Research Request Form
One inquiry per letter
Juniper Branch of Family Finders
21 SE “D” Street
Madras, OR 97741
Your Name: _______________________________________Date_____________
Your Address: Street_________________________________________________
City___________________________State_________Zip___________
Phone Number:__________________ Email_______________________________
Name of Person or Subject of your inquiry_________________________________
Spouses Name________________________________________________________
Dates of residence or occurrence in Jefferson County (approx. if exact date unknown)
_________________________________________
Place of occurrence or individuals residence: ie, town, county, other __________________
_____________________________________________________________________
Exact (or approx) year of birth ____________________ year of death _______________
Please state briefly what information you need: __________________________________
_____________________________________________________________________
_____________________________________________________________________
Cite any sources you have already checked and include references: _____________________________________________________________________
_____________________________________________________________________ _____________________________________________________________________