Form Ft-1 - Family Tree (State Of New York)
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1
2FAMILY TREE
Cross Out Class
Children
Grandchildren
Great Grandchildren
That is Not
or
or
or
Applicable
Brothers/Sisters
Nieces/Nephews
Grandnieces/Grandnephews
________________________
________________________
__________________________
________________________
___________________________
__________________________
_______________________
__________________________
Decedent
__________________________
________________________
_______________________ ___________________________
__________________________
________________________
Name of Spouse
__________________________
__________________________
____Deceased___________
Date
________________________
____Divorced___________ ___________________________
__________________________
________________________
Date
__________________________
__________________________
________________________
____Never Married
________________________
________________________
__________________________
___________________________
__________________________
__________________________
________________________
________________________
__________________________
___________________________
__________________________
__________________________
________________________
________________________
________________________
STATE OF NEW YORK
COUNTY OF
____________________________ being duly sworn, states that the charts contained on this paper are correct.
________________________________________
Sworn to me on _______________________
____________________________________
NOTARY PUBLIC
NOTE: Complete reverse side of family tree form also
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