Mississippi USGenWeb Archives

Documents placed in the USGenWeb Archives remain the property of the contributor, the contributor gives permission
to the USGenWeb Archives to store the file permanently for free access. See USGenweb Copyright For More Information
***NOTE***
These forms are for genealogical and historical records only.
DO NOT ENTER ANY INFORMATION ON LIVING INDIVIDUALS.
Please transcribe the full record, if you do not have the full record or all the facts required, please do not use this form.

Please cite the source of your information in the Additional Comments box if there is no box on the form for citing a printed source.
MSArchives Declaration Of Intention Record 1929 and after
Click here for information about these forms. (Opens a New Browser)
Use this form to automatically create and send your ancestors Naturalization Record to the MSArchives
formatted for acceptance in the USGenWeb Archives Project Or you can send your file by email to the
Archives Manager for your county (Addresses below)
(Fields with an * are required Please double check this before you submit.) Your tab key will work to move between fields.
Your Email Address:            
Your First Name-Submitter:   Your Last Name-Submitter:

State Of Court
County Of Court 
Name Of Court e.g. Supreme
Court Location (county,district) 

Volume (if available):  No: 

Applicants Name (First, Middle) Last Name

Place Of Residence:  
Occupation:                

Age:
Sex:
Color:
Complexion:
Eyes Color:
Hair Color:
Height (feet/ins):
Weight (pounds):
Distinguishing Marks:
Race
Nationality:
Date Of Birth: Month: Day: Year: * 
Place Of Birth: (City, County State) 

Married: 
Spouse Name (First, Middle) Spouse Last Name
Date Of Marriage: Month: Day: Year: * 
Married Where
Birth Place:
Date Of Birth: Month: Day: Year: * 
Spouse Entered USA At:
Date Of Arrival: Month: Day: Year: * 
Spouse Resident:

Select No Of Children and Click Enter:   
Child Details (View Only):  

Previous Declaration Yes/No: 
Previous Certificate Number
Previous Declaration When: Month: Day: Year: * 
Place Of Previous Declaration (city, state, name Of Court):

Last Foreign Residence:
Emmigrated From:
Arrive Where (Lawful Entry At):
Under The Name Of:
Arrive When: Month: Day: Year: * 
Vessel:

Photograph Included (to upload) Yes/No: 
Photo Filename (Click Browse to locate file)

Applicant's signature:  
Where Signed:             
Date Signed:Month: Day: Year:
Lawful Entry Certificate Number:      
Clerk Name:                           
Court Of Clerk (e.g Supreme):           
Deputy Clerk Name:                           
Other Information On Record:

Enter Any Additional Comments:

County Where File is to be Posted:
Required

If you want a copy of this sent to your email check here: 


(Before you submit please note, we can not provide you with records, if you are looking for a record please click here.
These forms are for sharing records which you already have in your possession.)


[ Mississippi USGenWeb Archives Table of Contents ]

Mississippi USGenWeb Archives Coordinator : Debra Crosby (Temporary) The Registry


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Problems with the forms contact Debra Crosby The Registry
Created by David Crosby © Copyright 2002 - Present