TIPCOA Obituary Research Request Form  

TIPCOA Obituary Research Request Form 

Please fill out this form as thoroughly as possible and mail to:  P. O. Box 2464, West Lafayette, Indiana 47996  with your check for $6.00  for each obituary and a self-addressed return envelope. You may submit two requests per envelope.   Please send $12.00 for 2 obituaries.  

Not everyone had obituaries especially pre-1900's.  We will do our best to help you and we will answer you or return your request if we don't find one.  Good indexes start at 1901.  This is not refundable if we do a search.


Please submit a separate form for each person to be researched. Please print:


Your Name: _____________________________ Address: ______________________________

City: __________________________________ State: ________ ZIP: __________________

Phone: (______)_________________________ E-Mail: _______________________________

Please let us know if you want this by email too?



Fill in information that can help us below. Or send a family group sheet


Ancestor's Name: ________________________________________________________________

Date of Birth: ________________________ Place of Birth: _________________________

Date of Death: ________________________ Place of Death: _________________________

Father: _______________________________ Mother: _________________________________

Spouse: _________________________________________________________________________

Marriage Info: __________________________________________________________________

Names of Children: ______________________________________________________________




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