WPCL   N))!nQ)\|7[OKt; 5GS TK1jSJ 8 jɓڒij( [ ;۱AcW\ERvWOo#\fLUrmy_y򈳕' ,ıE6wd,#8YzQί 27#"]b!Uy0zsIjsN/iKt40d?$B&O"XkJMb]1<$ %y*.OcCRi%1C4Fxpb Sݑ( =LX^}{ ftTXrG͙1ON؄G%*j%5 pȭM$>%Ӻ#R 1Sl|PUb%Xkr8eV5l79 ]tc!̢u5i_kϻzӌ):<NXh[U@ %U > 1i6> 0 Cfafa Bn 0 - 1u5 5 5 5 w@ 4  ^   #! N3 m5 * `(CG TimesScalableX,xA`&UniversScalable$35;AGMU]c1A.1.a.1)(1)(a)i)a) 4 ۭ)  XCXXXX{rXXXC     _XX{r SMALLESTATEAFFIDAVITANDORDERJ!J!J!(#PAGE@    1  A  X{rX(}2ۭ$ +!  XCXXXX{rXXXC      dTable_ATable_B d#|~* `(CG TimesScalableXXw P7XP,xA`&UniversScalableXX~xP7XP,xA`&UniversScalableTxP7P,xA`&UniversScalableixP7P(b+$  XXXXX=XXX    3#37=CIQYag1.a.i.(1)(a)(i)1)a) zD{|E}[~DD\$dXHe$HP LaserJet 4M Plus,,,,,,0U +!  XCXXXX{rXXXC     _C  $3C  %  @" NO.________  ESTATEOF@(0  0p(#(#INTHE____________COURTpp(#p(# @(_________________________,@(0  0p(#(#0p(#p(#P (#(# @(DECEASED@(0  0p(#(#____________COUNTY,TEXAS 0 p(#p(# @ SMALLESTATEAFFIDAVITANDORDER  `    _______________________and__________________________("_Distributees_")furnishthefollowinginformationtotheCourtpursuanttoSection137oftheTexasProbateCode:  2  1  .3   ` __________________("Decedent")died_________________,199__,in X __________,_____________County,Texas.AcertifiedcopyofDecedent'sdeathcertificateisattachedheretoandmadeaparthereof.  2  2  .3   ` Decedent'sfixedplaceofresidenceanddomicilewasin  _________________County,Texas.[TheprincipalpartofDecedent'spropertyatthe  timeofdeathwassituatedinTravisCounty,Texas.] h   2  3  .3   ` Nopetitionfortheappointmentofapersonalrepresentativeispending H! orhasbeengrantedforDecedent'sestate.  2  4  .3   ` Morethanthirty(30)dayshaveelapsedsincethedeathofDecedent. %X "   2  5  .3   ` ThevalueoftheentireassetsofDecedentasofthedateofdeath, &8"$ exclusiveofhomesteadandexemptproperty,doesnotexceed$50,000.00,andthosenonexemptassetsexceedtheknownliabilitiesoftheestate.  2  6  .3   ` TheonlyrealestateownedbyDecedentistheresidencehomestead ,'* describedbelow.  2  7  .3   ` Decedentwasnotmarriedatthedateofhisdeath.Decedentleftnowill.  Decedenthadonlytwochildren,____________________________and________________________,andbothchildrensurvivedDecedent.[Note:Relevantfamily P  historyfactsconcerning_heirship_Ԁmustbestatedhere.] 0    2  8  .3   ` Thenamesandaddressesofallthe_distributees_,heirs,devisees,or `  assignsofthemoneyorpropertyoftheestateofDecedent,andtheirrighttoreceivethesameareasfollows:* ddd Xdd Xdd X(#(#, dd ,dd ,'dd +  ,"  x,vXX{rNameandAddress 'B" 'Relationshipto (x Decedent 'B" 'ShareofEstate ?5B" x  x?____________________________________________________________   DaughterandHeir  4 Onehalf()ofestate(realandpersonal) 6, x  x6____________________________________________________________    DaughterandHeir   Z! Onehalf()ofestate(realandpersonal)$$ x   $X{rXv  2  9  .3   ` TheknownassetsofDecedent'sestateareasfollows: "r& * dd dd dd 'dd ' (#(#,dd ,dd +  ," R( @x,vXX{rDescription 'z)" 'EstimatedValue ?5z*" x @  x?TheresidencehomesteadofDecedent,whichpropertyisdescribedasfollows:{{|{[{|}}~[propertydescription]~~}}~ !,   #j. $______________ 1' /U x  x1CheckingAccountNo.______________at________________  \$0 ______________ ,"\$1U x x,_________________________Automobile,Year:____,Make:______________,Model:__________,VehicleIdentificationNumber:___________________  2'"4 ______________ :0% 5U x x:Tangiblepersonalproperty(furniture,furnishings,clothing,etc.) %  >)$7 %______________ ND,t(#8U x    @xNTotal $ *%9 2$$______________3)'*%:U2 x @  3 $,t'; X{rXv  2   10  .3   ` TheonlyknownliabilityofDecedent'sestateisamortgagedebtto  ________________,whoseaddressis______________________________________.Thisdebtissecuredbyadeedoftrustlienandvendor'slienontheresidencehomesteadpropertydescribedabove,andtheremainingprincipalbalanceofthedebtasof_________________,199__,was$______________.  2   11  .3   ` The_Distributees_ԀpraythatthisAffidavitandApplicationbefiledinthe `  SmallEstateRecords;thatthesamebeapprovedbytheCourt;andthattheClerkissuecertifiedcopiesthereofinordertoallowthe_Distributees_Ԁtorecordthesameintherealpropertyrecordsof___________zTraviszCounty,Texas,asrequiredbyTex.Prob.CodeAnn.137(c),andtopresentthesametopersonsowingmoneytotheestate,havingcustodyorpossessionofpropertyoftheestate,oractingasregistrar,fiduciary,ortransferagentofanyonehavingevidencesofinterest,indebtedness,property,orotherrightbelongingtosaidestate.0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#Respectfullysubmitted, (#(# 0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(# (#(# 0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#(#(#G(#(#(#0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#______________________ (#(# 0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#StateBarNo._____________ (#(# 0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#[FirmName/Address/Telephone/Fax] (#(# 0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#ATTORNEYSFOR_DISTRIBUTEE_____________________________________ (#(#   @)$' &   THESTATEOFTEXAS0  (#(# 0  0` (#(#0 ` (#` (#0 (# (# (#(# COUNTYOF________0  (#(#   Theundersigned_Distributee_ԀstatesthatshehaspersonalknowledgeofthefactsstatedintheforegoingAffidavitandthat,tothebestofherknowledge,thefactscontainedintheAffidavitaretrue.0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#(#(#G(#(#(#0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#____________________________ (#(#   SUBSCRIBEDANDSWORNTOBEFOREMEbythesaid________________________________onthis____dayof_________________,199__,tocertifywhichwitnessbyhandandsealofoffice.0  [SEAL]0 (#(#0 (# (#0h(#(#0h(#h(#0(#(#(#(#G(#(#(#  0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#NotaryPublic,StateofTexas'"" (#(# &  STATEOF____________0  p(#(# 0  0` (#(#0 ` (#` (#0 (# (# (#(# COUNTYOF__________0  P(#(#   Theundersigned_Distributee_ԀstatesthatshehaspersonalknowledgeofthefactsstatedintheforegoingAffidavitandthat,tothebestofherknowledge,thefactscontainedintheAffidavitaretrue.0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#(#(#G(#(#(#0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#__________________________ (#(#   SUBSCRIBEDANDSWORNTOBEFOREMEbythesaid______________________________this____dayof_________________,199__,tocertifywhichwitnessbyhandandsealofoffice.0  [SEAL]0 (#(#0 (# (#0h(#(#0h(#h(#0(#(#(#(#G(#(#(# % # 0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#NotaryPublic,Stateof(#(#G(#(#(# p&!$ 0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#Notary'sPrintedName:(#(#G(#(#(# `'"% 0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#Notary'sCommissionExpires:(#(#G(#(#(#'p'Ԉ P(#&   @)$' &   THESTATEOFTEXAS0  (#(# 0  0` (#(#0 ` (#` (#0 (# (# (#(# COUNTYOF________0  (#(#   IhavenointerestintheestateofDecedentandamnotrelatedtoDecedentunderthelawsofdescentanddistributionoftheStateofTexas.IhavepersonalknowledgeofthefactsstatedintheforegoingAffidavit.Tothebestofmyknowledge,thefactscontainedintheAffidavitaretrue.0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#(#(#G(#(#(#0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#___________________________ (#(# 0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#[Address] (#(#   SUBSCRIBEDANDSWORNTOBEFOREMEbythesaid________________onthis____dayof_________________,199__,tocertifywhichwitnessbyhandandsealofoffice.0  [SEAL]0 (#(#0 (# (#0h(#(#0h(#h(#0(#(#(#(#G(#(#(#  0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#NotaryPublic,StateofTexas'/ (#(# &  THESTATEOFTEXAS0  p(#(# 0  0` (#(#0 ` (#` (#0 (# (# (#(# COUNTYOF________0  P(#(#   IhavenointerestintheestateofDecedentandamnotrelatedtoDecedentunderthelawsofdescentanddistributionoftheStateofTexas.IhavepersonalknowledgeofthefactsstatedintheforegoingAffidavit.Tothebestofmyknowledge,thefactscontainedintheAffidavitaretrue.0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#(#(#G(#(#(#0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#__________________________ (#(# 0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#[Address] (#(# 0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(# (#(#   SUBSCRIBEDANDSWORNTOBEFOREMEbythesaid___________________onthis____dayof_________________,199__,tocertifywhichwitnessbyhandandsealofoffice.0  [SEAL]0 (#(#0 (# (#0h(#(#0h(#h(#0(#(#(#(#G(#(#(# `'"% 0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#NotaryPublic,StateofTexas'p[5 (#(#   ,`'* @& ORDER     OnthisdaytheCourtconsideredtheAffidavitofthe_Distributees_ԀofthisestateandtheCourtfindsthattheaboveAffidavitcomplieswiththetermsandprovisionsoftheTexasProbateCode,thatthisCourthasjurisdictionandvenue,thatthisEstatequalifiesundertheprovisionsoftheProbateCodeasaSmallEstate,andthattheAffidavitshouldbeapproved.  ItisORDEREDandDECREEDbytheCourtthattheforegoingAffidavitbeandthesameisherebyAPPROVED,andshallforthwithberecordedintheSmallEstatesRecordsof____________TravisCounty,Texas,thattheClerkoftheCourtshallissuecertifiedcopiesthereoftoallpersonsentitledthereto,andthatacertifiedcopyofthisAffidavitandOrdershallbefiledintheofficialrealpropertyrecordsof___________TravisCounty,Texas.  SIGNEDthis_____dayof___________________,199__.0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#(#(#G(#(#(#0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#JudgePresiding