Arkansas Residency Application

* Editor Pat: Don't get offended, these are just jokes and quotes intended for entertainment and not to insult anyone!

Arkansas Residency Application

Last Name: ________________ (last)

First Name: (Check appropriate box)
(_) Billy-Joe (_) Billy-Ray(_) Billy-Sue(_) Billy-Mae(_) Billy-Jack

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

Brand of chewing tobacco you prefer: (_)Red-Man

How far is your home from a paved road? (_)1 mile (_)2 miles (_)don't know