Montana State Genealogical Societyfooter

First Families Of Montana and Early Settlers Of Montana Certificates

Instructions to applicant: Fill in all blanks, beginning with yourself as #1. Type or print all information. A check or money order for $10.00 must accompany each application.

1. Applicant's Name: __________________________________

___________________________________________________

(street address) ___________________________________________________ (city/town, state, zip code)

FOR MSGS USE ONLY:
File #________________
Name:_______________
____________________ (ancestor) Date Rec:_____________
Date Ret:_____________ (for further data) Date Completed:________
Date Certificate
Issued:________________
Comments:_____________
______________________
______________________

2. Name of Ancestor (OR couple) as it is to appear on certificate:
___________________________________________________________________________
(who was in Montana by 8 November1889/9November 1889 thru 31 December 1929)

Birth____________________________________________________________________
        (date)                                                                  (place)
Death_________________________________, Buried_________________________________
            (date)                (place)                                             (date)                (place)
Marriage__________________________________________________________________
                (date)                                  (place)
Spouse___________________________________________________________________

(name - maiden name when applicable) Birth____________________________________, Death_________________________________
(date) (place) (date) (place)

3. Where in Montana did ancestor first appear:? _______________________________________
(city, town, village, county)
When? __________________ Emigrated from____________________________________
(date) (town, county, state, province, country)

RELEASE FORM: Permission is granted by me to use materials I have submitted for a future publication by the Montana State Genealogical Society, honoring our Montana ancestors. I ___do or ____don't have a photograph of my ancestor to share for the publication.
Dated___________ __________________________________
Signature of certificate applicant
Please_____mail, or ________hold for presentation at the next annual MSGS Conference.

Copyright © 1997, 1998, 1999, 2000. MSGS. All Rights Reserved.