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):

________________________________________________________________________

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:

________________________________________________________________________