State of Arkansas Residency Application:silverhawk.net

State of Arkansas Residency Application

Last Name :
First Name :	Billy-Bob 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 unsure, leave blank)
Education Level Completed :	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 the 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 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