Thursday, December 10, 2009

State of Arkansas Residency Application?

Name: ________________ (_) Billy-Bob



(last) (_) Billy-Joe



(_) Billy-Ray



(_) Billy-Sue



(_) Billy-Mae



(_) Billy-Jack



(Check appropriate box)



Age: ____



Sex: ____ M _____ F _____ N/A



Shoe Size ____ Left ____ Right



Occupation:



(_) Farmer



(_) Mechanic



(_) Hair Dresser



(_) Un-employed



Spouse's Name: __________________________



Relationship with spouse:



(_) Sister



(_) Brother



(_) Aunt



(_) Uncle



(_) Cousin



(_) Mother



(_) Father



(_) Son



(_) Daughter



(_) Pet



Number of children living in household: ___



Number that are yours: ___



Mother's Name: _______



Father's Name: _______(If not sure, leave blank)



Education: 1 2 3 4 (Circle highest grade



completed)



Do you (_)own or (_)rent your mobile home?



___ Total number of vehicles you own



___ Number of vehicles that still crank



___ Number of vehicles in front yard



___ Number of vehicles in back yard



___ Number of vehicles on cement blocks



Firearms you own and where you keep them:



____ truck



____ bedroom



____ bathroom



____ kitchen



____ shed



Model and year of your pickup: ______ 194_



Do you have a gun rack?



(_) Yes (_) No; please explain:



Newspapers/magazines you subscribe to:



(_) The National Enquirer



(_) The Globe



(_) TV Guide



(_) Soap Opera Digest



(_) Rifle and Shotgun



___ Number of times you've seen a UFO



___ Number of times you've seen Elvis



___ Number of times you've seen Elvis in a UFO



How often do you bathe:



(_)Weekly



(_)Monthly



(_)Not Applicable



Color of teeth:



(_)Yellow



(_)Brownish-Yellow



(_)Brown



(_)Black



(_)N/A



Brand of chewing tobacco you prefer:



(_)Red-Man



How far is your home from a paved road?



(_)1 mile



(_)2 miles



(_)don't know



State of Arkansas Residency Application?concerts



HAH! That's pretty funny. Thanks for a good one!



State of Arkansas Residency Application?headache opera theater



funny

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