Fillable (supplement for use by additional responsible persons) (Bureau of Alcohol, Tobacco, Firearms, and Explosives)

Fill Online, Printable, Fillable, Blank (supplement for use by additional responsible persons) (Bureau of Alcohol, Tobacco, Firearms, and Explosives) Form

Use Fill to complete blank online BUREAU OF ALCOHOL, TOBACCO, FIREARMS, AND EXPLOSIVES (DC) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

(supplement for use by additional responsible persons) (Bureau of Alcohol, Tobacco, Firearms, and Explosives)

On average this form takes 15 minutes to complete

The (supplement for use by additional responsible persons) (Bureau of Alcohol, Tobacco, Firearms, and Explosives) form is 2 pages long and contains:

  • 0 signatures
  • 69 check-boxes
  • 26 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Bureau of Alcohol, Tobacco, Firearms, and Explosives

BROWSE BUREAU OF ALCOHOL, TOBACCO, FIREARMS, AND EXPLOSIVES (DC) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
1. License or Applicant Name (From block 2 of Part A) 2. Federal Firearms License Number (If being added to an existing FFL)
3. Name of Responsible Person (Last, First, Middle)
4. Aliases (Include given, married, maiden names)
6. Social Security Number
5. Position/Title
9. Current Residence Address
10. Telephone Number (Personal Contact # with Area Code)
7. Date of Birth (MM/DD/YYYY)
8. Place of Birth (City & State OR foreign country)
13. Sex
14. Height 15. Weight 16. Eye Color
Male
Female
17. Hair Color
Feet
Inches
(lbs)
Black
Blue
Brown
Green
Gray
Hazel
Maroon
Multiple
Other
Pink
Bald
Black
Blond
Gray
Brown
Red
Sandy
White
19. Race (Please check one or more boxes)
American Indian or Alaska Native
Black or African American
Native Hawaiian or Other Pacic Islander
Asian
Hispanic or Latino
White
12. Previous Address(es) - Please provide every
address you have had in the last ve years and
dates which you lived at the address(es) (If
additional space is needed attach a separate
sheet. See instruction #1)
Yes
No
20. Have you ever held a Federal Firearms License? (If so, please include FFL#)
21. Have you ever been a Responsible Person on a Federal Firearms License? (If so, please include FFL#)
22. Have you ever been an ocer in a corporation holding a Federal Firearms License? (If so, please include FFL#)
23. Have you ever been an employee of a Federal Firearms Licensee?
24. Have you ever been denied a Federal Firearms License?
25. Have you ever had a Federal Firearms License revoked?
26. Are you under indictment or information in any court for a felony, or any other crime, for which the judge could
imprison you for more than one year? (See denition #10)
27. Have you ever been convicted in any court for 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? (See denition #10)
28. Are you a fugitive from justice? (See denition #11)
29. Are you under 21 years of age?
30. Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narcotic drug, or any other controlled substance?
Warning: The use or possession of marijuana remains unlawful under Federal law regardless of whether it has been legalized
or decriminalized for medicinal or recreational purposes in the state where you reside.
For the following questions give full details on a separate sheet for all “Yes” answers (see instruction #1)
11. E-mail Address
18. Ethnicity
Yes No
Other
ATF
E-Form 7(5310.12A)/7CR(5310.16)
Revised November 2018
ATF Copy - Page 1
Part B - Responsible Person Questionnaire
U.S. Department of Justice
Bureau of Alcohol, Tobacco, Firearms and Explosives
Part B - Responsible Person Questionnaire
(supplement for use by additional responsible persons)
31. Have you ever been adjudicated as a mental defective OR have you ever been committed to a mental institution?
(See denitions #12 and #13)
OMB No. 1140-0018
1. EACH RESPONSIBLE PERSON MUST COMPLETE AND SIGN A SEPARATE QUESTIONNAIRE/ATF Form 7/7CR Part B. In the future, if you need to
add an additional Responsible Person (RP) to your FFL, the RP being added may complete this Part B-Responsible Person Questionnaire. If adding a RP to an existing
license, be sure to include a signed written request from an existing RP on the license, giving permission to add the new Reponsible Person (see instruction #7).
2. Issuance of your license or addition as a Responsible Person will be delayed if Part B is incomplete or otherwise improperly prepared.
3. IMPORTANT! All new responsible persons must submit a properly prepared FD-258 (Fingerprint Card) with this questionnaire. The ngerprints must be clear for
accurate classication and taken by someone properly equipped to take them. The FD-258 should include “WVATF1100 ATF-FFLC, MARTINSBURG, WV” in the
ORI block to facilitate processing of ngerprints.
4. List any given, married, and maiden names in Item 4, e.g., “Mary Alice (Smith) Jones,” not “Mrs. John Jones.” (If additional space is needed, attach a separate sheet. See
instruction #1)
Yes No
35. Country of Citizenship: (Check/List more than one, if applicable. Nationals of the United States may check U.S.A.)
36. Have you ever renounced United States citizenship?
37. Are you an alien illegally or unlawfully in the United States?
40. Under the penalties imposed by 18 U.S.C. § 924 and 1001, I declare that I have examined any related documents submitted in regard to this
questionnaire/ATF Form 7/7CR Part B, 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 U.S. Department of Justice, will constitute consent and authority for the appropriate U.S.
Department of Justice representative to examine and obtain copies and abstracts of records and to receive statements and information regarding my
background. Specically, I hereby authorize the release of the following data or records to ATF: Military information/records, medical information/
records, police and criminal records.
Signature Printed Name Date
Attach a 2” X 2”
Photograph Here
If you are applying for a Type 03
ONLY a photograph is not required
1. Photo must have been taken
within the last six months.
2. Photo must have been taken in full
face view without a hat or head
covering that obscures the hair or
hairline.
3. On back of photograph print full
name, last 4 of SSN, and business
address.
Print Full Name
EACH RESPONSIBLE PERSON MUST COMPLETE AND SIGN A SEPARATE QUESTIONNAIRE/ATF FORM 7/7CR PART B
If applying for a NEW FFL:
Mail application, ngerprint cards, photographs, and application fees, including a
separate questionnaire/Part B for EACH Responsible Person, to:
Federal Firearms Licensing Center
P.O. Box 6200-20
Portland, OR 97228-6200
If only adding a RP to an existing FFL:
Each Reponsible Person being added must complete a separate questionnaire/ATF
Form 7/7CR Part B and mail it, along with their ngerprint card and photograph, to:
ATF, Attn: FFLC, 244 Needy Rd, Martinsburg, WV 25405. Each questionnaire must
be accompanied by a signed written request from a current/existing RP on the license,
giving permission to add the Responsible Person.
Type 03 Applicants:
A photograph and ngerprint card are not required if you are applying for a Type 03
Collector of Curios and Relics license only.
Questions:
If you have any questions relating to this form, please contact the ATF Federal Firearms
Licensing Center at 1-866-662-2750, or your local ATF Industry Operations Oce.
38. a. Are you an alien who has been admitted to the United States under a nonimmigrant visa? (See denition #8)
b. If “yes”, do you fall within any of the exceptions stated in denition #9? Attach supporting documentation to the application.
39. If you are an alien, record your U.S.-Issued Alien or Admission number (AR#, USCIS#, or I94#):
ATF Copy - Page 2
N/A
ATF
E-Form 7(5310.12A)/7CR(5310.16)
Revised November 2018
United States of America
Other Country/Countries (specify):
No
Yes
32. Have you been discharged from the Armed Forces under dishonorable conditions?
33. Are you subject to a court order restraining you from harassing, stalking, or threatening your child or an intimate partner or child of
such partner? (See denition #5)
34. Have you ever been convicted in any court of a misdemeanor crime of domestic violence? (See denition #7)
Instructions/Denitions for ATF Form 7 (5310.12)/7CR (5310.16)
(Do not return this sheet when submitting your application)
Issuance of your license will be delayed if the fee is not included or incorrect, or if the application is incomplete or otherwise improperly prepared.
Instructions
1. Completion of Application - TYPE or PRINT with ball-point pen. Any attached sheets should:
a. be identied at the top of each page with your name and Employer Identication Number or Social Security Number.
b. refer to the item/question(s) being answered.
2. Person Who Signs the Application - The certication in Part A, item #21 must be signed by a Responsible Person (see denition #3).
3. Release of Information - This application package requires you to authorize the release of certain information to ATF such as medical information/
records (see Part A, item #21). This information is used to determine, for example, whether the applicant has ever been adjudicated as a mental
defective or committed to any mental institution. This information is protected by the Privacy Act of 1974.
4. Chief Law Enforcement Ocer (CLEO) - Applicants must submit a copy of the completed application to the Chief Law Enforcement Ocer
(CLEO) of the locality in which the premises sought to be licensed is located (see denition #1). Part A, item #20d requires certication that a
completed copy of the application has been sent.
5. Payment - You may pay the application fee by credit/debit card, check, or money order, payable to ATF (see instruction #14 on the following page
for the address to send payment and completed application package). Do not send cash. Postdated checks are not acceptable. Licenses are issued
for a period of three years. No refund of any part of a license fee shall be made where the operations of the license are, for any reason, discontinued
during the period.
6. Fingerprint Cards & Photographs - The following items must accompany this application. Failure to submit these items will delay processing and
may result in denial of the application. NOTE: A ngerprint card and photograph are NOT required if applying for a Type 03 license only.
a. ATF Form 7/7CR Part B, Responsible Person Questionnaire, must be completed and submitted for ALL responsible persons (see denition #3).
b. A properly prepared ngerprint card (form FD-258) must be submitted for ALL responsible persons, unless they have peviously submitted
one as an RP for another FFL. The ngerprints must be clear for accurate classication and taken by someone properly equipped to take them.
To facilitate processing of ngerprints, the FD-258 should list “WVATF1100 ATF-FFLC, MARTINSBURG, WV” in the ORI block.
c. A 2 inch by 2 inch photograph of EACH responsible person. The photograph should be attached to the back of their ATF Form 7/7CRPart B,
Responsible Person Questionnaire. Please ensure that each photograph is clearly identied on the reverse with the full name of the responsible
person to whom the photograph applies.
7. Adding Additional Responsible Persons - You can use Part B of this application to add a Responsible Person(s) to an existing FFL. You must
include a signed written request from a current/existing RP already on the license, giving permission to add the new Responsible Person. We cannot
process a form to add an additional RP to an existing license without the written consent from an existing RP on the license giving authorization for
this action. If you are only submitting Part B for this purpose, send Part B, along with the Responsible Person’s ngerprint card and photograph, to
ATF-FFLC, 244 Needy Road, Martinsburg, WV 25405. Only send to this address if you are just adding a Responsible Person(s) to an existing
license. Sending an application to obtain a new FFL to this address will result in delays in the processing of your application.
8. License Types -
A Type 03 license issued under 18 U.S.C. Chapter 44:
a. Is NOT a license to carry, use, or possess a rearm.
b. Confers NO right or privilege to conduct an activity contrary to State or other law.
c. Will entitle you to acquire rearms, classied as curios or relics, in interstate or foreign commerce. You may dispose of curios and relics to
any person, not otherwise prohibited by the Gun Control Act of 1968, residing within your State, and to any other Federal rearms licensee in
any State. It must be emphasized that the collector’s license being applied for pertains exclusively to rearms classied as curios and relics,
and its purpose is to facilitate a personal collection. You may NOT engage in the business of buying and selling any type of rearm with a
type 03 license. Applicants intending to engage in the rearms business should apply for a license other than a Type 03, Collector of Curios and
Relics, license.
ATF
E-Form 7(5310.12A)/7CR(5310.16)
Revised November 2018
Paperwork Reduction Act Notice
This request is in accordance with the Paperwork Reduction Act of 1995. The information collection is used to determine the eligibility of the applicant
to engage in certain operations, to determine the location and extent of operations, and to determine whether the operations will be in conformity with
Federal laws and regulations. The information requested is required in order to obtain or retain a benet and is mandatory by statute (18 U.S.C. § 923).
The estimated average burden associated with this collection of information is 60 minutes per respondent or recordkeeper, depending on individual
circumstances. Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be directed to Reports
Management Ocer, Resource Management Sta, Bureau of Alcohol, Tobacco, Firearms and Explosives, Washington, DC 20226.
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB
control number.
Type 01, 02, 06, 07, 08, 09, 10, and 11 licenses issued under 18 U.S.C. Chapter 44:
a. Are NOT licenses to carry, use, or possess a rearm.
b. Confer NO right or privilege to conduct business or activity contrary to State or other law. State laws or local laws or ordinances may have
requirements aecting your proposed rearms business. Contact your State and local authorities for specic information on their requirements.
c. Are business licenses, and will NOT be issued to an applicant solely intending to enhance a personal rearms collection.
d. Are NOT licenses to sell ammunition only.
NOTE: Multiple Licenses - You can apply for more than one license if the business is to be conducted at the same location, by checking more
than one type of license in Part A, item #10. If business is to be conducted at multiple locations, a separate application and license fee is required
for each business location.
9. Imports - Applicants intending to import rearms and/or ammunition may need to register with ATF under the provisions of the Arms Export Control
Act. Contact the Firearms and Explosivevs Imports Bracnch at (304) 616-4550 for further information on registration.
10. National Firearms Act (NFA)/Special Occupational Tax (SOT) - Applicants intending to deal in, import, or manufacture weapons subject to the
NFA (e.g., machine guns, short-barreled shotguns, silencers, destructive devices, etc.) are required to pay a SOT (see denition #18). Contact the
NFA Branch at (304) 616-4500.
11. Manufacturing - Generally, persons holding a manufacturer’s license (FFL Type 06, 07 or 10) must register as a manufacturer with the Department
of State unless exempted by the Directorate of Defense Trade Control (DDTC), regardless of whether the manufacturer actually exports any of the
items manufactured. Therefore, applicants intending to manufacture and/or export defense articles, as dened on the United States Munitions List
(Part 121 of the ITAR), may need to register with Directorate of Defense Trade Controls (DDTC). Questions should be directed to the DDTC
at 202-663-2980 or www.pmddtc.state.gov.
12. Denial of Application - If you do not qualify for a license, you will be advised in writing of the reasons for denial and your application fee will be
refunded.
13. Military Installation - If “Military Installation” was selected in Part A, item #14 as the type of business premises, you must attach a copy of written
authorization from the Base Commander to conduct a rearms business on the military installation.
14. Where to Send Application - MAKE A COPY OF YOUR COMPLETED APPLICATION FOR YOUR RECORDS, THEN FORWARD
THE APPLICATION WITH FEE, ONE ATF FORM 7/7CR PART B, RESPONSIBLE PERSON QUESTIONNAIRE,
FOR EACH RESPONSIBLE PERSON (WITH PROPERLY IDENTIFIED PHOTO ATTACHED), AND FINGERPRINT CARD(S) TO:
FEDERAL FIREARMS LICENSING CENTER
P.O. BOX 6200-20
PORTLAND, OR 97228-6200
15. Contact Us - If you have any questions relating to this application, please contact the ATF Federal Firearms Licensing Center, 244 Needy Road,
Martinsburg, WV 25405, Toll free 1-866-662-2750, or your local ATF Industry Operations Oce. Contact information for your local oce can be
found at WWW.ATF.GOV.
Denitions
1. Chief Law Enforcement Ocer - The Chief of Police, Sheri, or an equivalent designee of such individual, of the locality in which the premises
sought to be licensed, is located.
2. Licensed Collector - A collector of curios and relics only and licensed under the provisions of 18 U.S.C. 923. You may not use the license to obtain
rearms that are not classied as curios and relics. Collectors are not licensed to conduct any business.
3. Responsible Person - In addition to a Sole Proprietor, a Responsible Person is, in the case of a Corporation, Partnership, or Association, any
individual possessing, directly or indirectly, the power to direct or cause the direction of the management, policies, and practices of the Corporation,
Partnership, or Association, insofar as they pertain to rearms.
4. Secure Gun Storage or Safety Device - (A) a device that, when installed on a rearm, is designed to prevent the rearm from being operated
without rst deactivating the device; (B) a device incorporated into the design of the rearm that is designed to prevent the operation of the
rearm by anyone not having access to the device; or (C) a safe, gun safe, gun case, lock box, or other device that is designed to be or can be used
to store a rearm and that is designed to be unlocked only by means of a key, a combination, or other similar means.
ATF
E-Form 7(5310.12A)/7CR(5310.16)
Revised November 2018
ATF
E-Form 7(5310.12A)/7CR(5310.16)
Revised November 2018
5. Restraining Order - Under 18 U.S.C. § 922(g)(8), rearms may not be possessed or received by persons subject to a court order that: (A) was
issued after a hearing of which the person received actual notice and had an opportunity to participate in; (B) restrains such person from harassing,
stalking, or threatening an intimate partner or child of such intimate partner or person, or engaging in other conduct that would place an intimate
partner in reasonable fear of bodily injury to the partner or child; and (C)(i) includes a nding that such person represents a credible threat to the
physical safety of such intimate partner or child, or (ii) by its terms explicitly prohibits the use, attempted use, or threatened use of physical force
against such intimate partner or child that would reasonably be expected to cause bodily injury.
6. Intimate Partner - With respect to a person, the spouse of the person, a former spouse of the person, an individual who is a parent of a child of
the person, or an individual who cohabitates or has cohabitated with the person.
7. Misdemeanor Crime of Domestic Violence - A Federal, State, local, or tribal oense that is a misdemeanor under Federal, State, or tribal law and
has, as an element, the use or attempted use of physical force, or the threatened use of a deadly weapon, committed by a current or former spouse,
parent, or guardian of the victim, by a person with whom the victim shares a child in common, by a person cohabitating with, or has cohabitated with
the victim as a spouse, parent, or guardian, or by a person similarly situated to a spouse, parent, or guardian of the victim. The term includes all
misdemeanors that have as an element the use or attempted use of physical force or the threatened use of a deadly weapon (e.g., assault and battery),
if the oense is committed by one of the dened parties. (See Exception in the denition of “Prohibited Person”). A person who has been
convicted of a misdemeanor crime of domestic violence also is not prohibited unless; (1) the person was represented by a lawyer or gave up the right
to a lawyer; or (2) if the person was entitled to a jury, was tried by a jury, or gave up the right to a jury trial. Persons subject to this exception should
mark “no” in the applicable box.
8. An Alien Admitted to the United States Under a Nonimmigrant Visa - Includes, among others, persons visiting the United States temporarily for business or
pleasure, persons studying in the United States who maintain a residence abroad, and certain temporary foreign workers. The denition does NOT include
permanent resident aliens nor does it apply to nonimmigrant aliens admitted to the United States pursuant to either the Visa Waiver Program or to regulations
otherwise exempting them from visa requirements.
9. Exceptions to Prohibition on Aliens Admitted Under a Nonimmigrant Visa - An alien admitted to the United States under a nonimmigrant visa
is not prohibited from purchasing, receiving, or possessing a rearm if the alien: (1) is in possession of a hunting license or permit lawfully issued
by the Federal Government, a State, or local government, or an Indian tribe federally recognized by the Bureau of Indian Aairs, which is valid and
unexpired; (2) was admitted to the United States for lawful hunting or sporting purposes; (3) has received a waiver from the prohibition from the
Attorney General of the United States; (4) is an ocial representative of a foreign government who is accredited to the United States Government
or the Government’s mission to an international organization having its headquarters in the United States; (5) is en route to or from another
country to which that alien is accredited; (6) is an ocial of a foreign government or a distinguished foreign visitor who has been so designated by
the Department of State; or (7) is a foreign law enforcement ocer of a friendly foreign government entering the United States on ocial law
enforcement business.
10. Prohibited Person - Generally, 18. U.S.C. § 922 (g) prohibits the shipment, transportation, receipt, or possession in or aecting interstate commerce
of a rearm by one who: has been convicted of a misdemeanor crime of domestic violence; has been convicted of a felony, or any other crime,
punishable by imprisonment for a term exceeding one year (this does not include State misdemeanors punishable by imprisonment of two years or
less); is a fugitive from justice, is an unlawful user of, or addicted to, marijuana or any depressant, stimulant, or narcotic drug, or any other controlled
substance; has been adjudicated as a mental defective or has been committed to a mental institution; has been discharged from the Armed Forces
under dishonorable conditions, has renounced his or her U.S. citizenship; is an alien illegally in the United States or an alien admitted to the United
States under a nonimmigrant visa; or is subject to certain restraining orders. Furthermore, Section 922 (n) prohibits the shipment, transportation,
or receipt in or aecting interstate commerce of a rearm by one who is under indictment or information for a felony in any Federal, State or local
court, or any other crime, punishable by imprisonment for a term exceeding one year. An information is a formal accusation of a crime veried by a
prosecutor.
EXCEPTION: A person who has been convicted of a felony, or any other crime, for which the judge could have imprisoned the person for more
than one year, or who has been convicted of a misdemeanor crime of domestic violence, is not prohibited from purchasing, receiving, or possessing
a rearm if: (1) under the law of the jurisdiction where the conviction occurred, the person has been pardoned, the conviction has been expunged or
set aside, or the person has had their civil rights (the right to vote, sit on a jury, and hold public oce) taken away and later restored AND (2) the
person is not prohibited by the law of the jurisdiction where the conviction occurred from receiving or possessing rearms. Persons subject to this
exception should mark “no” in the applicable box.
11. Fugitive From Justice - Any person who has ed from any State to avoid prosecution for a felony or a misdemeanor, or any person who leaves the
State to avoid giving testimony in any criminal proceeding. The term also includes any person who knows that misdemeanor or felony charges are
pending against such person and who leaves the State of prosecution.
12. Adjudicated as a Mental Defective - A determination by a court, board, commission, or other lawful authority that a person, as a result of
marked subnormal intelligence, or mental illness, incompetency, condition, or disease: (1) is a danger to himself or to others; or (2) lacks the
mental capacity to contract or manage his own aairs. This term shall include: (1) a nding of insanity by a court in a criminal case; and (2)
those persons found incompetent to stand trial or found not guilty by reason of lack of mental responsibility.
Privacy Act Information
The following information is provided pursuant to Section 3 of the Privacy Act of 1974 (5 U.S.C. § 552 a(e)(3)):
1. Authority: Solicitation of this information is authorized pursuant to 18 U.S.C. § 923(a) of the Gun Control Act of 1968. Disclosure of this
information is mandatory if the applicant wishes to obtain a Federal Firearms License. System of Record Notice (SORN) Justice/ATF-008
Regulatory Enforcement Record System FR Vol. 68 No. 163558 dated January 24, 2003.
2. Purpose: To determine the identity and eligibility of the applicant to obtain a Federal Firearms License, the identity and eligibility of all responsible
persons, the ownership of the business, the type of rearms or ammunition to be dealt in, the business hours, and the business history.
3. Routine Uses: The information will be used by ATF to make determinations set forth in paragraph 2. In addition, information may be disclosed
to other Federal, State, foreign and local law enforcement and regulatory agency personnel to verify information on the application and to aid in
the performance of their duties with respect to the enforcement and regulation of rearms and/or ammunition where such disclosure is not
prohibited by law. The information may further be disclosed to the Justice Department if it appears that the furnishing of false information may
constitute a violation of Federal law. Finally, the information may be disclosed to members of the public in order to verify the information on the
application when such disclosure is not prohibited by law.
4. Eects of Not Supplying Information Requested: Failure to supply complete information will delay processing and may result in denial of the
application.
13. Committed to a Mental Institution - A formal commitment of a person to a mental institution by a court, board, commission, or other lawful
authority. The term includes a commitment to a mental institution involuntarily. The term includes commitment for mental defectiveness or mental
illness. It also includes commitments for other reasons, such as for drug use. The term does not include a person in a mental institution for
observation or a voluntary admission to a mental institution.
EXCEPTION: Under the NICS Improvement Amendments Act of 2007, a person who has been adjudicated as a mental defective or committed
to a mental institution in a State proceeding is not prohibited by the adjudication or commitment if the person has been granted relief by the
adjudicating/committing State pursuant to a qualifying mental health relief from disabilities program. Also, a person who has been adjudicated as a
mental defective or committed to a mental institution by a department or agency of the Federal Government is not prohibited by the adjudication or
commitment if either: (a) the person’s adjudication or commitment was set-aside or expunged by the adjudicating/committing agency; (b) the
person has been fully released or discharged from all mandatory treatment, supervision, or monitoring by the agency; (c) the person was found
by the agency to no longer suer from the mental health condition that served as the basis of the initial adjudication/commitment; (d) the
adjudication or commitment, respectively, is based solely on a medical nding of disability, without an opportunity for a hearing by a court, board,
commission, or other lawful authority, and the person has not been adjudicated as a mental defective consistent with section 922(g)(4) of title 18,
United States Code; or (e) the person was granted relief from the adjudicating/committing agency pursuant to a qualied mental health relief from
disabilities program. Persons who fall within one of the above exceptions should mark “no” in the applicable box. This exception to an adjudication
or commitment by a Federal department or agency does not apply to any person who was adjudicated to be not guilty by reason of insanity, or based
on a lack of mental responsibility, or found incompetent to stand trial, in any criminal case or under the Uniform Code of Military Justice.
14. Gun Control Act (GCA) - Title 18, United States Code, Chapter 44. The implementing regulations are found in Title 27, Code of Federal
Regulations, Part 478.
15. Firearm - The term “rearm” means: (A) any weapon (including a starter gun) which will or is designed to or may readily be converted to expel
a projectile by the action of an explosive; (B) the frame or receiver of any such weapon; (C) any rearm muer or rearm silencer; or (D) any
destructive device. Such term does not include an antique rearm.
16. Federal Firearms License (FFL) - A license issued under the provisions of the GCA to manufacture, import, or deal in rearms.
17. Employer Identication Number (EIN) - An EIN is also known as a Federal Tax Identication Number, and is used to identify a business entity.
Generally, businesses need an EIN. For more information on who needs an EIN and how to apply for one, go to www.IRS.gov or refer to 27 CFR §
179.35.
18. Special (Occupational) Tax (SOT) - Required by the National Firerms Act to be paid by a Federal rearms licensee engaged in the business of
importing, manufacturing, or dealing in NFA rearms. Questions regarding SOT should be directed to the ATF NFA Branch at (304) 616-4500.
ATF
E-Form 7(5310.12A)/7CR(5310.16)
Revised November 2018
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

(supplement for use by additional responsible persons) (Bureau of Alcohol, Tobacco, Firearms, and Explosives)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 19 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document