Atf Form 6 Part I (5330.3a) - Application And Permit For Importation Of Firearms Ammunition And Implements Of War - 2005

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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
(Submit in triplicate)
Not for use by Members of the United States Armed Forces.
For ATF Use Only
Permit No. (Valid for 12 months after the date of approval. Item 18 below.)
Optional #
Internal Control #
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 Agent, if any (Including Zip Code)
5. Applicant's Name and Address (Including Zip Code)
Check here if permit is to be returned to Agent.
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
List
Overall
(SG, RI,
Caliber
of
(Each
(Mfrs)
Serial
Name and Address
Category
Length
New (N)
Unit
PI, RE,
Gauge
Barrel
type)
Design
or
No.
of Manufacturer
(Inches)
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
( B a l l
components manufactured with U.S. military
Wad-
technical data or assistance.
cutter,
B.
Do contain parts or components produced by or
Shot,
for the U.S. military or contain parts or compo-
etc.)
nents manufactured with U.S. military technical
data or assistance.
10. Specific Purpose of Importation (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
No
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 September 2005

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