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: ______ ______ ______ Hispanic/Latino: Circle Yes or No Race:______ Sex:______
Month
Day
Year
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: ______ ______ ______ Hispanic/Latino: Circle Yes or No Race:______ Sex:______
Month
Day
Year
Machine Gun Information
5"
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: ______ ______ ______ Hispanic/Latino: Circle Yes or No Race:______ Sex:______
Month
Day
Year
MSP 29-62 (04/09)