PIONEER SETTLERS DEKALB COUNTY PIONEER CERTIFICATE In celebration of the Millennium, the DeKalb County Genealogy Society of Indiana will present a Pioneer Settlers Certificate to the descendents of DeKalb County. The certificate will be 8.5 high x 11 wide and suitable for framing. WHO IS ELIGIBLE: Applicant must be a direct descendent of a pioneer settler who lived in DeKalb County prior to December 31, 1850. A separate application must be made for each ancestor. WHAT IS THE PROCEDURE: 1. Send for an application. You will need one application for each Pioneer Settler. Your request should be submitted to the Pioneer Settlers c/o DeKalb County Indiana Genealogy Society, Eckhart Public Library, 603 S. Jackson Street, Auburn, Indiana 46706. Please enclose a No. 10 (4.25 x 9.5) Self-Addressed- Stamped (33 cent postage) Envelope. 2. Application will be mailed. COMPLETING THE APPLICATION (Deadline is December 31, 1999, extended to June 30, 2000) 1. Application to be typed or neatly printed with BLACK ink. 2. A copy of evidence document for each generation.(See acceptable evidence below.) 3. Send documentation with application 4. Your check for $10. (Made out to the DeKalb County Genealogical Society) for each certificate application. REQUIREMENT FOR ACCEPTABLE EVIDENCE. Xerox copies of documented evidence must accompany the application, but only for the original settler-ancestor. Only one document showing the earliest date of DeKalb County residency is necessary. Additional documentation is encouraged. DO NOT SEND ORIGINAL EVIDENCE DOCUMENTS. Your application and verifying evidence WILL NOT be returned. EVIDENCE MAY BE ONE OF THE FOLLOWING: Birth: Certificates, Bible Records, Church Records, Cemetery Records (tombstone inscriptions). Marriage: Same as birth. Death: Certificates, Bible Record, Church record, Cemetery records (tombstone inscriptions), dated obituary or newspaper notices. Estate: Probate, Will or Administrative records. Land Records: Tract Plat Records, State Archives, Board of Commissioners, Recorders records. Census: 1840 or 1850 Census Records of DeKalb County. Military Records. County Histories. Material needs to be organized according to each generation and label each piece of evidence on the back: Pioneer Ancestor, Generation, and Applicant name. COVER LETTER FOR CERTIFICATE APPLICATION FORM TO THE PIONEER SETTLERS OF DEKALB COUNTY This application is submitted by____________________________ Street Address______________________________________________ City/State/Zip______________________________________________ I AM A DESCENDANT OF ________________________________________who was Born on _________to_________________________________________________ And who came to DeKalb County, Indiana from_________________________ To or prior to______________________________________________________ The undersigned agrees and asserts to the following: 1. Unless I advise you in writing to the contrary, this application may be photocopied for the use of other members, and 2. I have reviewed the information submitted with this application and, to the best of my knowledge and belief, the statements are accurate and complete. _____________________________________________________________________ Signature of Applicant Date CERTIFICATE APPLICATION FORM TO THE PIONEER SETTLERS OF DEKALB COUNTY (PLEASE TYPE OR PRINT NEATLY IN BLACK INK) GENERATION 1: PIONEER ANCESTOR (who lived in Dekalb County prior to December 31, 1850) Name of Ancestor__________________________________________________________________ Date of Birth______________Place of Birth_________________________________________ Day Month Year City County State Date of Death_____________Place of Death__________________________________________ Day Month Year City County State Place of Burial___________________________________________________________________ Name of Cemetery City County State Ancestor's Father's Name__________________________________________________________ Ancestor's Mother's (Maiden) Name_________________________________________________ Ancestor's Spouse's Name__________________________________________________________ Spouse's Father's Name____________________________________________________________ Spouse's Mother's Name____________________________________________________________ Spouse's Date of Birth______________Place of Birth________________________________ Day Month Year City County State Spouse's Date of Death______________Place of Death________________________________ Day Month Year City County State Place of Burial (Spouse)__________________________________________________________ Name of Cemetery City County State Date of Marriage___________________Place of Marriage______________________________ Day Month Year City County State Date and location Ancestor settled in DeKalb County ______________________________ Date Township/City Occupation of Ancestor____________________________________________________________ Children of Ancestor (if more space is needed, please list the additional children on a blank sheet and attach to application) NAME BORN WHERE DIED WHERE SPOUSE DATE MARRIED ______________ _______ _____________ ________ ____________ _____________ _______________ ______________ _______ _____________ ________ ____________ _____________ _______________ ______________ _______ _____________ ________ ____________ _____________ _______________ ______________ _______ _____________ ________ ____________ _____________ _______________ PLEASE SUBMIT DOCUMENTATION FOR THE ABOVE ANCESTOR AND FOR EACH OF THE FOLLOWING GENERATIONS. EVIDENCE MAY BE ONE OF THE FOLLOWING: Birth: Bible Records Church Records, Cemetery Records (tombstone inscriptions). Please do not send Birth Certificates. Marriage: Certificates, Bible Records, Church Records. Death: Certificates, Bible Records, Church Records, Cemetery Records (tombstone inscriptions) Dated obituary or newspaper notices. Estate: Probate, Will or Administrative records. Land Records: Tract Plat Records, State archives, Board of Commissioners, Recorders Records. Census: 1840 or 1850 Census Records of DeKalb County. Military Records. County Histories. MATERIAL NEEDS TO BE ORGANIZED ACCORDING TO EACH GENERATION, LABEL EACH PIECE OF EVIDENCE ON THE BACK BY PIONEER ANCESTOR, GENERATION AND APPLICANT NAME. GENERATION INFORMATION: (Please use MAIDEN name of female if known (Note Gn=generation) Write dates by day, month, year (as 12 June 1990). The following will be working from you back to the Direct Ancestor listed on the previous page. Documentation MUST be submitted for each generation. 1. I _______________________was born at_______________________on___________________ Married at_________________________________________on_______________________________ To______________________________who was born _________________at____________________ Proof of above attached. 2. I am the child of_____________________was born at___________________on__________ Married at_________________________________________on_______________________________ To______________________________who was born _________________at____________________ Proof of above attached. 3. I am the grandchild of _____________________was born at__________on_____________ Married at_________________________________________on_______________________________ To______________________________who was born _________________at____________________ Proof of above attached. 4. I am the great grandchild of ___________________was born at___________on________ Married at_________________________________________on_______________________________ To______________________________who was born _________________at____________________ Proof of above attached. 5. I am the great (2) grandchild of _____________was born at__________on___________ Married at_________________________________________on_______________________________ To______________________________who was born _________________at____________________ Proof of above attached. 6. I am the great (3) grandchild of_______________was born at___________on ________ Married at_________________________________________on_______________________________ To______________________________who was born _________________at____________________ Proof of above attached. 7. I am the great (4) grandchild of_______________was born at__________on__________ Married at_________________________________________on_______________________________ To______________________________who was born _________________at____________________ Proof of above attached.