Please list as much information as you have or is known and add any additional information or comments in the "Comments" box below.
Mother's Name: X Date of Birth: Month: January February March April May June July August September October November December Day: 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year: Date of Death: Month: January February March April May June July August September October November December Day: 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year: XX
Father's Name: Date of Birth: Month: January February March April May June July August September October November December Day: 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year: Date of Death: Month: January February March April May June July August September October November December Day: 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year:
YOUR NAME: Date of Birth: Month: January February March April May June July August September October November December Day: 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year:
Spouse's Name: Date of Birth: Month: January February March April May June July August September October November December Day: 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year: Date of Marriage: Month: January February March April May June July August September October November December Day: 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year: City: County: State: Children: Please List as: First Name, Middle Name, Last Name
1. Date of Birth: Month: January February March April May June July August September October November December Day: 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year: City: County: State:
2. Date of Birth: Month: January February March April May June July August September October November December Day: 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year: City: County: State:
3. Date of Birth: Month: January February March April May June July August September October November December Day: 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year: City: County: State:
4. Date of Birth: Month: January February March April May June July August September October November December Day: 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year: City: County: State:
Comments: For assistance, please see bio format: biography
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