Fillable Printable Firearms Licence Application Form - U.S.
Fillable Printable Firearms Licence Application Form - U.S.
Firearms Licence Application Form - U.S.
7. Contact Numbers (Include Area Code)
6. Mailing Address (If different from address in item #5)
Application for Federal Firearms License
U.S. Department of Justice
Bureau of Alcohol, Tobacco, Firearms and Explosives
ATF E-Form 7 (5310.12)
Revised May 2005
For ATF Use Only
1. Name of Owner or Corporation (If partnership, include name of each partner)
3. Employer Identification Number (EIN#) or
Social Security Number (SSN is Voluntary)
4. Name of County in Which
Business is Located
2. Trade or Business Name, if any
5. Business Address (RFD or street number, city, State, and ZIP
code) (NOTE: The business address CANNOT be a P.O. Box.)
Business Phone
Cell Phone
Fax Number
24 Hour Emergency # (If different)
8. Applicant's Business is (Select one)
9. Describe Specific Activity Applicant is Engaged in, or Intends to Engage in, Which Requires a Federal
Firearms License. (Sale of ammunition alone does not require a license.)
10. Do You Intend to Engage in
Business as a Pawnbroker?
11. Application is Made For a License Under 18 U.S.C. Chapter 44 as a: (Place an "X" in the appropriate box. Submit the fee noted next to the box with
the application. Licenses are issued for a 3-year period. See instruction #13 for payment information.)
Type Description of License Type Fee
01/02
06
07
08
09
10
11
$200
$30
$150
$150
$3000
$3000
$3000
Dealer (01), Including Pawnbroker (02), in Firearms Other Than Destructive Devices (Includes: Rifles, Shotguns, Pistols,
Revolvers, Gunsmith activities and National Firearms Act (NFA) Weapons)
Manufacturer of Ammunition for Firearms Other Than Ammunition for Destructive Devices or Armor Piercing Ammunition
Manufacturer of Firearms Other Than Destructive Devices
Importer of Firearms Other Than Destructive Devices or Ammunition for Firearms Other Than Destructive Devices, or
Ammunition Other Than Armor Piercing Ammunition (NOTE: Importer of handguns and rifles, see instruction #8.)
Dealer in Destructive Devices
Manufacturer of Destructive Devices, Ammunition for Destructive Devices or Armor Piercing Ammunition
Importer of Destructive Devices, Ammunition for Destructive Devices or Armor Piercing Ammunition (See instruction #8)
Total Fees $
12. Method of Payment (Check one)
Name as Printed on Your Credit/Debit Card Expiration Date (Month & year)Credit/Debit Card Number (No dashes)
Address:
City:
Credit/Debit Card
Billing Address:
State:
Zip Code:
Please Complete to Ensure Payment is Credited to the Correct Application:
I am Paying the Application Fee for the Following Person, Corporation, or Partnership:
Total Application Fees:
I Authorize ATF to Charge my Credit/Debit Card the Above Amount.
Signature of Cardholder Date
Your credit/debit card will be charged the above stated amount upon receipt of your application. The charge will be reflected on your credit/debit card
statement. In the event a license/permit is NOT issued, the above amount will be credited to the credit/debit card noted above.
Individually Owned A Partnership A Corporation Other (Specify)
Check (Enclosed)
Cashier's Check or
Money Order (Enclosed)
Visa Mastercard
American
Express
Discover Diners Club
Yes No
OMB No. 1140-0018
Copy 1 - ATF Copy
$
14. Is Applicant Presently Engaged in a Business
Requiring a Federal Firearms License? (If "Yes,"
answer 14a.)
13. Hours of Operation of Applicant's Business (Must be completed)
Yes No
Time
Open
Close
Sun Mon Tues Wed Thu Fri Sat
14a. Present Federal Firearms License Number
Service Serial Number
15. If You Have Served in the Armed Forces, Provide
the Service Serial Number and Military Branch.
Military Branch
16. Applicant's Business Premises Are
IF RENTED OR LEASED, PLEASE PROVIDE THE NAME, ADDRESS, AND
TELEPHONE NUMBER OF THE PROPERTY OWNER.
Owned Leased/Rented Military
17. Indicate Type of Business Premises
Zoned
Commercial:
Zoned
Residential:
Store Front
Office
Rod & Gun Club
Other (Specify)
Military Base
Single Family Dwelling
Condominium/Apartment
Hotel/Motel
Public Housing
IF THE PREMISES ARE LOCATED ON A MILITARY
INSTALLATION, ATTACH A COPY OF WRITTEN
AUTHORIZATION FROM THE BASE COMMANDER TO
CONDUCT A FIREARMS BUSINESS ON THE MILITARY
INSTALLATION.
Name and Address of Property Owner (If applicable)
Telephone Number of Property Owner (If applicable)
18. Do You Intend To Make a Profit from Your Business?
Yes No (If no, do not submit application)
18a. Do You Intend To Sell Firearms Only at Gun Shows?
Yes (If yes, do not submit application) No
19. Do You Intend to Use Your License Only to Acquire Personal
Firearms?
If Business was Obtained From Someone Else, Provide the Following Information.
Yes (If yes, do not submit application.) No
20. Name of Previous Business 21. Federal Firearms License Number
22. Provide the Information Required for Each Individual Owner, Partner, and Other Responsible Persons in the Business. See Instruction #10 for
Responsible Person Definition. If a Female, List Any Given, Married, and Maiden Names, e.g., "Mary Alice (Smith) Jones," Not "Mrs. John
Jones." (If additional space is needed, use a separate sheet.) Each Responsible Person Must Complete All Information in this Section.
Full Name
Position and
Social Security
Number
(Social Security
Number is
Voluntary)
Home Address
Please provide
every address you
have had in the
last 5 years.
Country of
Citizenship
List more than one,
if applicable.
Nonimmigrant
aliens must complete
all information in
item #23.
Place of
Birth
(City,
State, or
Foreign
Country)
Date of
Birth
Race and Ethnicity
(Please check one
or more boxes)
Sex
Residence
Telephone
No.
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific
Islander
White
ATF E-Form 7 (5310.12)
Revised May 2005
White
Native Hawaiian or Other Pacific
Islander
Hispanic or Latino
Black or African American
Asian
American Indian or Alaska Native
Copy 1 - ATF Copy
Full Name
Position and
Social Security
Number
(Social Security
Number is
Voluntary)
Home Address
Please provide
every address you
have had in the
last 5 years.
Country of
Citizenship
List more than one,
if applicable.
Nonimmigrant aliens
must complete all
information in item
#23.
Place of
Birth
(City, State,
or Foreign
Country)
Date of
Birth
Race and Ethnicity
(Please check one
or more boxes)
Sex
Residence
Telephone
No.
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific
Islander
White
White
Native Hawaiian or Other Pacific
Islander
Hispanic or Latino
Black or African American
Asian
American Indian or Alaska Native
23. Nonimmigrant Alien Certification of Compliance With 18 U.S.C. 922(g)(5)(B). If additional space is needed, use a separate sheet.
18 U.S.C. 922(g)(5)(B) generally makes it unlawful for any nonimmigrant alien to ship or transport in interstate or foreign commerce, or possess in or
affecting commerce, any firearms or ammunition; or to receive any firearms or ammunition which have been shipped or transported in interstate or foreign
commerce. All nonimmigrant aliens listed in item 22 must complete the following information certifying compliance with 18 U.S.C. 922(g)(5)(B).
A. Name of Person Certifying Compliance
Last: First: Middle Initial:
B. Immigration and Customs Enforcement (ICE) Issued Alien Number or Admission Number (Previously INS Number):
C. Are you in possession of a valid hunting license or permit lawfully issued in the United States?
1. If you answered "NO," you likely cannot lawfully possess a firearm and therefore cannot be a Federal firearms licensee.
2. If you answered "YES," complete the following information, and attach a copy of the license or permit to the application.
Yes No
Hunting License or Permit Number, if any State of Issuance Expiration Date, if any
Give Full Details on a Separate Sheet for All "Yes" Answers in Items 24 and 25.
Yes No
24. Has Applicant
or any Person
Referred to in
Item 22 Above:
25. Is Applicant or
any Person
Named in Item
22 Above:
A. Held a Federal Firearms License?
B. Been Denied a Federal Firearms License?
C. Been an Officer in a Corporation Holding a Federal Firearms License?
D. Been an Employee of a Federal Firearms Licensee?
E. Had a Federal Firearms License Revoked?
A. Charged by Information or Under Indictment in any Court for a Felony, or any Other Crime for Which the
Judge Could Imprison You for More Than One Year?¹
B. A Fugitive from Justice?
C. An Alien Who is Illegally or Unlawfully in the United States?
D. Under 21 Years of Age?
E. An Unlawful User of, or Addicted to, Marijuana, or any Depressant, Stimulant or Narcotic Drug, or any
other Controlled Substance?
F. Subject to a Court Order Restraining Him/Her from Harassing, Stalking, or Threatening his/her child or an
Intimate Partner or Child or Such Partner?
ATF E-Form 7 (5310.12)
Revised May 2005
Copy 1 - ATF Copy
29. Application is
Give Full Details on a Separate Sheet for All "Yes" Answers in Item 26.
26. Has Applicant
or any Person
Named in Item
22 Ever:
A. Been Convicted in any Court of a Felony, or any other crime for which the Judge Could Have Imprisoned
You for More Than One Year, Even if You Received a Shorter Sentence, Including Probation?²
B. Been Discharged from the Armed Forces Under Dishonorable Conditions?
C. Been Adjudicated as a Mental Defective, Which Includes Having Been Adjudicated Incompetent to
Manage Your Own Affairs, or Been Committed to any Mental Institution?
D. Renounced United States Citizenship?
E. Been Convicted in any Court of a Misdemeanor Crime of Domestic Violence? (See definition #3)
Yes No
¹ "Information" is a formal accusation of crime made by a prosecuting attorney, as distinguished from an indictment presented by a grand jury.
² You may answer NO if (a) you have been pardoned for the crime or (b) the conviction has been expunged or set aside or (c) your civil rights have been
restored AND you are not prohibited from possessing or receiving any firearms under the law where the conviction occurred.
27. Applicant Certification (Please read and initial each box)
The business to be conducted under the Federal Firearms License is not prohibited by State or local law at the premises shown in
item 5. This includes compliance with zoning ordinances.
Within 30 days after the application is approved, the business will comply with the requirements of State and local law applicable to
the conduct of business.
Business will not be conducted under the license until the requirements of State and local law applicable to the business have been
met.
A completed copy of this form has been sent (mailed or delivered) to the Chief Law Enforcement Officer of the locality in which the
premises is located. (See instruction #5.)
As required by 18 U.S.C. 923 (d)(1)(G), I certify that secure gun storage or safety devices will be available at any place in which
firearms are sold under this Federal Firearms License to persons who are not licensees.
Name of Chief Law Enforcement Officer (CLEO)
CLEO's Address (Include no., street, city, county, State, and ZIP Code)
28. Certification: Under the penalties imposed by 18 U.S.C. 924, I declare that I have
examined this application and the documents submitted in support thereof, and to the
best of my knowledge and belief, they are true, correct and complete. This signature,
when presented by a duly authorized representative of the Department of Justice, will
constitute consent and authority for the appropriate Department of Justice
representative to examine and obtain copies and abstracts of records and to receive
statements and information regarding the background of all responsible persons.
Specifically, I hereby authorize the release of the following data or records to ATF:
Military information/records, medical information/records, police and criminal records.
Attach
2 X 2
Photograph(s)
Here
(See Instruction #10)
Sign
Here
Title
Date
For ATF Use Only
Approved Denied
Reasons for Denial of Application
Signature of Licensing Official
Date
Information for the Chief Law Enforcement Officer
This form provides notification of a person's intent to apply for a Federal firearms license. It requires no action on your part. However, should you have
information that may disqualify the person from obtaining a Federal firearms license, please contact the Federal Firearms Licensing Center at
1-866-662-2750. A "Yes" answer to items #24, #25, and #26 could disqualify a person for a license. Also, ATF may not issue a license if the business
would be in violation of State or local law.
ATF E-Form 7 (5310.12)
Revised May 2005
Copy 1 - ATF Copy
7. Contact Numbers (Include Area Code)
6. Mailing Address (If different from address in item #5)
Application for Federal Firearms License
U.S. Department of Justice
Bureau of Alcohol, Tobacco, Firearms and Explosives
For ATF Use Only
1. Name of Owner or Corporation (If partnership, include name of each partner)
3. Employer Identification Number (EIN#) or
Social Security Number (SSN is Voluntary)
4. Name of County in Which
Business is Located
2. Trade or Business Name, if any
5. Business Address (RFD or street number, city, State, and ZIP
code) (NOTE: The business address CANNOT be a P.O. Box.)
Business Phone
Cell Phone
Fax Number
24 Hour Emergency # (If different)
8. Applicant's Business is (Select one)
9. Describe Specific Activity Applicant is Engaged in, or Intends to Engage in, Which Requires a Federal
Firearms License. (Sale of ammunition alone does not require a license.)
11. Application is Made For a License Under 18 U.S.C. Chapter 44 as a: (Place an "X" in the appropriate box. Submit the fee noted next to the box with
the application. Licenses are issued for a 3-year period. See instruction #13 for payment information.)
Type Description of License Type Fee
01/02
06
07
08
09
10
11
$200
$30
$150
$150
$3000
$3000
$3000
Dealer (01), Including Pawnbroker (02), in Firearms Other Than Destructive Devices (Includes: Rifles, Shotguns, Pistols,
Revolvers, Gunsmith activities and National Firearms Act (NFA) Weapons)
Manufacturer of Ammunition for Firearms Other Than Ammunition for Destructive Devices or Armor Piercing Ammunition
Manufacturer of Firearms Other Than Destructive Devices
Importer of Firearms Other Than Destructive Devices or Ammunition for Firearms Other Than Destructive Devices, or
Ammunition Other Than Armor Piercing Ammunition (NOTE: Importer of handguns and rifles, see instruction #8.)
Dealer in Destructive Devices
Manufacturer of Destructive Devices, Ammunition for Destructive Devices or Armor Piercing Ammunition
Importer of Destructive Devices, Ammunition for Destructive Devices or Armor Piercing Ammunition (See instruction #8)
Total Fees $
Individually Owned A Partnership A Corporation Other (Specify)
10. Do You Intend to Engage in
Business as a Pawnbroker?
Yes No
ATF E-Form 7 (5310.12)
Revised May 2005
Copy 2 - ATF Copy
OMB No. 1140-0018
14. Is Applicant Presently Engaged in a Business
Requiring a Federal Firearms License? (If "Yes,"
answer 14a.)
13. Hours of Operation of Applicant's Business (Must be completed)
Yes No
Time
Open
Close
Sun Mon Tues Wed Thu Fri Sat
14a. Present Federal Firearms License Number
Service Serial Number
15. If You Have Served in the Armed Forces, Provide
the Service Serial Number and Military Branch.
Military Branch
16. Applicant's Business Premises Are
IF RENTED OR LEASED, PLEASE PROVIDE THE NAME, ADDRESS, AND
TELEPHONE NUMBER OF THE PROPERTY OWNER.
Owned Leased/Rented Military
Name and Address of Property Owner (If applicable)
Telephone Number of Property Owner (If applicable)
17. Indicate Type of Business Premises
Zoned
Commercial:
Zoned
Residential:
Store Front
Office
Rod & Gun Club
Other (Specify)
Military Base
Single Family Dwelling
Condominium/Apartment
Hotel/Motel
Public Housing
IF THE PREMISES ARE LOCATED ON A MILITARY
INSTALLATION, ATTACH A COPY OF WRITTEN
AUTHORIZATION FROM THE BASE COMMANDER TO
CONDUCT A FIREARMS BUSINESS ON THE MILITARY
INSTALLATION.
18. Do You Intend To Make a Profit from Your Business?
Yes No (If no, do not submit application)
18a. Do You Intend To Sell Firearms Only at Gun Shows?
Yes (If yes, do not submit application) No
19. Do You Intend to Use Your License Only to Acquire Personal
Firearms?
Yes (If yes, do not submit application.) No
If Business was Obtained From Someone Else, Provide the Following Information.
20. Name of Previous Business
21. Federal Firearms License Number
22. Provide the Information Required for Each Individual Owner, Partner, and Other Responsible Persons in the Business. See Instruction #10 for
Responsible Person Definition. If a Female, List Any Given, Married, and Maiden Names, e.g., "Mary Alice (Smith) Jones," Not "Mrs. John
Jones." (If additional space is needed, use a separate sheet.) Each Responsible Person Must Complete All Information in this Section.
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific
Islander
White
White
Native Hawaiian or Other Pacific
Islander
Hispanic or Latino
Black or African American
Asian
American Indian or Alaska Native
ATF E-Form 7 (5310.12)
Revised May 2005
Full Name
Position and
Social Security
Number
(Social Security
Number is
Voluntary)
Home Address
Please provide
every address you
have had in the
last 5 years.
Country of
Citizenship
List more than one,
if applicable.
Nonimmigrant
aliens must complete
all information in
item #23.
Place of
Birth
(City,
State, or
Foreign
Country)
Date of
Birth
Race and Ethnicity
(Please check one
or more boxes)
Sex
Residence
Telephone
No.
Copy 2 - ATF Copy
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific
Islander
White
White
Native Hawaiian or Other Pacific
Islander
Hispanic or Latino
Black or African American
Asian
American Indian or Alaska Native
23. Nonimmigrant Alien Certification of Compliance With 18 U.S.C. 922(g)(5)(B). If additional space is needed, use a separate sheet.
18 U.S.C. 922(g)(5)(B) generally makes it unlawful for any nonimmigrant alien to ship or transport in interstate or foreign commerce, or possess in or
affecting commerce, any firearms or ammunition; or to receive any firearms or ammunition which have been shipped or transported in interstate or foreign
commerce. All nonimmigrant aliens listed in item 22 must complete the following information certifying compliance with 18 U.S.C. 922(g)(5)(B).
A. Name of Person Certifying Compliance
Last: First: Middle Initial:
B. Immigration and Customs Enforcement (ICE) Issued Alien Number or Admission Number (Previously INS Number):
C. Are you in possession of a valid hunting license or permit lawfully issued in the United States?
1. If you answered "NO," you likely cannot lawfully possess a firearm and therefore cannot be a Federal firearms licensee.
2. If you answered "YES," complete the following information, and attach a copy of the license or permit to the application.
Yes No
Hunting License or Permit Number, if any
State of Issuance Expiration Date, if any
Give Full Details on a Separate Sheet for All "Yes" Answers in Items 24 and 25.
Yes No
24. Has Applicant
or any Person
Referred to in
Item 22 Above:
25. Is Applicant or
any Person
Named in Item
22 Above:
A. Held a Federal Firearms License?
B. Been Denied a Federal Firearms License?
C. Been an Officer in a Corporation Holding a Federal Firearms License?
D. Been an Employee of a Federal Firearms Licensee?
E. Had a Federal Firearms License Revoked?
D. Under 21 Years of Age?
E. An Unlawful User of, or Addicted to, Marijuana, or any Depressant, Stimulant or Narcotic Drug, or any
other Controlled Substance?
F. Subject to a Court Order Restraining Him/Her from Harassing, Stalking, or Threatening his/her child or an
Intimate Partner or Child or Such Partner?
ATF E-Form 7 (5310.12)
Revised May 2005
Full Name
Position and
Social Security
Number
(Social Security
Number is
Voluntary)
Home Address
Please provide
every address you
have had in the
last 5 years.
Country of
Citizenship
List more than one,
if applicable.
Nonimmigrant
aliens must complete
all information in
item #23.
Place of
Birth
(City,
State, or
Foreign
Country)
Date of
Birth
Race and Ethnicity
(Please check one
or more boxes)
Sex
Residence
Telephone
No.
C. An Alien Who is Illegally or Unlawfully in the United States?
B. A Fugitive from Justice?
A. Charged by Information or Under Indictment in any Court for a Felony, or any Other Crime for Which the
Judge Could Imprison You for More Than One Year?¹
Copy 2 - ATF Copy
Give Full Details on a Separate Sheet for All "Yes" Answers in Item 26.
Yes No
¹ "Information" is a formal accusation of crime made by a prosecuting attorney, as distinguished from an indictment presented by a grand jury.
² You may answer NO if (a) you have been pardoned for the crime or (b) the conviction has been expunged or set aside or (c) your civil rights have been
restored AND you are not prohibited from possessing or receiving any firearms under the law where the conviction occurred.
27. Applicant Certification (Please read and initial each box)
The business to be conducted under the Federal Firearms License is not prohibited by State or local law at the premises shown in
item 5. This includes compliance with zoning ordinances.
Within 30 days after the application is approved, the business will comply with the requirements of State and local law applicable to
the conduct of business.
Business will not be conducted under the license until the requirements of State and local law applicable to the business have been
met.
A completed copy of this form has been sent (mailed or delivered) to the Chief Law Enforcement Officer of the locality in which the
premises is located. (See instruction #5.)
As required by 18 U.S.C. 923 (d)(1)(G), I certify that secure gun storage or safety devices will be available at any place in which
firearms are sold under this Federal Firearms License to persons who are not licensees.
Name of Chief Law Enforcement Officer (CLEO)
CLEO's Address (Include no., street, city, county, State, and ZIP Code)
28. Certification: Under the penalties imposed by 18 U.S.C. 924, I declare that I have examined
this application and the documents submitted in support thereof, and to the best of my
knowledge and belief, they are true, correct and complete. This signature, when presented
by a duly authorized representative of the Department of Justice, will constitute consent
and authority for the appropriate Department of Justice representative to examine and
obtain copies and abstracts of records and to receive statements and information regarding
the background of all responsible persons. Specifically, I hereby authorize the release of
the following data or records to ATF: Military information/records, medical
information/records, police and criminal records.
Attach
2 X 2
Photograph(s)
Here
(See Instruction #10)
ATF E-Form 7 (5310.12)
Revised May 2005
E. Been Convicted in any Court of a Misdemeanor Crime of Domestic Violence? (See definition #3)
D. Renounced United States Citizenship?
C. Been Adjudicated as a Mental Defective, Which Includes Having Been Adjudicated Incompetent to
Manage Your Own Affairs, or Been Committed to any Mental Institution?
B. Been Discharged from the Armed Forces Under Dishonorable Conditions?
A. Been Convicted in any Court of a Felony, or any other crime for which the Judge Could Have Imprisoned
You for More Than One Year, Even if You Received a Shorter Sentence, Including Probation?²
26. Has Applicant
or any Person
Named in Item
22 Ever:
Copy 2 - ATF Copy
29. Application is
Sign
Here
Title
Date
For ATF Use Only
Approved Denied
Reasons for Denial of Application
Signature of Licensing Official
Date
Information for the Chief Law Enforcement Officer
This form provides notification of a person's intent to apply for a Federal firearms license. It requires no action on your part. However, should you have
information that may disqualify the person from obtaining a Federal firearms license, please contact the Federal Firearms Licensing Center at
1-866-662-2750. A "Yes" answer to items #24, #25, and #26 could disqualify a person for a license. Also, ATF may not issue a license if the business
would be in violation of State or local law.
7. Contact Numbers (Include Area Code)
6. Mailing Address (If different from address in item #5)
Application for Federal Firearms License
U.S. Department of Justice
Bureau of Alcohol, Tobacco, Firearms and Explosives
For ATF Use Only
1. Name of Owner or Corporation (If partnership, include name of each partner)
3. Employer Identification Number (EIN#) or
Social Security Number (SSN is Voluntary)
4. Name of County in Which
Business is Located
2. Trade or Business Name, if any
5. Business Address (RFD or street number, city, State, and ZIP
code) (NOTE: The business address CANNOT be a P.O. Box.)
Business Phone
Cell Phone
Fax Number
24 Hour Emergency # (If different)
8. Applicant's Business is (Select one)
9. Describe Specific Activity Applicant is Engaged in, or Intends to Engage in, Which Requires a Federal
Firearms License. (Sale of ammunition alone does not require a license.)
11. Application is Made For a License Under 18 U.S.C. Chapter 44 as a: (Place an "X" in the appropriate box. Submit the fee noted next to the box with
the application. Licenses are issued for a 3-year period. See instruction #13 for payment information.)
Type Description of License Type Fee
01/02
06
07
08
09
10
11
$200
$30
$150
$150
$3000
$3000
$3000
Dealer (01), Including Pawnbroker (02), in Firearms Other Than Destructive Devices (Includes: Rifles, Shotguns, Pistols,
Revolvers, Gunsmith activities and National Firearms Act (NFA) Weapons)
Manufacturer of Ammunition for Firearms Other Than Ammunition for Destructive Devices or Armor Piercing Ammunition
Manufacturer of Firearms Other Than Destructive Devices
Importer of Firearms Other Than Destructive Devices or Ammunition for Firearms Other Than Destructive Devices, or
Ammunition Other Than Armor Piercing Ammunition (NOTE: Importer of handguns and rifles, see instruction #8.)
Dealer in Destructive Devices
Manufacturer of Destructive Devices, Ammunition for Destructive Devices or Armor Piercing Ammunition
Importer of Destructive Devices, Ammunition for Destructive Devices or Armor Piercing Ammunition (See instruction #8)
Total Fees $
Individually Owned A Partnership A Corporation Other (Specify)
10. Do You Intend to Engage in
Business as a Pawnbroker?
Yes No
ATF E-Form 7 (5310.12)
Revised May 2005
Copy 3 - CLEO Copy
OMB No. 1140-0018
14. Is Applicant Presently Engaged in a Business
Requiring a Federal Firearms License? (If "Yes,"
answer 14a.)
13. Hours of Operation of Applicant's Business (Must be completed)
Yes No
Time
Open
Close
Sun Mon Tues Wed Thu Fri Sat
14a. Present Federal Firearms License Number
Service Serial Number
15. If You Have Served in the Armed Forces, Provide
the Service Serial Number and Military Branch.
Military Branch
16. Applicant's Business Premises Are
IF RENTED OR LEASED, PLEASE PROVIDE THE NAME, ADDRESS, AND
TELEPHONE NUMBER OF THE PROPERTY OWNER.
Owned Leased/Rented Military
Name and Address of Property Owner (If applicable)
Telephone Number of Property Owner (If applicable)
17. Indicate Type of Business Premises
Zoned
Commercial:
Zoned
Residential:
Store Front
Office
Rod & Gun Club
Other (Specify)
Military Base
Single Family Dwelling
Condominium/Apartment
Hotel/Motel
Public Housing
IF THE PREMISES ARE LOCATED ON A MILITARY
INSTALLATION, ATTACH A COPY OF WRITTEN
AUTHORIZATION FROM THE BASE COMMANDER TO
CONDUCT A FIREARMS BUSINESS ON THE MILITARY
INSTALLATION.
18. Do You Intend To Make a Profit from Your Business?
Yes No (If no, do not submit application)
18a. Do You Intend To Sell Firearms Only at Gun Shows?
Yes (If yes, do not submit application) No
19. Do You Intend to Use Your License Only to Acquire Personal
Firearms?
Yes (If yes, do not submit application.) No
If Business was Obtained From Someone Else, Provide the Following Information.
20. Name of Previous Business
21. Federal Firearms License Number
22. Provide the Information Required for Each Individual Owner, Partner, and Other Responsible Persons in the Business. See Instruction #10 for
Responsible Person Definition. If a Female, List Any Given, Married, and Maiden Names, e.g., "Mary Alice (Smith) Jones," Not "Mrs. John
Jones." (If additional space is needed, use a separate sheet.) Each Responsible Person Must Complete All Information in this Section.
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific
Islander
White
White
Native Hawaiian or Other Pacific
Islander
Hispanic or Latino
Black or African American
Asian
American Indian or Alaska Native
Full Name
Position and
Social Security
Number
(Social Security
Number is
Voluntary)
Home Address
Please provide
every address you
have had in the
last 5 years.
Country of
Citizenship
List more than one,
if applicable.
Nonimmigrant
aliens must complete
all information in
item #23.
Place of
Birth
(City,
State, or
Foreign
Country)
Date of
Birth
Race and Ethnicity
(Please check one
or more boxes)
Sex
Residence
Telephone
No.
Copy 3 - CLEO Copy
ATF E-Form 7 (5310.12)
Revised May 2005
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific
Islander
White
White
Native Hawaiian or Other Pacific
Islander
Hispanic or Latino
Black or African American
Asian
American Indian or Alaska Native
23. Nonimmigrant Alien Certification of Compliance With 18 U.S.C. 922(g)(5)(B). If additional space is needed, use a separate sheet.
18 U.S.C. 922(g)(5)(B) generally makes it unlawful for any nonimmigrant alien to ship or transport in interstate or foreign commerce, or possess in or
affecting commerce, any firearms or ammunition; or to receive any firearms or ammunition which have been shipped or transported in interstate or foreign
commerce. All nonimmigrant aliens listed in item 22 must complete the following information certifying compliance with 18 U.S.C. 922(g)(5)(B).
A. Name of Person Certifying Compliance
Last: First: Middle Initial:
B. Immigration and Customs Enforcement (ICE) Issued Alien Number or Admission Number (Previously INS Number):
C. Are you in possession of a valid hunting license or permit lawfully issued in the United States?
1. If you answered "NO," you likely cannot lawfully possess a firearm and therefore cannot be a Federal firearms licensee.
2. If you answered "YES," complete the following information, and attach a copy of the license or permit to the application.
Yes No
Hunting License or Permit Number, if any
State of Issuance Expiration Date, if any
Give Full Details on a Separate Sheet for All "Yes" Answers in Items 24 and 25.
Yes No
24. Has Applicant
or any Person
Referred to in
Item 22 Above:
25. Is Applicant or
any Person
Named in Item
22 Above:
A. Held a Federal Firearms License?
B. Been Denied a Federal Firearms License?
C. Been an Officer in a Corporation Holding a Federal Firearms License?
D. Been an Employee of a Federal Firearms Licensee?
E. Had a Federal Firearms License Revoked?
D. Under 21 Years of Age?
E. An Unlawful User of, or Addicted to, Marijuana, or any Depressant, Stimulant or Narcotic Drug, or any
other Controlled Substance?
F. Subject to a Court Order Restraining Him/Her from Harassing, Stalking, or Threatening his/her child or an
Intimate Partner or Child or Such Partner?
ATF E-Form 7 (5310.12)
Revised May 2005
Full Name
Position and
Social Security
Number
(Social Security
Number is
Voluntary)
Home Address
Please provide
every address you
have had in the
last 5 years.
Country of
Citizenship
List more than one,
if applicable.
Nonimmigrant
aliens must complete
all information in
item #23.
Place of
Birth
(City,
State, or
Foreign
Country)
Date of
Birth
Race and Ethnicity
(Please check one
or more boxes)
Sex
Residence
Telephone
No.
C. An Alien Who is Illegally or Unlawfully in the United States?
B. A Fugitive from Justice?
A. Charged by Information or Under Indictment in any Court for a Felony, or any Other Crime for Which the
Judge Could Imprison You for More Than One Year?¹
Copy 3 - CLEO Copy
