Arkansas State Residency Application
ARKANSAS STATE RESIDENCY APPLICATION
Name: Billy-Bob Billy-Joe Billy-Ray Billy-Sue Billy-Mae Billy-Jack Billy-Jefferson
Age: ____ Sex: ____ M _____ F _____ N/A
Shoe Size: ____ Left ____ Right
Occupation: Farmer Mechanic Hair Dresser Unemployed
Spouse1'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: _______________________
Education: 1 2 3 4
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 pickup2: ___________194_
Newspapers/magazines you subscribe3 to: The National Enquirer4 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
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