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Welcome to Redfern Lineage Designs!

Thank you for choosing us for your Ancestry Chart. Please fill in the details below to the best
of your knowledge. If unsure, indicate clearly or use approximate dates. Leaving sections
blank is okay too.

Please use "N/A" for categories that do not apply. If you have information about earlier
generations, you can include it on additional pages or request another blank form. Feel free
to reach out if you have any questions or comments, I welcome your suggestions and ideas
at all stages of this project. Kindly Submit the completed form to lege8670@gmail.com along
with any photos you have of your DIRECT ancestors (not cousins, uncles, or aunts), as well
as the initial fee (if not already paid). Once all these initial requirements are received I will
begin the research and keep you updated on my progress and any interesting discoveries
along the way.

Let's begin your lineage project!

Your Information:

Your Full Name: _______________________________

Date of Birth: _______________________________
Place of Birth: _______________________________
Date of Marriage: _______________________________
Place of Marriage: _______________________________
Special Notes: _______________________________
DNA test completed? With What company? _______________________________

Spouse's Information:

Spouse's Full Name: _______________________________

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Date of Birth: _______________________________

Place of Birth: _______________________________
Date of Marriage: _______________________________
Place of Marriage: _______________________________
Date of Death: _______________________________
Place of Death: _______________________________
Special Notes: _______________________________
Divorced?: _______________________________
Previous or Subsequent marriages: _______________________________
Your children's names and years of birth: _______________________________
Where were your children born? ______________________________

Your Biological Parents' Information:

Father's Full Name: _______________________________

Date of Birth: _______________________________
Place of Birth: _______________________________
Date of Death: _______________________________
Place of Death: _______________________________
Mother's Full Name: _______________________________
Date of Birth: _______________________________
Place of Birth: _______________________________
Date of Death: _______________________________
Place of Death: _______________________________
DIvorced?:_______________________________
Special Notes: _______________________________
List their children with years of birth: : _______________________________
Did your parents both only get married one time, please provide details if
applicable:
______________________________

Maternal Grandparents' Information:

Maternal Grandfather's Full Name: _______________________________

Date of Birth: _______________________________
Place of Birth: _______________________________
Date of Death: _______________________________
Place of Death: _______________________________
Maternal Grandmother's Full Name: _______________________________
Date of Birth: _______________________________
Place of Birth: _______________________________
Date of Death: _______________________________
Place of Death: _______________________________
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Special Notes: _______________________________

Additional Marriages? ____________________________

Paternal Grandparents' Information:

Paternal Grandfather's Full Name: _______________________________

Date of Birth: _______________________________
Place of Birth: _______________________________
Date of Death: _______________________________
Place of Death: _______________________________
Paternal Grandmother's Full Name: _______________________________
Date of Birth: _______________________________
Place of Birth: _______________________________
Date of Death: _______________________________
Place of Death: _______________________________
Special Notes: _______________________________
Additional Marriages? ____________________________