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Heinrich XLV was born at Ebersdorf, Reuss Younger Line, only surviving son of Heinrich XXVII, Prince Reuss Younger Line (1858–1928), (son of Heinrich XIV, Prince Reuss Younger Line, and Duchess Agnes of Württemberg) and his wife, Princess Elise of Hohenlohe-Langenburg (1864–1929), (daughter of Hermann, Prince of Hohenlohe-Langenburg and Princess Feodora of Leiningen).