1. House address: 952 Beulah Street 2. Is this house on a farm (or ranch)? No. 3. If no in item 2: Is this house on a place of three or more acres? No.
For All Persons:
4. Name (last name first): Kenobi, Obi-Wan
· What is the name of the head of household? Kenobi, Obi-Wan · What are the names of all other persons who live here? · List in this order: - The head: Obi-Wan Kenobi - His wife: Stocking - Unmarried sons and daughters and their families (in order of age): - Married sons and daughters and their families: - Your least favorite color:
Black
5. Species (underline applicable):
Human (H) Animal (A) Communist (☭) Wizard (W) Catgirl (CG) God/Goddess (G) Other (please specify)
6. Sex (underline applicable):
Male (M) Female (F)
7. Are you now married, widowed, divorced, separated, or never married? Nev.
8. What State (or foreign country) were you born in? I'm afraid I was not even born on this planet.
9. What is your deepest secret? ...The doubt I held in the Jedi Order during their final months.
10. If foreign born: Are you naturalized? (Yes, No, or AP for born abroad of American parents)
11. What are you most ashamed about? Not being there for Anakin when it was clear he needed me.
For Persons 14 Years of Age and Over:
12. What were you doing most of last week: working, keeping house, or something else? Wk
13. If H or Ot in Item 12: Did you do any work at all last week, not counting work around the house? (Include work for pay, in own business, profession, on farm, or unpaid family work) (Yes or No)
14. If No in Item 13: Were you looking for work? (Yes or No)
15. If No in Item 14: Even though you didn't work last week, do you have a job or business? (Yes or No)
16. If No in Item 15: Do you have a good explanation for why you are being so utterly useless to the prosperity of our great town? (Yes, Female, or No, elaborate. Yes is not a valid answer.)
For All Persons:
17. What country were your father and mother born in? (Enter US or name of Territory, possession, or foreign country)
Father: Foreign System Mother:
Foreign System
18. If anything but America in Item 17, justify your right to be here (maximum 100 words): I believe freedom should be granted to all who choose it.
19. What is your most embarrassing memory? Ahem, I suppose the times I lost my lightsaber in the past.
20. What is more important- laughter (L) or medicine (M)? Both are essential, I believe.
21. Please list all of the following diseases you have been afflicted by, if any: Measles (M), Mumps (U), Chicken-Pox (C), Polio (P), Tuberculosis (T), Smallpox (S), Communism (R) I cannot say I've heard of any of these illnesses
For All Males in the Household:
22. Did you ever serve in the U.S. Armed Forces during (specify Y or N):
22a. World War II N
22b. World War I N
22c. Any other time, including present service
N
23. If No to any question in Item 22, justify your reasons for being so reprehensibly unpatriotic (maximum 100 words): I am not American, as I do not even come from this Galactic System. I did, however, serve in the Great Clone War.
24. Are you a Communist? Are you? No, I am a Jedi.
For All Persons:
25. Is there an afterlife and how do you know this isn't it? (maximum 100 words) For those who wish it, there is the possibility of life after death, and becoming one with the Force.
no subject
1. House address: 952 Beulah Street
2. Is this house on a farm (or ranch)? No.
3. If no in item 2: Is this house on a place of three or more acres? No.
For All Persons:
4. Name (last name first): Kenobi, Obi-Wan
Black
5. Species (underline applicable):
6. Sex (underline applicable):
7. Are you now married, widowed, divorced, separated, or never married? Nev.
8. What State (or foreign country) were you born in? I'm afraid I was not even born on this planet.
9. What is your deepest secret? ...The doubt I held in the Jedi Order during their final months.
10. If foreign born: Are you naturalized? (Yes, No, or AP for born abroad of American parents)
11. What are you most ashamed about? Not being there for Anakin when it was clear he needed me.
For Persons 14 Years of Age and Over:
12. What were you doing most of last week: working, keeping house, or something else? Wk
13. If H or Ot in Item 12: Did you do any work at all last week, not counting work around the house? (Include work for pay, in own business, profession, on farm, or unpaid family work) (Yes or No)
14. If No in Item 13: Were you looking for work? (Yes or No)
15. If No in Item 14: Even though you didn't work last week, do you have a job or business? (Yes or No)
16. If No in Item 15: Do you have a good explanation for why you are being so utterly useless to the prosperity of our great town? (Yes, Female, or No, elaborate. Yes is not a valid answer.)
For All Persons:
17. What country were your father and mother born in? (Enter US or name of Territory, possession, or foreign country)
Foreign System
18. If anything but America in Item 17, justify your right to be here (maximum 100 words): I believe freedom should be granted to all who choose it.
19. What is your most embarrassing memory? Ahem, I suppose the times I lost my lightsaber in the past.
20. What is more important- laughter (L) or medicine (M)? Both are essential, I believe.
21. Please list all of the following diseases you have been afflicted by, if any: Measles (M), Mumps (U), Chicken-Pox (C), Polio (P), Tuberculosis (T), Smallpox (S), Communism (R) I cannot say I've heard of any of these illnesses
For All Males in the Household:
22. Did you ever serve in the U.S. Armed Forces during (specify Y or N):
N
23. If No to any question in Item 22, justify your reasons for being so reprehensibly unpatriotic (maximum 100 words): I am not American, as I do not even come from this Galactic System. I did, however, serve in the Great Clone War.
24. Are you a Communist? Are you? No, I am a Jedi.
For All Persons:
25. Is there an afterlife and how do you know this isn't it? (maximum 100 words) For those who wish it, there is the possibility of life after death, and becoming one with the Force.