Montana State Genealogical Society
First Families Of Montana and Early Settlers Of Montana Certificates


Instructions to applicant:  Fill in all blanks, beginning with yourself as #1. Type or print all information. A check or money order for $10.00 must accompany each application. 
 

1. Applicant's Name: __________________________________ 

___________________________________________________ 

(street address)
___________________________________________________ 
(city/town, state, zip code)
FOR MSGS USE ONLY: 
File #________________ 
Name:_______________ 
____________________ 
(ancestor)
Date Rec:_____________ 
Date Ret:_____________ 
(for further data)
Date Completed:________ 
Date Certificate 
Issued:________________ 
Comments:_____________ 
______________________ 
______________________
 2. Name of Ancestor (OR couple) as it is to appear on certificate:
___________________________________________________________________________
(who was in Montana by 8 November1889/9November 1889 thru 31 December 1929)

Birth____________________________________________________________________
        (date)                                                                  (place)
Death_________________________________,  Buried_________________________________
            (date)                (place)                                             (date)                (place)
Marriage__________________________________________________________________
                (date)                                  (place)
Spouse___________________________________________________________________

(name - maiden name when applicable)
Birth____________________________________, Death_________________________________
        (date)                (place)                                                     (date)                (place)

3. Where in Montana did ancestor first appear:? _______________________________________
                                                                                              (city, town, village, county)
When? __________________ Emigrated from____________________________________
            (date)                                                        (town, county, state, province, country)

RELEASE FORM: Permission is granted by me to use materials I have submitted for a future publication by the Montana State Genealogical Society, honoring our Montana ancestors. I ___do or ____don't have a photograph of my ancestor to share for the publication.
Dated___________                                               __________________________________
                                                                                Signature of certificate applicant
Please_____mail, or ________hold for presentation at the next annual MSGS Conference.

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