20250626_LIFE_Keterbukaan Informasi terkait Aksi Korporasi_31909193_lamp3.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 07, 2025 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 10, 2025 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



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   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.
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, June 26, 2025

                       PT MSIG LIFE INSURANCE INDONESIA TBK
                                  Board of Directors




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