MARYLAND STATE POLICE
Toll Free: 1-800-525-5555
Firearms Registration Section
1111 Reisterstown Road
Pikesville, MD 21208
(410) 653-4500
Annual Machine Gun Registration Form – Year : ______
Maryland Law / Instructions
§4-403 of the Maryland Criminal Law Article, requires, that except in the calendar year it was purchased, every machine gun in this State shall be
registered with the Secretary of the State Police annually during the month of May. Also, every machine gun shall be registered within 24 hours
after its acquisition. Failure to comply with this law is a felony punishable by imprisonment in the State penitentiary for a term of not more than ten
years. Maryland law further requires that each Machine Gun Registration Form, filed with the Secretary, shall be accompanied by a
nonrefundable registration fee of $10. Please type or legibly print all required information contained on this form. Use the rear side of this form
to register any additional machine guns. If additional space is needed, copy the rear side of this form. Submit this form and any copies of the
rear side of this form to the Firearms Registration Section at the above listed address.
Owner Information
Driver Id#: __________________________________________
Social Security #:_____________________________________
Name Last:____________________________ First:___________________________ Middle:_____________________ Suffix:_____
Street Address:_______________________________________________________________________________________________
Town/City:_________________________ County:_________________________ State:______________________ Zip:___________
DOB: ______ ______ ______ Place of Birth : City______________________ Country_________ Height:_______Weight:________
Month
Day
Year
Race:______ Sex:______ Eyes:______ Hair:______ Occupation:_______________________________________________________
Phone: Home (________) ________ - ____________
Work (________) ________ - ____________
Machine Gun Information
Make:_______________________ Caliber:_________ Type:________________ Finish:________________ Barrel Length:_________
Model:_____________________ Serial #:_________________________________ Country of Origin:__________________________
Date Gun Acquired: ______ ______ ______ Purpose Gun Acquired:___________________________________________________
Month
Day
Year
Address or Location Where Weapon Is Presently Stored:______________________________________________________________
Previous Owner’s Personal Information:
Name Last:____________________________ First:___________________________ Middle:_____________________ Suffix:_____
Street Address:_______________________________________________________________________________________________
Town/City:_________________________ County:_________________________ State:______________________ Zip:___________
Driver ID#:________________________ DOB: ______ ______ ______ Race:______ Sex:______
Month
Day
Year
Below For Maryland State Police Use Only
Date form forwarded:__________________________________
Date form received:____________________________________
Current disposition date:________________________________
Current Disposition:____________________________________
Signature of approving official:___________________________
Comments:__________________________________________
I CERTIFY UNDER THE PENALTY OF PERJURY that I am not an unnaturalized foreign-born person, or a person who has been convicted of a
crime of violence in any court of record, state or federal, of the United States of America, its territories or insular possessions. "Crime of
violence" applies to and includes any of the following crimes or an attempt to commit any of the same, namely, murder of any degree,
manslaughter, kidnapping, rape in any degree, assault in the first degree, robbery under § 3-402 or § 3-403 of the Maryland Criminal Law Article,
burglary in any degree, escape in the first degree, and theft. I further certify that I have complied with all Federal laws and that the receipt and
possession of the firearm/s described on this form/s will not place me in violation of the provisions of Chapter 44, Title 18, United States Code;
Chapter 53, Title 26, United States Code; or Title VII of the Omnibus Crime Control and Safe Streets Act, as amended.
Date: ______ ______ ______
Owner’s Signature:____________________________________________________________
Month
Day
Year
MSP 29-62 (04/09)