ARKANSAS STATE RESIDENCY APPLICATION


Name: ________________
(_) Billy-Bob (last)
(_) Billy-Joe
(_) Billy-Ray
(_) Billy-Sue
(_) Billy-Mae
(_) Billy-Jack
(_) Billy-Jefferson
(Check appropriate box)

Age: ____

Sex: ____ M _____ F _____ N/A

Shoe Size: ____ Left ____ Right

Occupation:
(_) Farmer
(_) Mechanic
(_) Hair Dresser
(_) Un-employed

Spouse's Name: __________________________

Relationship to 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? (Check appropriate box)

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_

Newspapers/magazines you subscribe to:
(_) The National Enquirer
(_) The Globe
(_) TV Guide
(_) Soap Opera Digest

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!

hmmmmmm were i have i seen ppl that could anserw that easly... ummmmmmmm i forget