Form 4 - Nfa Gun Trust Lawyer Blog
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1
2
3U.S. Department of Justice
Bureau of Alcohol,
Tobacco, Fireanns and
Explosives
OMB
No. 1140·0014
(06/30/2019)
Application for Tax Paid Transfer and
Registration of Firearm
ATF Control Number
National Firearms Act Branch
SUBMIT
in DUPLICATE to: Bureau of Alcohol, Tobacco, Firearms and
Explosives,
P.O. Box 530298, Atlanta, GA 30353-0298
1.
Type
of
Transfer (Check one)
2a.
Transferee's Name and Address (Include trade name, if allY) (See instruction2d)
0
$5
0
$200
Submit the
appropriate
tax payment with the application.
The tax
may
be paid by credit
or
debit
card,
check,
or
money
order.
Please complete item
20.
Upon
approval of the
application,
we will
affix
and
cancel
the
required
National
Firearms
Act stamp. (See
instructions
2b, 2i and 3)
LAST NAME TRUST
123 MAIN STREET
JACKSONVILLE.
FL
32217
0
INDIVIDUAL
0
TRUST or LEGAL ENTITY
2b.
County
DUVAL
3a.
Transferor's Name
and Address (Include
trade
name.
if any)
(Executors:
see
instruction
2k)
YOUR
DEALER
555
MAIN
STREET
JACKSONVILLE.
FL
32217
3b.
e·mail
address (optional)
.1c
Transferor's Telephone (Area
Code
and Numbe1)
DEALER PHONE
NUMBER
3d.
If
Applicable:
Decedent's Name, Address. and Date of
Death
3e.
Nwnber.
Street, City.
State
and Zip Code
of Residence (or
Firearms Business
Premises) If
Different
from
Item 3a.
The above-named and
undersigned transferor
hereby
makes application
as
required by Section
5812 of the National Firearms Act
to transfer
and register
the firearm
described
below
to the transferee
4.
De,mption
of Firearm
(Compfel~
items
a
1hrough
h) (See ins/rue/ion 2m)
d.
Model
a.
Name
and
Address of Maker. Manufacturer
and 'or
b.
Type
of Firearm
c.
Caliber
MODEL OF
THE
NFA ITEM
Importer
of Firearm
(See
definitions)
or
Length
l
OfBarrel:
If .
Overall:
NAME
OF
THE MANUFACTURE OF THE NFA ITEM
Gauge
(Inches)
5.00"
ADDRESS OF
THE MANUFACTURE
SUPPRESSOR.
SBR. SBS.
DD.
CITY. STATE ZIP
AOW.
OR
MACHINE
GUN
9MM
g.
Serial
Number
113-456-78
h.
Add1t1onal
Descnptton
or Data Appeanng
on
F1reann
(AIIach
add111onal sheet ifnecessal}')
5.
Transferee's Federal Firearms License (ljwn}
6.
Transferee's Spcctal
(Occupational)
Tax Status (ljanJ1
(Git·e complde 15-digitnumber;
(See instruction
2c)
a.
Employer Identification Number
b.
Class
First 6 digits
2
d1gits
I
2
u1gi~>
I
5 digits
I
I
I
7.
Transferor's Federal Firearms License
(/jail\)
8.
Transferor's
Spedal (Occupational)
Tax
Status (ljw11')
First 6 uigit>
2
digits
I
1 Jigits
5 digits
a.
Employer Identification Number
b.
Class
DEALER
1
xx
1
xx
1
xxxxx
FFL WILL COMPLETE
X
I
I
I
..
l ln~Jer
Penalttes of PerJury·,
I Declare
that I
have
exammed th1s apphcatJOn. and to
the
best of
my
knowledge and belief 11
IS
true. correct and complete, and that the transfer ol
the
described firearm
to the transferee and receipt and
possession
of
it
by
the transferee are
not prohibited
by
the
provisions of Title
18.
United States
Code:
Chap
44:
Title
26.
United States Code: Chap 53: or anv
provi sions
of State or local
law.
9.
Signature
oy
r :}feror
~r
authoriQ
d official)
J . _
I
0.
Name
and
Title of Authorized Official (Print or type)
I
I.
Date
(L_.
~
~ ~
JOHN
DEALER. MANAGER
XX/XX/XXXX
The
g'j1ace
Below
is
for
the use
of
the Bureau
of Alcohol, Tobacco,
Firearms and
b plosives
By Authority of The Director. This
Application
Has Been Examined. and
the
Transfer and Registration of the
Firearm
!Stamp Denomination
Described Herein and
the Interstate Movement
of that Firearm, When Applicable to
the
Transferee are:
0
Approved (With the following conditions, if any)
0
Disapproved (For the following reasons)
Signature of Authorized
A TF Official
Previous
Editions
are Obsolete
ATF E-Fonn 4 (5320.4)
Revised May 20 I 6
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