Atf Form 3 (5320.3) - Application For Tax-Exempt Transfer Of Firearm And Registration To Special Occupational Taxpayer

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OMB No.1140-0013 (01/31/2011)

U.S. Department of Justice

Application for Tax-Exempt Transfer of Firearm

Bureau of Alcohol, Tobacco, Firearms and Explosives

and Registration to Special Occupational Taxpayer

(National Firearms Act)

ATF Control Number

To be submitted in duplicate by transferor of firearm

Transferee's Name and Address (as they appear on the Federal Firearms License, including

trade name, if any)

To: National Firearms Act Branch

Bureau of Alcohol, Tobacco, Firearms

and Explosives

244 Needy Road, Martinsburg, WV 25405

2b. Tranferor's Telephone Number and Area

Code

Sole Proprietor

Partnership

Corporation

2a. Transferor's Name And Address (as they appear on the Federal Firearms License, including

trade name, if any)

Sole Proprietor

Partnership

Corporation

The above-named and undersigned transferor and special (occupational) taxpayer hereby makes application as required by Section 5812 of the National Firearms Act to

transfer, without payment of tax, and register the firearm described below to the special (occupational) taxpayer identified as the transferee in this application.

Model

3. Description of Firearm (Complete items a through h, if applicable)

Type of Firearm

Name and Address of Manufacturer and/or

Caliber,

(See instruction 1c)

Gauge or

Importer of Firearm

Size

e. Of Barrel

f. Overall

Length

(Specify)

(Inches)

g. Serial Number

Additional Description or Data Appearing on Firearm (Attach additional sheet if necessary)

Transferee's Federal Firearms License

Transferee's Special (Occupational) Tax Status

Employer Identification Number

Class

(Give complete 15-digit number) (See instruction 2b)

First 6 digits

2 digits

5 digits

Transferor's Federal Firearms License

Transferor's Special (Occupational) Tax Status

Employer Identification Number

Class

(Give complete 15-digit number) (See instruction 2b)

First 6 digits

2 digits

5 digits

Consent to Disclosure of Information to Transferee (See instruction 8). I do or do not (circle one) authorize ATF to provide information relating to this

application to the above-named transferee.

I believe I am entitled to exemption from payment of the transfer tax imposed by Section 5811, National Firearms Act (NFA), on the firearm described above because

the transferee named herein is qualified under the NFA to manufacture, import or deal in that type of firearm.

UNDER PENALTIES OF PERJURY, I DECLARE that I have examined this application, and to the best of my knowledge and belief it is true, correct and complete.

Original Signature of Transferor (Or authorized official)

11. Date

10. Name and Title of Authorized Official

(Print or type)

The Space Below is for the Use of the Bureau of Alcohol, Tobacco, Firearms and Explosives

By Authority of the Director, this Application has been Examined, and the Transfer and Registration of the Firearm Described Herein and the Interstate Movement of

that Firearm, When Applicable, to the Transferee Are:

Approved (with the following conditions, if any)

Disapproved (For the following reasons)

Date

Authorized ATF Official

ATF Form 3 (5320.3)

Revised October 2004