First Families of Clayton County
A Pioneer Heritage Organization of Clayton County
Line of Descent Form
Instructions: Complete this Line of Descent Form beginning with yourself as #1 and ending with your qualifying ancestor. Please type or print all information legibly. Submit this form with the Membership & Certificate Application and a check for $35.00 to the address listed on the Membership & Certificate Application. Remember: ALL of the above must be included and every step must be proven with acceptable documentation.
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1. Applicant’s name:
________________________________________________________________
Birth date & place:
________________________________________________________________
Marriage (spouse, date & place:
________________________________________________________________
Proof document to parent:
________________________________________________________________
2. Child of:
________________________________________________________________________
Birth (date & place):
________________________________________________________________________
Marriage (spouse, date, place):
________________________________________________________________________
Death (date, place, place of interment):
Proof document to parent:
________________________________________________________________________
3. Child of:
________________________________________________________________________
Birth (date & place):
________________________________________________________________________
Marriage (spouse, date, place):
________________________________________________________________________
Death (date, place, place of interment):
________________________________________________________________________
Proof document to parent:
________________________________________________________________________
4. Child of:
________________________________________________________________________
Birth (date & place):
________________________________________________________________________
Marriage (spouse, date, place):
________________________________________________________________________
Death (date, place, place of interment):
________________________________________________________________________
Proof document to parent:
________________________________________________________________________
5. Child of:
________________________________________________________________________
Birth (date & place):
________________________________________________________________________
Marriage (spouse, date, place):
________________________________________________________________________
Death (date, place, place of interment):
________________________________________________________________________
Proof document to parent:
________________________________________________________________________
6. Child of:
________________________________________________________________________
Birth (date & place):
________________________________________________________________________
Marriage (spouse, date, place):
________________________________________________________________________
Death (date, place, place of interment):
________________________________________________________________________
Proof document to parent:
________________________________________________________________________
7. Child of:
________________________________________________________________________
Birth (date & place):
________________________________________________________________________
Marriage (spouse, date, place):
________________________________________________________________________
Death (date, place, place of interment):
________________________________________________________________________
Proof document to parent:
________________________________________________________________________
8. Child of:
________________________________________________________________________
Birth (date & place):
________________________________________________________________________
Marriage (spouse, date, place):
________________________________________________________________________
Death (date, place, place of interment):
________________________________________________________________________
Proof document to parent:
________________________________________________________________________
9. Child of:
________________________________________________________________________
Birth (date & place):
________________________________________________________________________
Marriage (spouse, date, place):
________________________________________________________________________
Death (date, place, place of interment):
________________________________________________________________________
Proof document to parent:
________________________________________________________________________
10. Child of:
________________________________________________________________________
Birth (date & place):
________________________________________________________________________
Marriage (spouse, date, place):
________________________________________________________________________
Death (date, place, place of interment):
________________________________________________________________________
Proof document to parent:
________________________________________________________________________