Author: User

106 Form for Tax Year 2011

530

12/2011 Employee no. 33044306 Form: 1417
Field 30 Institution 30089300
“Beit Shemesh Noga School Junior High Teaching”
Hochster, Ronit 33044306
Nachal Lachish 34, Beit Shemesh 99000

Auxiliary Data
Employer Address: HaMacabim 28, Petach Tikva
Tax Deductions file: 930015268
Gender: Female DOB: August 1, 1976
Married: Yes
No. of children for point: 4

Tax type calculation details
Calculation by tax coordination

Marginal Tax	Up to %	Ceiling	% above ceiling
1.00	1.00	22,000.00	30.00

Tax Units / Work by coordination
01	02	03	04	05	06	07	08	09	10	11	12
25	25	25	25	25	25	0	0	0	0	0	0

Issue Date: March 19, 2012

(Company Logo)
Malam Sachar
Malam Team

106 Form for Tax Year 2011
Certificate According to the Income Tax Regulations— Salary Deductions
Employee’s Name: Ronit Hochster I.D. no. 33044306 Tax Deductions file: 930015268 Employer: Amit

Field/ Description	Description	Amount
	Regular taxable income	17,900
172/158	Taxable salary—Additional/Coordinated	17,900
42	Income tax deducted at source	179
086/045	Deduction to pension fund as “employed associate”	579
	Salary for pension deposits	17,900
Form 134	Employer’s secretion to pension fund	579
244/245	Total insured income	17,900
248/249	Total employer secretion for pensions	1,159
	National Insurance	1,106
	Health Insurance	790
	Corrections of 2010 tax assessment
	National Insurance	147
	Health Insurance	105

Details of deductions & secretions for pension funds

No. & Fund Name	Fund Type	Employee	Employer
700 New Mivtachim	Overall pension	579	579

Shimon Levine
Director of Salary Review

We hereby confirm that the employee worked by us during the mentioned months, and during this period we paid her the sums detailed in this form and deducted the said sums according to regulations, and transferred them to the tax clerk.