Preview
FILED: ONONDAGA COUNTY CLERK 01/03/2022 01:22 PM INDEX NO. 008588/2018
NYSCEF DOC. NO. 241 RECEIVED NYSCEF: 01/03/2022
"O"
EXHIBIT
FILED: ONONDAGA COUNTY CLERK 01/03/2022 01:22 PM INDEX NO. 008588/2018
NYSCEF DOC. NO. 241 RECEIVED NYSCEF: 01/03/2022
PAGE 01
BREAZZAND
03/1'4/1994 19: 58 31568220.
Departmentof theTreasury- internalRevenueService (99)
Form1040 U.S. Individual Income Tax Return 2012 o-o.- -useo,-oonotw,,eo,eo,-
FortheyearJan I - Dec31,2012rorother tar year beginning ,2012, ending ,20 See separate Instructions.
vour nrstr arneandiniti,g I..astnsme Yoursocialsecuritynothber
Brian C Prusik
rf a lointretum.spouse'sfirstnameand iniuai . Lastname . Spouse'ssocialsecuHtynurnber
Ka t-hleen A Prusik
Hornsaddress(numberandstreen.If youhavea P.O.bomseeInstructions. Apartrnentno· Make sure the SSN(s) above
and on line 6c are correct.
121 Slosson Rd
cily, towner postoffice,state,andZIPcode.If youhavea foreignaddress,alsocompletespacesbelow(5eeInstructions). Presidentlai Election Campaign
West Monroe NY 1316 7 Che her p useßng
Foreigncountryname Foreignprovince/state/county Foreignpostalcode 'sboxbelowwidnotchange ourtanor
refund· You Spouse
Head of household (with qualifying person). (See
Filing Status
1 Sin 9 I0 4 ¤ instructions,) If the qualifying person is a child
2 C Marriedfiling jointly (evenif only onehad income) but not your dependent, enter this child's
8 9 *P3 8 - Enterspouse'sSSNabove& full narne here .
Check only
one box. namehere. . 5 Qualifying widow(er) with dependent child
Exemptions 6a Yourself. If someone can claim you as a dependent, do not check box 6a . .. .. . . . . . .. 2
b Spouse . .. . . . . . . . . . . . . . . . . ......
. .. .. . . . . . . . .... . . . . . . ..... . . . . . . . . . . . . . . . . . . .. _ No. f hildren
c Dependents: oc ecdur re on
number to you q all for
(1) First name Last narne see nstr5 wv ou
ar separation
-- - tues Instrn) . . .
lf more than four
dependdints see D,°pen nts
instructions and anteredabove .
check here . , , * [,j Addnumbers
''
d Total number of exernptions claimed . . . , . . . .. . . . , . . . . . . . , , . . . . . . . , . . . , . . . ..,. . . . . . ..., . . . ... above. ... . 2
7 Wages, salaries, tips, etc. Attach Form(s) W-2 ... . . . . . .. . . . ...... . . . .. . .. . . . . . .. . . . . . . . 7 140, 117 .
OM® S a Taxable interest, Attach Schedule B if required .. ... , . . .. . .. , . . ... .. . . ... . . . . .. , ... . .... -Ta 0.
b Tax-exempt interest, Do not includa on line 8a , . . . . . . . . . . . . . 8 8 23 8 .
Attach Form(s) 9 a Ordinary dividends, Attach Schedule B if required . . . ... . . . . . . . . . . . . . . ,,. . . . . . . .. . .. . . . . 9a 124 .
W-2here. Also b Qualified dividends . . . . . . .. . . . . . . ..... . . . . . . . . . . .. . . . . . . . . 9 b| 124 .
h o
10 Taxable refunds, credits, or offsets of state and local income taxes . .. . . . . . . . . . . , . .. . . ... 10 5 , 670 .
if tax waswithhelli, 11 Alimony received . . . . . . . . . . . . . . , , .. . . . .. , . . . ... . . . .. . . . .. , . . . . . . . . . , ... . . . . . . . . . . . . . . 11
12 Business income or (loss), Attach Schedule C or C-EZ . . . . . . ..... . . . . ...... . . ... . . . . . .. 12
not
. 13 Capitalgainor (loss). Att SchD if reqd,lf not reqd,ck hare .......,,. ......,,.... .. 15 20.
seeinstructions, 14 Other gains or (losses). Attach Form 4797 . . ... . . , , . . . . . .......... .. . .. . . . . . .. . . . . . . . . . 14
15 a lRA distributions . , . . . . .. ... 1!ia b Taxable amount . ... . . . . . , . .. 15 b
16 a Pensions and annuities .. . .. 16a b Taxable arnount , .. ... .. , . ... 16 b
17 Rental real astate,royalties, partnerships, S corporations, trusts, etc. Attach Schedule E. , 17 37 , 470.
Enclose,but do 18 Farm income or (loss). Attach Schedule F . . . . . . . , , . ....... . . . . . . . . , . . . . . . . . , . . . . . . . .., 18
not attach,any 19 Unemployment compensation . . . . . . .... . . . . . . ..,,. . .. . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
as use 20 a $ocial securitybenefits .. , . . .... . 20a b Taxable amount .. . . . . , . .. ... 20 b
Form1040-V, 21 Otherincome , _ _ _ -- _ _ _,,_ _ _ _,,_ _ _ _.,________._ _ _ _ ,,._____ _ ... 21
22
Combinetheamountsin the far right columnfor lines 7 through21.This is yourtotal income . .. . . . . . , . . . . 22 183 , 401.
Educator expenses ... , . .... . , , . ... ... , . ..... , , . ... . ..,. . . 23
25
Adjusted 24
Certainbusinessexpensesof reservists,performingartists,and fee-basis
GroSS governmentofficials.AttachForm2t06 or 2106·EZ. . . . ... . . . . ... . . . . . . 24
Income 25 Health savinos account deduction. Attach Forrn 8889 . . . . . . . , 25
26 Moving expenses, Attach Form 3903 .. . , .. . . .... . . . .. . . , , .. 26
27 Deductiblepad or self-employmenttax, AttachScheduleSE . . . . . . .. , .. .. 27
28 Self-employed SEP, SIMPLE, and qualified plans . . . . . . . . . , . 28
29 Self-employed health insurance deduction . .. , . . . . . . . . . . . . . . 29
30 Penalty on early withdrawal of savings , . . . . . . , , . . . . . . , , . . .. 30
*
31 a Alimonypaid h Recipient'sSSN. . . . 31 a
32 IRA deduction . . . . . . . . .. . .. . .. , , . . . . .. . . . . . .. , , . . . . . . . .. .. 32
33 Student Ioan interest deducHnn . , , , , , , ,. . . . . . , . . . . . . .. , , ... 33
34 Tuition and fees. Attach Form 8917 .. . .. . . . . . , . .. . . . . . ... .. 34
36 Domesticproductionactivitiesdeduction.AttachForm8903. . . . . , . . . . . . . . 3S 3 , 336 .
36 Add lines23 through35 . . . ,,... . .... . . . . . . . , . . . . . . . , , . .. . . . , . . . ... , . . . .. . . . , .. . . . . . , , . . . . . 36 3 , 336 .
37 Subtract line 36 from line 22. This is your adjusted gross income .. . . . . . . . . . . . . . . . . . . . 37 18 O , 065 .
BAA For Disclosure, Privacy Act, and Paperwork Radiction fct Teotice--see se'iii-rate friilructicii-s. FÖtAO112I in l/1. Form 1040 (2012)
FILED: ONONDAGA COUNTY CLERK 01/03/2022 01:22 PM INDEX NO. 008588/2018
NYSCEF DOC. NO. 241 RECEIVED NYSCEF: 01/03/2022
PAGE 02
BREAZZANO
83/14/1994 19:58 3156 822
Form1040(2012) Brian C & Kat:hleen A Prusik Page 2
38 Amount fro ine37(adjusted gross income) ..........., ......... ......,........... 38 180,065.
Tax and
Credits 39 a Check ou were born before January 2, 1948, Blind. Total boxes
if: pouse was born beforajanuary2,1948, Blind, checked 39a
Standard b hour spouseitemizeson a separatereturnor you were a dual-statusalien. checkhere . . . . , . . . . 39b
MucHon or (see left . . . , . . . . . . . ... ....... 40 2 2 , 8 03 .
10 Itemizeddeductions(from ScheduleA) yourstandard deductlen margin)
41 Subtract line40fromllne38..,,...................................................... 41 157,262.
6d.,................................ 42 7,600.
check an bhox 42 Examptions. Multipty$3,800 by the number on line
on I ne 3 a or 42 Taxableincome, Subtractline 42 f m Ilne 4L
396 or who can If lina 42 is morethan line 41, enter - . . . . . . , . . . . . . . . . . . . . . . . . . , . . . . . . . . ,. . . . - . . .. . . . . . . ± . . . . 43 149,662.
be claimed as a 44 Tax (see instrs). Check if any from: a Form(s) 8814 c ¤962election
5®® 29,666.
n undton b Form4972 ........................... 44._
• All others: 45 Alternativeminimumtax(seeinstructions).Attach Form 6251 . . . . . . . . . ,. . . . . . . . . ....... 45
46 Add lines 44 and 45 , . . . . ... , . . . . . . . . , . . . ..... . . . . . . . . . . . ... . . , . . . . . . . ........ ..,... » 46__ 2 L 666 .
Singleor
Married filing 47 Foreign tax credit.Attach Form 1116 if required............. 47 __
separately• 48 Creditforchild anddependentcareexpenses,AttachForm2441 . , . . . . . . . , 48
5, 49 49
Education credits from Form 8863, line 19.................,
jointl or SG Retirementsavingscontributions credit. AttachForm8880... 50
Qual 51 Child tax credit. Attach Schedule 8812, if required . . . . . . . . . . . 51
' 52 Residential energy credits. Attach Form5695 . . . . , . . . . . . . . . . 52
Ó ,900
Headof 53 Othercrs from Form: a 3800 b 8801 c 53
old• 54 Add lines 47 through 53.These are your total credits................................... 54
55 Subtractline54fromline46.Ifline54ismorethanline46,enter-0-..................* 55 29,666.
Other 56 tax. AttachScheduleSE . . , . . . . . . . . . . . . . . . . . . . ... . . . ..... . . , , .. . . . . . , ,.......
Self-employment 56
Taxes 57 UnreportedsocialsecurityandMedicaretaxfrom Form: a 4137 b 8919....................... 57
58 AdditionaltaxoniRAs, other qualifiedretirementplans,etc,Attach Form5329If required. . . . . . . . . . . . . . . . . . . 58
59aHousehold employment ta xes from Schedule H......................................... 59a
b First-time homebuyer credit repayment. AttachForm5405ifrequired.................... 59b
60 Othertaxes.Entercode(s)frominstructions ___.,_,.____,, ____.__________.60
61 Addlines 55-60.This is yourtotal tax . . . . . . . . . . . . . . . . . . . . . , , . . . . . . . , . . . . . . . . . . . .. . . . .. , . . . . » 61 2 9 , 666 .
Payments 62 Federal income taxwithheld fromFormsW-2andlD99...... 62 24,424.
If you have a Les 2oi2 estimatedto paymentsandamountappliedfrom 2011return . . . . . . . . 63
qualifying 64 aEarned income credit(EIC) ...........,,.................. 64a
cßedu e C. b Nontaxablecombatpay election. .. . . * 64 b
65 Additionalchild tax credit. Attach Schedule 8812 . . , . . . . . . . . . 65
66 American opportunity credit from Form 8863, line 8 . . . . . . . . , 66
67 Reserved ................................................ 67
68 Amountpaid withrequestforextensiontofile .............. 68 4,000,
69 Excess social security and tier 1 RRTAtaxwithheld........, 69
70 Creditforfederal onfuet ttach For 4136... ..... 70
. 71 CreditsfromForm: a 439 b Reservedc 1 d 5 . . 71
72 , Addins 62,63,64a,&65-71.Thessareyourtotalpmis .................,,......................» 72 28,424.
Refund 73 If fine 72 is morethan line 61, subtractJine6tfromune72. This is the amountyouoverpaid . . . . . . . . . . . . . . 73
74 aAmountofline73youwantrefunded *
to you, If Form 8888 is attached, check here . . 74 a
bRouting number , . . . . . . . CXXXXXXXX * c Type: Checking Savings
nsd
dAccountnumber ......, CXXXyTTYTXXXXXXXX
t
75 Amountof line 73youwantappliedfoyour2013estimated tax . . . . . . . , 75
AmOUn t 76 Amount you owe. Subtractline72from line 61.Fordetailsonhowtapayseeinstructions................ 76 1,242.
You OWe 77 Estimated tax
penalty (see instructions) . . .. , . . . .. . . . . . . . . , , 77
hi rdParty Doyouwanttoallow anotherpersonto discussthis returnWiththe IRS(seeinstructions)?.......... Yes,Comrletebelow. No
n$°"°
John Braaz z ano ( 315) 682-2697 er''(p 4 8 2 03
they r e c t. a c r 5 ete cle on p par r (otÛr t n p ) or 11 m t on f ich p er s r wl e.
voursignature Date Youroccupation Daybmephonenurnber
ee instructions. Bus . owner
eep a copy spousts signature,N a ioint return.bothmust sign. Dete spouse·soccupation ari idenetyP,o.
>ryour recorsla, Consul t an t it here(see nstre
PrintfTypepreparer·s
name Preparer'ssigrtature Date cheolt if IN
ag
John Breassano . Sh/U so.employed PO 0118 8 O2
reparer ''r='$n==• * Joh
preazza , ca UBy }
seOnly Firm'saddress* 8 04 7 Broadfield Rd .. Firrn'sElN * 16 -13 8 3568
Manlius NY 13104.-9 629 Phoneno. (315 ) 6 82_-2 6 97
Form 1040(2012)
FDIAom 01/1M3
FILED: ONONDAGA COUNTY CLERK 01/03/2022 01:22 PM INDEX NO. 008588/2018
NYSCEF DOC. NO. 241 RECEIVED NYSCEF: 01/03/2022
/14/1994 19:58 3156822E BREAZZANO PAGE 83
0
SCHEDULE A
Itemized Deductions
(Form 1040)
Departmutof the Treasury Information about $cheduleA and its separateinstructions is at www.irs-*.-1040.
Anochmen
IntemalRevenueSeMC• *Attach to Form104D. sequenceNo 07
(99)g
Name(5)210monForm\040 YoursocipfF curity number
Brian C & Kath199n A Pryg;Lk
Medical Caution. Do notinclude expenses reimbursedorpaid by others.
1 Medicaland dentalexpenses(see instructions) . . , . , . . . .. . . . . . . . . , . . , . .. . 1
Expenses 2 EnteramountfromForm1040,1ine38..... 2
3 Multiply line 2 by 7.5% (.075) ,,............................,. 3
4 Subtract line 3 from line 1. Ifline3ismorethantinel,enter -0- .......................... 4
Taxes You 5 State and local (checkonlyonebox):
Paid a 8,756.
Incometaxes,or $
b Generalsalestaxes _
6 Real estate taxes (see instructions) . . , ....... . , . , ........ .,.. 6 4 ,344.
7 Personal property taxes . .. ... .. .. . .. . . . . .. . . . . . , ... . . . . . .. . . 7
8 Other taxes. List type andamount» _ _ _ __________
8
9 Aidlin~es-5-through 8 . ,T,7. . . .?.T. , . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . 9 13 , 100 .
Interest 10 Homemtg interestand pointsreportedto youonForm 1098. . . . . . . . . ... . . . . lo 9 ,294.
You Paid 11 Homemortgageinterestnot reportedtoyou onForm 1098.If aid to the person
frorn whomyou boughtthetiome,seeinstructionsandshow tperson'sname,
identifyingnumber,and address * I
Yourmortgage --- - - - - - - ---------- - --------- - -
interest - - - - - - - - - - - ... ----------------- - -
deductionmay
be linlited (see - - --- - - - - - - --- - - - - -- - - - ---- - - - -
instructions), __ _ _ _ _ ___ _ _ _ _ _ ,,__ _ _ _ __________ 11
12 Pointsnotreportedto you on Form1098.Seeinstrsforspctrules. .......... 12
13 Mortgageinsurancepremiums(seeinstructions) ..........,,.. 13
14 Investment interest AttachForm 4952 if required.
(Seeinstrs.)................................................... 14
15 Add lines 10 through 14 . . . .. . , . .. . ... . . . ... , , . .... .... .. . , . . ... . . . . ..... . .. . . . . .. . .. . . . . 15 9, 294 .
Gifts to 16 Gifts by cash or check. If you made any gift of $250 or
Char ty
more, see instrs . , , . ,.... . . . . . . , ...............,,........... 16 409 .
If ou made a 17 Other thanbycash or check. If any gift of $250 or
i and got a more, see instructions. You must attach Form 8283 if
nefit for it, over $500 . ... , ... . . ........,... . . .... . ... , , , ... . . . .. . . . . . . , 17
see instruchons.
18 Carryover from prior year . ... . . . . . , .. . . .. . ... . . . , . . . . . .. . ... . 18
19 Add lines 16 through 18 . . . . . . .. . . . ..... . . . . . . . .... . . . . . . . . . .... . . . . . . . . . . . . .. . . . . . . . . . . . 19 409.
Casualtyand
TheftLosses 20 Casualtyortheftloss(es). .......................... 20
AttachForm4684.(Seeinstructions.)
Job Expenses 21 Unreirnbursed employee expenses - Job travel, union dues.
and Certain job education, etc. Attach Form2106 or 2106-EZ if
Miscellaneous required, (See instructions.) *
Deductions - - - - --- - -------
------------------------------ 21
22 Tax preparation fees . . . . . . . , , . . . . ...... . . , .....,.. ...... .... 22
23 Other expenses - investment, safe deposit box. etc. List
typcandawvuot
23
24 Add lines 21 through23 ......,,........................ ..,.. 24_
25 EnteramountfromForm1040,line38..... 25
26 Multiplyline25by2%(.02).................................. 26
27 Subtract line 26 from line 24. If line 26 is more than line 24,enter,0........................ 27 .
Other 28 Other - from list in instructions. List type and amount * - ----------------
Miscenaneous
Doductions ------- - - - ------------ - - - - ------------- - - - - -
28
Total 29 Add the amounts in the far right column for fines 4 through 28.
Also, enter this amount on Form 1040, line 40 . . . . . . , , . . . . . . . . . . . . . , , . . . . . . . . . . . . . .... . . . . 29 23 ,003 .
30 IfyoueIectto itemite deductions even though they are less than your standard
deduction check here .. . . . . . . . . . , ,. . . .... . . . , , . . . . . . . . . . , , . . . . ... . , .. . . . . ...... .. .*
BAA For PapurwoAReductionActNotice,see Form1040instructions, PDIA03m OM0/t3 Schedule A (Forrn 1040)2012
FILED: ONONDAGA COUNTY CLERK 01/03/2022 01:22 PM INDEX NO. 008588/2018
NYSCEF DOC. NO. 241 RECEIVED NYSCEF: 01/03/2022
BREAZZANO PAGE 04
03/ 4/1994 19: 58 3156822
SCHEDULE D
58 WS"
(Form 1040) Capital Gains and Losses
* Attach to Form 1040 or Form 1040NR. 2012
• Information about Schedule D and its separataInstmctions is at wwwJrs,govMorm1040.
* UseFomt 8949 to list your transactions for liries 1, 2, 3, 8, 9, and 10. . 12
n na a s c (99)
YoursocIsl securitynumber
Name(s)shownonretum
Brian C & Kathleen A Prusik
I Part _]Short-Term Capital Gains and Losses - Assets Held One Year or Less
f
comphu-- e) Cost or other basis (g) Adjustments to (h) Gainor (
Complete Form 8949 before line 1, 2, (d) Pracééds (sales m
pric from Form from Form 8949, gain or loss from Su5tractcolumn
or 3. This form may be easier to compfete if you column andcombine
round off cents to whole dollars. 89 , Part I, line , Part I, li 2, Form( 8949, Part I,
column (d) column (e) line column (p) the resu with column(g)
1 Short-term totals from all Forms 8949 with
box A checked in Part I . . . . . , , . . . . . . . . . . . . . .
2 Short-term totals from all Forms 8949 With
box B checked in Part I . . . . , , . , . . . .. . . . . . . . .
3 Short-term totals from all Forms 8949 with
__ box C checked in Part I . . . . . . . ... , , . . . . . . . . .
4 Short-term gain from Form 6252 and short-term gain or (loss) from Forms 4684, 6781, and 8824 . . . . . . . . . . . . . 4
5 Net short-term gain or (loss) from partnârship, S ccn püràtiGna, estates, and trusts from Schedule(s) K-1 . . . . . 5
6 Short-term capital loss carryover. Enter the amount, if any, from line 8 of your Capital Loss Carryover
Worksheet in the instructions . . , . . . . . ... . . . . . . . . , , , , . . . . . .. . . . . . . . . . . , . , . . . . . . . . . . . . . . . . . . . . . , , . . . . . . . . . 6
7 Net shott-term capital gain or (loss). Combine lines 1 through 6 in column (h), If you have any long-term
capital gain or losses, go to Part II below. Otherwise, go to Part Ill on page 2 . . .. . . . . . . . . . . . . . , , . . . . . . . . . . . . 7
(ParNI I Long-Term Capital Gains and Losses - Assets Held More Than One Year
Complete Form 8949 before completing line 8, 9, (d) Proceeds (sales e) Cost or other basis (g) Adjustments to (h) Cain or (loss
or 10. This form ma be easier to complete if you rice) from Form(s) from Form(s) 8949, gain or loss from Subtractcolumn(e) rom
round off cents to w ole dollars, 949, Part II, line 4, Part II, line 4, Form(s) 8949, Part II, column(d) andcombine
column (d) column (e) line 4, column (g) the result with column(g)
8 Long-term totals from all Forms 8949 with
box A checked in Part11 . . . .. , ,.... . . .. . ... .
9 Lo -term totals from all Forms 8949 with
_ box checked in Part li . . . . . . . ... .. . . . . .. , . 5 , 000. 4,990 . 20 .
10 Long-term totals from all Forms 8949 with
box C checked in Part II . ... ... .. , . , . , ... . ..
11 Gain from Form 4797, Part I; long-term gain from Forms 2439 arid 6252; and long-terrn gain or (loss) from
Forms 4684, 6781, and 8824.... .. , , . . . . ......... . .. .,.. . .... .. . ......, , , , .. ..... . ....... . . . . . . .. . ... . . . 11
12 Net long-term gain or (loss) from partnerships, S corporàtians, estates, and trusts from Schedule(s) K-1 . . .. . 12
13 Capitalgaindistributions.See instrs , . ... .... .... , , , , , . ... . . .. ... , , .. , . . ..... . ........ . . , , . . . . ... . .. . .... . . . . . , , 13
14 Long-term capital loss carryover. Enter the amount, if any, from line 13 of your Capital Loss Carryover
Worksheet in the instructions . . . . . . . . . . . , , , , . . . . . . . . . . . . . . . , , . , . . . . . . . . . . . . . , . , . . . . . . . . . . . . . . . . . . . . , . . . . 14
15 Nat long-term capital gain or (loss). Combine lines 8 through 14 in column (h). Then go to Part Ill on
page2 , . .. . .. . . .. . . , ,,.. . . .. . . .. ... . , , , , . . . . . . . ._.. .. , . , , . . . . . . . . . ... . . . . . , , , . . . . . .. . . . . . . . .. . , , . , . , . .. I 15 20 .
BAA For Paperwork RadneHm Act Notice, see your tax return instructions. Schedule D (Form 1040) 2012
FDIA0$1
2 12/31/12
FILED: ONONDAGA COUNTY CLERK 01/03/2022 01:22 PM INDEX NO. 008588/2018
NYSCEF DOC. NO. 241 RECEIVED NYSCEF: 01/03/2022
03/1'4/1994 19:58 3156822( BREAZZANO PAGE 05
Schedule D (Form 1040) 2012 Brian C & Kathleen A Prusik 3 Page_2
Summary
16 Combine lines 7 and 15 and enter the result . . . . . . . . . . . , , , , , . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . - . , . . . . ,J G_ 20 .
• If line 16 is a gain, enter the amount from line 16 on Form 1040, line 13, or Form 1040NR, line 14, Then
go to fine 17 below.
e if line 16 is a loss, skip lines 17 through 20 below. Then go to line 21. Also be sure to Complete line 22.
* If line 16 is zero, 17 through 21 below and enter -0- on Form 1040, line 13, or Form 1040NR,
skip lines
line 14. Then to go line 22.
17 Are lines 15 and 16 both gains?
Yes. Go to line 18.
No. Skip lines 18 through 21, and go to line 22.
18 Enter the amount, if any, from line 7 of the 28% Rate Gain Worksheet in the instructions .................. * 18
19 Enter the amount, if any, from line 18 of the Unrecaptumd Section 1250 Gain Worksheet in
the instructions , . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . , , , , , . . . . . . . . . . . . . . . . . . . . . . . . , . , . . . . . . . . . . . . . . . . . . . . . , . 19
20 Are lines 18 and 19 both zero or blank?
Yes. Com lete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions
for Form 040, line 44 (or in the instructions for Form 1040NR, line 42). Do not complete lines
21 and 22 below.
No. Com lete the Schedule D Tax We±±eet in the instructions. Do not complete lines
21 and 2Î below.
2-1 If line 16 is a loss, enter here and on Form 1040, line
13, or Form 1040NR. line 14, the smaller of:
• The loss on line 16 or
•
($3,000), or if married filing separately, ($1,500)
Note. When figuring which amount is smaller, treat both amounts as positive numbers.
22 Do you have qualified dividends on Form
1040, line 9b, or Form 1040NR, line 10b?
Yes. Com lete the Quallfled Dividends and Capital Gain Tax Worksheet in the instructions
for Form 040, line 44 (or in the instructicc,s for Form
1040NR, line 42).
No. Complete the rest of Form 1040 or Form 1040NR.
Schedule D (Form 1040) 2012
FDIA0612 12/3th2
FILED: ONONDAGA COUNTY CLERK 01/03/2022 01:22 PM INDEX NO. 008588/2018
NYSCEF DOC. NO. 241 RECEIVED NYSCEF: 01/03/2022
- BREAZZANO PAGE 06
03 14/1994 19: 58 3156822,
AttachmentsequenceNo.12A Page 2
Form 8949 (2012)
SSNor taxpayerlifentlf|cat|onng.
Name(s)shownon 5tum. (NemeandssN cr taxpayeridentificationno,notrequiredIf shownon otherside.)
Brian
Preview
FILED: ONONDAGA COUNTY CLERK 01/03/2022 01:22 PM INDEX NO. 008588/2018 NYSCEF DOC. NO. 241 RECEIVED NYSCEF: 01/03/2022 "O" EXHIBIT FILED: ONONDAGA COUNTY CLERK 01/03/2022 01:22 PM INDEX NO. 008588/2018 NYSCEF DOC. NO. 241 RECEIVED NYSCEF: 01/03/2022 PAGE 01 BREAZZAND 03/1'4/1994 19: 58 31568220. Departmentof theTreasury- internalRevenueService (99) Form1040 U.S. Individual Income Tax Return 2012 o-o.- -useo,-oonotw,,eo,eo,- FortheyearJan I - Dec31,2012rorother tar year beginning ,2012, ending ,20 See separate Instructions. vour nrstr arneandiniti,g I..astnsme Yoursocialsecuritynothber Brian C Prusik rf a lointretum.spouse'sfirstnameand iniuai . Lastname . Spouse'ssocialsecuHtynurnber Ka t-hleen A Prusik Hornsaddress(numberandstreen.If youhavea P.O.bomseeInstructions. Apartrnentno· Make sure the SSN(s) above and on line 6c are correct. 121 Slosson Rd cily, towner postoffice,state,andZIPcode.If youhavea foreignaddress,alsocompletespacesbelow(5eeInstructions). Presidentlai Election Campaign West Monroe NY 1316 7 Che her p useßng Foreigncountryname Foreignprovince/state/county Foreignpostalcode 'sboxbelowwidnotchange ourtanor refund· You Spouse Head of household (with qualifying person). (See Filing Status 1 Sin 9 I0 4 ¤ instructions,) If the qualifying person is a child 2 C Marriedfiling jointly (evenif only onehad income) but not your dependent, enter this child's 8 9 *P3 8 - Enterspouse'sSSNabove& full narne here . Check only one box. namehere. . 5 Qualifying widow(er) with dependent child Exemptions 6a Yourself. If someone can claim you as a dependent, do not check box 6a . .. .. . . . . . .. 2 b Spouse . .. . . . . . . . . . . . . . . . . ...... . .. .. . . . . . . . .... . . . . . . ..... . . . . . . . . . . . . . . . . . . .. _ No. f hildren c Dependents: oc ecdur re on number to you q all for (1) First name Last narne see nstr5 wv ou ar separation -- - tues Instrn) . . . lf more than four dependdints see D,°pen nts instructions and anteredabove . check here . , , * [,j Addnumbers '' d Total number of exernptions claimed . . . , . . . .. . . . , . . . . . . . , , . . . . . . . , . . . , . . . ..,. . . . . . ..., . . . ... above. ... . 2 7 Wages, salaries, tips, etc. Attach Form(s) W-2 ... . . . . . .. . . . ...... . . . .. . .. . . . . . .. . . . . . . . 7 140, 117 . OM® S a Taxable interest, Attach Schedule B if required .. ... , . . .. . .. , . . ... .. . . ... . . . . .. , ... . .... -Ta 0. b Tax-exempt interest, Do not includa on line 8a , . . . . . . . . . . . . . 8 8 23 8 . Attach Form(s) 9 a Ordinary dividends, Attach Schedule B if required . . . ... . . . . . . . . . . . . . . ,,. . . . . . . .. . .. . . . . 9a 124 . W-2here. Also b Qualified dividends . . . . . . .. . . . . . . ..... . . . . . . . . . . .. . . . . . . . . 9 b| 124 . h o 10 Taxable refunds, credits, or offsets of state and local income taxes . .. . . . . . . . . . . , . .. . . ... 10 5 , 670 . if tax waswithhelli, 11 Alimony received . . . . . . . . . . . . . . , , .. . . . .. , . . . ... . . . .. . . . .. , . . . . . . . . . , ... . . . . . . . . . . . . . . 11 12 Business income or (loss), Attach Schedule C or C-EZ . . . . . . ..... . . . . ...... . . ... . . . . . .. 12 not . 13 Capitalgainor (loss). Att SchD if reqd,lf not reqd,ck hare .......,,. ......,,.... .. 15 20. seeinstructions, 14 Other gains or (losses). Attach Form 4797 . . ... . . , , . . . . . .......... .. . .. . . . . . .. . . . . . . . . . 14 15 a lRA distributions . , . . . . .. ... 1!ia b Taxable amount . ... . . . . . , . .. 15 b 16 a Pensions and annuities .. . .. 16a b Taxable arnount , .. ... .. , . ... 16 b 17 Rental real astate,royalties, partnerships, S corporations, trusts, etc. Attach Schedule E. , 17 37 , 470. Enclose,but do 18 Farm income or (loss). Attach Schedule F . . . . . . . , , . ....... . . . . . . . . , . . . . . . . . , . . . . . . . .., 18 not attach,any 19 Unemployment compensation . . . . . . .... . . . . . . ..,,. . .. . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 as use 20 a $ocial securitybenefits .. , . . .... . 20a b Taxable amount .. . . . . , . .. ... 20 b Form1040-V, 21 Otherincome , _ _ _ -- _ _ _,,_ _ _ _,,_ _ _ _.,________._ _ _ _ ,,._____ _ ... 21 22 Combinetheamountsin the far right columnfor lines 7 through21.This is yourtotal income . .. . . . . . , . . . . 22 183 , 401. Educator expenses ... , . .... . , , . ... ... , . ..... , , . ... . ..,. . . 23 25 Adjusted 24 Certainbusinessexpensesof reservists,performingartists,and fee-basis GroSS governmentofficials.AttachForm2t06 or 2106·EZ. . . . ... . . . . ... . . . . . . 24 Income 25 Health savinos account deduction. Attach Forrn 8889 . . . . . . . , 25 26 Moving expenses, Attach Form 3903 .. . , .. . . .... . . . .. . . , , .. 26 27 Deductiblepad or self-employmenttax, AttachScheduleSE . . . . . . .. , .. .. 27 28 Self-employed SEP, SIMPLE, and qualified plans . . . . . . . . . , . 28 29 Self-employed health insurance deduction . .. , . . . . . . . . . . . . . . 29 30 Penalty on early withdrawal of savings , . . . . . . , , . . . . . . , , . . .. 30 * 31 a Alimonypaid h Recipient'sSSN. . . . 31 a 32 IRA deduction . . . . . . . . .. . .. . .. , , . . . . .. . . . . . .. , , . . . . . . . .. .. 32 33 Student Ioan interest deducHnn . , , , , , , ,. . . . . . , . . . . . . .. , , ... 33 34 Tuition and fees. Attach Form 8917 .. . .. . . . . . , . .. . . . . . ... .. 34 36 Domesticproductionactivitiesdeduction.AttachForm8903. . . . . , . . . . . . . . 3S 3 , 336 . 36 Add lines23 through35 . . . ,,... . .... . . . . . . . , . . . . . . . , , . .. . . . , . . . ... , . . . .. . . . , .. . . . . . , , . . . . . 36 3 , 336 . 37 Subtract line 36 from line 22. This is your adjusted gross income .. . . . . . . . . . . . . . . . . . . . 37 18 O , 065 . BAA For Disclosure, Privacy Act, and Paperwork Radiction fct Teotice--see se'iii-rate friilructicii-s. FÖtAO112I in l/1. Form 1040 (2012) FILED: ONONDAGA COUNTY CLERK 01/03/2022 01:22 PM INDEX NO. 008588/2018 NYSCEF DOC. NO. 241 RECEIVED NYSCEF: 01/03/2022 PAGE 02 BREAZZANO 83/14/1994 19:58 3156 822 Form1040(2012) Brian C & Kat:hleen A Prusik Page 2 38 Amount fro ine37(adjusted gross income) ..........., ......... ......,........... 38 180,065. Tax and Credits 39 a Check ou were born before January 2, 1948, Blind. Total boxes if: pouse was born beforajanuary2,1948, Blind, checked 39a Standard b hour spouseitemizeson a separatereturnor you were a dual-statusalien. checkhere . . . . , . . . . 39b MucHon or (see left . . . , . . . . . . . ... ....... 40 2 2 , 8 03 . 10 Itemizeddeductions(from ScheduleA) yourstandard deductlen margin) 41 Subtract line40fromllne38..,,...................................................... 41 157,262. 6d.,................................ 42 7,600. check an bhox 42 Examptions. Multipty$3,800 by the number on line on I ne 3 a or 42 Taxableincome, Subtractline 42 f m Ilne 4L 396 or who can If lina 42 is morethan line 41, enter - . . . . . . , . . . . . . . . . . . . . . . . . . , . . . . . . . . ,. . . . - . . .. . . . . . . ± . . . . 43 149,662. be claimed as a 44 Tax (see instrs). Check if any from: a Form(s) 8814 c ¤962election 5®® 29,666. n undton b Form4972 ........................... 44._ • All others: 45 Alternativeminimumtax(seeinstructions).Attach Form 6251 . . . . . . . . . ,. . . . . . . . . ....... 45 46 Add lines 44 and 45 , . . . . ... , . . . . . . . . , . . . ..... . . . . . . . . . . . ... . . , . . . . . . . ........ ..,... » 46__ 2 L 666 . Singleor Married filing 47 Foreign tax credit.Attach Form 1116 if required............. 47 __ separately• 48 Creditforchild anddependentcareexpenses,AttachForm2441 . , . . . . . . . , 48 5, 49 49 Education credits from Form 8863, line 19................., jointl or SG Retirementsavingscontributions credit. AttachForm8880... 50 Qual 51 Child tax credit. Attach Schedule 8812, if required . . . . . . . . . . . 51 ' 52 Residential energy credits. Attach Form5695 . . . . , . . . . . . . . . . 52 Ó ,900 Headof 53 Othercrs from Form: a 3800 b 8801 c 53 old• 54 Add lines 47 through 53.These are your total credits................................... 54 55 Subtractline54fromline46.Ifline54ismorethanline46,enter-0-..................* 55 29,666. Other 56 tax. AttachScheduleSE . . , . . . . . . . . . . . . . . . . . . . ... . . . ..... . . , , .. . . . . . , ,....... Self-employment 56 Taxes 57 UnreportedsocialsecurityandMedicaretaxfrom Form: a 4137 b 8919....................... 57 58 AdditionaltaxoniRAs, other qualifiedretirementplans,etc,Attach Form5329If required. . . . . . . . . . . . . . . . . . . 58 59aHousehold employment ta xes from Schedule H......................................... 59a b First-time homebuyer credit repayment. AttachForm5405ifrequired.................... 59b 60 Othertaxes.Entercode(s)frominstructions ___.,_,.____,, ____.__________.60 61 Addlines 55-60.This is yourtotal tax . . . . . . . . . . . . . . . . . . . . . , , . . . . . . . , . . . . . . . . . . . .. . . . .. , . . . . » 61 2 9 , 666 . Payments 62 Federal income taxwithheld fromFormsW-2andlD99...... 62 24,424. If you have a Les 2oi2 estimatedto paymentsandamountappliedfrom 2011return . . . . . . . . 63 qualifying 64 aEarned income credit(EIC) ...........,,.................. 64a cßedu e C. b Nontaxablecombatpay election. .. . . * 64 b 65 Additionalchild tax credit. Attach Schedule 8812 . . , . . . . . . . . . 65 66 American opportunity credit from Form 8863, line 8 . . . . . . . . , 66 67 Reserved ................................................ 67 68 Amountpaid withrequestforextensiontofile .............. 68 4,000, 69 Excess social security and tier 1 RRTAtaxwithheld........, 69 70 Creditforfederal onfuet ttach For 4136... ..... 70 . 71 CreditsfromForm: a 439 b Reservedc 1 d 5 . . 71 72 , Addins 62,63,64a,&65-71.Thessareyourtotalpmis .................,,......................» 72 28,424. Refund 73 If fine 72 is morethan line 61, subtractJine6tfromune72. This is the amountyouoverpaid . . . . . . . . . . . . . . 73 74 aAmountofline73youwantrefunded * to you, If Form 8888 is attached, check here . . 74 a bRouting number , . . . . . . . CXXXXXXXX * c Type: Checking Savings nsd dAccountnumber ......, CXXXyTTYTXXXXXXXX t 75 Amountof line 73youwantappliedfoyour2013estimated tax . . . . . . . , 75 AmOUn t 76 Amount you owe. Subtractline72from line 61.Fordetailsonhowtapayseeinstructions................ 76 1,242. You OWe 77 Estimated tax penalty (see instructions) . . .. , . . . .. . . . . . . . . , , 77 hi rdParty Doyouwanttoallow anotherpersonto discussthis returnWiththe IRS(seeinstructions)?.......... Yes,Comrletebelow. No n$°"° John Braaz z ano ( 315) 682-2697 er''(p 4 8 2 03 they r e c t. a c r 5 ete cle on p par r (otÛr t n p ) or 11 m t on f ich p er s r wl e. voursignature Date Youroccupation Daybmephonenurnber ee instructions. Bus . owner eep a copy spousts signature,N a ioint return.bothmust sign. Dete spouse·soccupation ari idenetyP,o. >ryour recorsla, Consul t an t it here(see nstre PrintfTypepreparer·s name Preparer'ssigrtature Date cheolt if IN ag John Breassano . Sh/U so.employed PO 0118 8 O2 reparer ''r='$n==• * Joh preazza , ca UBy } seOnly Firm'saddress* 8 04 7 Broadfield Rd .. Firrn'sElN * 16 -13 8 3568 Manlius NY 13104.-9 629 Phoneno. (315 ) 6 82_-2 6 97 Form 1040(2012) FDIAom 01/1M3 FILED: ONONDAGA COUNTY CLERK 01/03/2022 01:22 PM INDEX NO. 008588/2018 NYSCEF DOC. NO. 241 RECEIVED NYSCEF: 01/03/2022 /14/1994 19:58 3156822E BREAZZANO PAGE 83 0 SCHEDULE A Itemized Deductions (Form 1040) Departmutof the Treasury Information about $cheduleA and its separateinstructions is at www.irs-*.-1040. Anochmen IntemalRevenueSeMC• *Attach to Form104D. sequenceNo 07 (99)g Name(5)210monForm\040 YoursocipfF curity number Brian C & Kath199n A Pryg;Lk Medical Caution. Do notinclude expenses reimbursedorpaid by others. 1 Medicaland dentalexpenses(see instructions) . . , . , . . . .. . . . . . . . . , . . , . .. . 1 Expenses 2 EnteramountfromForm1040,1ine38..... 2 3 Multiply line 2 by 7.5% (.075) ,,............................,. 3 4 Subtract line 3 from line 1. Ifline3ismorethantinel,enter -0- .......................... 4 Taxes You 5 State and local (checkonlyonebox): Paid a 8,756. Incometaxes,or $ b Generalsalestaxes _ 6 Real estate taxes (see instructions) . . , ....... . , . , ........ .,.. 6 4 ,344. 7 Personal property taxes . .. ... .. .. . .. . . . . .. . . . . . , ... . . . . . .. . . 7 8 Other taxes. List type andamount» _ _ _ __________ 8 9 Aidlin~es-5-through 8 . ,T,7. . . .?.T. , . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . 9 13 , 100 . Interest 10 Homemtg interestand pointsreportedto youonForm 1098. . . . . . . . . ... . . . . lo 9 ,294. You Paid 11 Homemortgageinterestnot reportedtoyou onForm 1098.If aid to the person frorn whomyou boughtthetiome,seeinstructionsandshow tperson'sname, identifyingnumber,and address * I Yourmortgage --- - - - - - - ---------- - --------- - - interest - - - - - - - - - - - ... ----------------- - - deductionmay be linlited (see - - --- - - - - - - --- - - - - -- - - - ---- - - - - instructions), __ _ _ _ _ ___ _ _ _ _ _ ,,__ _ _ _ __________ 11 12 Pointsnotreportedto you on Form1098.Seeinstrsforspctrules. .......... 12 13 Mortgageinsurancepremiums(seeinstructions) ..........,,.. 13 14 Investment interest AttachForm 4952 if required. (Seeinstrs.)................................................... 14 15 Add lines 10 through 14 . . . .. . , . .. . ... . . . ... , , . .... .... .. . , . . ... . . . . ..... . .. . . . . .. . .. . . . . 15 9, 294 . Gifts to 16 Gifts by cash or check. If you made any gift of $250 or Char ty more, see instrs . , , . ,.... . . . . . . , ...............,,........... 16 409 . If ou made a 17 Other thanbycash or check. If any gift of $250 or i and got a more, see instructions. You must attach Form 8283 if nefit for it, over $500 . ... , ... . . ........,... . . .... . ... , , , ... . . . .. . . . . . . , 17 see instruchons. 18 Carryover from prior year . ... . . . . . , .. . . .. . ... . . . , . . . . . .. . ... . 18 19 Add lines 16 through 18 . . . . . . .. . . . ..... . . . . . . . .... . . . . . . . . . .... . . . . . . . . . . . . .. . . . . . . . . . . . 19 409. Casualtyand TheftLosses 20 Casualtyortheftloss(es). .......................... 20 AttachForm4684.(Seeinstructions.) Job Expenses 21 Unreirnbursed employee expenses - Job travel, union dues. and Certain job education, etc. Attach Form2106 or 2106-EZ if Miscellaneous required, (See instructions.) * Deductions - - - - --- - ------- ------------------------------ 21 22 Tax preparation fees . . . . . . . , , . . . . ...... . . , .....,.. ...... .... 22 23 Other expenses - investment, safe deposit box. etc. List typcandawvuot 23 24 Add lines 21 through23 ......,,........................ ..,.. 24_ 25 EnteramountfromForm1040,line38..... 25 26 Multiplyline25by2%(.02).................................. 26 27 Subtract line 26 from line 24. If line 26 is more than line 24,enter,0........................ 27 . Other 28 Other - from list in instructions. List type and amount * - ---------------- Miscenaneous Doductions ------- - - - ------------ - - - - ------------- - - - - - 28 Total 29 Add the amounts in the far right column for fines 4 through 28. Also, enter this amount on Form 1040, line 40 . . . . . . , , . . . . . . . . . . . . . , , . . . . . . . . . . . . . .... . . . . 29 23 ,003 . 30 IfyoueIectto itemite deductions even though they are less than your standard deduction check here .. . . . . . . . . . , ,. . . .... . . . , , . . . . . . . . . . , , . . . . ... . , .. . . . . ...... .. .* BAA For PapurwoAReductionActNotice,see Form1040instructions, PDIA03m OM0/t3 Schedule A (Forrn 1040)2012 FILED: ONONDAGA COUNTY CLERK 01/03/2022 01:22 PM INDEX NO. 008588/2018 NYSCEF DOC. NO. 241 RECEIVED NYSCEF: 01/03/2022 BREAZZANO PAGE 04 03/ 4/1994 19: 58 3156822 SCHEDULE D 58 WS" (Form 1040) Capital Gains and Losses * Attach to Form 1040 or Form 1040NR. 2012 • Information about Schedule D and its separataInstmctions is at wwwJrs,govMorm1040. * UseFomt 8949 to list your transactions for liries 1, 2, 3, 8, 9, and 10. . 12 n na a s c (99) YoursocIsl securitynumber Name(s)shownonretum Brian C & Kathleen A Prusik I Part _]Short-Term Capital Gains and Losses - Assets Held One Year or Less f comphu-- e) Cost or other basis (g) Adjustments to (h) Gainor ( Complete Form 8949 before line 1, 2, (d) Pracééds (sales m pric from Form from Form 8949, gain or loss from Su5tractcolumn or 3. This form may be easier to compfete if you column andcombine round off cents to whole dollars. 89 , Part I, line , Part I, li 2, Form( 8949, Part I, column (d) column (e) line column (p) the resu with column(g) 1 Short-term totals from all Forms 8949 with box A checked in Part I . . . . . , , . . . . . . . . . . . . . . 2 Short-term totals from all Forms 8949 With box B checked in Part I . . . . , , . , . . . .. . . . . . . . . 3 Short-term totals from all Forms 8949 with __ box C checked in Part I . . . . . . . ... , , . . . . . . . . . 4 Short-term gain from Form 6252 and short-term gain or (loss) from Forms 4684, 6781, and 8824 . . . . . . . . . . . . . 4 5 Net short-term gain or (loss) from partnârship, S ccn püràtiGna, estates, and trusts from Schedule(s) K-1 . . . . . 5 6 Short-term capital loss carryover. Enter the amount, if any, from line 8 of your Capital Loss Carryover Worksheet in the instructions . . , . . . . . ... . . . . . . . . , , , , . . . . . .. . . . . . . . . . . , . , . . . . . . . . . . . . . . . . . . . . . , , . . . . . . . . . 6 7 Net shott-term capital gain or (loss). Combine lines 1 through 6 in column (h), If you have any long-term capital gain or losses, go to Part II below. Otherwise, go to Part Ill on page 2 . . .. . . . . . . . . . . . . . , , . . . . . . . . . . . . 7 (ParNI I Long-Term Capital Gains and Losses - Assets Held More Than One Year Complete Form 8949 before completing line 8, 9, (d) Proceeds (sales e) Cost or other basis (g) Adjustments to (h) Cain or (loss or 10. This form ma be easier to complete if you rice) from Form(s) from Form(s) 8949, gain or loss from Subtractcolumn(e) rom round off cents to w ole dollars, 949, Part II, line 4, Part II, line 4, Form(s) 8949, Part II, column(d) andcombine column (d) column (e) line 4, column (g) the result with column(g) 8 Long-term totals from all Forms 8949 with box A checked in Part11 . . . .. , ,.... . . .. . ... . 9 Lo -term totals from all Forms 8949 with _ box checked in Part li . . . . . . . ... .. . . . . .. , . 5 , 000. 4,990 . 20 . 10 Long-term totals from all Forms 8949 with box C checked in Part II . ... ... .. , . , . , ... . .. 11 Gain from Form 4797, Part I; long-term gain from Forms 2439 arid 6252; and long-terrn gain or (loss) from Forms 4684, 6781, and 8824.... .. , , . . . . ......... . .. .,.. . .... .. . ......, , , , .. ..... . ....... . . . . . . .. . ... . . . 11 12 Net long-term gain or (loss) from partnerships, S corporàtians, estates, and trusts from Schedule(s) K-1 . . .. . 12 13 Capitalgaindistributions.See instrs , . ... .... .... , , , , , . ... . . .. ... , , .. , . . ..... . ........ . . , , . . . . ... . .. . .... . . . . . , , 13 14 Long-term capital loss carryover. Enter the amount, if any, from line 13 of your Capital Loss Carryover Worksheet in the instructions . . . . . . . . . . . , , , , . . . . . . . . . . . . . . . , , . , . . . . . . . . . . . . . , . , . . . . . . . . . . . . . . . . . . . . , . . . . 14 15 Nat long-term capital gain or (loss). Combine lines 8 through 14 in column (h). Then go to Part Ill on page2 , . .. . .. . . .. . . , ,,.. . . .. . . .. ... . , , , , . . . . . . . ._.. .. , . , , . . . . . . . . . ... . . . . . , , , . . . . . .. . . . . . . . .. . , , . , . , . .. I 15 20 . BAA For Paperwork RadneHm Act Notice, see your tax return instructions. Schedule D (Form 1040) 2012 FDIA0$1 2 12/31/12 FILED: ONONDAGA COUNTY CLERK 01/03/2022 01:22 PM INDEX NO. 008588/2018 NYSCEF DOC. NO. 241 RECEIVED NYSCEF: 01/03/2022 03/1'4/1994 19:58 3156822( BREAZZANO PAGE 05 Schedule D (Form 1040) 2012 Brian C & Kathleen A Prusik 3 Page_2 Summary 16 Combine lines 7 and 15 and enter the result . . . . . . . . . . . , , , , , . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . - . , . . . . ,J G_ 20 . • If line 16 is a gain, enter the amount from line 16 on Form 1040, line 13, or Form 1040NR, line 14, Then go to fine 17 below. e if line 16 is a loss, skip lines 17 through 20 below. Then go to line 21. Also be sure to Complete line 22. * If line 16 is zero, 17 through 21 below and enter -0- on Form 1040, line 13, or Form 1040NR, skip lines line 14. Then to go line 22. 17 Are lines 15 and 16 both gains? Yes. Go to line 18. No. Skip lines 18 through 21, and go to line 22. 18 Enter the amount, if any, from line 7 of the 28% Rate Gain Worksheet in the instructions .................. * 18 19 Enter the amount, if any, from line 18 of the Unrecaptumd Section 1250 Gain Worksheet in the instructions , . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . , , , , , . . . . . . . . . . . . . . . . . . . . . . . . , . , . . . . . . . . . . . . . . . . . . . . . , . 19 20 Are lines 18 and 19 both zero or blank? Yes. Com lete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions for Form 040, line 44 (or in the instructions for Form 1040NR, line 42). Do not complete lines 21 and 22 below. No. Com lete the Schedule D Tax We±±eet in the instructions. Do not complete lines 21 and 2Î below. 2-1 If line 16 is a loss, enter here and on Form 1040, line 13, or Form 1040NR. line 14, the smaller of: • The loss on line 16 or • ($3,000), or if married filing separately, ($1,500) Note. When figuring which amount is smaller, treat both amounts as positive numbers. 22 Do you have qualified dividends on Form 1040, line 9b, or Form 1040NR, line 10b? Yes. Com lete the Quallfled Dividends and Capital Gain Tax Worksheet in the instructions for Form 040, line 44 (or in the instructicc,s for Form 1040NR, line 42). No. Complete the rest of Form 1040 or Form 1040NR. Schedule D (Form 1040) 2012 FDIA0612 12/3th2 FILED: ONONDAGA COUNTY CLERK 01/03/2022 01:22 PM INDEX NO. 008588/2018 NYSCEF DOC. NO. 241 RECEIVED NYSCEF: 01/03/2022 - BREAZZANO PAGE 06 03 14/1994 19: 58 3156822, AttachmentsequenceNo.12A Page 2 Form 8949 (2012) SSNor taxpayerlifentlf|cat|onng. Name(s)shownon 5tum. (NemeandssN cr taxpayeridentificationno,notrequiredIf shownon otherside.) Brian