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WEST VIRGINIA STATE RESIDENCY APPLICATION

category: general tags: Dirty Jokes Added: 25.07 06:50

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Name: (last) _____________
(first) (_) Billy-Bob
(_) Billy-Joe
(_) Billy-Ray
(_) Billy-Sue
(_) Billy-Mae
(_) Billy-Jack
(Check appropriate box)
Age: ____
Sex: ____ M _____ F _____ N/A
Shoe Size: ____ Left ____ Right
CB Handle: _____________________
Occupation:
(_)Farmer
(_)Mechanic
(_)Hair Dresser
(_)Un-employed
(_)Coal Miner
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 [...]

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