Homesteader Information
Page
Name of homesteader ___________________________________________________________________
State __________________________________ County _______________________________________
Township Name _______________________________________________________________________
Meridian __________ Township Number _________________ Range Number ______________________
Quarter (NE, NW, SE, SW) Section Number ____________ Year
received patent __________________
Type of Patent _____ Homestead, _____ Pre-emption, ____ Timber Culture
(Tree Claim) ____ Bounty Land
Do you have the homestead packet? _______________ Case Number ______________________________
Did you find any proof of the homestead? ________________ Newspaper clippings?
___________________
How many owners have there been since then? _________________________________________________
Current owner, if willing to have on the Internet _________________________________________________
Anything else you wish to share about this homestead?
What happened to the homesteader?
Was the homesteader married?
Names of descendants:
Where is the homesteader buried?
Did you find any photo? Please do not enclose originals, have copy photos
made, we can not return them.
Date ___________________________________ Place ___________________________________
Name __________________________________ Signature _________________________________
Address _________________________________ City ________________ State _____
Zip __________
Phone Number ___________________________ E-mail Address ________________________________
Homestead Central has permission to place information on Internet _________
and/or in book ____________