Fillable Federal Firearms Licensee Firearms Inventory Theft/Loss Continuation Sheet (Bureau of Alcohol, Tobacco, Firearms, and Explosives)

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Federal Firearms Licensee Firearms Inventory Theft/Loss Continuation Sheet (Bureau of Alcohol, Tobacco, Firearms, and Explosives)

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U.S. Department of Justice
Bureau of Alcohol, Tobacco, Firearms and Explosives
Federal Firearms Licensee Firearms
Inventory Theft/Loss Continuation Sheet
OMB No. 1140-0039 (10/31/2020)
Acquisition Date
Manufacturer
Model
Caliber/Gauge
Serial Number
Type
I hereby certify that the information contained in this report is true and correct. I also understand that failure to report the theft or loss of a
rearm from my inventory or collection within 48 hours of the discovery of the theft/loss is a violation of 18 U.S.C. § 923 (g)(6) punishable as a felony.
ATF
E-Form 3310.11A
Revised November 2017
Signature of Licensee
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Federal Firearms Licensee Firearms Inventory TheftLoss Continuation Sheet (Bureau of Alcohol, Tobacco, Firearms, and Explosives)

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Completed 19 July 2020

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