Form Atf F 3 (5320.3) - Application For Tax-Exempt Transfer Of Firearm And Registration To Special (Occupational) Taxpayer

OMB No. 1512-0026 (07/31/2001)

ATF CONTROL NUMBER

DEPARTMENT OF THE TREASURY

BUREAU OF ALCOHOL, TOBACCO AND FIREARMS

APPLICATION FOR TAX-EXEMPT TRANSFER OF FIREARM AND

REGISTRATION TO SPECIAL (OCCUPATIONAL) TAXPAYER National Firearms Act (Title 26, U.S.C. Chapter 53)

1. TRANSFEREE'S NAME AND ADDRESS (as they appear on the Federal Firearms License,

To be submitted in duplicate by transferor of firearm

including trade name, if any)

TO: National Firearms Act Branch

Bureau of Alcohol, Tobacco and Firearms

Washington, D.C. 20226

2b. TRANFEROR'S TELEPHONE NUMBER AND

AREA CODE

SOLE PROPRIETOR

PARTNERSHIP

CORPORATION

2a. TRANSFEROR'S NAME AND ADDRESS (as they appear on the Federal Firearms License,

including trade name, if any)

SOLE PROPRIETOR

PARTNERSHIP

CORPORATION

The above-named and undersigned transferor and special (occupational) taxpayer hereby makes application as required by Section 5812 of the National Firearms Act to transfer, without

payment of tax, and register the firearm described below to the special (occupational) taxpayer identified as the transferee in this application.

d. MODEL

3. DESCRIPTION OF FIREARM (Complete items a through h, if applicable)

b.

TYPE OF FIREARM

c.

CALIBER,

a. NAME AND ADDRESS OF MANUFACTURER

(See instruction 1c)

AND/OR IMPORTER OF FIREARM

GAUGE OR

SIZE

LENGTH

e. OF BARREL

f. OVERALL

(Specify)

(Inches)

g.

SERIAL NUMBER

h. ADDITIONAL DESCRIPTION OR DATA APPEARING ON FIREARM (Attach additional sheet if necessary)

5.

TRANSFEREE'S SPECIAL (OCCUPATIONAL) TAX STATUS

4. TRANSFEREE'S FEDERAL FIREARMS LICENSE

a.

EMPLOYER IDENTIFICATION

b.

CLASS

(Give complete 15-digit number) (See instruction 2b)

NUMBER

First 6 digits

2 digits

2 digits

5 digits

6. TRANSFEROR'S FEDERAL FIREARMS LICENSE

7.

TRANSFEROR'S SPECIAL (OCCUPATIONAL) TAX STATUS

a.

EMPLOYER IDENTIFICATION

b.

CLASS

(Give complete 15-digit number) (See instruction 2b)

NUMBER

First 6 digits

2 digits

2 digits

5 digits

8. CONSENT TO DISCLOSURE OF INFORMATION TO TRANSFEREE (See instruction 8) . I DO OR DO NOT (circle one) AUTHORIZE ATF TO

PROVIDE INFORMATION RELATING TO THIS APPLICATION TO THE ABOVE-NAMED TRANSFEREE.

I believe I am entitled to exemption from payment of the transfer tax imposed by Section 5811, National Firearms Act (NFA), on the firearm described above

because the transferee named herein is qualified under the NFA to manufacture, import or deal in that type of firearm.

UNDER PENALTIES OF PERJURY, I DECLARE that I have examined this application, and to the best of my knowledge and belief it is true, correct and complete.

9. ORIGINAL SIGNATURE OF TRANSFEROR (Or authorized official)

11. DATE

10. NAME AND TITLE OF AUTHORIZED OFFICIAL

(Print or type)

THE SPACE BELOW IS FOR THE USE OF THE BUREAU OF ALCOHOL, TOBACCO AND FIREARMS

BY AUTHORITY OF THE DIRECTOR, THIS APPLICATION HAS BEEN EXAMINED, AND THE TRANSFER AND REGISTRATION OF THE FIREARM

DESCRIBED HEREIN AND THE INTERSTATE MOVEMENT OF THAT FIREARM, WHEN APPLICABLE, TO THE TRANSFEREE ARE:

APPROVED (with the following conditions, if any)

DISAPPROVED (For the following reasons)

AUTHORIZED ATF OFFICIAL

DATE

ATF F 3 (5320.3) (8-2001) PREVIOUS EDITIONS ARE OBSOLETE