PRIVATE FIREARM SALE

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THIS DOCUMENT IS BEING USED AS A WRITTEN HISTORY OF FIREARM CUSTODY TRANSFER. The Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) DOES NOT REQUIRE THAT THIS FIREARM TRANSACTION BE RECORDED ON ANYOFFICIAL PAPERWORK. HOWEVER IN ATTEMPT TO HAVE A WRITTEN LEGAL HISTORY THE TRANSFERING PARTY HEREON KNOW AS THE "TRANSFERER" HAS EXECUTED THIS FORM WITH THE RECEIPIENT, HEREON KNOWN AS THE "TRANSFEREE".
PURSUIANT OF CODE 18 U.S.C. 922(a)(3) and (5), 922(d), 27 CFR 478.29 and 478.30, 18 U.S.C. 922(g) and (n), 27 CFR 478.32, 18 U.S.C. 922(a)(3) and (5), 922(b)(3), 27 CFR 478.29 and 478.30. ALSO IAW REFERENCE A (ATF I 3310.3 (09-01)

WARNING AND DISCLAIMER: This is a used or previously owned new firearm that is being sold in "AS IS" condition with no warranty expressed or implied. This item has been been tested for function and visually inspected only. It is recommended that you have this weapon inspected by a competent gunsmith and cleaned thoroughly prior to operation. Purchaser assumes all liability for its safe and proper ownership, storage, use, transportation and resale.

Date/Time Field TRANSFEREE Name Address City Country Answer the following Ten (10) questions by checking yes or no appropriately. Please answer these questions as accurately and honestly as you can. (1) Have you been convicted in any court of a crime punishable by imprisonment for a term exceeding 1 year; (2) Are you a fugitive from justice; (3) Are you an unlawful user of or addicted to any controlled substance; (4) Have you been adjudicated as a mental defective or has been committed to a mental institution; (5) Are you an alien illegally or unlawfully in the United States or an alien admitted to the United States under a nonimmigrant visa; (6) Have you been discharged from the Armed Forces under dishonorable conditions; (7) Have you ever renounced your citizenship of the United States? (8) Are you subject to a court order that restrains the person from harassing, stalking, or threatening an intimate partner or child of such intimate partner? (9) Have you ever been convicted of a misdemeanor crime of domestic violence (10) Do you know of any reason why you cannot lawfully receive, possess, ship, or transport a firearm. State Zip Code

YES

NO

I SWEAR / AFFIRM THAT ALL INFORMATION PROVIDED ON THIS PAGE IS ACCURATE.

Signed By (TRANSFEREE):

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PRIVATE FIREARM SALE

WEAPON INFORMATION
RIFLE (SEMI-AUTOMATIC OR SINGLE SHOT WITH A BARREL LENGTH AT OR MORE THAN 16 INCHES. SHOTGUN (SEMI-AUTOMATIC, PUMP, OR BREAK ACTION WITH A BARREL(S) LENGTH OF 18 INCHES OR MORE. PISTOL (ANY TYPE OR METHOD OF OPERATION, EXCLUDING NFA OR FULLY AUTOMATIC. SERIAL NUMBER: MANUFACTURER: COLOR: BARREL LENGTH: CALIBER: TRANSFERER Name Address City Country State Zip Code

SALE PRICE $: ___________

THIS TRANSACTION IS OCCURING IN THE FOLLOWING STATE:

State Alabama

IF THIS TRANSACTION WAS NOT COMPLETED IN THE STATE OF RESIDENCE OF THE TRANSFERER, DID THE TRANSFERER PERSONALLY TRANSPORT THE WEAPON TO THE TRANSFEREE'S LOCATION: (TRANSFERER INITIAL BELOW APPROPRIATE ANSWER) NO YES

SIGNATURE OF TRANSFEREE:

SIGNATURE OF TRANSFERER:

IDENTITY VERIFIED BY: DL #: ________________________________ STATE: __________ CWP: _______________________________ STATE: __________ GOVERMENT ID: ______________________ ENTITY: _________

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