Federal Firearms License Application – Fill Out and Use This PDF

OMB No. 1140-0018

U.S. Department of Justice

2.Licensee Name (Enter name of Owner/Sole Proprietor OR Partnership (include name of each partner) OR Corporation Name OR LLC Name)

8.Contact Numbers (Include Area Code)

9.Describe the 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 Federal Firearms License).

10. Application is made for a license under 18 U.S.C. Chapter 44 as a: (Place an “X” in the appropriate box(es). Multiple license types may be selected- see

instruction #8. Submit the fee noted next to the box(es) with the application. Licenses are issued for a 3-year period. See instruction #5 for payment information).

I authorize ATF to charge my Credit/Debit Card the above amount. Your credit/debit card will be charged the above stated amount upon receipt of your application and a charge from “ATF Licensing Fee” will be reflected on your credit/debit card statement. In the event a license is NOT issued, the above amount will be credited to the credit/debit card noted above.

12. Hours of Operation and/or Availability of Business/Activity (please provide at least one hour in which you can be contacted by ATF personnel)

IF YOU ARE ONLY APPLYING FOR A TYPE 03 (COLLECTOR OF CURIOS AND RELICS) LICENSE, SKIP ITEMS 13-17 AND GO TO ITEM 18.

FOR ALL OTHER LICENSE TYPES, CONTINUE WITH ITEM 13.

18.Name of Chief Law Enforcement Officer (CLEO) (Please 19. Address of CLEO (Include Number, Street, City, County, State, and ZIP

county:

ATTENTION Chief Law Enforcement Officer (CLEO): This form provides notification of a person’s intent to apply for a Federal Firearms License (FFL). 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 toll free at 1-866-662-2750. Issuance of an FFL in no way guarantees the business or activity is not in violation of State and/or local law.

20.Applicant Certification (Please read AND INITIAL each box)

a.The business/activity to be conducted under the Federal Firearms License is not prohibited by State or local law at the premises shown

in item 6. This includes compliance with zoning ordinances. (Please contact your local zoning department PRIOR TO submitting application)

b.Within 30 days after the application is approved, the business/activity will comply with the requirements of State and local law applicable to the conduct of the business/activity.

c.Business/activity will not be conducted under the license until the requirements of State and local law applicable to the business/activity have been met.

d.A completed copy of this application has been sent (mailed or delivered) to the Chief Law Enforcement Officer (CLEO) of the locality in which the premises listed in item 6 is located (see instruction #4 and definition #1).

e.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. (See definition #4) (If applying for a Type 03, Collector of

Curios and Relics License ONLY, write “N/A” instead of initialing this certification box.)

f. Part B of this application has been completed and will be submitted for EACH responsible person (RP) (See definition #3)

21.Certification: Under the penalties imposed by 18 U.S.C. 924, I declare that I have examined this application in its entirety 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 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 the background of the applicant. Specifically, I hereby authorize the release of the following data or records to ATF: Military information/records, medical information/records, police and criminal records. This certification must be signed by a Responsible Person (see instruction #2 and definition #3).

Part B - Responsible Person Questionnaire

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 fingerprints must be clear for accurate classification 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 fingerprints.

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)

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 officer 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, or are you a current member of the military who has been charged with violation(s) of the Uniform Code of Military Justice and whose charge(s) have been referred to a general court-martial? (See definition #10)

27.Have you ever been convicted in any court, including a military 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 definition #10)

28.Are you a fugitive from justice? (See definition #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.

31.Have you ever been adjudicated as a mental defective OR have you ever been committed to a mental institution?

(See definitions #12 and #13)

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 definition #5)

34.Have you ever been convicted in any court of a misdemeanor crime of domestic violence? (See definition #7)

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 your United States citizenship?

37.Are you an alien illegally or unlawfully in the United States?

38.a. Are you an alien who has been admitted to the United States under a nonimmigrant visa? (See definition #8)

b. If you are such an alien, do you fall within any of the exceptions stated in definition #9? Attach supporting documentation to the application. (U.S. citizens/nationals leave 38b blank)

39.If you are an alien, record your U.S.-Issued Alien or Admission number (AR#, USCIS#, or I94#):

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. Specifically, I hereby authorize the release of the following data or records to ATF: Military information/records, medical information/

records, police and criminal records.

EACH RESPONSIBLE PERSON MUST COMPLETE AND SIGN A SEPARATE QUESTIONNAIRE/ATF FORM 7/7CR PART B

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 benefit 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 Officer, Resource Management Staff, 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.

Instructions/Definitions 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 identified at the top of each page with your name and Employer Identification Number or Social Security Number.

b.refer to the item/question(s) being answered.

2.Person Who Signs the Application - The certification in Part A, item #21 must be signed by a Responsible Person (see definition #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 Officer (CLEO) - Applicants must submit a copy of the completed application to the Chief Law Enforcement Officer (CLEO) of the locality in which the premises sought to be licensed is located (see definition #1). Part A, item #20d requires certification 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 fingerprint 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 definition #3).

b.A properly prepared fingerprint card (form FD-258) must be submitted for ALL responsible persons, unless they have peviously submitted one as an RP for another FFL. The fingerprints must be clear for accurate classification and taken by someone properly equipped to take them. To facilitate processing of fingerprints, 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 identified 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 fingerprint 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 firearm.

b.Confers NO right or privilege to conduct an activity contrary to State or other law.

c.Will entitle you to acquire firearms, classified 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 firearms licensee in any State. It must be emphasized that the collector’s license being applied for pertains exclusively to firearms classified 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 firearm with a type 03 license. Applicants intending to engage in the firearms business should apply for a license other than a Type 03, Collector of Curios and

Relics, license.

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 firearm.

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 affecting your proposed firearms business. Contact your State and local authorities for specific information on their requirements.

c.Are business licenses, and will NOT be issued to an applicant solely intending to enhance a personal firearms 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 firearms and/or ammunition may need to register with ATF under the provisions of the Arms Export

Control Act. Contact the Firearms and Explosives Imports Branch at (304) 616-4550 for further information on registration.

ATF Form 7(5310.12)/7CR(5310.16) Revised October 2020