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XXXXXXXX    C 4 $3;C  _1X XXX2  % ? @# NO.______  ESTATEOF@(0  0p(#(#INTHE____________COURTp(#p(# @(___________________________,@(   p 0  1񀀀1OFp(#(# @(DECEASED@(   p 2____________22TRAVIS2COUNTY,TEXAS  P  @  PROOFOFDEATHANDOTHERFACTS  0    Onthisday____________________("_Affiant_")personallyappearedinopencourtand,afterbeingdulysworn,deposedandsaid:  2  A  .3   ` ________________________("Decedent")diedon_________________,   199__,in_______________County,Texas,attheageof___years.  2  B  .3   ` Decedentwasdomiciledandhadafixedplaceofresidencein3________34Travis4  County,Texas,atthedateofhisdeath.  2  C  .3   ` Decedentdiedleavingnolastwillandtestament,sofarasIknowor P believe.  2  D  .3   ` Anecessityexistsfortheadministrationofthisestateinordertocollect ` theassetsofthisestateandtopaythedebtsandexpensesofthisestate.  2  E  .3   ` TheonlychildrenborntooradoptedbyDecedentare:   _________________________,whowasborn________________,19___,in____________,Texas,andwhosurvivedDecedent;and__________________,whowasborn__________,19___,in_______________,Texas,andwhosurvivedDecedent.  2  F  .3   ` Decedentwasmarriedtwice.Hewasmarriedto_______________,and P(#& thatmarriageendedindivorcein19___.Hewasmarriedto____________________atthetimeofhisdeath._________________________survivedDecedent.  2  G  .3   ` ____________________isnotdisqualifiedbylawfromacceptinglettersof -@), administrationorfromservingasadministratorandisentitledtosuchletters.0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#(#(#G(#(#(#0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#______________________,_Affiant_ (#(#   SUBSCRIBEDANDSWORNTObeforemeby___________________inopencourtonthe____dayof______________,199__,tocertifywhichwitnessmyhandandsealofoffice.0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#5DANADEBEAUVOIR (#(#  p  p  p  p  p  p  p 5CountyClerk,6_________696__69::86_687Travis7County,Texas (#(# 0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#By:(#(#G(#(#(#   0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(# A(#(#(#Deputy