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2900 Citizens Parkway Selma, Alabama 36701 Telephone / Text : 334-872-2301

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Genealogy Request

Genealogy Request

Genealogy Information Request Form

Your Name

Your Telephone Number

Your Email Address

Deceased's Name You Are Requesting Information On

Deceased's Date of Death

Accuracy Of Date of Death

ExactApproximatelyYear Only+/- 10 Years

What information are you requesting?

Any other information you can provide us that will aid in location your family member's record:

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