Application For Tax Paid Transfer And Registration Of Firearm - Atf

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OMB No. 1140-0003 (06/30/2018)

U.S. Department of Justice

Report of Multiple Sale or Other

Bureau of Alcohol, Tobacco, Firearms and Explosives

Disposition of Pistols and Revolvers

(Please complete all information)

Date of Report

2a. Federal Firearms Licensee (FFL) Number

2b. Business or Trade Name and Address (If you have complete information available on a rubber stamp, please place information here.)

Are any of the firearm(s) connected to another multiple sale? (If yes,

2c.

specify date) See instruction 2.

Yes

No Date

2d. If you sold these firearms at a gun show or other qualifying event, identify the event and provide a complete address of the event.

Any Combination of Pistols and Revolvers Disposed of to the Same Unlicensed Person at One Time or During Any Five Consecutive Business Days

Type (Pistol or revolver)

Serial Number

Manufacturer

Model

Importer

Caliber

Transfer Date

Transferee's Name (Last, first, middle)

Residence Address (Number, street, city, county, state, zip code)

Sex

7a. Ethnicity

7b. Race (Check one or more boxes.) (See instruction 5.)

Hispanic or Latino

American Indian or Alaska Native

African American or Black

White

Not Hispanic or Latino

Asian

Native Hawaiian or Other Pacific Islander

Identification Number

Type of Identification (ID)

10. ID State

11. Date of Birth 12. Place of Birth (City, state, country)

13. If the buyer of the firearms listed in item 4 is a person authorized to act on behalf of a corporation, company, association, partnership or other such

business entity, you must complete the following, if applicable: (See instruction 6.)

Name and Address of Business Entity

14a. Identify the official designated by the State or local authorities where you, the FFL, will be forwarding Copy 2.

Name of Agency

Street Address, City, and State

14b. Date Copy 2 was forwarded to Agency

15. Additional Information Relating to the Transfer of the Firearms (if applicable)

16. Name of Employee Filling Out This Form

Date

ATF E-Form 3310.4

When Fax is available, please Fax to 1-877-283-0288.

Revised May 2012