State of Alabama Residency Application

Residency Application for the State of Alabama

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


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