Redneck
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)
__ 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
Disclaimer: No rednecks were harmed in the making of this page.
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