STATE OF KENTUCKY RESIDENCY APPLICATION FORM
Name: ______________ (last)
First:(Please tick appropriate box)
Billy-Bob [ ] Billy-Joe [ ] Billy-Ray [ ] Billy-Sue [ ] Billy-Mae [ ] Billy-Jack [ ]
Shoe size: ______ (left) ________ (right)
Occupation:
Farmer [ ] Mechanic [ ] Hair Dresser [ ] Unemployed [ ]
Relationship with spouse:
sister [ ] brother [ ] aunt [ ] uncle [ ] cousin [ ] mother [ ] father [ ] son [ ] daughter [ ] pet [ ]
Education: 1 2 3 4 (tick highest grade completed)
Do you own [ ] or rent [ ] your mobile home?
___ 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 pick-up: __________194__
Do you have a gun rack? [ ]yes [ ]no. (If no, please explain)
___ number of times you’ve seen Elvis
___ number of times you’ve seen a UFO
___ number of times you’ve seen Elvis in a UFO
How often do you bathe:
weekly [ ] monthly [ ] N/A [ ]
Colour of teeth:
yellow [ ] brownish-yellow [ ] brown [ ] black [ ] N/A [ ]
How far is your home from a paved road:
1-5 miles [ ] 5-10 miles [ ] don’t know [ ]