Dealer'S Record Of Sale (Dros) Worksheet - State Of California

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STATE OF CALIFORNIA
DEPARTMENT OF JUSTICE
BOF 929 (Rev. 01/2014)
Page 1 of 1
CALIFORNIA DEPARTMENT OF JUSTICE
BUREAU OF FIREARMS
Dealer's Record of Sale (DROS) Worksheet
CFD No.:
DROS No.:
Transaction Information
Gun Show Transaction
Transmission Date:
Transmission Time:
Delivery Date:
Delivery Time:
Yes
No
Firearm Type:
Transaction Type: (All but "Dealer Sale" cert-list exempt)
Transaction exempt from 1
handgun per
Long Gun
Dealer Sale
Private Party Transfer
Curio/Relic/Olympic/Other Exempt
30 day limit.
Handgun
Loan
Pawn/Consignment Return
Peace Officer
Waiting Period Exemptions
Purchaser claims the following waiting period exemption pursuant to Penal Code sections 26950 through 26970 and 27650 through 27670.
PEACE OFFICER STATUS
CA FIREARMS DEALER
COLLECTOR STATUS (curio/relic only)
SPECIAL WEAPONS PERMIT
Permit Type
(must have agency letter)
Enter CFD Number:
Enter COE Number:
Enter Type and Permit Number.
(does not include CCW permit)
Permit Number
Firearm Information
Make: (Colt, Remington, etc.)
Model: (Commander, 870, etc.)
Caliber(s):
Barrel Length:
Serial Number:
Other Number: (if different)
Firearm Type:
If Handgun:
If Long Gun:
Frame Only:
New Firearm:
Long Gun
Rifle
Revolver
Semi-Auto
Other:
Yes
Yes
Handgun
Shotgun
Single Shot
Derringer:
No
No
Firearm Origin: (USA, Italy, etc.)
Firearm Color: (Black, Green, Silver, etc.)
Comments:
Purchaser Information
First Name:
Middle Name:
Last Name:
Suffix:
Alias First Name:
Alias Middle Name:
Alias Last Name:
Alias Suffix:
Street Address:
City:
Zip Code:
One of the following forms of identification is required to legally purchase firearms in California: California driver license (CDL), California ID (CID) card issued by the DMV, or Military ID (MID) for active duty
military accompanied by permanent duty station orders indicating that the purchaser is stationed in California.
ID Type: (check one)
US Citizen:
If NO, enter Alien Registration or I-94 Number and Country of Citizenship
ID Number:
CDL
CID
MIL
Yes
No
Alien Registration or I-94 Number
Country of Citizenship
Telephone Number:
Date of Birth: (mm/dd/yyyy)
Place of Birth:
Race:
(
)
Sex:
Height:
Weight:
Hair Color:
Eye Color:
HSC Number or Exemption Code: (handguns only)
Has purchaser ever been convicted of a felony or of any offense specified in Penal Code sections 23515 and 29905, or convicted of assault, battery, or other misdemeanor offense specified
Yes
No
in Penal Code section 29805 in the last 10 years?
Is purchaser a danger/threat to self or others pursuant to Welfare and Institutions Code section 8100, or a person who has been admitted to a mental health facility as a danger to self or
Yes
No
others pursuant to Welfare and Institutions Code sections 5150 through 5152 within the past 5 years?
Has purchaser ever been adjudicated by a court to be a danger to others, found not guilty by reason of insanity, found incompetent to stand trial, or placed under a conservatorship,
Yes
No
pursuant to Welfare and Institutions Code section 8103?
Yes
No
Is purchaser currently the subject of any restraining order pursuant to Family Code section 6380?
I declare under penalty of perjury under the laws of
the State of California that the foregoing is true and correct.
Date
Signature of Purchaser
Private Party Transfer (Seller Information)
First Name:
Middle Name:
Last Name:
Suffix:
Street Address:
City:
Zip Code:
ID Type: (check one)
US Citizen:
If NO, enter Alien Registration or I-94 Number and Country of Citizenship:
ID Number:
CDL
CID
MIL
Yes
No
Alien Registration or I-94 Number
Country of Citizenship
Date of Birth: (mm/dd/yyyy)
Place of Birth:
Race:
Sex: Height:
Weight:
Hair Color:
Eye Color:
I declare under penalty of perjury under the laws of
the State of California that the foregoing is true and correct.
Signature of Seller
Date
Dealer Information
Firearm Safety Device Description and/or Comments:
Telephone Number:
(
)
Sales Person Printed Name and COE Number if Issued:
I declare under penalty of perjury under the laws of
the State of California that the foregoing is true and correct.
Signature of Salesperson
Date
Falsification of information on this form is a crime, punishable by up to 18 months in state prison. (Pen. Code, § 28250.)

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