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| STATE OF GEORGIA DRIVERS LICENSE APPLICATION Last name: ________________ (Check appropriate box) First name: First name: |_| Billy-Bob |_| Bobby-Sue |_| Billy-Joe |_| Bobby-Jo |_| Billy-Ray |_| Bobby-Ann |_| Billy-Sue |_| Bobby-Lee |_| Billy-Mae |_| Bobby-Ellen |_| Billy-Jack |_| Bobby-Beth Ann Sue Age: ____ (if unsure, guess) Sex: ____ M _____ F _____ Not sure Shoe Size: ____ Left ____ Right Occupation: |_| Farmer |_| Mechanic |_| Hair Dresser |_| Waitress |_| Un-employed |_| Dirty Politician Spouse's Name: __________________________ 2nd Spouse's Name: __________________________ 3rd Spouse's Name: __________________________ Lover's Name: __________________________ 2nd Lover's Name: __________________________ Relationship with spouse: |_| Sister |_| Aunt |_| Brother |_| Uncle |_| Mother |_| Son |_| Father |_| Daughter |_| Cousin |_| Pet Number of children living in household: ___ Number of children living in shed: ___ 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 ____ kitchen ____ bedroom ____ bathroom ____ shed Model and year of your pickup: _____________ 194_ Do you have a gun rack? |_| Yes |_| No; If 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 How many? 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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