Ag Form 1r - State Of Maine Application For Permit To Carry Concealed Firearms (Page 6 of 6) in pdf

Ag Form 1r - State Of Maine Application For Permit To Carry Concealed Firearms Page 6

Certify that you understand that you must demonstrate to this issuing authority a knowledge

of handgun safety as required by Title 25 M.R.S.A. § 2003 (1) (E) (5), unless you demonstrate

that you are exempted under that same statute.

Certify that you have received a copy of the pamphlet entitled “LAWS RELATING TO

PERMITS TO CARRY CONCEALED FIREARMS” (2005 edition).

I understand that any false statements I make in this application or documents I make a part

of this application may result in criminal prosecution pursuant to 25 M.R.S.A. § 2004 (1)

and/or 17-A M.R.S.A. § 453, unsworn falsification.

_______________________________________________

_______________________________

Your Signature as Applicant

Date

ALL QUESTIONS MUST BE ANSWERED COMPLETELY

AND THE APPLICATION FEE ($35 FOR ORIGINAL

APPLICATION, $20 FOR RENEWAL APPLICATION,

OR $2.00 FOR CHANGE OF ADDRESS)

MUST ACCOMPANY THIS APPLICATION OR

THE APPLICATION WILL BE RETURNED.

PREVIOUS VERSIONS OF THIS FORM ARE OBSOLETE AND SHOULD NOT BE USED

Initials______

AG Form 1R (8/06)

Page 6 of 6

Ag Form 1r - State Of Maine Application For Permit To Carry Concealed Firearms Page 6