Report Of Gun Sale Lincoln Police Department

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REPORT OF GUN SALE
LINCOLN POLICE DEPARTMENT
TO BE COMPLETED BY SELLER, In accordance with Lincoln Municipal Ordinance 9.36.030
SOLD TO:
Name_________________________________________________________________________________
FULL FIRST
MI
LAST
Current Address_________________________________________________________________________
City________________________________________State____________________Zip________________
Phone # (________)_______________________________________Date of Birth____________________
Driver’s License #___________________________________State_____________SS#________________
Race___________Sex_____Height______Weight_______Eye Color__________Hair Color____________
FIREARM CERTIFICATE # NB___________________________________________________________
Expiration Date_______________________________
Date of Sale____________________________
( ) REVOLVER
( ) PISTOL
( ) RIFLE
( ) SHOTGUN
( ) OTHER
Manufacturer (Full Name)_______________________________________Model____________________
Serial #____________________________________________CAL/GA____________________________
Signature of Buyer_______________________________________________________________________
SELLER OF WEAPON must complete lower portion.
LPD Employee #_______________________ (If information received at LPD)
BUSINESS INFORMATION
Name of Business_______________________________________________________________________
Address_______________________________________________________________________________
City_______________________________________State_________________Zip____________________
Phone # (_________)_________________________________
Agent who made sale (print name)__________________________________________________________
Agent’s Signature_______________________________________________________________________
FFL #_________________________________________________________________________________
TO BE COMPLETED IF PRIVATE SALE (See above for Business)
SELLER_______________________________________________________________________________
Address_______________________________________________________________________________
City_______________________________________State_________________Zip____________________
Phone # (________)___________________________________Date of Birth________________________
SS#_______________________________Driver’s Lic #________________________________________
Race___________Sex_____Height______Weight_______Eye Color__________Hair Color____________
Signature of Seller_______________________________________________________________________
Date Form Completed____________________________________________________________________

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