HomeMy WebLinkAbout10-12-10 (2)INVENTORS
REGISTER OF WII,LS OF CUMBERLAND
COUNTY, PENI~TSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND SS File Number 21 1 Q 00009
Personal Representative(s) of the Estate of THOMAS R. KIMBLE, JR.
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the pet~sonp
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation plaged ~~
inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no reap e~
Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory.
I verify that the statements made in this Inven-
tory are true and correct. I understand that false state-
ments herein are made subject to the penalties of
18 Pa. C.S. § 4904 relating to unswom falsification to
authorities.
assets wherever situate
~posite each item of said
to outside of the
TACEY A. LE
Attorney -- (Name) MARK A. MATEYA. ESQ. (Supreme Grourt I.D. No.) 78931
(Address) 55 W. CHURCH AVENUE CARLISLE PA 17013
(Telephone) 717-241-6500
DATE OF DEATH LAST RESIDENCE (DECEDENTS SOC. SEC. NO.
1671 TRINDLE ROAD
1/21/2009 CARLISLE PA 17013 -
FIGURES MUST BE TOTALED
MUTUAL OF OMAHA INSURANCE CO 146.08
CHECK NUMBER 0012110103
METLIFE AUTO & HOME INSURANCE CO 281.88
PAYROLL EARNED FROM 12/1109 - 12/15/09
CHECK NO 001682542
METUFE AUTO ~ HOME INSURANCE CO 1,241.94
PAYROLL EARNED FROM 12/16/09 - 12/31/09
CHECK NO. 0016982869
MET LIFE AUTO 8~ HOME INSURANCE CO 1,340.90
EXPENSE REIMBURSEMENT ~
CHECK NO. 000230199 ca =`?
MET LIFE AUTO 13< HOME INSURANCE CO c- rte,- ` .29.25
EXPENSE REIMBURSEMENT -~~+ ~' ~;_
CHECK NO. 000230100 ~ N ~ ._;_7
AETNA LIFE INSURANCE COMPANY ;~ ~ c., ; ~~~98.65
REIMBURSE FOR GOODWILL FIRE $ RESCUE c~d - --
=ca
AMBULANCE SERVICE ~' ' ~ ~ ,
BMW AUTOMOBILE 1994 540i SERIES A~, rv ~.~_ 50.00
KELLEY BLUE BOOK VALUE -TRADE iN VALUE ' o ' '
SEE ATTACHED '~
(Attach additional sheers as needed)
1
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal represent8tiva include the value of each
item, but such figures should not be extended into the total of the Inventory. (See 20 Pa. C.S. ~ 3301(6))
Form RW-09 rev. 10.13.06
Continuation of Inventory
TF1O11AAS R. KIMBLE, JR. 21 10 00009
Ds~dsnt Name P89e ~ File Number
Description of Inventory
METLIFE BANK, N.A. 815.99
CHECKING ACCOUNT
ACCOUNT NO. XXX)CXX7127
REAL ESTATE LOCATED AT 1671 TRINDLE ROAD, CARLISLE, PA 87,318.00
JOINTLY OWNED WITH REBECCA BAGOT
FAIR MARKET VALUE - $174,636.00
METRO BANK 9,416.56
CHECKING ACCOUNT JOINTLY HELD WITH REBECCA BAGOT
ACCOUNT NO. XXX)CX6506 ($18,833.11) DATE OF DEATH VALUE
METRO BANK 1,065.99
CHECKING ACCOUNT JOINTLY HELD WITH REBECCA BAGOT
ACCOUNT NO. XXX)CX8040 ($2,131.97) DATE OF DEATH VALUE
s~oe1 ~ 98,616.54
Grand Total ' ~ 105:405.24