Breckinridge County Archives

Records Request Form

Type of record* (e.g. will, marriage, deed, birth, death, estate settlement):

 

___________________________________

Name of first party (e.g. groom, grantor, mortgagor, decedent):

 

___________________________________

Name of second party (e.g. bride, grantee, mortgagee)--this will not apply to births, deaths, etc.):

 

___________________________________

Date of this record (if known):

If you do not know the date, please specify the years* to search:

 

 

___________________________________

If you happen to know the book number, page number or other location, please state here:

 

___________________________________

Your name:

___________________________________

Your street address:

___________________________________

Your city, state, and ZIP Code:

___________________________________

Your telephone number:

Area code: (_____)____________________

Your signature:

 

 

___________________________________

Please enclose $5.00 and mail this form to:

Breckinridge County Archives

P.O. Box 538

Hardinsburg, Kentucky 40143

* We highly recommend that you look at the Records Inventory before you make this request.

 

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