Atf Form 3310.4 - Report Of Multiple Sale Or Other Disposition Of Pistols And Revolvers

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OMB No. 1140-0003 (02/29/2012)
U.S. Department of Justice
Report of Multiple Sale or Other
Bureau of Alcohol, Tobacco, Firearms and Explosives
Disposition of Pistols and Revolvers
(Please complete all information)
2a. Federal Firearms Licensee (FFL) Number
1. Date Transferred
2b. Business or Trade Name and Address (If you have complete information available on a rubber stamp, please place information here.)
2c. Is this firearm connected to another multiple sale? (If yes, specify date)
2d. If you sold these firearms at a gun show or other qualifying event, identify the event and provide a complete address of the event.
3. Any Combination of Pistols and Revolvers Acquired in the Last Five Business Days
Type (Pistol or revolver)
Serial Number
4. Transferee's Name (Last, first, middle)
5. Residence Address (Number, street, city, county, state, zip code)
6. Sex
7. Race
American Indian or Alaska Native
Native Hawaiian or Pacific Islander
African American or Black
Other (Specify)
Hispanic or Latino
8. Identification Number
9. Type of Identification
10. ID State
12. Place of Birth (City, county, state, country)
11. Date of Birth
13. If the buyer of the firearms listed in item 4 is an officer authorized to act on behalf of a corporation, company, association, partnership or other such
business entity, you must complete the following:
Name and Address of Business Entity
14a. Identify the official designated by the state or local authorities where you, the FFL, will be forwarding copy 2.
Name of Agency
Street Address, City, and State
14b. Date Copy 2 was Forwarded to Agency
15. Additional Information Relating to the Transfer of the Firearms
16. Name of Employee Filling Out This Form
17. Date This Form Was Completed
ATF Form 3310.4
When Fax is Available, Please Fax to 1-877-283-0288.
Revised March 2009


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