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
1.
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.
d.
Model
3. Description of Firearm (Complete items a through h, if applicable)
b.
Type of Firearm
a.
Name and Address of Manufacturer and/or
c.
Caliber,
(See instruction 1c)
Gauge or
Importer of Firearm
Size
e. Of Barrel
f. Overall
Length
(Specify)
(Inches)
g. Serial Number
h.
Additional Description or Data Appearing on Firearm (Attach additional sheet if necessary)
4.
Transferee's Federal Firearms License
5.
Transferee's Special (Occupational) Tax Status
a.
Employer Identification Number
b.
Class
(Give complete 15-digit number) (See instruction 2b)
First 6 digits
2 digits
2 digits
5 digits
6.
Transferor's Federal Firearms License
7.
Transferor's Special (Occupational) Tax Status
a.
Employer Identification Number
b.
Class
(Give complete 15-digit number) (See instruction 2b)
First 6 digits
2 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
8.
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.
9.
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

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