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Arkansas State Residency Application

Mary Poppins

Cyburbian
Messages
66
Points
4
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 (_)Unemployed

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? (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
 

kms

Cyburbian
Messages
5,902
Points
31
Somewhere I have one of these for West Virginia! One question is:

Will at least part of your pickup be painted the state color, primer red?
 

donk

Cyburbian
Messages
6,970
Points
30
In our area you would have to add a section for number of fingers.
 

Dan

Dear Leader
Staff member
Moderator
Messages
17,836
Points
59

City of Winter Garden, Florida
Residency Application

Name [ ] Randy [ ] Tammy _________________ Handle ___________________
Current address ______________________________________ Space _________
City _______________________________
[ ] Florida [ ] Georgia [ ] Alabama [ ] Mississippi [ ] South Carolina
ZIP Code ________________ Nextel Direct Connect code _______________

Race (used for statistical purposes only)

[ ] White

Religion

[ ] Southern Baptist
[ ] Church of Christ
[ ] Pentecostal
[ ] Ford
[ ] Chevy
[ ] 3
[ ] 8
[ ] 24

Occupation

[ ] General contractor
[ ] HVAC contractor
[ ] Drywall contractor
[ ] Landscape contractor
[ ] Construction labor
[ ] Vehicle mechanic
[ ] Vehicle collision
[ ] Heavy equipment operator
[ ] Dump truck driver
[ ] Tow truck driver
[ ] Used car sales
[ ] Recreational vehicle sales

Truck brand [ ] Ford [ ] Chevy
Model ____________________ Year _________

Vehicle includes the following

[ ] Crew cab
[ ] Duallies
[ ] Metal saddle box
[ ] Ladder rack
[ ] Roo bars
[ ] Dual CB antennae
[ ] Leaping bass sticker
[ ] Confederate flag
[ ] Shrine to Dale Earnhardt (rest His soul)

Quote on vehicle sunscreen _________________________________________

Number, make and model of project cars ______________________________
_____________________________________________________________________
 
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