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Home My WebLink About04-04-12f 1 FILL INAPPROPRIATE OVALS BELOW O 1. Original Retum t3D O 4. Limited Estate O O 6. Decedent Died Testate O (Attach Copy of Will) O 9. Litigation Proceeds Received O 1505610105 2. Supplemental Retum 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach Copy of Trust.) 10. Spousal Poverty Credit (Date of Death Between 12-31-91 and 1-1-95) O 3. Remainder Retum (Date of Death Prior to 12-13-82) O 5. Federal Estate Tax Retum Required _ 8. Total Number of Safe Deposit Boxes O 11. Election to Tax under Sec. 9~(A} (Attach Schedub O) ,~.+ CORRESPONDENT - THIS BECTION MU8T BE COMPLETED. ALL CORRE8PONDENCE AND CONflDENTIAI TAX INFORMATION SHI Name Daytime Telephc _.. 'VNILLIAM LAPITSKY (717) 763-2C REGISTER First Line of Address - 3806 HEARTHSTONE ROAD ~' Second Line of Address _. ._._ _ _ __.. _ _ _ _ .. _.. __._ ....._ ...... .. _ . I DATE CHy or Post Office State ZIP Code `CAMP HILL PA ! ' 17011 t oN~ u1 _,t-3., c' `~ G =it TJJ1 "~ C'T7 Q Corrupondart'a e-mail address: wlapitsky@comcast.net Under penaltles of perjury, I declare that I have examined lids return, Inducting aotxxnparrying edredubs and statemerrts, and to the best d my Wwrviedge and belief ti is true, ocrtect ocmplete. Dedeaa of preperer other than the personal relxesentative is based on all information of which preparer has arty krxrwledge. SIGNATURE ON RE3 ALE FOR FILING RETURN ~ /~ ~ ' (fa / / Y 3806 HEARTH~"i'ONE RQ~1D, CAMP HILL, PA 17011 SIGNATURE OF PIitEP THE 3F3A11 REPRESENTATIVE 3601 NORTH FRONT STREET, HARRISBURG, PA 17110 PLEASE USE ORIGINAL FORM ONLY Side 1 1505610105 15D5610105 huh • J 1505610205 REV 1500 EX (FI) Decedent's Sodal Security Number Decedent's Name: JACQUELYNNE M. LAPITSKY 201-28-9700 RECAPITULATION 1. Real Estate (Schedule A) ............................................. 1. _...._ ~__... ......_. _ ....._ _... .._i 2. Stocks and Bonds (Schedule B) ....................................... 2. i 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 4. Mortgages and Notes Receivable (Schedule D) ........................... 4. 5. Cash, Bank Deposits and Miscellaneous Personal Properly (Schedule E)....... 5. 140,000.00 _.......__ _............w .............._._.._._.,........._._~....,......._.........~...._....._.. ~ .__..._.__._ 6. Joirrtly Owned Property (Schedule F) O Separate Billing Requested ....... 6. _......_.._ .....................r....._..........~.._.._.._...,..........._...., ,........,...._....__._.~......, 7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested........ 7. 8. Total Gross Assets (total Lines 1 through 7) ............................. 8. 140,000.00 9. Funeral Expenses and Administrative Costs (Schedule H) ................... 9. 10. Debts of Decedent, Mortgage Liabilities and Liens (Schedule I) ............... 10. 11. Total Deductions (total Lines 9 and 10) ................................. 11. s 12. Net Value of Estate (Line 8 minus Line 11) .............................. 12. 140,000.00 13. Charttabie and Governmental Bequests/Sec 9113 Trusts for which -.-..._.~_.......~....._............_..........~......_.......__._......_._,.......~......._..,_w.._....., an election to tax has not been made (Schedule J) ........................ 13. 14. Net Yslue Subject to Tax (Line 12 minus Line 13) ........................ 14. 140,000.00 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 _ _ ... _ _ _ .... . (ax1.2) X .oQQ 140,000.00 16. Amount of Line 14 taxable at Rneal rate X .0 _ 17. Amount of Line 14 taxable at sibling rate X .12 x...ti.,............__.., ....,...._ _..... ........ 16. Amount ~ Line 14 taxable at collateral rate X .15 15. 16. 17. ' 0.00 18.i 19. TAX DUE .:....................................................... 19. 0.00 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O Side 2 1505610205 1505610205 REV-1500 D( (FI) Page 3 Decedent's Complete Address: Fik Numbsr DEC 5 NAME JACQUELYNNE M. LAPITSKY STREETADDi~ESS 3806 HEARTHSTONE ROAD CITY CAMP HILL STATE PA ZIP 17011 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. CreditslPayments A Prior Payments _ B. Discount 3. Interest 4. ff Line 2 is greater than lane 1 + Line 3, enter the difference. This is the OVERPAYMENT. FIII to oval on Page 2, Une 20 to request a refund. 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (1) 0.00 0.00 (3) 0.00 (4) 0.00 (5) 0.00 Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did der~dent make a transfer and: Yes No a. retain the use or come of the property transferred .......................................................................................... ^ ^ b. retain the right Uo designate who shau use the Properly transferred or its income ............................................ ^ ^ a retain a reversionary interest .............................................................................................................................. ^ ^ d. receive the promise for life of either payments, benefits a care? ...................................................................... ^ ^ 2. ff death oa,urred after Dec.12,1982, did deoederrt transfer property within one year of death wittxwt receiving adequate consideration? .............................................................................................................. ^ ^, 3. Did decedent own an "'m trust for" orpayable-upon-deatl~ bank account or security at his or her death? .............. ^ ^ 4. Did decedent own an individual retirement acco<int, annuity or other non-probate properly, which contains a beneficiary designation? ........................................................................................................................ ^ ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE R AS PART OF THE RETURN. For dates of death on or after July 1,1994, and before Jan.1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. For dates ~ death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent (72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even 'rf the surviving spouse is the onty benefaary. For dates of death on or after July 1, 2000: The tax rata imposed on the net value of transfers from a deceased child 21 years of age or younger at death to w for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent (72 P.S. §9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal benefiaaries is 4.5 percent, except as noted in [!2 P.S. §9116(a)(1)]. • The tax rate-imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adopfion. Total Credits (A + B) (2) REV-15o8 IX+ (11-so) Pennsylvania SCNEOVLE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS 8c MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: JACQUELYNNE M. LAPITSKY 2011-00014 Indude the proceeds of IlGgadon and the date the proceeds were received by the estate. All property jointly owned with right of survhnxshlp must be disdosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. PAINTING -ATTRIBUTED TO SIR PETER LELY, AN ELEGANT LADY, BELIEVED TO BE COUNTESS ANNE SEATED IN A LANDSCAPE 140,000.00 THE EXECUTOR OF THE ESTATE WAS UNAWARE THAT THE PAINTING HAD VALUE AT THE TIME THAT THE ORIGINAL INHERITANCE TAX RETURN WAS FILED AND NO APPRAISAL AS OF THE .DATE OF DEATH WAS CONDUCTED. PER THE SUGGESTION OF THE PA DEPARTMENT OF REVENUE, IN LIEU OF AN APPRAISAL OF THE PAINTING, ATTACHED IS THE SETTLEMENT STATEMENT FROM THE SALE OF THE PAINTING ON 101712011. TOTAL (Also enter on Line 5, Recapitulation) $ 140,000.00 If more space Is needed, use additional sheets of paper of the same size. REV-1513 EX+ (01-10) Pennsylvania SCHEDULE ~ DEPARTMENT OF REVENUE INHptITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF: FILE NUMBER: JACQUELYNNE M. LAPITSKY 2011-00014 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEMNG PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [Indude outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] 1• WILLIAM LAPITSKY SPOUSE 100°~ ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE. II NON TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II -ENTER TOTAL NON TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. I ~ If more space is needed, use additional sheets of paper of the same size. SamuN T Freeman ~ Co 1808 Chestnut Street Philadelphia PA 19103 Tel-216.563.9275 Fax-215.583.8238 a-mail: info~freemansauction.com W W W.fflemaneaUC~On.COnl SETTLEMENT STATEMENT (Update) t'o: Mr. Bill Lapitsky 3806 Hearthstone Road Camphill PA 17011 FREEMANS AMERICA'S OLDEST AUCTION HOYEE Receipt No: 11-1787 Client No: 90093 (Please quote In all correspondence) 1411 Old Master Paintings, Drawings & Prints Sale Date: 10/07/2011 11:00 AM Venue: Main Floor Gallery Lot Item Handling Photo No. No. Description Result Commission 8 Insurance ~ Misc Net 111 1 ATTRIBUTED TO SIR PETER LELY, (BRITISH 1618-1680), AN ELEGANT LADY, BELIEVED TO BE COUNTESS ANNE, SEATED IN A LANDSCAPE $140,000.00 14,200.00 2,115.00 250.00 123,435.00 Totals: 14,200.00 progressive Commission per Lot ?0.00% commission up to $2,000 10.00°~ commission over $2,000 $25.00 minimum commission 1.50°~ insurance. $15 per lot intemet fee. ?0.00% per lot withdrawal charge 5.00°~ BI Fee =ach Photo: up to $500.00 Color up to $150.00 Black & JVhite 2,115.00 250.00 " Lots Pending: Paid To Date: Balance Payable: 5123,435.00 ;0.00 5-123,435.00 $0.00 _RN# 1190 Wire issued 12.22.11. `.{ ~ ~y ~ A Oq ~ C `.~~ ~n' A A ~ A , „ = y ~ d ~..e~ ~a lO ~ H ~ 0 ~ A W O O ~ ~ O C .~ b' O C R N ~. =I7 2a. , f.! 1 ~:: ~~ ± . ~ rC . ,j T ' +t~~ ~..9. • ~~. ! t ^ `~ r _4~w.. 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