ARKANSAS STATE RESIDENCY APPLICATION
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Loading ...Plez compleet the follwin best ya can:
Name:
(_) Billy-Bob
(_) Billy-Joe
(_) Billy-George
(_) Billy-Ray
(_) Billy-Sue
(_) Billy-Mae
(_) Billy-Jack
(_) Billy-Jefferson
Last Name: (If unsure of spelling, write it out the way it sounds)
(Check appropriate box)
Age: ____
Sex: ____ M _____ F _____ N/A
Shoe Size: ____ Left ____ Right
Occupation:
(_)Farmer
(_)Mechanic
(_)Hair Dresser
(_)Un-employed
Spouse’s Name: __________________________
Second Spouse’s Name:
__________________________
Mistress’s Name:
__________________________
Second Mistress’s Name:
__________________________
Number of times you have cheated on your wife:
(_)12, (_)13,(_)14,(_)15,(_)Not sure
Relationship with spouse:
(_) Sister
(_) Brother
(_) Aunt
(_) Uncle
(_) Cousin
(_) Mother
(_) Father
(_) Son
(_) Daughter
(_) Pet
Number of children living in household: ___
Number that are yours: ___
Number of children you keep in the shed:___
Number of children you keep in the barn:___
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
Do you (_)own or (_)not own a gunrack (if no, please explain)
Firearms you own and where you keep them:
____ truck
____ bedroom
____ bathroom
____ kitchen
____ shed
____ kid’s room
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