Aff - Hofman, Anna L_8/28/2007��_p S- y�1- I a s- 000: a ss-o � �
. a�-oc�- 18- ►oo- 000���-o�?
STATE OF IND[ANA
CO[J\'TY OF GIBSO\�
IN RE:
)
) SS:
)
The Estate of
A\�'A LOU HOF�4A\,
Deceased
)
)
)
)
)
IN THE GIBSO\' CIRCUIT COURT
A\PiVUAL TERVI
CAUSE NO. 26C01-0703-ES-�7
AFFIDAVIT OF DEATH AND HEIRSHIP
OF ANNA LOU KOLB HOFMAN
The undersioned, R. Phillip Hofman, bein� first duly sworn upon hi� oath deposes and
savs:
l. The undersi�ned ���as personally acquainted with Anna Lou Kolb Hofman for o��er
60 vears and is her son.
2. Anna Lou Kolb Hofman departed this life on Auwst 17, 2007 and at the time of
her death, �vas 33 years of age.
3. The undersigned is well acquainted with the family of Anna Lou Kolb Hofman
and those who constitute her heirs under the la�vs of the State of Indiana.
4. The follo���in� statements or ans�vers are based upon the personal kno�vled� of
the undersiened and are true and correct
A. Did the deceased leave a Will? 1'ES
:
C.
Has the ���ill been admitted to probate?
No estate �vas administered.
YES
D. Anna Lou Kolb Hofman was married one time; to Ra�mond Hofman and durine
their lifetime, they��ere divorced. Anna Lou Kolb Hofman ��as married ro no
other person other than Raymond Hofman durin� her lifetime.
E.
F
C�
Anna Lou Kolb Hofman left no unpaid debts.
The follo���ing are the children born to Anna Lou Kolb Hofinan durina her
lifetime. r.';R�P.hilli �Hofmap, Rebecc Anna�F.la`ck�nd;L=ucinda Ja'ne$Jones`�,;�;:�
At the time of her death, all three children n ere li��ing
�
�
�
H. Anna Lou Kolb Hofman had no adopted children or any other children bom to her
during her lifetime.
STATE OF I\`DIANA
COUNTI' OF GIBSON
)
) 5S:
)
= �I � / �� /� � � �
. . ' /
� .
Subscribed and s�� orn to before me this �g1� day of Auwst, 2007.
,,,,:�..:: ., ,�
S \S ' c'' Y' :>
, ;` • c."• :'i,
� n>. . L�`:-:�'.e'. i%�:'
: r _ jt Y
i O � ���C. �Q .� ��'
: Ti :;}�p•.. ,.�---� : j L;.:
��•.'r.::a n.-;.`:'
. . ��
: s=. — ,�,;:
.:o ; �, c, :'_ � . •,::
;-'°`'�;'' !%{`` `'�. ��;;i- �' �' �
:F�:::. .: _' .... ,.\\l . _
�.t�._:�.' :il ,Ifr.rtlP }'i
... :�'��. ` _:'-�'r
M���,J
AUG 2 8 2007
�G� G
GIBSON COUNTY AWITOR
� .�ti�, -�i� ,
/i i t/
Jo Dunn-�ickerson, Notary Public
\4}��ommission Expires: June 6; 20l �
Resident of Gibson Counq�, Indiana
F��. T�� � R• %/UA.y�.�.��
f oS/ �y. ! FX� �
� /��s �ti«v /ti 5/?6�0