This document is a tax form for corporate annual income tax return for a taxpayer permitted to maintain accounts in US dollars. It includes: 1) A list of related parties with their names, addresses, tax identification numbers, business activities, and relationship to the taxpayer. 2) Details of transactions with related parties including names, types of transactions, transaction values, and the price determination methods used. 3) The taxpayer or authorized representative must sign the form, and additional pages can be added if needed. If the form is inadequate, an additional 3B file can be used.

1. 3B
FOR TAXABLE YEAR
T I N:
TAXPAYER'S NAME :
I LIST OF RELATED PARTIES
1 2 3 4
1 2 3 4
1 2 3 4
1 2 3 4
1 2 3 4
II DETAILS OF TRANSACTION WITH RELATED PARTIES
a b c d e f g
a b c d e f g
a b c d e f g
a b c d e f g
a b c d e f g
………………………,
TAXPAYER/AUTHORIZED REPRESENTATIVE
4
5
SPECIAL ATTACHMENT
ANNUAL INCOME TAX RETURN FOR CORPORATE
FOR CORPORATION PERMITTED TO MAINTAIN BOOKS OF ACCOUNT IN
ENGLISH LANGUAGE AND US DOLLAR CURRENCY
STATEMENT OF TRANSACTION WITH RELATED PARTIES
No. Name Address Tax Identification Number (TIN) Business Activities Types of Relationship with Taxpayer
1
2
3
4
No. Name Types of Transaction Transaction's Value
5
Determination of Price Method
shall be used
Determination of Methods
1
2
3
IF NEEDED, ADDITIONAL PAGES MAY BE ADDED
(……………………………………………………………)
RESET
IF THIS FORM INADEQUATE PLEASE USE A FILE
ADDITIONAL 3B THAT HAS PROVIDED

2. 3B
NPWP:
Nama :
I DAFTAR PIHAK YANG MEMILIKI HUBUNGAN ISTIMEWA
No
1 2 3 4
1 2 3 4
1 2 3 4
1 2 3 4
1 2 3 4
II RINCIAN TRANSAKSI DENGAN PIHAK YANG MEMILIKI HUBUNGAN ISTIMEWA
No
a b c d e f g
a b c d e f g
a b c d e f g
a b c d e f g
a b c d e f g
………………………,
JIKA FORMULIR INI TIDAK MENCUKUPI, DAPAT DIBUAT SENDIRI SESUAI DENGAN BENTUK INI
WAJIB PAJAK / KUASA
(……………………………………………………………)
4
5
2
3
Metode Penetapan Harga yang
digunakan
Alasan Penggunaan Metode
1
5
Nama Mitra Transaksi Jenis Transaksi Nilai Transaksi
3
4
1
2
Nama Alamat NPWP/ Tax Identification Number Kegiatan Usaha
Bentuk Hubungan dengan Wajib
Pajak
LAMPIRAN KHUSUS
SPT TAHUNAN PAJAK PENGHASILAN WAJIB PAJAK BADAN
BAGI WAJIB PAJAK YANG DIIZINKAN MENYELENGGARAKAN PEMBUKUAN
DALAM MATA UANG DOLLAR AMERIKA SERIKAT
TAHUN PAJAK
PERNYATAAN TRANSAKSI DENGAN PIHAK YANG MEMILIKI HUBUNGAN ISTIMEWA
RESET
JIKA FORMULIR INI TIDAK MENCUKUPI SILAKAN GUNAKAN FILE
TAMBAHAN 3B YANG TELAH DISEDIAKAN