STATE OF TENNESSEE RESIDENCY APPLICATION

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