HomeMy WebLinkAbout11-29-05
REV.1500 EX + (6.00)
*
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
OFFICIAL USE ONLY
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
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DECEDENrs NAME (LAST, FIRST, AND MIDDLE INITIAL)
Millington, John Thomas
DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR)
04-19-2005
(IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL)
10-21-1910
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[!] 1. Original Return
o 4. Limited Estate
[!] 6. Decedent Died Testate (Al1ach
copy of Will)
o 9. Litigation Proceeds Received
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2. Supplemental Return
FILE NUMBER
il 2005
COUNTY CODE YEAR
SOCIAL SECURITY NUMBER
204-30-6762
0395
NUMBER
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
4a. Future Interest Compromise (date of death after
12-12-82)
7. Decedent Maintained a Living Trust (Al1ach
copy of Trust)
10 SpOusal Poverty Credit (date of death between
. 12-31-91 and 1-1-'95)
o 3. Remainder Return (date of death prior to 12-13-82)
o 5. Federal Estate Tax Return Required
o 8. Total Number of Safe Deposit Boxes
o 11.Election to tax under Sec. 9113(A) (Attach Sch 0)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
o Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L) 0 Separate Billing Requested
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
COMPLETE MAILING ADDRESS
124 W. Harrisburg Street
P. O. Box 310
Dillsburg, PA 17019-0310
(1 )
(2)
(3)
(4)
(5)
(6)
(7)
NAME
Wm. D. Schrack III
FIRM NAME (If applicable)
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11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
3,626.41
None
None
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337,667.87
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TELEPHONE NUMBER
717 -432-9733
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
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(8) 341,294.28
(9)
(10)
42,154.94
2,095.43
(11 )
(12)
13. Charitable and Governmental Bequests/Sec 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)
(13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
(14)
15. Amount of Line 14 taxable at the spousal tax rate, -0.00 x .00 (15)
or transfers under Sec. 9116(a)(1.2)
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0 291,350.65 .045 (16)
~ 16.Amount of Line 14 taxable at lineal rate x
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a.. 17. Amount of Line 14 taxable at sibling rate 0.00 x .12
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(.J 18. Amount of Line 14 taxable at collateral rate 5,693.26 x .15 (18)
)(
~ 19. Tax Due (19)
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
44,250.37
297,043.91
0.00
297,043.91
0.00
13,110.78
0.00
853.99
13,964.77
Copyright 2002 form software only The Lackner Group, Inc.
Form REV.1500 EX (Rev. 6-00;
Decedent's Complete Address:
STREET ADDRESS
Country Meadows
4833 E. Trindle Road - #512
CITY Mechanicsburg
jSTATE PA
/ZIP 17055
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1 )
13,964.77
12,900.00
678.95
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Credits (A + B + C) (2)
13,578.95
Total Interest/Penalty (D + E) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is theOVERPA YMENT. (4)
Check box on Page 1 Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is theTAX DUE. (5)
A. Enter the interest on the tax due. (SA)
B. Enter the total of Line 5 + SA. This is theBALANCE DUE (58)
Make Check Payable to: REGISTER OF WILLS, AGENT
385.82
385.82
PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred;.............................................................................0 0 [!]
~: ~:::~ :~e~~:i~~:~s:~~e~:~~~. .~~~~~.~~.~..t.~~.~~~:.~~.~~~.~~~.~~~..~.~.i.~.~~~.~.~~~..............................~~:::::::::::......... 0 ~
d. receive the promise for life of either payments, benefits or care?........................................................... 0 [!]
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?....... ..................... .............................. ........... .................... __..................... 0 [!]
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... 0 [!]
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation?................................................................................................................ 0 [!]
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penalties of perjury, I declare that I have examined this return, induding accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and
com lete. Declaration of reparer other than the personal representative is based on all infonnation of which reparer has an knowled e.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS DATE
Beth M. Clark 870 Grandon Way
Mechanicsburg, PA 17050
-
ADDRESS
ADDRESS
DATE
124 W. Harrisburg Street
Dillsburg, PA 17019-0301
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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. 99116 (a) (1.1) (i)].
For dates 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. 99116 (a) (1.1) (ii)]. The statutedoes not exemDt 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 if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers 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. 99116 (a) (1.2)].
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.
99116 1.2) [72 P.S. 99116 (a) (1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P .S. 99116 (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.
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iast )Jill mt~ QIe~tctm~ttf
OF
JOHN THOMAS MILLINGTON
BE IT REMEMBERED, that I, JOHN mOMAS MTT,I.INGTON, of4833 E. Trindle
Road, Mechanicsburg, Hampden Township, Cumberland County, Pennsylvania, being of sound mind,
memory and understanding, do make, publish and deciare this as and for my Last Will and Testament,
hereby revoking and making null and void any and all Wills and Testaments and writings in the nature
thereof by me at any time heretofore made.
ITEM 1: I direct that my hereinafter named Executrix pay all my just debts, my funeral
expenses, and the expenses of the administration of my estate. With this direction, I authorize and
empower my Executrix to expend for my funeral expenses and interment such amounts as she may
consider necessary and proper, without regard to any limit that may be prescribed by a court oflaw.
ITEM 2: I direct my Executrlxto pay all inheritance, estate, succession, and legacy taxes
of whatsoever nature and kind, to which my estate, or the transfer of any property passing hereunder
or otherwise passing by reason of my demise, may be subject, and to charge such taxes against my
residuary estate. It is my intention that none of the aforesaid taxes, either federal or state, on any
property required to be included in my gross estate, under the provisions of any state or federal law
now in force or hereafter enacted, shall be prorated among the persons interested in my estate to
whom such property is or may be transferred or to whom any benefit accrues.
ITEM 3: I give and bequeath the portions of my estate as hereinafter enumerated, in the
order enumerated:
A. Two percent (2%) unto my dear friend, DORA MEGONNELL;
B. Ten percent (10%) unto my grandson, BRIAN R. CLARK;
C. Ten percent (10%) unto my grandson, STEVEN M. CLARK;
D. Twenty percent (20%) unto my son and daughter-in-law, JOHN THOMAS
MILLINGTON, JR. and RUTH L. MILLINGTON;
E. Ten percent (10%) unto my son-in-law, RICHARD P. CLARK.
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ITEM 4:
All the rest, residue and remainder of my estate, of whatsoever nature and
wheresoever situate, whether it be real, personal or mixed, including property over which I have a
power of appointment, I give, devise and bequeath unto my daughter, BETH M. CLARK,
absolutely.
ITEM 5: I nominate, constitute and appoint my daughter, BETH M. CLARK, as
Executrix of this my Last Will and Testament.
ITEM 6: I direct that my hereinbefore named Executrix shall not be required to give
bond for the faithful performance of her duties in this or any jurisdiction.
~ITNESS WHEREOF, I have hereunto sel my hand and seal this .23'/Ldayof
"cWr7.(.tl"'r ' 2000.
~~~~ hWk~
J HN THOMAS MILLINGTON .
The preceding instrument, consisting of this and one (I) other typewritten page, was on the
day and date thereof signed, sealed, published, and declared by the Testator herein named, as and for
his Last Will and Testament, in the presence of us, who, at his request, in his presence and in the
presence of each other, have subscribed our names as witnesses hereto.
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COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF YORK
We, JOHN THO~LlNGTON, Jt" /~~
~VJt..l ..JIt: ~ . the Testator and the witnesses,
and
respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn,
do hereby declare to the undersigned authority that the Testator signed and executed the instrument
as his Last Will and Testament, and that he signed willingly, and that he executed it as his free and
voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and
hearing of the Testator signed the Will as witnesses, and that to the best of their knowledge, the
Testator was at the time eighteen (18) years of age or older, of sound mind, and under no constraint
or undue influence.
SWORN TO AND SUBSCRIBED
~~~~~
THOMAS l\fiLLINGTON
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Notarial Seal
Janet S. Gore, Notary Public
Dillsburg Boro, York County
My Commissron Expires Oct. 25, 2002
MElrnl:1er uannsvtvanlaAssoclationotNot8/tes
Rev.1503 EX+ (6.98)
.
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Millington, John Thomas
FILE NUMBER
21-05-0395
All property jolntly-owned with right of survivorship must be disclosed on Schedule F.
ITEM CUSIP VALUE AT DATE
NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH
1 Prudential Financial - Proceeds of sale of 57 shares 3.626.41
common stock
TOTAL (Also enter on Line 2, Recapitulation) 3.626.41
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule B (Rev. 6-98)
RETAIN THIS INFORMATION FOR YOUR RECORDS.
A
Prudential ~ Financial
Transaction Statement
2...0t.t' -~ -, ~~
IMPORTANT INFORMATION ABOUT YOUR ACCOUNT
0001381840
JOHN T MILLINGTON SR
355 S SPORTING HILL RD STE 63
MECHANICSBURG PA 17050
NUMBER OF SHARES CREDITED -; c::r9
57.0000 .s. .
TRANSFER AGENT ACCOUNT NUMBER
143 3168
1/111111111111111 ~ 111111 III
CUSIP NUMBER
744320102
010001433168
PIN/PASSWORD. PLEASE KEEP CONFIDENTIAL
HIt-:, 1'"'57 ,,__ "")
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January 2002
We're pleased to welcome you as a new stockholder' oCPrudential Financial, Inc.
On December 18, 2001, Prudential completed its conversion from a mutual company to a stock company. As part of our
conversion, we are issuing stock to eligible owners of the company. Tbis includes anyone who owned an eligible policy
or annuity contract as of December 15,2000. You have received the number of shares listed above. Compensation for all
of your policies eligible for stock is included in this statement.
This does not affect your insurance policy or annuity in any way.
Stock ownership is a benefit of holding an eligible policy or contract. It does not replace your policy or contract, or
change your benefits, cash values, eligibility for policy dividends or guarantees. You do not have to give anything up to
receive stock.
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How your allotment of shares was determined. .
Company actuaries and external advisors developed a plan for dividing the value of Prudential among its owners.
Factors such as the type oflife, annuity or health policy or contract you owned, the face value, and how long you owned
it determined how many shares you received.
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Your shares are registered on the books of Prudential Financial, Inc.
Prudential has engaged EquiServe Trust Company, N.A., a provider of shareholder services, to hold your shares at no
cost to you. A stock certificate is not required to continue holding your shares in book-entry form. The enclosed brochure
explains how to hold shares, transfer or sell shares, or obtain a stock certificate, through EquiServe. Note: If you would
like EquiServe to continue holding your shares at no cost, no action is required.
A commission-free sales and purchases program will be available for certain shareholders in the future.
To participate, you must own 99 shares or fewer and hold your shares in book-entry form as they are now. See back for
more information.
What you should do now.
1) Keep this statement for your records.
2) Read the enclosed brochure for information on how you can hold, transfer or sell your shares through EquiServe's
Sales Facility, or obtain a stock certificate.
SEE BACK FOR ADDITIONAL INFORMATION.
Questions? Call 1-800-305-9404 weekdays from 8:00 a.m. to 7:00 p.m. (ET). For hearing impaired, call 1-800-619-2837.
Or visit prudential.equiserve.com
Rev.1508 EX+ (6.98)
*'
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Millington, John Thomas
FILE NUMBER
21-05-0395
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property Jolntly-owned with the right of survivorship must be disclosed on schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 ComCast Cable. refund 64.65
2 Country Meadows. refund 3.050.00
3 Patriot News. subscription refund 95.85
4 Pennsylvania State Bank. CD#50209 44.458.17
5 Pennsylvania State Bank - CD#50211 110.978.18
6 PNC Bank, N.A. - CD#311 00257029 10.067.64
7 PNC Bank, N.A. . CD#31300213419 15.333.05
8 PNC Bank, N.A. - CD#31500215885 44.820.49
9 PNC Bank, N.A. - CD#31500255971 46.311.97
10 PNC Bank, N.A. - CD#31900195433 55.244.84
11 PNC Bank, N.A. - ckg acct #5140043961 7.243.03
TOTAL (Also enter on Line 5, Recapitulation)
337.667.87
(If more space is needed. additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group. Inc.
Form PA-1500 Schedule E (Rev. 6-98)
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JUN-13-2005 22:08
PNCBRNK
412 768 3458 P.01
o PNCBAN<
June 14, 2005
Wm. D. Schrack, ill
124 W. Harrisburg ST.
P.O. Box 310
Dillsburg, PA 17019-0310
RE: Estate of ]. Thomas Millington, (Deceased)
SSN: 204-30-6762
DOD: 04/1912005
Dear: Mr. Schrack
In response to your request for Date of Death balances for the custOID.ef noted above, our
records show the fonowing:
Certificate of Deposit
Account # 31900195433
v' 1 TIlOMAS MILLINGTON SR
DOD balance: 554,503.44 + 5109.58 accrued interest
Account # 31300213419
Established 08/04/2000
J mOMAS MILLINGTON SR
DOD balance: $15,127.56 + $39.17 accrued interest
Account # 31500215885
Established 07/0112001
J THOMAS MIlLINGTON SR
DOD balance: 544,329.21 + 576.76 accrued interest
Established 08103/200 I
Account # 31500255971
Established 02123/2005
J mOMAS MILLINGTON SR
DOD balance: $46,161.28 + 5150.69 accrued interest
Account # 31100257029
Established 02123/2005
] mOMAS MILLINGTON SR
DOD balance: $10,016.19 + 538.41 accrued interest
Cheeldng Aeeount
Account # 51400435161 Established 01101/1978
1 THOMAS MILLINGTON sa MD
DOD balance: 53,273.28 + 50.16 accrued interest
jUN-13~2005 22:08
PNCBANK
412 768 3458
P.02
Please note that this office only provides date of death balances for deposit accounts
(IRAs. CDs, Checking and Savings accounts). We do not process any fiDucial
ttlJlSactions or provide statements. If you need assistance with any of these items,
please call1-888-PNC-BANK. (1-888-762-2265) or stop by your local me Bank branch
office.
Sincer.el.y,
~
Jessica Scheller
1-800-762-1775
P7-PFSC-04-F
soo first Ave.
PiUSburgh PA )5219
Memba- PDIC
TnT',,",' n n....
REV-1151 EX+ (12-99)
*'
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Millington, John Thomas
Debts of decedent must be reported on Schedule I.
FILE NUMBER
21-05-0395
ITEM
NUMBER
A. FUNERAL EXPENSES:
DESCRIPTION
AMOUNT
See continuation schedule{s) attached
8,537.00
B.
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Beth M. Clark
Social Security Number(s) I EIN Number of Personal Representative(s):
208-38-7197
Street Address 870 Grandon Way
City Mechanicsburg
Year(s) Commission paid 2005
State PA Zip 17050
12,930.00
2.
Attorney's Fees
Wm. D. Schrack III
7,500.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City
Relationship of Claimant to Decedent
State
Zip
4.
Probate Fees
406.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
Other Administrative Costs
12,781.94
TOTAL (Also enter on line 9, Recapitulation)
42,154.94
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA.1500 ScheduleH (Rev. 6-98)
Rev-1502 EX+ (6-98)
*'
SCHEDULE H-A
FUNERAL EXPENSES
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RE"lURN
RESIDENT DECEDENT
ESTATE OF
Millington, John Thomas
FILE NUMBER
21-05-0395
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Myers-Harner Funeral Home
8.537.00
Subtotal
8.537.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-A (Rev. 6-98)
Rev015D2 EX+ (6098)
*'
SCHEDULE H-B7
OTHER
ADMINISTRATIVE COSTS
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Millington, John Thomas
FILE NUMBER
21-05-0395
ITEM
NUMBER DESCRIPTION AMOUNT
1 Clerk of Orphans' Court - Release filing fee 20.00
2 Cumberland Law Journal - estate advertisement 75.00
3 Miscellaneous expenses (photocopies, postage, Notary fees, etc.) 50.00
4 Patriot News - estate advertisement 119.94
5 PNC Bank, N.A. - cancelled check fee 2.00
6 Register of Wills - filing fee 15.00
7 Reserve for future administrative expense 500.00
8 Reserve for future federal and state income tax liability 12.000.00
Subtotal
12.781.94
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 ScheduleH-B7 (Rev. 6-98)
Rev.1512 EX+ (6.98)
.
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Millington, John Thomas
FILE NUMBER
21-05-0395
Include unrelmbursed medical expenses.
ITEM
NUMBER DESCRIPTION
1 Bankcard Services (VISA bill) - debt of decedent
VALUE AT DATE
OF DEATH
609.80
2 Commonwealth of Pennsylvania - return overpayment of retirement stipend
1.476.00
3 Verizon - debt of decedent
9.63
TOTAL (Also enter on Line 10, Recapitulation)
2,095.43
(If more space is needed. additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA.1500 Schedule I (Rev. 6-98)
REV.1513 EX+ (9-00)
ESTATE OF
NUMBER
I.
'*
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Millington, John Thomas
NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal
aistributionsA and transfers
under Sec. ::I116(a)(1.2)]
FILE NUMBER
21-05-0395
SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
RELATIONSHIP TO
DECEDENT
Do Not List Trustee/sl
1
Beth M. Clark
870 Grandon Way
Mechanicsburg, PA 17050
Brian R. Clark
42912 Via Veneto Way
Ashburn, VA 20148
Richard P. Clark
870 Grandon Way
Mechanicsburg, PA 17050
Steven M. Clark
45533 Clear Spring Terrace
Sterling, VA 20165
Dora Megonnell
12 Cedarhurst Lane
Camp Hill, PA 17011
Daughter
residuary
estate
2
Grandchild
10% of estate
3
Son-in-Law
10% of estate
4
Grandchild
10% of estate
5
Friend
2% of estate
See continuation schedule attached Continuation
Total
Enter dollar amounts for distributions shown above on lines 5 through 18, as appropriate, on Rev 1500 cover sheet
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT
BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
0.00
Copyright (c) 2002 fOml software only The Lackner Group, Inc.
FOml PA.1500 ScheduleJ (Rev. 6-98)
ESTATE OF:
John Thomas Millington 204-30-6762 04/19/2005
Item Name and Address of Person(s) Share of Estate Amount of Estate
Number Receiving Property Relationship (Words) ($$$)
6 J. Thomas Millington, Jr.
7895 Dusty Lane
Somis, CA 93066
7 Ruth L. Millington
7895 Dusty Lane
Somis, CA 93066
SCHEDULE ..
BENEFICIARIES
(Part I, Taxable Distributions)
Son
10% of estate
Daughter-in-Law
10%
1