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Date / Time Name Status

Buyer Name:

(check or mark all that apply)

Identification

(e.g., Virginia Driver's license (VA DL) or other valid government-issued photo identification.)
(See Instructions for Question 26.a.)

Residence Address (As entered by buyer)
Address:
City:
County:
State:
Zip:
Permanent Change of Station (As entered by buyer)
PCS Base, City, and State:
PCS Effective Date:
PCS Order Number:
(if identification document does not show current residence address)
(See Instructions for Question 26.b.)
If the transferee/buyer answered "YES" to 21.l.2. the transferor/seller must record the type of documentation showing the exception to the prohibition and attach a copy to this ATF Form 4473. (See Instructions for Question 26.c.)

NCIS


Firearms

Manufacturer and Importer (If any) (If the manufacturer and importer are different, the FFL must include both.) Model (If Designated) Serial Number Type (See Instructions for Question 27) Caliber / Gauge
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
REMINDER - By the Close of Business Complete ATF Form 3310.4 For Multiple Purchases of Handguns Within 5 Consecutive Business Days

Confirm and Sign

If you want to review your answers, click the REVIEW button, otherwise sign the form and then click I AGREE. By doing so, you are certifying that:
  1. I have read and understand the Notices, Instructions, and Definitions on this ATF Form 4473
  2. The information recorded in Sections A, C, and E is true, correct, and complete
  3. This entire transaction record has been completed at my licensed business premises ("licensed premises" includes business temporarily conducted from a qualifying gun show or event in the same State in which the licensed premises is located) unless this transaction has met the requirements of 18 U.S.C. 922(c).
Unless this transaction has been denied or cancelled, I further certify on the basis of:
  1. The transferee's/buyer's responses in Section B (and Section C, if applicable)
  2. My verification of the identification recorded in question 26 (and my re-verification at the time of transfer, if Section C was completed)
  3. State or local law applicable to the firearms business

It is my belief that it is not unlawful for me to sell, deliver, transport, or otherwise dispose of the firearm(s) listed on this form to the person identified in Section A.

Please sign here

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