[Your Name]

[Street Address]

[City, ST ZIP Code]

[Date]

[Recipient Name]

[Title]

[Company Name]

[Street Address]

[City, ST ZIP Code]

Dear [Recipient Name]:

I am writing to request an uncertified copy of [Ancestor Name]’s [birth/death] certificate. [Ancestor Name] is my [relationship to ancestor], and I am requesting the document to aid me in genealogy research.

[Ancestor Name] [was born/died] in [Location] on [Date]. [His/Her] parents’ names were [Father’s Name] and [Mother’s Maiden Name].

I have enclosed a self-addressed, stamped envelope and a check for $[amount] to cover research and copying costs. If this amount is not sufficient, please send a bill for additional costs to me at the address above.

Thank you for your assistance. I look forward to hearing from you.

Sincerely,

[Your Name]

Enclosure