Author: Lenovo

Notification of Tax assessment for Tax Year 2009
1

(symbol) State of Israel / Treasury
Israeli Tax Authority

Issue Date: December 15, 2010

To
Hochster Benjamin Joshua and/or Ronit
Nachal Lachish 34
Beit Shemesh 99093
In the case of non-delivery, please return to the Audit Clerk, Ramla,
Herzl 91, 72430

52 01 25
File type Dept. Clerk no.
Yitzchak Saruk Ramla
Audit Clerk Office
7 Tevet 5771, December 12, 2010
Date of review

028793339 2009 00 Separate 028793339
File no. Year Audit Code Audit Type Tax Code No. Spouse I.D. no.

Reasoning —
I calculated the amount of tax you owe based on your declared income, which the law views as your self assessment.
1. Determining the Tax Balance

		Separate Calculation
Calculation Component	Combined Calculation	“Registered Spouse”	Spouse
Total income as detailed in sec.s 2-3		4,793	65,931
Total deductions as detailed in sec. 5		3,562
Taxable income		1,231	65,931
Gross tax as detailed in sec. 4		123	7,135
Total credits as detailed in sec. 6		5,319	16,478
Tax deserved
Deductions from monthly salary as detailed in sec. 9
Payment of tax debt as detailed in sec. 9
Interest
Balance of Tax
Expected interest
Total penalties and interest as per sec. 10
Total tax to be refunded

59
597
-39
-695
-695

(symbol) State of Israel / Treasury
Israeli Tax Authority

Notification of Tax Refund

Dear Sirs,
Attached is an assessment with a tax balance to be refunded. The refund will be deposited in your bank account within 45 days.
The refund will be deposited in The International Bank, branch 035, account no. 105467286 after review.
To expedite this process, we are sending you this notification before our review.
Therefore, this notification is not a final notice of the refund.
The amount will include adjustment to the index and interest up to the date the refund is deposited, after deducting any debts you might have.
25 Hochster, Binyamin Yehoshua and/or Ronit
Assessment Clerk no. Name of tax payer

File No. 028793339 Tax year 2009 Date December 14, 2010 2
2. Details of taxable Income types

Earned Income	“Registered Spouse”	Spouse
From business	4,598
From national insurance	195
From Salaries		65,931

3. Details of Combined Income

4. Details of calculated tax

Combined Income	Amount

Incomes	Amount
Regular	123
Spouse—Regular	7,135

5. Details of Deduction types

	“Registered Spouse”		Spouse
Type of Deduction	Sum Paid	Sum Allowed	Sum Paid	Sum Allowed
National insurance	6,850	3,562

6. Details of Credits

	“Registered Spouse”		Spouse
Type of Credit	Sum Paid	Sum Allowed	Sum Paid	Sum Allowed
Resident		5,319		5,319
4 children				9,456
Pension			1,491
Credit 45a				521
Woman’s credit				1,182

File No. 028793339 Tax year 2009 Date December 14, 2010 3
7. Details of Capital Gains

Amount of Sale	Real Profit	Inflation	Highest %	Association

8. Other Details

Type	Amount
Total exempt income	32,801
Turnover for advances	21,437
Spouse’s insured income	102,378
Employer’s deposit Spouse	1,932
Main business turnover	21,437

Type	Amount

9. Details of Payments

10. Details of Other Penalties & Interest

Type	Amount
Other source deductions	33
Payments to income tax	1,393

Type	Amount

11. Comments

The tax form you sent via the internet was received by our office. The audit was performed after review and editing by our clerks.

Wherever it says and/or the spouse, it means both spouses. Printed October 4, 2011