent Authority: Certification confirming the taxpayer's residency and the validity of the request.
- 3. Declaration by Income Recipient: Statements confirming the tax status and obligations of the income recipient.
What happens if I fail to submit this form?
Failure to submit this form can lead to withholding taxes being applied at a higher rate. This may result in financial losses due to excessive taxation on income sourced from Indonesia. Therefore, ensuring timely and accurate submission is crucial.
- Higher Withholding Tax Rates: Without the form, income may be taxed at non-resident rates, leading to increased tax liability.
- Compliance Issues: Failure to submit may result in complications with tax authorities and potential penalties.
- Delay in Tax Relief: Lateness in submission can cause delays in receiving tax relief or refunds.
How do I know when to use this form?

- 1. Foreign Individuals: Non-resident individual taxpayers receiving income from Indonesia.
- 2. Corporate Entities: Businesses incorporated outside Indonesia that earn income sourced from Indonesia.
- 3. Financial Institutions: Banks and investment firms seeking clarification on tax liabilities.
- 4. Pension Funds: Funds that benefit from DTC status in tax agreements.
- 5. Tax Advisory Services: Consultants helping clients navigate international tax treaty benefits.
Frequently Asked Questions
How do I fill out the Certificate of Domicile?
To fill out the Certificate of Domicile, provide the required income recipient information, and ensure the form is signed by the Competent Authority.
Can I edit this form online?
Yes, you can easily edit the PDF version of this form on PrintFriendly using our intuitive editor.
What if I need to include multiple income recipients?
You can make copies of the form and fill them individually for each income recipient.
Is there a tutorial on how to fill out this PDF?
Yes, we provide detailed instructions for completing the PDF within the editor.
Can I save my edited PDF?
Yes, you can download your edited PDF directly to your device.
How do I submit this form?
Submit the form to the relevant Indonesian withholding agent or custodian as instructed.
Where can I find this form?
The form is available for download directly from the official Indonesian tax website.
What is the purpose of this form?
This form certifies the non-resident status for withholding tax purposes and requests tax relief.
What if I make a mistake on the form?
You can correct any mistakes by editing the PDF again before submission.
Do I need professional help to fill this out?
While you can complete it yourself, consulting a tax professional ensures accurate completion.