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Home My WebLink About01-0412 MARY C. LEWIS, REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA PETITION FOR GRANT OF LETTERS Estate of BETTY McCRACKEN No.21 01 4,2.. also known as , Deceased Social Security No. 180-22-8632 PEGGY J. WEIKEL Petitioner(s), who is/are 18 years of age or older, apply)ies) for: (COMPLETE "A" OR "B" BELOW:) o A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut Decedent. dated and codicil(s) dated named in the Last Will of the State relevant circumstances, e.g., renunciation, death of executor, etc Except as follows, Decedent did not marry, was not divorced and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incapacitated: Gl B. Grant of Letters of Administration (c.t.a., d.b.n.c.t.a.: pendente lite, durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse (if any) and heirs: I Name Relationship Residence I SHIRLEY SCHEIB SISTER BERRYSBURG. PA 17005 MARY KRAMER SISTER COAL TOWNSHIP PA 17866 WILLIAM McCRACKEN BROTHER HARRISBURG PA 17112 ftc:'bV .T Wf,'<:f:" f'/J (~~ C:A~I' H,'-L P4 17.., I I (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his/her last family or principal residence at METHODIST HOME, 5120 SIMPSON FERRY ROAD, LOWER ALLEN TWP., MECHANICSBURG, PA (list street, number and municipality) Decedent, then 72 years of age, died APRIL 16 ,2001, at HARRISBURG HOSPITAL, HARRISBURG, PA (Location) Decedent at death owned property with estimated values as follows: (if domiciled in PA All personal property......................................... $ I ~.s f') (l) o. ""..v (if not domiciled in PA Personal property in Pennsylvania .................... $ (if not domiciled in PA Personal property in County.............................. $ Value of real estate in Pennsylvania.. ........ ...... ......... ...... ....................................... ..... ............. $ Total ..................................................................................................................... $ loS 0 <> c. '-' G Real Estate situated as follows: Wherefore, Petitioner(s) respectfully request(s) the probate of the Last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undersigned: Typed or printed name and residence PEGGY J. WEIKEL 129 LIMESTONE DRIVE CAMP HILL PA 17011 RW-1 llc- dc:2iY-:0 Oath of Personal Representative Commonwealth of Pennsylvania County of CUMBERLAND The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according tolaw. ~ Sworn to and affirmed and subscribed l' ,t" ~~. ~-4 PEG . EI L before me this 24TH day of ~. DECREE OF REGISTER Estate of BETTY McCRACKEN also known as Deceased No.21 01 412 Date of Death: APRIL 16, 2001 Social Security No: 180-22-8632 APRIL 25, AND NOW, reverse side hereon, satisfactory proof having been presented before me, 2001 , in consideration of the Petition on the IT IS DECREED that Letters Q Testamentary 1]1 of Administration are hereby granted to ((c.t.a., d.b.n.c.t.; pendente lite; durante absentia; durante minoriate) PEGGY J WEIKEL in the above estate and that the instrument(s), if any, dated described in the Petition be admitted to probate and filed of record as the Last Will of Decedent. $ $ $ $ $ $ $ $ 15.00 5.00 FEES Letters .............................. ...... $ 23 S .00 Short Certificates( s) . j .!?J.. .. .. Renunciation......................... . Extra Pages ( ) ............... I.T.R....................................... J C P Fee ................................. Inventory ................................ Other... ..... .... ... ..... .... .............. Signature 5.00 Attorney: GERALD J. BRINSER I.D. No: 09655 Address: 6 E. MAIN STREET, P.O. BOX 323 PALMYRA PA 17078 Telephone: (717)838-6348 APRIL ?S, 2001 TOTAL .............................$ 260.00 "._--~t- DATE FILED: 10'i.80'i RF\' ')/8(, This is to cenif", {h~H the information here given IS correctly copied from an original certificate of death duly fIled wirh me as Local Regisu,u" The origin,tl certifIcate will be fonvarded to rhe Stare Vital Records Office f()f permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. No. /.Ii~,f~IIOFP~~~ li~~"/ ~/(ttJ'.-_- ,,\ ~v ~(,/~~ II~/ ~~' \~\ (~::Ei ,. ,,?~ 1$ QI - .- -' :'!:~ l~ c.-11, ":~~f .,h ~ \~~,.. )C;/ \':."':.~'" . ../~l '-_,!I'iiE-N-i n~ ~\I~\ ~;/" t. I \) "" ~"'~.!f",!!/"/JllIfJ J Fee t()[ this certificate, $2.00 P 7323987 APR. {'.r '"Il. Date H105.14J A.. 2181 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH \'PE/PRltlT ltI tRIUNEHT oI..ACK I"" STI\IE FilE "Ul.l8EA ~ Of DECEOetlT(f~~;~;;J McC r~~~e-n-'------------------- :rema 1-;-J~t80cUR: NU;tr _ 863;- AGE (la.. BotlllOayl UNlll:R~ UtIOER 1 OIOI];lATE-OF BIRTH SIIfTHPLACE (cry ond PlACE OF ot'~H'C_' my""" -- ..... 'nSl"."....."" """', _I 72 y,. M"""," 1 D~yo Houoo! MOM.. ,u ~~'''G ~192 8 S h ~I;; ki'~l~ l;~U~1 =~:l[2g EMMl>OI~rM [J . ,. e. 1 ... COUNT't OF OEA:JH em. llOAO. TWP OF OE~H fl\CllfTY NAME (II "'. ,not''''I''''' Il"'" "'tot ..KJ /lumbe" Dauphin Ie Harri sburg Hhite DECEDENT'S USUAl OCClIPlJ1OH KIND Of 8USlNESSilNOUSTRY lwv. ~oI wotk done l;lvf.ng most 01 """''''4...., do ""'.... .etved I .1lL Domestic "...Insturional OI:CEOI:NT'S l.l"'UNG ADOfIE 5S ,Sh.1. ClIylTaoln. s... Eop Codel DECEDENT'S ACTUAl RESIDENCE t*I(\WUC~ on oWl.. 5Mie1 SURVIVING SPOuSE III iMNI. grve f1'1d1deo n.unut ) ~ Cumberland Did - Jlvelf'll -...1 14. 110.0_.__... - 111>. Mechanicsburg CllylbDro Pa, 17011 c ... III ;) ~ ~ c . [tt,.dIO ~ ~CONSEOUENCEOf): b-1 /. '. ,)fA f fVf 11 lO(OR"'SAC~OIJENCE Of): iJ ~ 4J,V'.O <4 a.. J (\ 2311. ""'li CASE REfERRED 10 ::0 EXAMlNERiCOAOHER1 No~ K. I APIl'OMIITlO'. PART .: 0lI1er oiQno/lcanl cor-. conrnbullng to de."'. b<II :~~~ noI.......ingin~ undeIIyw1g_ g;,.... in PART I ! 1 ~",.ut.::. IVl\tNW,1 I I I c DUE 10 lOR AS" CONSEOUENCE Of): I : ~ ~ CI WERE AU10PSY fiNDINGS A\M\IlA8l.E PAIOfIlO COMPlEfIOH OF CJlUSE Of OERH? IoIANNE/l Of DEATH DIJE Of INJURY ("""".Ooi_) TIME OF IK.IIJRY INJURY IJ \YORK? DESCAISE HOW INJURY OCCURRED y.. CJ No Gr .......... IB'"" _... 0 _ 0 Homic:iCle P.neIlng "'-'Valian Cc.lId..... be ...lenn...... o o o ..... 0 NoD "HIONOUtlC1I<lG /\HO CERTIFYING PHYSICI_IPh""""", \:lOIt> ;><onounc:,ng """"'....... Cef\~ 10 c~u" 01 aea,o, To Itw: be-et ot "'Y kno..\e4g_, "..Ih occurred at... ......, dale, .and piece, and due to Ihe ceVMi_} Ind mann" .. ".Ied Itf,CJ r1151bl __ 211>. n. CEIlTIFIEA'o.ec. "'"" Of'ej 'CEIITII'YINC pt(YSlCIAtI (PO ""'"'" C"'~_ ca.- ~ <lealh _ """"'" ,,"_,an has "'''''''''nceO <lO~'" ana complelOO lIem 2JI Tott..bbto'my knQw~.M."'occurredduelk>>"'cau"(.Jlndm.nne'...tated................................. "MEDICAL EXAMINER/CORONER On tn. ....1. 01 ...minaUon and/or Inv..lIgaUon,ln my opinion, d..11l occ..rred al Ill. lime, dale, and place, and d..e,Q 111. c.....'..I.nd ",.nnat .. _.ted.. . . . .. ........ ................................................................................. 31.. ~ISTRAA.S SIGN~URE .o.ND .lU!"IlEA C~/ _ C 34. MARY C. LEWIS, REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA RENUNCIATION Estate of Betty McCracken No. 21 01 412 also known as , Deceased The undersigned, Shirley Scheib, Mary Kramer & William McCracken, Sisters and Brother (Relationship) (Capacity) of the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters T estamentarv be issued to Peggy J. Weikel. Witness our hand this day of April 2001 ~7#"'~~.d " (Signature) BerrysburgPd. g tJ;ls J !5errY_1bttYt: PA It ddS (Address) 7n1M~ k!.~ . (Signature) C:)/)L -r~. 101 N, A.s."rl Sr i:haR18It;n 19,P1: 8 (/)::L CvfJL 7;'jl.J.vs~;RA i :7 ''!~G (Address) ~aIia~ /(f//k~h.~ (Signature) HarriSburfl?'1{A/~bZt ~ ff:I5, PA J7ILl.->fY'l (Address) Sworn to or affirmed and subscribed before me this day of Notary Public My Commission Expires: (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission.) NOTE: Renunciations executed outside the Office of Register of Wills are required in some counties to be notarized. RW-3 MARY C~LEWIS, REGISTER OF WILLS C~MI3ERLAND COUNTY, PENNSYLVANIA CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: BETTY McCRACKEN .. Date of Death: 4/16/01 Estate No. 2Q()1-Q0412 SSN: 180-22-8632 File No. 21-01-0412 Date Letters Granted: 4/25/01 Will or Administration No. To the Register: ..- L I certify that Notice of Estate Administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on AI?BIL2l,?001. Name SHIRLEY SCHEIB Address P.O. BOX 51 6ERRXSaURG. 89 WHEA TaU PLACE HARRISaUR~w.. _m... . 101 N. ASH STREET, APT. 802 CQAJ... IQWN.SHIP 179 COTTAGE STREET . . MIl-FORD 19 CORNELL STREET PLAINYILl-1; 377 KEPNER HILL ROAD MUNCY WILLIAM McCRACKEN MARY KRAMER JUDY McCRACKEN ROBERTL.McCRACKEN DAVID E. DERK Notice has now been given to all persons entitled thereto under Rule 5.6(a) except PEGGY J. WEIKEL, APMtNI$TRATOR Date: 4/27/01 ~4J~ ~ Signature . . . GERALD J. BRINSER, ESQUIRE (09655) Name (Please type or print) Capacity: Personal Representative X Counsel for Personal Representative Address 6 E..MAIN.STREET, P.Q.BQ)(323 PALMYRA Telephone No. (717)838-6348 PA 17005 PA 17112 PA 17866 eN .013460 CN 06062 PA 17756 PA .17078 . BETTY McCRACKEN Continuation of Certification of Notice Under Rule 5.6(a) Page 1 4/16/01 Names and addresses Name BERRY A. DERK GRACE I. BATEMAN Address 61 S. 7TH STREET SHAMOKIN 1219 W. INDEPENDENCE STREET COAL TOWNSHIP PA 1787~ PA 1786E '" . 4 MARY C. LEWIS, REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA INVENTORY Estate of BETTY MCCRACKEN No. 21 01 0412 I Deceased Date of Death 04/16/2001 Social Security No. 180-22-8632 also known as Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following inventory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no real estate outside the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I/We verify that the statements made in this inventory are true and correct. I/We understand that false statements herein made are subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Personal Representative: Name of Attorney: GERALD J. BRINSER 1.0. No.: 09655 Address: 6 E. MAIN STREET PEGGY J. WEIKEL Dated liB/OJ. PALMYRA PA 17078 Telephone: (717)838-6348 Description Value Stocks & Bonds Closely-Held Corporation, Partnership or Sole-Proprietorship 0("; "... ....'.' - (l' &~' ~ c........ :r.::::o z :0 ....', ,....,. ~;~ - Mortgages & Notes Receivable CJ -0 f......) Cash, Bank Deposits, & Misc. Personal Property V1 WAYPOINT BANK - CHECKING ACCOUNT #20077800 (INCLUDES ACCRUED INTEREST OF $60.47) 41,299.75 WAYPOINT BANK - CHECKING ACCOUNT #90327156 (INCLUDES ACCRUED INTEREST OF $1.00) 16,772.67 Total (Attach Additional Sheets if necessary) 114,770.85 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative, include the value of each item, but such figures should not be extended into the total of the Inventory. RW-4 ~ Continuation of Inventory ",' BETTY MCCRACKEN 21 01 0412 PaQe 1 Description of Inventory Description WA YPOINT BANK - CERTIFICATE OF DEPOSIT #8000046043 (INCLUDES ACCRUED INTEREST OF $48.25) Value 28,202.14 WA YPOINT BANK - CERTIFICATE OF DEPOSIT #8000046044 (INCLUDES ACCRUED INTEREST OF $48.25) 28,202.14 PAYCHECK ON HAND AT DEATH 294.15 Real Estate Subtotal $ 56,698.43 114,770.85 Grand Total $ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT BRINSER GERALD J PO BOX 323 PALMYRA, PA 17078-0323 _____n_ fold EST A TE INFORMATION: SSN: 180-22-8632 FILE NUMBER: 21 - 2001 - 0412 DECEDENT NAME: MCCRACKEN BETTY DA TE OF PAYMENT: 07/12/2001 POSTMARK DATE: 07/11/2001 COUNTY: CUMBERLAND DATE OF DEATH: 04/16/2001 NO. CD 000047 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $7,764.00 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: GERALD J BRINSER ESQUIRE CHECK# 282 SEAL INITIALS: AC RECEIVED BY: REGISTER OF WILLS $7,764.00 MARY C. LEWIS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX( 11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT BRINSER GERALD J PO BOX 323 PALMYRA, PA 17078-0323 u__u__ fold ESTATE INFORMATION: SSN: 180-22-8632 FILE NUMBER: 21 - 2001 - 04 1 2 DECEDENT NAME: MCCRACKEN BETTY DA TE OF PAYMENT: 07/12/2001 POSTMARK DATE: 07/11/2001 COUNTY: CUMBERLAND DATE OF DEATH: 04/16/2001 NO. CD 000046 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $10,925.00 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: GERALD J BRINSER ESQUIRE CHECK# 117 SEAL INITIALS: AC RECEIVED BY: REGISTER OF WILLS $10,925.00 MARY C. LEWIS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT PEGGY J WEIKEL 129 LIMESTONE DRIVE CAMP HILL, PA 17011 -------- fold ESTATE INFORMATION: SSN: 1 80-22-8632 FILE NUMBER: 21 - 2001 - 04 1 2 DECEDENT NAME: MCCRACKEN BETTY DATE OF PAYMENT: 01/10/2002 POSTMARK DATE: 01/09/2002 COUNTY: CUMBERLAND DATE OF DEATH: 04/16/2001 NO. CD 000737 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $913.70 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: PEGGY J WEIKEL CHECK#125 SEAL INITIALS: DO RECEIVED BY: REGISTER OF WILLS $913.70 MARY C. LEWIS REGISTER OF WILLS ;h-C).d-0-0\ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG. PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER ~2 2 COUNTY ACN 02-26-2002 MCCRACKEN 04-16-2001 21 01-0412 CUMBERLAND 101 GERALD J BRINSER BRINSER ETAL PO BOX 323 PALMYRA .02 ['iAI~-l J\11 (;~(:~- ~ PA 17IfMnb;:;;, C/* REY-1547 EX AFP <01-02) BETTY Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-V = is,,-j-ix--AFP--co1-:o21--Ncffici--oF-'rNHiifiTANCE-YAX-APPRA-isiifENT~--Aii-oWAN-cE-ifR----------- - - - - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF MCCRACKEN BETTY FILE NO. 21 01-0412 ACN 101 DATE 02-26-2002 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets ll) (2) (3) (4) (S) (6) (7) .00 .00 .00 .00 114,770.85 .00 54,484.97 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitab1e/Governllenta1 Bequestsj Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 1S. Allount of Line 14 at Spousal rate (lS) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: NOTE: (9) llO) 16,532.83 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 169,255.82 19.287 63 149,968.19 .00 149,968.19 ll9)= .00 .00 7,635.60 12,950.73 20,586.33 2.754.80 lll) ll2) ll3) ll4) .00 X 00 = .00 X 045= 63,630.02 X 12 = 86,338.17 X 15 = . no.. ...n . ............. . il l + J AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 07-11-2001 CDOOO046 575.00 10,925.00 07-11-2001 CDOOO047 408.63 7,764.00 INTEREST IS CHARGED THROUGH 03-13-2002 TOTAL TAX CREDIT 19,672.63 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 913.70 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 8.39 TOTAL DUE 922.09 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) L&"~to..d. BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG. PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT C/* REV-I607 EX AFP (01-02l GERALD J BRINSER BRINSER ETAL PO BOX 323 PALMYRA .02 MJ\~:-l : DATE ESTATE OF DATE OF DEATH FILE NUMBER f\11 ~~~UNTY ACN 02-25-2002 MCCRACKEN 04-16-2001 21 01-0412 CUMBERLAND 101 BETTY RBC-, F: Allount Rellitted c...~.., PAl 7 0 7 E(~l1rn L,: MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 NOTE: To insure proper credit to your account. subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iffy = i61fj-Ex--AFP--ccff:021-------...--iNHERI,.-ANCE--fAx--STA-fEHE-tif-ifF'-Accoui.ff--.-i.--------------- - -- - -- ESTATE OF MCCRACKEN BETTY FILE NO.21 01-0412 ACN 101 DATE 02-25-2002 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE. APPLICATION OF ALL PAYMENTS. THE CURRENT BALANCE. AND. IF APPLICABLE. A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 02-26-2002 P R I N C I PAL TAX DUE: .........m...m............m....m......m................m...........................................mm....m............mm..m...................m....m..............m..m....m.............. 20.586.33 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 07-11-2001 CDOOO046 575.00 10.925.00 07-11-2001 CDOOO047 408.63 7.764.00 01-09-2002 CDOO0737 .00 913.70 TOTAL TAX CREDIT 20.586.33 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 . IF PAID AFTER THIS DATE. SEE REVERSE TOTAL DUE .00 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1. NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRl. YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. l REV:l500 EX + (6-00) . COMMONWEALTH Of PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT t!.- OfFICIAL USE OM. Y /& ~:2t.-2.. FILE NUMBER 2 1 -0 1 0 4 1 2 ""'CO'U'NiY"'Cci6E-YEAR---NUiiiER-- DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER .... Z W C W U W C MCCRACKEN BETTY DATE OF DEATH (MM-DD-Year) DATE OF BIRTH (MM.-DD-Year) 04/16/2001 08/06/1928 (IF APPLICABLE} SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) N/A 180-22-8632 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER w ... :.::::!rn 0"'''' w"o ,,00 olf~ .. .. [X] 1. Original Retum o 4. limited Estate o 6. Decedent Died Testate (Altacll copy of Will) o 9. Litigation Proceeds Received D 2. Supplemental Retum D 4a. Future Interest Compromise {dale ofdeath alIer 12.12.f12) D 7. Decedent Maintained a Living Trust (Altach copy of Trust) D 10. Spousal Poverty Credh (daei!ofdealh between 12-31-91 and 1-1-95) D 3. Remainder Retum (dale ofdealh prior 10 12.1J.82) o 5. Federal Estate Tax Retum Required Q.. 8. Total Number of Safe Deposit Boxes D 11. Election to tax under Sec. 9113(A) 1_' S<h 0) ... z w o z o .. Ul W '" '" o o THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE I)IRECTED TO: NAME COMPLETE MAILING ADDRESS BRINSER GERALD J. 6 E. MAIN STREET FIRM NAME (If Applk:able) BRINSER WAGNER & ZIMMERMAN P.O. BOX 323 TELEPHONE NUMBER 717838-6348 PALMYRA PA 17078 z o ~ ;:) .... ii: <I: U w a:: 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Rece~able (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) (6) D Separate Billing Requested (1) (2) (3) (4) (5) p~."~ '" ::;j ~" n'- ,-,,' ' 1,', . OFFICIAL tIlE ONLY ON :Om (!) 0 ~': ~, r;'~ cc... "'" :z -' Cl ;::;. :~':;; -0 N u ~...:. U1 7.lnter.Vivos Transfers & M~cellaneous Non.Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Admin~trative Cosls (Schedule H) (g) 10. Debls of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Govemmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o ~ ;:) a. :li! o u S 15. Amount of line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 0.00 0.00 63,630.02 86,338.17 X OL(15) X .04.5 (16) X .12 (17) X .15 (18) (19) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Une 14 taxable at collateral rate 19. Tax Due 20. 0 CHECK HERE IF YOU ARE REOUESTING A REFUND OF AN OVERPAYr.lENT > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH.;.; 54,484.97 (8) 169.255.82 16,532.83 2,754.80 (11) (12) (13) 19,287.63 149,968.19 (14) 149,968.19 7,635.60 12.950.73 20.586.33 o ecedent's ComDlete Address: STREET ADDRESS 5120 SIMPSON FERRY ROAD . CITY I STATE I ZIP MECHANICSBURG PA 17055 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. CreditslPayments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1) 20.586.33 18689.00 983 63 3. InteresVPenalty ff applicable D. Interest E. Penally Total Credits (A + 8 +C) (2) 19,672.63 T otai InteresUPenalty ( D + E ) (3) 4. If Line 2 is 9reater than Line 1 + Line 3, enter the difference. This is the OVERPAVMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is 9reaterthan Line 2, enter the difference. This Is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) 8. Enter the total of Line 5 + 5A. This is the 8ALANCE DUE. (58) Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Ves No a. retain the use or income of the property Iransferred; ........................................................................... 0 00 b. retain the ri9ht to designate who shall use the property transferred or its income; ........................................ 0 00 c. retain a reversionary interest; or ...................................................................................................... 0 00 d. receive the promise for life of either payments, benefits or care? ............................................................. 0 00 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?............................................ ................................................... 0 00 3. Did decedent own an 'in trustfo~ or payabie upon death bank account or security at his or her death? ................. 0 00 4. Did decedent own an individual Retirement Aooount, annuity, or other non-probate property which contains a beneficiary designation? ....................................................................................................... 00 0 0.00 913.70 913.70 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. L PA 17011 ATE /. ~ 0 '2- PA 17078 For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. ~9116 (a) (1.1) (i)l. Fordates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. ~9116 (a) (1.1) (ii)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax retum are still applicable even ff the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The fax rate imposed on the net value oflransfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child Is 0% [72 P.S. ~9116(a)(1.2)1. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. ~9116(1.2) [72 P.S. ~9116(a)(1)1. The tax rate imposed on the net value of transfers to or for the use of the decedenfs siblings is 12% [72 P.S. ~9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. . "';'''''''1'''1,* COMMONWEALTH OF PENNSYLVANIA INHERlTANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF MCCRACKEN BETTY FilE NUMBER 21 01 0412 Indude the proceeds of litigation and the dale the proceeds were received by the estale. All property jolnUy-owned _ the right 01 sUIVlvo..hlp must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION WAYPOINT BANK - CHECKING ACCOUNT #20077800 (INCLUDES ACCRUED INTEREST OF $60.47) VALUE AT DATE OF DEATH 41,299.75 2. WAYPOINT BANK - CHECKING ACCOUNT #90327156 (INCLUDES ACCRUED INTEREST OF $1.00) 16,772.67 3. WAYPOINT BANK - CERTIFICATE OF DEPOSIT #8000046043 (INCLUDES ACCRUED INTEREST OF $48.25) 28,202.14 4. WAYPOINT BANK - CERTIFICATE OF DEPOSIT #8000046044 (INCLUDES ACCRUED INTEREST OF $48.25) 28,202.14 5. PAYCHECK ON HAND AT DEATH 294.15 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, inseri additional sheets of the same size) 114770.85 ""'.""".,'.,,. COMMONWEAlTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF MCCRACKEN BETTY FILE NUMBER 21 01 0412 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side oftha REV-1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY %OF ITEM INCLUDETHENAMEOfTHETRANSfEREE.THElRRB.ATIOHSHIPTODECEDENTANDTHEDATEOF~SfER DATE OF DEATH DECO'S EXCLUSION TAXABLE VALUE NUMBER ATTACH ACOPI'OFTHE OEEO FOR REAL ESTATE. VALUE OF ASSET INTEREST (IFN'PUCABLE) 1. WAYPOINT BANK -IRA#1100013166 WITH NAMED 22,380.47 100. 22,380.47 BENEFICIARIES 2. WAYPOINT BANK -IRA#1100019640 WITH NAMED 18,405.94 100. 18,405.94 BENEFICIARIES 3. WAYPOINT BANK - IRA #1100000848 WITH NAMED 4,873.97 100. 4,873.97 BENEFICIARIES 4. WAYPOINT BANK-IRA#1100002153 WITH NAMED 8,824.59 100. 8,824.59 BENEFICIARIES TOTAL (Also enter on line 7, Recapitulation) $ 54 484.97 (If more space is needed, insert additional sheets of the same size) "':'""",.".n* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF MCCRACKEN BETTY FILE NUMBER 21 01 0412 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A, FUNERAL EXPENSES: 1. FARROW FUNERAL HOME 4,879,00 . B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (5) PEGGY J. WEIKEL 5,600.00 Social Security Numbe~s) I EIN Number of Personal Represenlalive(s) Street Address 129 LIMESTONE DRIVE City CAMP HILL Slate PA Zip 17011 Year(s) Commission Paid: 2001 2, Attomey Fees BRINSER, WAGNER & ZIMMERMAN 5,600.00 3, Family Exemption: (If decedenfs address is not the same as claimanfs, attach explanation) Claimant Street Address City Slate Zip Relationship of Claimant to Decedent 4, Probate Fees REGISTER OF WILLS 260.00 5, Accountanfs Fees 6. Tax Return Prepare~s Fees 7, THE SENTINEL - LEGAL ADVERTISING 93.83 8. CUMBERLAND LAW JOURNAL - LEGAL ADVERTISING 75,00 9. REGISTER OF WILLS - TAX RETURN FILING FEE 15,00 10. REGISTER OF WILLS - INVENTORY FILING FEE 10.00 TOTAL (Also enter on line 9, Recapitulation) $ 16 532.83 (If more space is needed, insert additional sheets of the same size) ""'''''''0''''0* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF MCCRACKEN BETTY SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS FILE NUMBER 21 01 0412 Include unrelmbursed medical expenses. ITEM NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. DESCRIPTION AMOUNT 192.92 KUNKEL SURGICAL GROUP HARRISBURG GASTROENTOLOGY L TO. 106.31 ASSOCIATED CARDIOLOGISTS 16.62 CARDIOVASCULAR SURGICAL INST. 16.10 BRONSTEIN JEFFRIES, P.A. 109.48 ONCOTECH, INC. 213.04 DRS. SIEGELBANN, GUNDER & LACEY 11.10 PULMONARY & CRITICAL CARE MEDICAL ASSOC. 276.17 RIVERSIDE ANESTHESIA ASSOC. 28.73 PATHOLOGY ASSOC. OF CENTRAL PA 16.17 ANDREWS & PATEL, ASSOC., P.C. 20.16 OUTSTANDING CHECKS AT TIME OF DEATH (#477 - 141.00) (#478 - 43.00) (#476 - 1,564.00) 1,748.00 TOTAL (Also enter on line 10, Recapitulation) $ (If more space Is needed, insert adcmional sheets of the same size) 2 754.80 V1Waynnint IBA N K lOOK FOR US. WE'LL GET YOU THERE. P.O. Bo. 1711. H.rrloburg. PennsYMml. 17105.1711 Member FOre BETTY MCCRACKEN ESTATE 5120 SIMPSON FERRY RO MECHANICSBURG PA 17055-3627 FOCUS 5111101 5 PAGE 1 ACCOUNT NUMBER TYPE OF ACCOUNT: INTEREST PAlO ANNUAL PERCENTAGE YIELD DAYS IN CYCLE AVERAGE BALANCE ~:~ YEAR TO DATE EARNED (APYEl OO~ FOCUS 50 FREE INTEREST 68.57 1.09 J 28 7.898.52 ---- ------------------------------------------------------------------------------------------------------------------- PREVIOUS BALANCE DEPOSITS WITHDRAWALS CHARGES INTEREST ENDING BALANCE 16.771.67 294.15 17.072.42 .00 6.60 .00 6.60 WITHDRAWALS 43.00 :.564.00 15.465.42 BALANCE 17.065.82 17.022.82 15,m.82 15.465.42 .00 DATE 4/16/01 4/17/01 4/19/0. H30101 4/30/01 ACTIVITY DESCRIPTION UNP 4/13 6700260 CHECK '478 CHECK '47. INTEREST PAID AT CLOSING CLOSING OE8lT DEPOSITS 294.15 DATE CHECK NO. 4/19101 476 AMOUNT 1.564.0 0 CHECK SUMMARY , Indicates skIp In cnack numbers DATE CHECK NO. AMOUNT 4/17/01 478' 43.00 DATE CHECK NO. AMOUNT --------------------------When-you-need-,-ioin~-nobody-.oves-is-fist-is-wiypoinr-Bink~--rn-fict~--------------------------- we're so confident of tnls tnat we're willing to put our money wnere our moutn Is. Tnat's rl9ht, only Waypolnt 8ank offers tne 8eat.tne.Clock loan 9uarantee. Wnen you apply for any Installment, personal unsecured, fixed.rate nome equIty loan or line of credit, BEFORE 2 PH. we 9uarantee to nave a credit decision for you tnat same day - or we'11 pay you 1100 cash! Ask for co.plete details. CustomEr SErviCE Toil-FrEE 1-866-WAYPOINT (1-866-929-7646) . www.waypolntbank.com POl).S02 (lCVOO) Page I of I 07/09/0 I Account: Name: Address: 900327156 ;rJ~Od The image shown below represents an official copy of the original document as processed by our institution . BETTY McCRACKEN Dell~ MECHANICSBURG. PA 17051l 0477 Ji! ~~( ~ - Oe.pr. eJF 116.~vc. . OAl4!. J.!UNPA:/U) -F~4lTY-~ ~p % I . .~~ .a. 'li()fII{.... ..-. #rA':i.. I~ .;)._/ ". ..." I S "I~/.. DD . ...oAa..___1 DOlllIIS I lOR (h~~~ OIJ003i!?l.5E." O..? ...00000 l.. &00... .:i!Hl?S!;,}OI: 477 05/01/01 9911010 141.00 72bG~C4~. 2Q 043001 JH 2 prl GC~~GQ14~S OV~-OV~ ~ ~ , . 'llfCTI!& lEi!( :ll9*ell 612tOl 1I~" ~, T,- ~.,'Jll'/ IEPO!lT fA eEl'T !Jf l!i\tfil.f. l:fl""l~,,€l';;jl r;-.:; It: ~i i. ;, .~u.!~'ift. r,~LA~aI'".,!,\ PA L ~03100:~ . '. ------.-...- ~= ...:- :: ~ ~:':.: :..:'~:: :; ..-- - . . . ------ --.. . - - - -- - -- ... -.- -- .. - - ..-- ---... ... --- - ... - - -- . http://10.15.1.43/dsi-binidsigtwy.dl1/print?20010501---9911010X4AnOOAB.htm 07/09/2001 ".W .,. t W' . ayJtqI!1 - LOOK FOR US. WE'LL GET YOU THERE. P.O. Box 1711. H.rrlsburg. P.nnsylvanla J7105~1711 Membe' FDIC / 0100169218 BETTY HCCRACKEN ESTATE 129 L1HESTONE OR CAHP HILL PA 17011 -b-O f( l- <-~/V '1(,,/0:J.../O/ /)/ ~ ~, ? STATEMENT OATE FOCUS 5/25/01 622 PAGE 1 TYPE Of ACCOUNT: INTEREST PAID YEAR TO DATE fOCUS SO fREE INTEREST 9.83 ANNUAL PERCENTAGE YIELD EARNED (APYE) 1.04 I DAYS IN CYCLE 29 AVERAGE BALANCE 11.983.24 --------------------------------------------------------------------------------------------------------------------------- PREVIOUS BALANCE .00 DATE 4/30/01 5ill.LO.l. 5/10/01 5/10/01 51ll/01 5/23/01 5/24101 5/24/01 5/25/01 5/25/01 DATE 5/11/01 5/10/01 5/10/01 DEPOSITS 15,465,42 ACTIVITY DESCRIPTION DEPOSIT CHECK #471 CHEC! 1104- CHECK 1103- CHECK 1101 ~ CHECK 1106 ~ CHECK lIDS - CHECK 1109 - CHECK #110 - INTEREST EARNED CHECK NO. 101 103. 104 AHOUNT 11.10 189.17 4.879.00 WITHDRAWALS CHARGES INTEREST ENDING BALANCE 5.3 T 1.33 .00 9.83 10.103.92 DEPOSITS WITHDRAWALS BALANCE 16.465.42 16.465.42 .liL.QQ.. 16.314,42 4.879.00 10.446.42 189.17 10.166.25 11.10 10.246.15 87.00 10,158.15 28.73 10.129.42 15.17 10,114.15 20.16 ID.D9U9 9.83 10.103.92 CHEC! SUMMARY . lndlcatts slip In chtcl numbtrs DATE CHECK NO. AHOUNT DATE CHECK NO. AHOUNT 5/24101 IDS 28.73 5/25/01 110 20.16 5/23/01 106 87.00 5/03/01 477. 141. 00 5/24/01 109. 15.17 --------------------------When-you-need-,-loin:-nobody-moveS-ii-1ist-ii-wiypoTnt-eink:--In-1ict:--------------------------- wt're so confident of this that wt're wlllln9 to put our monty whtre our mouth Is. That's right. only Waypolnt Bank offtrs tht Btat-the-Clock loan guarantet. Whtn you apply for any Installment. personal unstcured. flxtd-rHe home eqUity loan or line of crtdlt. . 'eRE 2 PM, wt guarantee to have a credit decision for you that sa.e da, :" we'll -pay you liDO cash! Ask for complete detaIls. P00-502 (10/(l()) CustomEr SErviCE Tbll-F.... 1-866-WAYPOINT (1-866-929-7646) , www.wilypolntbank.com "".,"''''.".''. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER ., ~,,~.. ?1 01 M1? RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s} OF ESTATE L TAXABLE DISTRIBUTIONS (include outright spousal distributions) 1- PEGGY J. WEIKEL SISTER 16.66% RESIDUE 129 LIMESTONE DRIVE, CAMP HILL, PA 17011 2. SHIRLEY SCHEIB SISTER 16,66% RESIDUE P.O. BOX 51, BERRYSBURG, PA 17005 3. MARY KRAMER SISTER 16.66% RESIDUE 101 N. ASH STREET, APT. 802, COAL TWP., PA 17866 4. WILLIAM MCCRACKEN BROTHER 16,66% RESIDUE 89 WHEATON PLACE, HARRISBURG, PA 17112 5. DAVID E. DERK NEPHEW 5.56% RESIDUE 377 KEPNER HILL ROAD, MUNCY, PA 17756 7. GRACE I. BATEMAN, NIECE 5.56% RESIDUE 1219 W. INDEPENDENCE ST., COAL TWP., PA 17866 8. BETTY A. DERK NIECE 5.56% RESIDUE 61 S. 7TH ST., SHAMOKIN, PA 17872 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET [[, NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1- TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTiONS ON LINE 13 OF REV 1500 COVER SHEET $ (If more space is neOOed, insert additional sheets of the same size) Continuation of REV-1500 Inheritance Tax Return Resident Decedent MCCRACKEN, BETTY 21 01 0412 PaQa 1 Schedule J - Beneficiaries - 1 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Truslee(s) OF ESTATE I TAXABLE DISTRIBUTIONS (include outright spousal distributions) 9. JUDY MCCRACKEN NIECE 8.34% RESIDUE 179 COTTAGE STREET, MilFORD, CT 06460 10. ROBERTL.MCCRACKEN NEPHEW 8.34% RESIDUE 19 CORNEll ST., PLAINVlllE, CT 06062