Atf Form 6 - Application And Permit For Importation Of Firearms Ammunition (2011)

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OMB No. 1140-0006 (07/31/2014)
U.S. Department of Justice
Application and Permit for Importation of
Bureau of Alcohol, Tobacco, Firearms and Explosives
Firearms, Ammunition and Implements of War
For use by Members of the United States Armed Forces (Submit in triplicate)
For ATF use only
Valid for 12 months after the date of approval (item 20 below)
Permit No.
Section I - Application
1.
Return Approved Permit to (Enter name, address and ZIP Code if different than
2.
Applicant’s Name and Address (Including ZIP Code)
applicant’s)
Telephone Number
E-mail Address
3.
Name and Address of Seller
4.
Name and Address of Shipper
5.
Present or Last Foreign Duty Station
6.
Country of Exportation
7. Description of Firearms , Ammunition and Implements of War (For firearms, enter (SG)-Shotgun; (RI)-Rifle; (PI)-Pistol; (RE)-Revolver)
Quantity
Unit
Model
New (N)
Name and Address
Type
Caliber
U.S.
Length
Overall
Serial
or
(Each type)
Cost (U.S.
of Manufacturer
(Frame,
Gauge
Munitions
of
Length
No.
Used (U)
Receiver,
Currency)
Import List
or Size
Barrel
(Inches)
SG, RI, PI,
Category
(Inches)
RE)
g
e
h
i
a
b
c
f
j
d
k
Description
8.
Specific Purpose of Importation (Use additional sheets, if
necessary)
( Ball
Wad-
cutter,
Shot)
10. Place of Residence in the United States
9.
Are you now or have you been on active duty outside the United States within
the 60-day period immediately preceding this importation?
Yes
No
11. Date of Assignment to Duty Station within United States
12. Branch of Service
13. Date of Birth
Under penalties of 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, that the transportation to and the receipt and possession by me at my place of residence of the firearms and/or ammunition and/or
implements of war described above, would not constitute any violation of Title I of the Gun Control Act of 1968 (U.S.C., Title 18 Chapter 44), or Title VII of the
Omnibus Crime Control and Safe Streets Act of 1968 (U.S.C. Title 18, Appendix, Sections 1201-1203) or any State law or local ordinance, that the firearms and/or
ammunition and/or implements of war are intended for my personal use and that no firearm is a surplus military firearm or a firearm as described in 26 U.S.C. 5845(a).
14. Name of Applicant (Printed)
15. Signature of Applicant
16. Rank
17. Date
Section II - For ATF Use Only (Please make no entries in this section)
18. The application has been examined and the importation of the firearms and ammunition and implements of war described herein is:
Approved
Withdrawn by Applicant Without Action
Returned for Additional Information
Partially Approved for the Reason Indicated Here or on Attached Letter
No Permit Required
Disapproved for the Reason Indicated on the Attached Letter
19. Signature of Director, Bureau of Alcohol, Tobacco, Firearms and Explosives
20. Date
ATF Form 6 - Part II (5330.3B)
Revised August 2011

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