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OMB No. 1140-0040 (12/31/2014)

U.S. Department of Justice

Bureau of Alcohol, Tobacco, Firearms and Explosives

Application for an Amended Federal

Firearms License

All entries must be in ink. Please read attached instructions carefully before completing this form.

Section 1: General Information

1. Current Federal Firearms License (FFL) Number

2. Expiration Date of FFL

3. Employer Identification Number (EIN) or Social Security

Number

4. Is the address change due to a change required by the U.S. Postal Service or 9-1-1?

Yes

Section 2: Current Information Listed on FFL

5. FFL Name (as reflected on attached FFL)

6. Trade Name(s) or Business Name(s) (if any)

7. Premises Address (number and street name)

City

State

County

Zip Code

8. Premises Telephone Number (with area code)

9. Home Telephone Number (with area code)

10. Fax Number

Section 3: New Information for the FFL-Complete Applicable Changes

11. Are there any changes in the business structure of the FFL's opertions? (Change of Control, Change of Partnership, etc.) If yes, specify

change on a separate sheet of paper. You may need to file a new ATF Form 7, Application for Federal Firearms License.

Yes

12. Change in Trade Name or Business Name (if any)

13. New Premises Address (where firearms activities will occur - list number and street name)

City

State

County

Zip Code

14. New Mailing Address (number and street name)

City

State

County

Zip Code

17. New Fax Number

15. New Premises Telephone Number (with area code)

16. New Home Telephone Number (with

area code)

18. E-mail Address

19. Alternate 24 Hour Contact Telephone Number (with area code)

20. Hours of Operation and/or Availability of Business/Activity (Please provide at least one hour in which you can be contacted by ATF personnel)

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Hour(s):

Section 4: Business Information (Complete this section Only if your business location has changed. If you have a Type 03 Collector of Curios and

Relics FFL, skip Section 4 and go on to Section 5)

21. Is the new business premises open to

22. Will any other business, other than that for which the license

23. Licensee's new premises is

the general public during these hours?

was issued, be conducted on the new premises?

Yes

Owned

Leased

Rented

Yes

If yes, state type of business:

24. If the new premises is rented, leased, or otherwise not owned by the applicant, please attach: 1) A copy of the lease, rental, or other agreement, and

2) The name, address, telephone, and other contact information of the owner of the property. If the lease, rental or other agreement does not reflect the

terms and conditions of the agreement, please specify the beginning and ending date as well as the terms and conditions.

25. If the new premises is owned by the applicant, are there any restrictions or covenants which prohibit the owner from operating a firearms business on

the premises? If yes, on a separate sheet, describe such restrictions or covenants.

Yes

ATF E-Form 5300.38

Revised July 2012