*FederalLawallowsapersontotransferoracquireafirearmtoorfromanunlicensedresidentofhis/herState,
ifhe/shedoesnotknoworhavereasonablecausetobelievethepersonisprohibitedfromreceivingor
possessingfirearms.FederalLawsetstheageofownershipforaLongGunat18andaHandgunat21.
*TRANSFERORSTATEMENT
aresidentoftheStateof
havingTransferredthefirearmdescribedbelowswearoraffirmthattheinformationbelowistrueand
correcttothebestofmyknowledgeandbeliefandthattheTransfereehaspresentedidentification
fromtheStateof
thatmatchestheTransfereesstatementbelow.
State
County
Zip
City
Gender
DateofBirth
U.S.Citizen Yes
No
EyeColor
Weight
Height
IcertifythatthefirearmlistedbelowisalegalfirearmandIamthelegalownerandoragentofthis
firearmandauthorizedtotransferittoTransfereelistedbelow.
Date
SignatureX
*TRANSFEREESTATEMENT
aresidentoftheStateof
havingReceivedthefirearmdescribedbelowswearoraffirmthattheinformationbelowistrueand
correcttothebestofmyknowledgeandbeliefandthattheTransferorhaspresentedidentification
andmatchestheTransferorsstatementabove.
fromtheStateof
City
State
County
Zip
DateofBirth
U.S.Citizen Yes
No
Gender
EyeColor
Weight
Height
IcertifythatIamnotprohibitedbyanyFederal,StateorLocalLawsfrompossessingorowningfirearms.
Date
SignatureX
DESCRIPTIONOFFIREARM
Make
Caliber
Serial#
OtherIdentifyingInformation
TypeofAction
Model
BarrelLength
Finish
CountryofManufacture
BOTHTHETRANSFERORANDTHETRANFEREESHOULDRETAINA
COPYOFTHISCOMPLETEDFORMFORTHEIRRECORD