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TO: LICENSED PAWNBROKERS AND SECONDHAND DEALERS
This notice is to bring to the attention of the licensed Pawnbroker and/or Secondhand Dealer, the
requirements of daily reporting to the Police Chief or Sheriff in your jurisdiction.
Pursuant to Financial Code section 21208 and Business and Professions Code section 21628, a licensed
Pawnbroker and/or Secondhand Dealer must report DAILY to the Police Chief or Sheriff in their
jurisdiction, a listing of defined sales and/or goods. To find out more information regarding reportable
sales and/or goods, you should contact your local Police Chief or Sheriff or check on-line at the
California Legislative Counsel’s website at http://www.leginfo.ca.gov/.
To obtain the required daily reporting form (JUS 123 – Pawnbrokers/Secondhand Dealer Report),
contact your local Police Chief or Sheriff. A sample is providcd on the following page.
Financial Code section 21208.
Every pawnbroker shall report daily or on the first working day after receipt or purchase, all descriptions
of all property received in pledge or purchased as tangible personal property, as defined in Section
21627 of the Business and Professions Code, in whatever quantity received, including property
purchased as tangible personal property at wholesale, tangible personal property taken in for sale or
possessed on consignment for sale, and tangible personal property taken in trade.
If the transaction took place within the territorial limits of an incorporated city, the report shall be
submitted to the police chief executive of the city or his or her designee, by mail unless otherwise agreed
upon by the pawnbroker and the police chief executive or his or her designee. If the transaction took
place outside the territorial limits of an incorporated city, the report shall be submitted to the sheriff of
the county or his or her designee, by mail unless otherwise agreed upon by the pawnbroker and the
sheriff or his or her designee.
All reports shall be on form
s approved or provided at actual cost by the Department of Justice. The
police chief executive or sheriff who receives a report on a form filed pursuant to the provisions of this
section shall daily submit a legible copy of the transactions to the Department of Justice . . .
Business and Professions Code section 21628.
Every secondhand dealer or coin dealer described in Section 21626 shall report daily, or on the first
working day after receipt or purchase of the property, on forms either approved or provided at actual
cost by the Department of Justice, all tangible personal property which he or she has purchased, taken in
trade, taken in pawn, accepted for sale on consignment, or accepted for auctioning, to the chief of police
or to the sheriff, in accordance with the provisions of Sections 21630 and 21633 and subdivision (j) of
this section. The report shall be legible, prepared in English, completed where applicable, and include,
but not be limited to, the following information . . .
State of California Department of Justice
JUS 123
PAWNBROKER/SECONDHAND DEALER REPORT
One Copy Each to Law Enforcement Agency, DOJ & Dealer
Page 1 of 1
(orig. 2/09)
Pursuant to Business and Professions Code section 21628 and Financial Code 21208
C
U
Last Name First Name Middle Initial Date of Birth
SI
TN OR
O F Driver's License Number Issuing State California Identification Card Number
MO
E
R Address City State
SI
T N
License Number
A
Police Division
OF
RO
E Store Name Address City
Article Brand Name
T
R
A
Serial Number Model
NI
S T Transaction Date
(MM,DD,YEAR) Loan/Buy Number Amount
AE
C M Pawn Buy Consign Trade
T
I Property Description
(One Item Only, Size, Color, Material, etc…)
O
N
Check One Check One
F
Make
Revolver
I Handgun
Semi Automatic
R O (Pistol)
Bolt Action
E N
Model
A L Rifle
Lever Action
RY Pump
M
Serial Number
Single Shot
S Shotgun
DBL Barrel
Over/Under
Cal/Gauge
X
CUSTOMER'S SIGNATURE
I certify under penalty of perjury that to my knowledge and belief the
information above is true and complete and I am the owner, or have the authority of the owner, to sell or pledge the property.
X
STORE PERSON'S SIGNATURE
Customer's Right Thumb Print
INSTRUCTIONS FOR COMPLETING THE JUS 123
PAWNBROKER/SECONDHAND DEALER REPORT FORM
The JUS 123 form must be completed for each item of tangible personal property purchased,
taken in trade, taken in pawn or accepted for sale on consignment. All information must be
legible, accurate, complete and prepared in English.
Once completed, one copy is provided to
your local law enfocrment agency, one copy is sent to the DOJ and one copy is retained by the dealer.
Obtain a certification by the intended seller or pledgor that he or she has the legal right or
authorization of the owner to sell or pledge the property. Use one of the f
ollowing documents to
verify the identity of the intended seller or pledgor, provided the document is currently valid or
has been issued within five years.
1)
A passport of the United States
2)
A driver’s license issued by any state
3) An identification card issued by the U
4) A passport from any other country in
or Canada
nited States
addition to another item or identification bearing an
address
Refer all questions on completing this form to your local law
enforcement agency.
CUSTOMER INFORMATION SECTION
Customer’s name
- Please print clea
rly last name first, first name and middle name or initial.
Driver’s License Number or Other Identification
- List the pledge’s or seller’s license number or
other identification, the state of issuance, the date of issuance and the year of expiration of the
driver’s license.
Address - Indicate the pledge’s or seller’s residence, city, state and zip code.
Date of Birth - Enter the customer's date of birth
STORE INFORMATION SECTION
Store License Number - Enter your state-assigned license number, identified as the
hyphenated eight numeric characters, shown on your state pawnbroker or secondhand dealer
license.
Police Division - Enter the name of the law enforcement agency that you report transactions to.
Store Name and Address - Indicate your business name, address, city and zip code.
TRANSACTION ITEM INFORMATION SECTION
Article, Brand Name, Serial Number, Model
- Enter the information specified in the appropriate
spaces. Enter owner-applied numbers appearing on an item in the PROPERTY DESCRIPTION
block.
Property Description
- Must include size, color, material, etc. “Scrap gold” and “Scrap silver” are
not acceptable descriptions. However, “Gold ring mounting” and “sterling flatware” are examples
or acceptable descriptions.
Transaction Date
- Indicate transaction date by six (6) numeric characters of month, day and
year.
Loan Buy Number
- Enter your loan/buy number which will readily identify the property or report
when requested by a peace officer.
Amount
- Indicate the transaction amount of the article.
Transaction
- Check the appropriate transaction box.
FIREAR
MS ONLY SECTION
If a firearm is purchased, taken in trade, taken in pawn, or accepted for sale on consignment,
enter the information requested in the FIREARMS ONLY space. Do not enter firearm
information in the ITEM Section.
Customer Signature
- Form must be signed by the person offering the property.
Store Person’s Signature
- Form must be signed by the person accepting the property.
Customer’s Right Thumb Print
- Requires a legible thumbprint to be taken from the intended
seller or the pledge and displayed on the front of the original document.
Voided Report Forms
- Must be retained in your files, and if required, copies must be submitted
to you local law enforcement agency.
You may have your own forms printed provided they contain, at minimal, the same information
provided on this form and as required under Business & Professions Code Section 21628.
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TO: LICENSED PAWNBROKERS AND SECONDHAND DEALERS This notice

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Completed 1 March 2022

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