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I wish to have my name on my FIRST FAMILIES OF VAN WERT COUNTY certificate to appear as follows: __________________________________________________




PROOF OF DESCENT FROM A VAN WERT COUNTY PIONEER ANCESTOR
   The applicant must follow the Basic Rules of Evidence as stated on Page 3.   Primary proof is always acceptable.   If primary proof cannot be found, secondary proof should be submitted if it supports the evidence.   Acceptance of the secondary proof will be at the discretion of the FFVWC/FPVWC Committee.   Other records such as newspaper articles, family histories, etc. should be included if they are credible.


AUTHORITY AS TO DESCENT

List yourself in #1 and proceed step by step to your pioneer ancestor. Do not skip any generations. Proof MUST be submitted for each generation.
              NAME              
DATE OF ENTRY
OR BIRTH
IN VAN WERT
CO.
GIVE SOURCE OF PROOF.
ATTACH DOCUMENTS OF THIS PROOF
1.  
 
 
2.  
 
 
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I do hearby swear that the statements made in this application are true to the best of my knowledge.

Signature of applicant ___________________________________ Date _____________