Census Record Form

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Census History of:

Date of Birth: Date of Birth:

In Household of:

Males
To 16 16 & up Females 0-10 10-16 16-18

Males
18-26 26-45 45 & up 0-10 10-16

Females
18-26 26-45 45 & up

1790-County: Name: 1800-County: Name: 1810-County: Name: 1820-County: Name: In Household of:

State: State: State: State:


Males
100 & up 90-100 10-15 20-30 40-50 70-80 15-20 30-40 50-60 60-70 80-90 10-15 15-20 20-30 5-10 5-10 0-5 0-5

Females
100 & up 90-100
Can't read/write Can't read/write

30-40

40-50

70-80

50-60

60-70

1830-County: Name: 1840-County: Name: 1850-County:


Dwelling No. Family No.

State: State: State:


Names of each person whose place of abode on June 1 was in this family
Age Sex Color Occupation
Value of real estate

Postoffice:
Value of personal property
In School

80-90

Place of Birth

Deaf, blind, insane etc.

1860-County:
Dwelling No. Family No.

State:
Names of each person whose place of abode on June 1 was in this family
Age Sex Color Occupation
Value of real estate

Postoffice:
Value of personal property

Married w/i year

Place of Birth

Deaf, blind, insane etc.

Please distribute this form freely. More FREE forms are available online at: http://www.genrecords.com Courtesy of Genealogy Records Service

In School

Married w/i year

Aliens

1870-County:
Mother Foreign Father Foreign

State:
Month if born this yr. Month if married this yr. School this yr. Can't read/write Born this year Real estate

Postoffice:
Personal estate

Dwelling Family No. No. Names of each person whose place of abode on June 1 was in this family Occupation Place of Birth

Deaf, blind, insane etc.

Male Citizen
Union/Confed. survivor Union/Confed. survivor

1880-County:
Enumeration District:
Twp/City/Street Address:

State:
Super. Dist. #:
Born this year Months Unemployed Can't read/write
Deaf, blind, insane etc. In School

Sheet #:
Place of Birth
Place of Birth of Father Place of Birth of Mother

Dwelling Family No. No.

Color Sex

Age

Names of each person whose place of abode on June 1 was in this family

Relation Occupation

1900-County:
Enumeration District:
Twp/City/Street Address:

State:
Marrital Status # of years married Mother of # of children # Living Children Month of birth

Sheet #:
Super. Dist. #:
Immigration year
Number of years in US

Color Sex

Year of birth

Dwelling No. Relation

Family No.

Names of each person whose place of abode on June 1 was in this family

Place of birth of this person

Place of birth of father

Place of birth of mother

Naturalization

Age

Occupation

1910-County:
Enumeration District: Dwelling No. Family No.

State:
Twp/City/Street Address:

Sheet #:
Super. Dist. #:
Marrital Status # of years married Mother of # of children # Living Children
Immigration year Place of birth of this person Place of birth of father
Number of years in US

Names of each person whose place of abode on June 1 was in this family

Relation

Place of birth of mother

Naturalization

Month of birth Year of birth

Color

Sex

Age

Occupation

Can't vote

Value of:

Color

Age

Sex

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