Taosman;1882381; said:West Virginia State Residency Application
[SIZE=-1]Name: ________________(last)(first) (_) Billy-Bob(_) Billy-Joe(_) Billy-Ray(_) Billy-Sue(_) Billy-Mae(_) Billy-Jack[/SIZE]
[SIZE=-1](Check appropriate box)Age: ____Sex: ____ M _____ F _____ N/A[/SIZE]
[SIZE=-1]Shoe Size: ____ Left ____ RightCB Handle: _____________________[/SIZE]
[SIZE=-1]Occupation:(_)Farmer(_)Mechanic(_)Hair Dresser(_)Un-employed(_)[/SIZE]
[SIZE=-1]Coal MinerSpouse's Name: __________________________[/SIZE]
[SIZE=-1]Relationship with spouse:(_) Sister(_) Brother(_) Aunt(_) Uncle(_) Cousin(_) Mother(_) Father(_) Son(_) Daughter(_) Pet[/SIZE]
[SIZE=-1]Number of children living in household: ___Number that are yours: ___[/SIZE]
[SIZE=-1]Mother's Name: _______________________Father's Name: _______________________(If not sure, leave blank)Education: 1 2 3 4 (Circle highest grade completed)[/SIZE]
[SIZE=-1]Do you (_)own or (_)rent your mobile home?(Check appropriate box)___ [/SIZE]
[SIZE=-1]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___ [/SIZE]
[SIZE=-1]Number of refrigerators on front porch[/SIZE]
[SIZE=-1]Firearms you own and where you keep them:____ truck____ bedroom____ bathroom____ kitchen____ shed[/SIZE]
[SIZE=-1]Model and year of your pickup: _____________ 194__Number of empty beer cans on floorboard or in bed ofpickup: _________[/SIZE]
[SIZE=-1]Newspapers/magazines you subscribe to:(_)The National Enquirer(_)The Globe(_)TV Guide(_)Soap Opera Digest(_)Gun World___ [/SIZE]
[SIZE=-1]Number of times you've seen a UFO___ [/SIZE]
[SIZE=-1]Number of times you've seen Elvis___ Number of times you've seen Elvis in a UFO[/SIZE]
[SIZE=-1]How often do you bathe:(_)Weekly(_)Monthly(_)Holidays(_)Not ApplicableColor of teeth:(_)Yellow(_)Brownish-Yellow(_)Brown(_)Black(_)No teeth(_)N/A[/SIZE]
[SIZE=-1]Brand of chewing tobacco you prefer:(_)Red-ManHow far is your home from a paved road?(_)1 mile(_)2 miles(_)don't know(_)can't get there from here[/SIZE]
[SIZE=-1]BUMPER STICKERS:___ Eat more Possum___ My other car is a piece of junk too___ Honk if you love Jesus___ If you ain't a cowboy, you ain't nothin'___ Red-man Chewing Tobacco[/SIZE]
[SIZE=-1]Favorite Recreation: Check all that apply:___ Square Dancin' ___ Possum Huntin'___ Skinny Dippin'___ Craw Daddin'___ Gospel Singin' ___ 4-Wheelin'___ Drankin' ___ Spittin' Backy ___ Bill Chip Trowin' ___ Honky Tonkin'___ Noodlin' [/SIZE]
[SIZE=-1]# of Dogs: ___ Type: ___ Blue Tick ___ Beagle___ Black & Tan ___ Bird Dawg[/SIZE]
[SIZE=-1]Cap Emblem: ___ John Deere ___ McCulloch Chain Saws___ Budweiser ___ Vo-Tech___ Skoal ___ Coors___ NAPA ___ Smile if you're Not Wearing Underwear[/SIZE]
You format like a West Virginian.
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