Pistol Sales Record
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1RI-060 (02/2013)
(Type or print in ink)
RI-060 (02/2013)
(Type or print in ink)
PISTOL SALES RECORD
PISTOL SALES RECORD
MICHIGAN STATE POLICE
MICHIGAN STATE POLICE
Number of Pistols
Manufacturer
Serial Number
NICS Transaction Number
1
Number of Pistols
Manufacturer
Serial Number
NICS Transaction Number
1
Type:
Semi-Auto
Revolver
Shotgun Pistol
Pellet
Other
Type:
Semi-Auto
Revolver
Shotgun Pistol
Pellet
Other
Caliber
Shot
Barrel Length
Overall Length
Model
Caliber
Shot
Barrel Length
Overall Length
Model
Seller's FFL Number
2
Purchaser's Michigan CPL Number
3
Purchaser's FFL Number
4
Seller's FFL Number
2
Purchaser's Michigan CPL Number
3
Purchaser's FFL Number
4
PURCHASER
PURCHASER
Name (Last, First, Middle) OR Business Name if FFL Dealer
Name (Last, First, Middle) OR Business Name if FFL Dealer
Address
City
ZIP Code
Address
City
ZIP Code
County
Race
Sex
Date of Birth
County
Race
Sex
Date of Birth
Purchaser's Signature
Purchaser's Signature
Purchaser's Telephone Number
Purchaser's Telephone Number
Seller's Signature
Seller's Signature
Seller's Name Printed
Date
Seller's Name Printed
Date
PURCHASER COPY
SELLER COPY
Authority: 1927 PA 372, as amended. Completion: Mandatory for sale to proceed without a License to Purchase. An individual who
Authority: 1927 PA 372, as amended. Completion: Mandatory for sale to proceed without a License to Purchase. An individual who
makes a material false statement on this form is guilty of a felony.
makes a material false statement on this form is guilty of a felony.
INSTRUCTIONS & DISTRIBUTION
RI-060 (02/2013)
(Type or print in ink)
PISTOL SALES RECORD
MICHIGAN STATE POLICE
Agency checks here when entered
(1) NICS Transaction Number - To be completed if the seller is an FFL dealer
Number of Pistols
Manufacturer
Serial Number
NICS Transaction Number
1
*
(2) Seller's FFL Number - To be completed if the seller is an FFL dealer
Type:
Semi-Auto
Revolver
Shotgun Pistol
Pellet
Other
*
(3) Purchaser's Michigan CPL Number - To be completed if the purchaser is a CPL holder
Caliber
Shot
Barrel Length
Overall Length
Model
*
(4) Purchaser's FFL Number - To be completed if the purchaser is an FFL dealer
*
Seller's FFL Number
2
Purchaser's Michigan CPL Number
3
Purchaser's FFL Number
4
At least one of the fields marked by an asterisk above MUST be completed.
General Instructions: This form is to be completed by a Michigan resident when purchasing from a
PURCHASER
Federal Firearms Licensed (FFL) dealer or when a purchaser has a valid Michigan Concealed Pistol
Name (Last, First, Middle) OR Business Name if FFL Dealer
License (CPL). A purchaser who is an FFL dealer shall also complete this form.
Address
City
ZIP Code
Distribution: Provide one copy to the seller and one copy to the purchaser. Within 10 days of
purchase, the MSP copy must be submitted by the purchaser to the police or sheriff department
County
Race
Sex
Date of Birth
having jurisdiction where the purchaser resides. The law enforcement agency is required to forward
that copy to the Michigan State Police.
Purchaser's Signature
Purchaser's Telephone Number
Purchase by a Dealer ONLY
Seller's Signature
Instructions: If more than one pistol is purchased or acquired, do not use the first three lines of the
Pistol Sales Record. Instead, indicate the number of pistols purchased or acquired in the first box
Seller's Name Printed
Date
and list all pistols on an invoice or bill of sale. The invoice or bill of sale must contain all of the
MICHIGAN STATE POLICE COPY
information that is shown in the first three lines of the Pistol Sales Record. Attach a legible copy of
the invoice or bill of sale to each copy of the Pistol Sales Record.
Authority: 1927 PA 372, as amended. Completion: Mandatory for sale to proceed without a License to Purchase. An individual who
makes a material false statement on this form is guilty of a felony. To be submitted by purchaser to local agency.
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