20230704_LIFE_Keterbukaan Informasi terkait Aksi Korporasi_31336502_lamp2.pdf

3.   Shareholders whose shares are not placed in the collective custody of KSEI or holder of
     shares with physical certificate (script), the cash dividend will be directly transferred to
     the bank account of the relevant shareholder.
4.   The cash dividend payable to the shareholders will be subject to tax withholding in
     accordance with the prevailing tax law. The amount of tax imposed will be borne by the
     respective shareholder and deducted from the amount of cash dividend rightfully
     received by the respective shareholder.
5.   For shareholders who are the Domestic Taxpayers (Wajib Pajak Dalam Negeri or
     abbreviated as WPDN) in the form of legal entity and have not submitted the Taxpayer
     Identification Number (“NPWP”) no later than July 12, 2023 at 16.00 WIB to:
     a. KSEI, for shareholders whose shares are placed in the collective custody of KSEI
        (scripless), through the Securities Company and/or Custodian Bank in which the
        shareholder has opened a securities account.
     b. BAE of the Company, for shareholders whose shares are still in the form of script.
     In the event of NPWP has not been received on the above date, the payment of the
     cash dividend will be subject to withholding for income tax under Article 23 of the Tax
     Law at the rate of 30%.
6.   For shareholders who are the Foreign Taxpayer (Wajib Pajak Luar Negeri or abbreviated
     as WPLN) whose country has entered into a Double Taxation Agreement or Tax Treaty
     with the Republic of Indonesia and intend to request the tax deduction under the Tax
     Treaty, shall meet the requirements stipulated in the Directorate General of Taxes
     (“DGT”) Regulation Number PER-25/PJ/2018 concerning Procedures for Application of
     Double Taxation Avoidance Treaty, and shall submit Certificate of Domicile (“COD”) in
     the form of the original DGT Form, which has been duly and accurately completed and
     signed and has been certified by a competent authority or authorized official in the
     related country (if not available, such document may be substituted with a Certificate of
     Residence (COR) in English language) in accordance with KSEI regulations and rules, at
     the latest on July 11, 2023 up to 16.00 WIB to:
     a. KSEI, for the shareholders whose shares are placed in the collective custody of KSEI
        (scriptless), through the Securities Company and/or Custodian Bank in which the
        shareholder has opened a securities account.
     b. BAE of the Company, for shareholders whose shares are still in the form of script.
     In the event of the DGT Form and/or the original COR has not been received on the
     above date, the payment of the cash dividends paid will be subject to withholding for
     income tax under Article 26 of the Tax Law at the rate of 20%.
7.   For the shareholders whose shares are placed in the collective custody of KSEI, the
     withholding tax certificate in respect of the income tax on the cash dividend can be
     collected at the Securities Company and/or Custodian Bank in which the shareholder
     has opened a securities account or in the BAE for the shareholder whose shares are not
     placed in the collective custody of KSEI or holder of shares with physical certificate
     (script).
8.   The Securities Company and/or Custodian Bank that keeps the electronic records of the
     Company’s shares that are placed in the collective custody of KSEI are kindly requested
     to provide the shareholder’s data and any documents showing their tax status to KSEI
     within a period of 1 (one) day after the recording date or as otherwise stipulated by
     KSEI.




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9.   In the event of any tax issues in the future or any claim in relation to the cash dividend
     that have been paid out to and received by the shareholders whose shares are placed in
     the collective custody of KSEI, such shareholder is required to settle such issues or
     claims with the Securities Company and/or Custodian Bank in which the shareholder
     has opened a securities account.

This announcement serves as an official notification from the Company. The Company does
not issue any other specific notice to respective shareholders.



                                         Jakarta, July 4, 2023

                                PT Asuransi Jiwa Sinarmas MSIG Tbk
                                        Board of Directors




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