FILL IN LINEAGE INCLUDING CONFEDERATE ANCESTOR
_________________________________________________________________________________________
RECIPIENT'S NAME
1. I am the
daughter
son
of
1.
_________________________________________________________________________________________
and his wife
________________________________________________________________________________
(maIden name)
2. My
father
mother
was the
daughter
son
of
2.
_________________________________________________________________________________________
and his wife
________________________________________________________________________________
(maiden name)
3. The said
__________________________________________________________
daughter
son
of
was the
3.
_________________________________________________________________________________________
and his wife
________________________________________________________________________________
(maiden name)
4. The said
__________________________________________________________
daughter
son
of
was the
4.
_________________________________________________________________________________________
and his wife
________________________________________________________________________________
(maiden name)
5. The said
__________________________________________________________
daughter
son
of
was the
5.
_________________________________________________________________________________________
and his wife
________________________________________________________________________________
(maiden name)