State of Arkansas Residency Application

State of Arkansas Residency Application Name: ________________ () Billy-Bob (last) () Billy-Joe () Billy-Ray () Billy-Sue () Billy-Mae () Billy-Jack (Check appropriate box) 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? (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_ 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 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