Atf Form 4473 - Firearms Transaction Record Part I - Over-The-Counter Form (Page 3 of 3) in pdf

Section D - Must Be Completed By Transferor (Seller)

29.

26.

27.

28.

30.

Type (pistol, revolver, rifle,

Manufacturer and/or Importer (If the

Model

Serial Number

Caliber or

shotgun, receiver, frame,

manufacturer and importer are different,

Gauge

etc.) (See instructions for

the FFL should include both.)

question 29)

30a. Total Number of Firearms (Please handwrite by printing e.g., one, two, three, etc. Do not use numerals.)

30b. Is any part of this transaction a

Pawn Redemption?

Yes

30c. For Use by FFL (See Instructions for 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 (seller) (Hand stamp may be

32. Federal Firearms License Number (Must contain at least first

used.)

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

(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 B and D are true, correct, and complete. I have read and understand the Notices, Instructions, and Definitions

on ATF Form 4473. On the basis of: (1) 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 if the transfer does not occur on the

day Section A was 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 print) 34. Transferor’s/Seller’s Signature

35. Transferor’s/Seller’s Title

36. Date Transferred

NOTICES, INSTRUCTIONS AND DEFINITIONS

buyer wish to make a record of your discovery, then photocopy the inaccurate

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

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

should make changes to Sections B and D. The buyer should only make changes

designed so that a person licensed under 18 U.S.C. § 923 may determine if he

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

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

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

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

and retained as part of your permanent records.

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

where the seller is licensed under 18 U.S.C. § 923. The seller of a firearm

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

must determine the lawfulness of the transaction and maintain proper records

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

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

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

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

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

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

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

State firearms laws and local ordinances ATF distributes to licensees.

applicable State laws and published ordinances in both the seller’s State and

the buyer’s State.

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

to obtain a license prior to export.

After the seller has completed the firearms transaction, he or she must make

the completed, original ATF Form 4473 (which includes the Notices, General

Section A

Instructions, and Definitions), and any supporting documents, part of his or

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

Question 1. Transferee’s Full Name: The buyer must personally complete

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

Section A of this form and certify (sign) that the answers are true, correct, and

numerical (by transaction serial number), as long as all of the seller’s

complete. However, if the buyer is unable to read and/or write, the answers

completed Forms 4473 are filed in the same manner. FORMS 4473 FOR

(other than the signature) may be completed by another person, excluding the

DENIED/CANCELLED TRANSFERS MUST BE RETAINED: If the transfer

seller. Two persons (other than the seller) must then sign as witnesses to the

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

buyer’s answers and signature.

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

retain the ATF Form 4473 in his or her records for at least 5 years. Forms

When the buyer of a firearm is a corporation, company, association, partnership,

4473 with respect to which a sale, delivery, or transfer did not take place shall

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

be separately retained in alphabetical (by name) or chronological (by date of

must complete Section A of the form with his or her personal information, sign

transferee’s certification) order.

Section A, and attach a written statement, executed under penalties of perjury,

stating: (A) the firearm is being acquired for the use of and will be the property

If you or the buyer discover that an ATF Form 4473 is incomplete or

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

improperly completed after the firearm has been transferred, and you or the

ATF Form 4473 (5300.9) Part I

Revised August 2008

Page 3 of 6

Atf Form 4473 - Firearms Transaction Record Part I - Over-The-Counter Form Page 3

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