Firearm Bill Of Sale Form Form Page 3
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1
2
3
4Notary
P ublic
On
t his
_ ________________
d ay
o f
_ __________________________,
2 0______
b efore
m e,
__________________________________________
a
n otary
p ublic,
p ersonally
a ppeared
__________________________________________,
w ho
p roved
t o
m e
o n
t he
b asis
o f
s atisfactory
evidence
t o
b e
t he
p erson(s)
w hose
n ame(s)
i s/are
s ubscribed
t o
t he
w ithin
instrument
a nd
a cknowledged
t o
m e
t hat
h e/she/they
e xecuted
t he
s ame
i n
his/her/their
a uthorized
c apacity(ies),
a nd
t hat
b y
h is/her/their
s ignatures
o n
t he
instrument
t he
p erson(s),
o r
t he
e ntity
u pon
b ehalf
o f
w hich
t he
p erson(s)
a cted,
executed
t he
i nstrument.
I
c ertify
u nder
P enalty
o f
P erjury
u nder
t he
l aws
o f
t he
State
o f
_ _________________
t hat
t he
f oregoing
i s
t rue
a nd
c orrect.
Witness
m y
h and
a nd
O fficial
S eal
_______________________________________________________________________
(Seal)
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