Atf Form 1 (5320.1) - Application To Make And Register A Firearm - U.s. Department Of Justice Page 3

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17. Method of Payment (Check one) (See instruction 2h)
Cashier’s Check or
American
Check (Enclosed)
Diners Club
Visa
Mastercard
Discover
Money Order (Enclosed)
Express
Credit/Debit Card Number (No dashes)
Name as Printed on the Credit/Debit Card
Expiration Date (Month & year)
Address:
Credit/Debit Card
Billing Address:
City:
State:
Zip Code:
Please Complete to Ensure Payment is Credited to the Correct Application:
I am Paying the making Tax for the Applicant:
Total Amount:
$
I Authorize ATF to Charge my Credit/Debit Card the Above Amount.
Signature of Cardholder
Date
Your credit/debit card will be charged the above stated amount upon receipt of your application. The charge will be reflected on your credit/debit card statement.
In the event your application is NOT approved, the above amount will be credited to the credit/debit card noted above.
Important Information for Currently Registered Firearms
If this registration document evidences the current registration of the firearm described on it, please note the following information.
Estate Procedures: For procedures regarding the transfer of firearms in an estate resulting from the death of the registrant identified in item 3, the executor should
contact the NFA Branch, Bureau of ATF, 244 Needy Road, Martinsburg, WV 25405.
Interstate Movement: If the firearm identified in item 4 is a machinegun, short-barreled rifle, short-barreled shotgun, or destructive device, the registrant may be
required by 18 U.S.C. § 922(a)(4) to obtain permission from ATF prior to any transportation in interstate or foreign commerce.
Change of Description or Address: The registrant shall notify the NFA Branch, Bureau of Alcohol, Tobacco, Firearms and Explosives, 244 Needy Road, Martinsburg,
WV 25405, in writing, of any change to the description of the firearms in item 4, or any change to the address of the registrant.
Restrictions on Possession: Any restriction (see approval block on face of form) on the possession of the firearm identified in item 4 continues with the further
transfer of the firearm.
Persons Prohibited from Possessing Firearms: If the registrant becomes prohibited from possessing a firearm, please contact the NFA Branch for procedures on how
to dispose of the firearm.
Proof of Registration: A person possessing a firearm registered as required by the NFA shall retain proof of registration which shall be made available to an ATF
officer upon request.
Paperwork Reduction Act Notice
This form is in accordance with the Paperwork Reduction Act of 1995. The information you provide is used to establish that a transferee’s receipt and possession of the
firearm would be in conformance with Federal, State, and local law. The data is used as proof of lawful registration of a firearm to the manufacturer. The furnishing of
this information is mandatory (26 U.S.C. § 5822).
The estimated average burden associated with this collection of information 1.69 hours per respondent or recordkeeper, depending on individual circumstances.
Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be addressed to Reports Management Officer, Information
Technology Coordination Staff, Bureau of Alcohol, Tobacco, Firearms and Explosives, Washington, DC 20226.
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.
Privacy Act Information
1. Authority. Solicitation of this information is made pursuant to the National Firearms Act (26 U.S.C. §§ 5821 and 5822). Disclosure of this information by the
applicant is mandatory for any person (other than a manufacturer qualified under the National Firearms Act) making a firearm as defined in the National Firearms
Act.
2. Purpose. To verify payment of the tax imposed by 26 U.S.C. § 5821; to determine that the making would not be in violation of law; and to effect registration of the
firearm.
3. Routine Uses. The information will be used by ATF to make the determinations set forth in paragraph 2. In addition, to effect registration of the firearm,
information as to the identification of the firearm, date of registration, and the identification and address of person entitled to possess the firearm will be entered
into the National Firearms Registration and Transfer Record. No information obtained from a application, registration, or records required to be submitted by a
natural person in order to comply with any provision of the National Firearms Act or regulations issued thereunder, shall, except in connection with prosecution or
other action for furnishing false information, be used, directly or indirectly, as evidence against that person in any criminal proceedng with respect to a violation of
law occurring prior to or concurrently with the filing of the application. The information from this application may only be disclosed to Federal authorities for
purpose of prosecution for violation of the National Firearms Act.
4. Effects of not Supplying Information Requested. Failure to supply complete information will delay processing and may cause denial of the application.
ATF Form 1 (5320.1)
Revised June 2014

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