OMB No. 1512-0017
FOR ATF USE ONLY
DEPARTMENT OF THE TREASURY
PERMIT NO.
BUREAU OF ALCOHOL, TOBACCO AND FIREARMS
APPLICATION AND PERMIT FOR IMPORTATION OF FIREARMS,
AMMUNITION AND IMPLEMENTS OF WAR
VALID FOR 12 MONTHS AFTER THE
DATE OF APPROVAL (ITEM 18 BELOW)
NOT FOR USE BY MEMBERS OF THE UNITED STATES ARMED FORCES
(Submit in triplicate)
SECTION I - APPLICATION
1. FEDERAL FIREARMS LICENSE (If Any)
2. TELEPHONE NO. 3. COUNTRY OF EXPORTATION
LICENSE NO.
EXPIRATION DATE
4. NAME AND ADDRESS OF BROKER, if any (Including ZIP Code)
5. APPLICANT'S NAME AND ADDRESS (Including ZIP Code)
Check here if permit is to be returned to broker.
Check here if permit is to be returned to applicant.
6. NAME AND ADDRESS OF FOREIGN SELLER, if any
7. NAME AND ADDRESS OF FOREIGN SHIPPER
8. DESCRIPTION OF FIREARMS AND AMMUNITION (For firearms, enter (SG) - Shotgun; (RI) - Rifle; (PI) - Pistol; (RE) - Revolver)
OVERALL
MODEL
CALIBER
LENGTH
TYPE
NEW (N)
QUANTITY
UNIT
US MIL
SERIAL
NAME AND ADDRESS
LENGTH
GAUGE
(MFRS)
OF
(SG), (RI),
OR
(Each type)
NO.
COST
CATEGORY
OF MANUFACTURER
(Inches)
(PI), (RE)
DESIGN
USED (U)
OR SIZE
BARREL
e
f
g
j
a
c
d
i
k
h
b
9. CERTIFICATION OF ORIGIN. The items sought for
(Ball
importation in block 8:
Wad-
a.
Do not contain U.S. manufactured parts or components; and
cutter,
Do not contain foreign manufactured parts or components
Shot,
that were manufactured with U.S. technical data or assistance;
etc.)
or
b.
Contain U.S. manufactured parts or components and/or
foreign manufactured parts or components that were
manufactured with U.S. technical data or assistance;
10. SPECIFIC PURPOSE OF IMPORTATION (Use additional sheets, if necessary)
11. ARE YOU REGISTERED PURSUANT TO THE ARMS EXPORT
12. IF "YES", GIVE REGISTRATION NO. AND EXPIRATION DATE
CONTROL ACT OF 1976
YES
NO
Under the penalties provided by law, I declare that I have examined this application, including the documents submitted in support of it, and, to the best
of my knowledge and belief, it is true, correct, and complete.
13. SIGNATURE OF APPLICANT
14. TITLE
15. DATE
SECTION II - FOR ATF USE ONLY (Please make no entries in this section)
16. THE APPLICATION HAS BEEN EXAMINED AND THE IMPORTATION OF THE FIREARMS, AMMUNITION, AND IMPLEMENTS OF WAR DESCRIBED
HEREIN IS:
APPROVED
WITHDRAWN BY APPLICANT WITHOUT ACTION
PARTIALLY APPROVED FOR THE REASON
RETURNED WITHOUT ACTION FOR ADDITIONAL INFORMATION
INDICATED HERE OR ON ATTACHED LETTER
DISAPPROVED FOR THE REASON INDICATED
HERE OR ON ATTACHED LETTER
17. SIGNATURE OF THE DIRECTOR, BUREAU OF ALCOHOL, TOBACCO AND FIREARMS
18. DATE
ATF F 6 - PART I (5330.3A) (2-2002) PREVIOUS EDITIONS ARE OBSOLETE