Research/Genealogy Request Form
Contact Information:
Name_____________________________________________________________________
Mailing Address_____________________________________________________________
City__________________________________State_______________Zip_______________
Daytime phone number______________________________________________________
Email_____________________________________________________________________
Person to Research:
Full name of the person being researched_________________________________________
Race, if known (this is important, as many early records were kept separate according to race):
___________________________________________________________________________
Date of birth, or approximate time period: _______________________Gender____________
County______________________________________________________________________
Parents’ name________________________________________________________________
Name of spouse_______________________________________________________________
Type of Records to Research:
1. Marriage Records: Approximate Year:
2. Wills/Estates Records: Approximate Year:
3. Deed Records: Approximate Year:
Court Records: Approximate Year:
County
Chancery
Circuit
Census Records: 1820
1830 1840
1850 1860 1870 1880 1900 1910 1920 1930
Savannah Courier: Please be specific with exact date and subject, page number, if known and what
information you are hoping to find:
Today’s date _____________________Date Request filled_______________________________
Copies of this form can be printed, filled out, and emailed to Connie Lewis, Assistant Director and
Research Librarian at
(Limit of three sources searched per request)