Atf Form 4473 - Firearm Transaction Record (Page 3 of 6) in pdf

Section D - Must Be Completed By Transferor (Sellel')

26.

27.

28.

29.

30.

Manufacturer and/or Importer

(lfthe

Model

Serial Number

Type

(pistol, revol... e l; riJle.

Caliber or

manufacturer and importer are different.

shotgun. receiver. frame.

Gauge

the FFL should include both.)

etc.) (See imtntcnonsfor

question 29)

. '

"Oa. Total Number ofFlream1s

(Please handwnte bv prll1f1ng

e.g.,

one. two, three. ere. Do not use lIumerals.)

130b. [s any part of thIs transactIOn a

Pawn Redemption?

Yes

30c. For Use by FFL

(See fnstructions/i:Jr Question 30c.)

Complete ATF Form 3310.4 For Multiple Purchases of Handguns Within 5 Consecutive Business Days

31. Trade/corporate name and address of transferor

(sel.l.er) (Hand stamp may be

32. Federal Firearms License Number

(Must contain at leastfirst

used.]

three and last five digits of FFL Number X-XX-XXX.AX.)

(Hand stamp may be used.)

The Person Transferring The Firearm(s) Must Complete Questions 33-36. For Denied/Cancelled Transactions,

The Person Who Completed Section B Must Complete Questions 33-35.

I certify that my answers in Sections Band D are true, correct, and complete. I have read and understand the Notices, Instructions, and Definitions

on ATF Form 4473. On the basis of: (I) the statements in Section A (and Section C if the transfer does not occur on the day Section A was com-

pleted); (2) my verification of the identification noted in question 20a (and my reverification at the time of transfer

the transfer does not occur

all

the

day Section

IVas completed); and (3) the information in the current State Laws and Published Ordinances, it is my belief that it is not unlawful for

me to sell, deliver, transport, or otherwise dispose of the firearm(s) listed on this form to the person identified in Section A.

33. Transferor's{Seller's Name

(Please prillt)

34. Transferor's/Seller's Signature

35. Transferor's/Seller's Title

36. Date Transferred

NOTICES, INSTRUCTIONS AND DEFINITIONS

Purpose of the Form: The inionnalion and certification on this form are

designed so that a person licensed under 18 U.S.c. § 923 may determine ifhe

or she may lawfully sell or deliver a firearm to the person idenlified in

Section A, and to alert the buyer of certain restrictions on the receipt and

possession of firearms. This fonn should only be used for sales or transfers

where the seller is licensed under 18 U.S.c. § 923. The seller of a fireaml

must determine the lawfulness of Ihe lransaelion and maintaio proper records

of Ihe transaction. Consequently, the seller must be familiar with the

provisions of 18 U.S.c. §§ 921-931 aod the regulations in 27 CFR Part 478.

In delennining Ihe lawfulness of the sale or delivery of a long gun (rifle or

shotgun) to a resident of another Slale, the seller is presumed to know the

applicable Slate laws and published ordinances in both the seller's State and

the buyer's State.

buyer Wish to make a record of your dIscovery, then photocopy Ihe inaccurate

form and make any necessary addilions or revisions to the photocopy. You only

should make changes

Sections Band D. The buyer should only make changes

to Sections A and C. Whoever made the changes should initial and date the

changes. The corrected photocopy should be attached to the original Form 4473

and retained as pan of your permanent records.

Over-the-Counter Transaction: The sale or other disposition of a firearm by a

seller to a buyer, at Ihe seller's licensed premises. This includes the sale or other

disposition of a rifle or shotgun to a nonresident buyer on such premises.

State Laws and Published Ordinances: The publication (ATF P 5300.5) of

State fireanns laws and local ordinances ATF dislributes to licensees.

Exportation of Firearms: The State or Commerce Departments may require you

to obtain a license prior to export.

fter the seller has completed the fireanns transaction, he or she must make

the completed, original ATF Fonn 4473 (which includes the NOIices. General

{n"f/'ltC/ions. and Definitions), and any supporting documents, part of his or

her permanent records. Such Forms 4473 must be retained for at least 20

years. Filing may be chronological (by date), alphabelieal (by name), or

numerical

(by

transaClion serial number), as long as all of the seller's

completed Fonns 4473 are filed in Ihe same manner. FORMS 4473 FOR

DENIED/CANCELLED TRA 'SFERS MUST BE RETAJ!\'ED: If the transfer

of a fircann is denied/cancelled by NICS, or if for any other reason the

transfer is not complete after a NICS check is initiated, the licensee mUSI

relain the ATF Fonn 4473 in his or her records for at least 5 years. Forms

4473 wilh respect

which a sale, delivery, or transfer did not take place shall

be separalely retained in alphabetical

(by

name)

or chronological

(by

date of

transferee's certification) order.

you

or Ihe buyer discover Ihat an ATF Fonn 4473 is incomplete or

improperly completed after Ille fireann has been transicrred, and you or the

Page 3 01'6

Section A

Question J. Transferee's Full Name: The buyer must personally eomplelC

Section A of this

[Olm

and certify (sign) that the answers arc true, eorreel, and

complete. However, if Ihe buyer is unable to read andior write. the answers

(other than the signature) may be ",'ompleted by another person, excluding the

seller. Two per-ons (other Ihan the seller) must then si[,'l1 as wilnesses to the

buyer's answers and signature.

When the buyer of a fireann is a corporation, company. association. partnership,

or other such business eniily, an officer authorized to act on behalf of the business

must complete Section

of the fonn with his or her personal information, sign

Section A. and attach a written stalcment, executed under penahies of perjury,

Slating: (A) the firearm is being acquired for the usc of and will be the property

of that business entity and (B) the name and address of Ihat business entity.

ATF Fom' 4473 (5300.9)

Part!

Revised Augusl 2008

Atf Form 4473 - Firearm Transaction Record Page 3

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