CONFEDERATE DESCENDANT LINEAGE CHART

 To the Officers and Members of William Grumble Jones Camp 850, Sons of Confederate Veterans:

I,_______________________________________, hereby apply for membership in your Camp by right of lineal or collateral descent from the following line: (mark out any relationships that do not apply)

My Confederate ancestor, _______________________________________________________________,

was born at ________________________________ on the _____ day of __________ in the year ______,

and died at ________________________________ on the _____ day of __________ in the year ______,

and served in the War Between the States between 1861 and 1865.

I was born at ______________________________ on the _____ day of __________ in the year ______,

and am the son of Mr. _______________________________________________________________ and

his wife Miss ______________________________________________________.  My father/mother was

the son/daughter of Mr.  _____________________________________________________________ and

his wife Miss _________________________________________________.  My grand father/mother was

the son/daughter of Mr.  _____________________________________________________________ and

his wife Miss _____________________________________________. My great grand father/mother was

the son/daughter of Mr.  _____________________________________________________________ and

his wife Miss _________________________________________. My 2nd great grand father/mother was

the son/daughter of Mr.  _____________________________________________________________ and

his wife Miss _________________________________________. My 3rd great grand father/mother was

the son/daughter of Mr.  _____________________________________________________________ and

his wife Miss _________________________________________. My 4th great grand father/mother was

the son/daughter of Mr.  _____________________________________________________________ and

his wife Miss _________________________________________. My 5th great grand father/mother was

the son/daughter of Mr.  _____________________________________________________________ and

his wife Miss _________________________________________.

For Lineal Descendants:

The above stated ______________________________________ is my lineal Confederate ancestor.   OR

For Collateral Descendants:

My Confederate ancestor is the brother/nephew of ________________________________ named above.

Applicant Certification:

I hereby certify to the best of my knowledge that all of the above information is true and correct:

Signed: ________________________________________________ Date: ________________________