2012 Genealogical Request Form

Date of request _____/_____/______
Number of check enclosed #________
Total Amount of check __________
For research services--$25.00
Amt for other expenses enclosed__________
Please do not send cash


Print your name__________________________________

Your street address__________________________________________
State_____________________Zip______________________

Your email address___________________________________

Sign your name here__________________________________

Print Name of Person You Want Research Done On---

Name___________________________________

Birth, if known___________________________
Place of birth____________________________
Do you have copy of/ want copy of their birth certificate? If copy wanted, we need your check payable
to Morgan County Circuit Court Clerk for $_______________
_____________________________________

Name of spouse___________________________, date and place of their marriage
Do you have copy of /want copy of their marriage certificate? If copy wanted, we need your check payable to
Morgan County Circuit Court Clerk for $___________

Date of his death___________________, place of death________________________________
Do you have a copy of/want a copy of his death certificate? If copy wanted, we need your check payable to
Morgan County Circuit Court Clerk for $19.00.
Place of burial__________________________________________________________________



Do you know who their children were?__________yes  __________no_____How many children
did they have?_________________ Name them and their spouses

________________________________________    _____________________________________

Date of spouse's birth________________  place of her birth________________________
Do you have a copy of/want a copy of her birth certificate? If copy wanted, we need your check payable to
Morgan County Circuit Court Clerk for $_______________

Date of spouse's death_______________________ place of her death_______________________ Do you
have a copy of/want a copy of her death certificate? If copy wanted, we need your check payable to
Morgan County Circuit Court Clerk for $19.00
Place of her burial__________________________________________________________

Note: It is wise to make single checks payable to Morgan County Circuit Court Clerk, in case they not have all certificates you request.


Explain what it is you would like to know or prove about this person you want researched, the best you can.


Note:  If date is unknown, give an approximate date the event occurred.
This is extremely important and saves hours of unnecessary research.


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