Civil War direct line Application

Civil War Families of Pike County

P.O. Box 224, Waverly, Ohio 45690-0224

Application

Direct Line Ancestor/Ancestress

Fill in sections on this page. Document your ancestral and/or collateral lines on the forms provided. Type or handprint all information in black ink. A $20.00 application fee must accompany this application. This fee is non-refundable. There is no fee for supplement applications. This application and accompanying documents become the property of CWFPC. Return to Pike County Genealogy & Historical Society, P. O. Box 224, Waverly, Ohio 45690-0224.

Applicant's Name (and maiden name, if applicable) Street Address: County______

___________________________________________________________________________

Full Name of Husband or Wife: City: State: Zip+4

___________________________________________________________________________

Name of Civil War Ancestors or Collateral Relatives:

_________________________________________________________________

Name of Soldier Date Served in Civil War County of resident in Ohio Military Unit

Ex: Zebulon Pike 5 Nov 1864 - 1 Apr 1865 Pike Squirrel Hunter

1.
2.
3.
4.
5.
6.
7.
8.

I attest that the statements set forth in this application, are true to the best of my knowledge and belief.

Signature of Applicant__________________________________________Date_____________

PCGHS Dues are paid for year_____________Applicant's E- Mail Address_________________

This application information and all supporting documents and data becomes the property of the Pike

County Genealogy and Historical Society.

SOCIETY USE ONLY BELOW THIS LINE

PROVED ANCESTORS OR RELATIVES:

1. ____________________________________

2. ____________________________________

3. ____________________________________

4. ____________________________________

5. ____________________________________

6. ____________________________________

7. ____________________________________

8.____________________________________

Civil War Families of Pike County Number:_______

DATE APPLICATION RECEIVED:________________

ACCEPTED:___________________

FEE RECEIVED: $_______________

____________________________________________

Approving signature Date:

Ascent Chart for Direct Line Ancestor/Ancestress

You must include a supporting document for each statement below. This might be a birth certificate, marriage certificate or death certificate. When these are not to be found at the official level, other evidence, such as Bible Records, census, letter, etc. may be used. Number your document for each event (See #8 RULES FOR SUBMITTING.) List these documents and their document numbers on the "Documentation" page. Put your name and address on the back of each page of every document you send. Please do not use staples or paper clips.

No. #___ below is my Civil War Ancestor/Ancestress. The proof of service is contained in the attached documents. Please check the appropriate space(s) below and be sure your name and address are on each document and list them on the Military Service Documentation page.

Discharge __________ Pension ___________ Muster Roll __________ Other (explain) _________

You must show proof that the ancestor/ancestress lived in Pike County at some point in his/her life or served in Pike County during the Civil War as one of your documents.

1. I, _______________________________________________________________________

was born on (Date)_______________at (City)__________________ (County)______________

(State)__________(Doc#)______

and married__________________________________________________________________

who was born on (Date)______________at (City)________________ (County)______________

(State)__________(Doc #)______

We were married (Date)______________at (City)___________________(County)____________

(State)______________ (Doc#)________

2. I am the child of ____________________________________________________________

who was born on (Date)_____________ at(City)___________________ (County)_____________ (State)__________(Doc#)________

and died on (Date)________________at (City)____________________ (County)_____________

(State)__________ (Doc #1)______

and married___________________________________________________________________

who was born on (Date)____________at (City)____________________ (County)_____________ (State)__________(Doc #)______

and died on (Date)________________at (City)____________________(County)_____________

(State)_________ (Doc #)_______

They were married (Date)___________at (City) ___________________ (County)_____________

(State)__________ (Doc #)_______

3. The said __________________________was the child of ____________________________

who was born on (Date)____________at (City)___________________ (County)______________

(State)__________(Doc #)______

And died on (Date)________________at (City)___________________(County)______________ (State)__________(Doc #)______

and married __________________________________________________________________

who was born on (Date)___________at (City)____________________(County)_______________ (State)__________(Doc #)______

And died on (Date)______________ at (City)____________________(County)_______________

(State)__________ (Doc #)______

They were married (Date)______________at (City)_______________(County)______________

(State)_____________ (Doc #)_________

4. The said__________________________was the child of____________________________

who was born on (Date)____________ at(City)__________________(County)______________ (State)__________(Doc#)______

And died on (Date)________________at (City)_________________(County)_______________ (State)__________(Doc #)______

And married _________________________________________________________________

Who was born on (Date)____________at (City)__________________(County)______________ (State)__________(Doc#)______

And died on (Date)________________at (City)________________ (County)________________ (State)__________(Doc#)______

They were married (Date)___________at (City)________________(County)_________________ (State)__________(Doc#)______

5 The said________________________ was the child of_______________________________

Who was born on (Date)_____________at (City) _________________(County)______________

(State)______ (Doc #)_____

and died on (Date)_________________at (City)__________________(County)______________

(State)_______ (Doc #)______

and married________________________________________________________

Who was born on (Date)____________at (City)_________________(County)________________

(State)______________ (Doc #)__________

and died on (Date)________________at (City)_________________ (County)________________

(State)_____________ (Doc #)___________

They were married (Date)_____________ at (City)_______________(County)_______________

(State)_____________ (Doc #)___________

6. The said______________________was the child of _________________________________

who was born (Date) _____________ at (City)__________________(County)________________

(State)______________ (Doc #)________

and died on (Date)_____________ at (City)____________________(County)________________

(State)______________(Doc #)_______

and married_______________________________________________________________

who was born on (Date)_______________ at (City)________________(County)______________

(State)_____________ (Doc #)_________

and died on (Date)___________________at (City)________________ (County)______________

(State)_____________ (Doc #)________

They were married (Date)___________ at (City)__________________ (County)______________

(State)_____________ (Doc #)________

7. The said ___________________________was the child of ___________________________

Who was born on (Date)____________ at(City)____________________ (County)____________ (State)__________(Doc#)______

And died on (Date)________________at (City)____________________ (County)____________ (State)__________(Doc #)______

And married _____________________________________________________

Who was born on (Date)____________at (City)____________________ (County)____________

State)__________ (Doc#)______

And died on (Date)________________at (City)____________________ (County)____________ (State)__________(Doc#)______

They were married (Date)___________at (City)____________________ (County)____________ (State)__________(Doc#)______

Civil War Families of Pike County

DOCUMENTATION for the Descent (direct line) Chart

Please read and use the Rules of Evidence and Rules for Submitting Evidences when preparing this page of documentation. Information for additional ancestral lines may be included on blank pages, showing a relationship to the lines on the basic application. You must include a generation chart for each person you submit to show the inter-connection.

If you have a photograph of your Civil War ancestor/ancestress (at any age) either in uniform or civil clothes, you may add it to the application, if you wish. Do not send an original.

List documents used for each generation on the Ascent (directl line) Chart.

Doc # ________Description of document:___________________________________________

Doc # ________Description of document:_______________________________________________

Doc # ________Description of document:___________________________________________

If you have more proofs of relationships, please use another page and title it `DOCUMENTATION'

No. 2. Number your document copies accordingly.

MILITARY SERVICE DOCUMENTATION

Please list below documentation of Civil War service in Pike County or residency in Pike

County at any time during the person's life and Civil War service in any military unit for the

individual through whom eligibility is claimed.

Description of Document: ________________________________________________________

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