
ANCESTOR’S SERVICES
The said
who resided during the American
Revolution at
assisted in establishing
American Independence, while acting in the capacity of
My Ancestor’s services during the Revolutionary War were as follows:
Give source for ancestor’s service above. For published records give author, title, volume and page: applicant shall file a photocopy of
official unpublished record.
REFERENCES FOR LINEAGE
Give below proof for EACH statement of Birth, marriage, death dates and places and connections between generations from the applicant through the generation of the
Revolutionary ancestor. Published authorities should be cited by title, author, date of publication, volume and page. Send one certified, attested copy or photocopy of each
unpublished data. Proofs of line of descent comprise wills, administrations, deeds, church, town and court records, Bible, census and pension records, tombstone inscriptions,
genealogies and such other records. TRADITION is not acceptable. Give National Numbers and relationships of any close relatives credited with this ancestor.
1st. Gen.
2nd Gen.
3rd Gen.
4th Gen.
5th Gen.
6th Gen.
7th Gen.
8th Gen.
9th Gen.
10th Gen.
11th Gen.
CHILDREN OF REVOLUTIONARY ANCESTOR
(By ea ch ma rriage, if married more than once .)
NAMES
TO WHOM MARRIED, NOTING IF
MARRIED MORE THAN ONCE
DATES OF BIRTH
Do cum e nt No. RGG-1001 ( Revised February 1999) (0101–MS3000–PS)