HomeMy WebLinkAbout03-13-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of Anthony G. LiBrandi
also known as
File Number
d l
Ot Dd~1
, Deceased
Social Security Number 182-40-8851
Antonio G. LiBrandi
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
D A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the
last Will ofthe Decedent dated and codicil(s) dated
named in the
(State relevant ctrcumstances. e.g.. renunciation. death oj 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 instrument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
o B. Grant of Letters of Administration
(If app/tcable. enter: c. t.a.; d.b.n.c.t.a.: pendente /tte; durante absentia; durante minoritate)
Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If
Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
Name
Relationshi
Antonio G. LiBrandi
Son
Daughter
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
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Decedent was domiciled at death in Cumberland
212 Silver Springs Road. Hampden Twp.. Cumberland County. PA
(List street address. town/city. township. county. state. zip code)
(")
County, Pennsylvania with his / her last principal res~ce at
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years of age, died on November 3, 2006
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at Community General Osteopathic8'6~pifal
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Decedent, then 57
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Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in P A) Personal property in Pennsylvania
(If not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
~'=;'j
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$
$
$
$
w
10,000.00
situated as follows: 21-23 N. Second Street, Borough of Steelton, Dauphin County, P A
Wherefore, Petitioner(s) respectfully request(s) the probate ofthe last Will and Codici1(s) presented with this Petition and the grant of Letters in the appropriate form to
the lmdersigned:
T ed or rinted name and residence
{ Antonio G. LiBrandi
2620 Catherine Street
Harrisburg, P A 17109
FormRW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEAL TH OF PENNSYLVANIA
COUNTY OF b~j~
SS
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct to the best of
the knowledge and belief ofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
Signature of Personal Representative
Signature of Personal Representative
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File Number: ~ ~
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Estate of Anthony G. LiBrandi
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AND NOW,
Social Security Number:
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Date of Death:
dL'b I
,
having been presented before me,
are hereby granted to
in the above estate
and that the instrument( s) dated
described in the Petition be admitted to probate and filed of rec
Letters
$
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FEES
Short Certificate(s) . . . . . . . . $
.......... $
$
$
$
.. . $
.. . $
...$
.. . $
$
$
TOT AL .... . . . . . . . . . . $
Attorney Signature:
Attorney Name:
Benjamin J. Butler
Supreme Court I.D. No.: 81948
Address:
500 N. Third Street
P.O. Box 1004
Harrisburg, P A 17108-1004
Telephone:
717.236.1485
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Form RW-02 rev. 10.13.06
Page 2 of2
HI05.905MS REV. 6/06
This is to cenify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records In accordance
with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953.
WARNING: It is Illegal to duplicate this copy by photostat or photograph.
/1 ~ '/'/
c--ro ~ (JNA-~ ffWfl-
No.
Frank Yeropoli
State Registrar
Calvin B. Johnson, M.D., M.P.H.
Secretary of Health
0980492
NOV 1 62006
Date
~~-
t. ""oIDIcIIIIIII~""'_
ANTHONY G. LiBRANDI
Dauphin Lower Paxton
11. Dec:redIIlI',UIuII "work........ar .;doflllt....
Stone "1r:s"on Con~t'~cmn
,I. __-___..._
212 Silver Springs Road
Mechanicsburg, PA 17050
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH (CORONER) STAlE ALE HUNIIER
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182 40 November3.2006
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White
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Community General Osteopathic Hospital'
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PA
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Earl LiBrandi
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Mabel Warner
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Antonio G. LiBrandi
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2620 Catherine St., Harrisburg, PA 17109
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Nov. 8, 2006
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Annville PA 17003
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357 S 2nd St,Steel~on, PA
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RENUNCIATION
REGISTER OF WILLS
CUM !3 E: R LA NO COUNTY PENNSYLVANIA
,
Estate of
A n fA 4 f) Y C .
L, br4"J,'
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:;Dec~ased
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()o nl1 t\. '1A2/f\ISILI
, in my capacity/relationship as
j) (print Name)
().vJA rf/,""
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
A/?-h0,'o r;-. L,bOU1,A,'
/~ YJ...~f'<~
(SIgnature) (
tIll:) ~ CruL
(Street Address)
t-bm~ Q. -' 1163lp
(City, State. Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this (;) day
of , ~<::c)'"'l.
Deputy for Register of Wills
tary Public
My Commission Expires: 5 \ ':j \ Gl
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
71
COMMONWEALTH OF PENNSYVANIA
NOTARIAL SEAL
JESSICA A. LUTZ, Notary Public
Deny Twp., Dauphin County
My Commission Expires May 13, 2007
/
Form RW.06 rev. 10.13.06
.
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