CONTOH SURAT KUASA KHUSUS

UNTUK MENYAMPAIKAN SOMASI

 

 

SURAT KUASA KHUSUS

Nomor: 019/AHH&Ass./SK/XII/2016

 

Yang bertandatangan dibawah ini :

Nama                    : MARAGANTI
Jenis Kelamin           : Laki – laki
Pekerjaan               : Swasta
Kebangsaan              : Indonesia
Tempat tinggal          : Jl. Mustika IV/37  RT 08/RW 11
                          Kelurahan Rawamangun, Kotamadya Jakarta Timur
                          Jakarta

Dalam hal ini secara hukum bertindak untuk dan atas nama diri sendiri dan YOYO SAHRONI berdasarkan Surat Kuasa Tanggal 31 Desember 2016, selanjutnya disebut   PEMBERI KUASA;

Dengan ini menerangkan memilih domisili di kantor kuasa hukumnya yang disebutkan dibawah ini dan memberi kuasa penuh kepada :

APPE  HAMONANGAN HUTAURUK, SH., MH.       

Advokat dan Konsultan Hukum pada Law Office APPE HAMONANGAN HUTAURUK & ASSOCIATES berkedudukan di Jln. Tenggiri No. 2 D Lt. 2 Rawamangun – Jakarta Timur 13220, selanjutnya disebut   PENERIMA KUASA;

 K H U S U S

  •  Pemberi Kuasa memberi kuasa kepada Penerima Kuasa  untuk  mewakili Pemberi Kuasa dalam hal mengurus dan menangani permasalahan/sengketa dengan Pihak Koperasi Perhimpunan Purna Karyawan Pertamina (KOPANA) dan/atau dengan pihak – pihak lain yang terkait/berkepentingan, sehubungan dengan Penyediaan Lahan/Tanah seluas + 50 Hektare (50 Ha)  di Desa Setusari Blok  20  Kecamatan Cileungsi, Kabupaten Bogor,  sebagaimana dimaksud dalam Kesepakatan Kerjasama dalam Pembebasan Tanah di  Desa Setusari Blok 20  Kecamatan Cileungsi  Kabupaten Bogor  Tanggal 18 November 1997, termasuk dan tidak terkecuali untuk mengajukan pembatalan dan/atau mengambil atau meminta kembali seluruh Akta Jual Beli  (AJB) dan surat – surat lain atas tanah sebagaimana disebutkan diatas, serta melakukan tindakan – tindakan lainnya untuk kepentingan Pemberi Kuasa dan Penerima Kuasa;
  • Untuk kepentingan tersebut, selanjutnya Penerima Kuasa diberi kuasa untuk menghadap Pejabat dan/atau Instansi Pemerintah maupun Swasta, mengadakan perdamaian, menandatangani surat – surat, dokumen – dokumen, kwitansi – kwitansi, menerima pembayaran, menyampaikan klarifikasi, konfirmasi dan somasi, serta melakukan upaya hukumlainnya sesuai dengan ketentuan hukum dan peraturan perundang – undangan yang berlaku;

Surat Kuasa ini diberikan dengan  hak Retensi dan hak Substitusi.

Jakarta,  15  Desember 2016

     Penerima Kuasa                                         Pemberi Kuasa
                 
  APPE  H.  HUTAURUK, SH., MH.                                  MARAGANTI    
 

About Author: Appe Hamonangan Hutauruk

Appe Hamonangan Hutauruk selaku Penulis tunggal pada Website: "Law Firm Appe Hamonangan Hutauruk & Associates" adalah seorang "Pegiat Penegakkan Hukum dan Hak Asasi Manusia" serta "Pemerhati Sosial Kemasyarakatan" yang berprofesi sebagai Advokat (Advocate), Konsultan Hukum (Legal Consultant) dan Dosen (lecturer) pada salah satu Universitas swasta di Jakarta, selain itu juga menduduki jabatan sebagai Ketua Umum pada Lembaga Swadaya Masyarakat (LSM) bernama "Komunitas Masyarakat Anti Korupsi dan Penggelapan Pajak (KOMAKOPEPA). youtube.com/c/BeritaHukumKebijakanPublik

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