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

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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

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