Atf Form 6 - Application And Permit For Importation Of Firearms Ammunition And Implements Of War

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OMB No. 1140-0005 (09/30/2008)
U.S. Department of Justice
Application and Permit for Importation of
Bureau of Alcohol, Tobacco, Firearms and Explosives
Firearms Ammunition and Implements of War
Not for use by Members of the United States Armed Forces.
For Applicant's Optional Use
For ATF Use Only
Permit No. (Valid for 12 months from the date appearing in Item 18 below.)
Optional #
Internal Control #
(Submit in triplicate) - For Applicant Use
Section I - Application
2.
Telephone No.
3.
Country of Exportation
1. Federal Firearms License
(If Any)
License No.
Expiration Date
4.
Name and Address of Customs Broker
(Including Zip Code)
5.
Applicant's Name and Address
(Including Zip Code)
Check here if permit is to be returned to Customs Broker.
Check here if permit is to be returned to applicant.
6.
Name and Address of Foreign Seller, if any
7.
Name and Address of Foreign Shipper
8. Description of Firearms and Ammunition
(For firearms, enter (SG)-Shotgun; (RI)-Rifle; (PI)-Pistol; (RE)-Revolver; (DD)-Destructive Device; (MG)-Machinegun)
Munitions
Type
Length
Quantity
Model
Overall
List
(SG, RI,
Caliber
of
(Each
(Mfrs)
Serial
Name and Address
Category
Length
Unit
PI, RE,
New (N)
Gauge
Barrel
type)
Design
or
No.
(Inches)
of Manufacturer
Cost
DD,MG)
or Size
Used (U)
g
j
a
f
c
d
e
h
i
b
k
Description
9.
Certification of Origin. The items sought for importation
in block 8:
a. Do not contain parts or components produced by or
for the U.S. military and do not contain parts or com-
ponents manufactured with U.S. military technical
( Ball
data or assistance.
Wad-
b. Contain parts or components produced by or for the
cutter,
U.S. military or parts or components manufactured
Shot,
with U.S. military technical data or assistance.
etc.)
c. Contain parts or components produced by or for the
U.S. military or components manufactured with U.S.
technical data or assistance that were sold abroad
pursuant to a Direct Commercial Sale licensed by the
Department of State.
10. Specific Purpose of Importation, Including Final Recipient, If Known
(Use additional sheets, if necessary)
11. Are You Registered as an Importer Pursuant to The Arms
12. If "Yes," Give Importer's Registration No. and Expiration Date
Export Control Act of 1976
Yes
N o
Under the penalties provided by law, I declare that I have examined this application, including the documents submitted in support of it, and, to the best of
my knowledge and belief, it is true, correct, and complete.
15. Date
13. Signature of Applicant
14. Title
Section II - For ATF Use Only
(Please make no entries in this section)
16. The Application Has Been Examined and the Importation of the Firearms, Ammunition, and Implements of War Described Herein is:
Disapproved for the Reason Indicated
Returned Without Action for Additional
Approved
Here or on Attached Letter
Information
Partially Approved for the Reason
Withdrawn By Applicant Without Action
Indicated Here or on Attached Letter
17. Signature of the Director, Bureau of Alcohol, Tobacco, Firearms and Explosives
18. Date
ATF Form 6 - Part I (5330.3A)
Revised October 2006

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