The Massachusetts Ltc Fid Form is a legal document that must be completed by any individual or company that wishes to act as a fiduciary for an estate in the state of Massachusetts. The form requires detailed personal and financial information, as well as the signatures of all parties involved. Completing the form accurately is critical, as it establishes the fiduciary's legal authority to manage the estate. Failing to do so may result in significant consequences for both the fiduciary and estate beneficiaries.
These are some facts you may want to analyze just before you start dealing with the massachusetts ltc fid.
| Question | Answer |
|---|---|
| Form Name | Massachusetts Ltc Fid |
| Form Length | 4 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 1 min |
| Other names | massachusetts gun license form, massachusetts ltc renewal, ltc ma, mass ltc application |
THE COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF PUBLIC SAFETY AND SECURITY
Department of Criminal Justice Information Services
200 Arlington Street, Suite 2200, Chelsea, MA 02150
TEL:
Submit this form and direct any questions to
your local police department
PD USE ONLY
FTN: _______________
LIC #: _______________
MASSACHUSETTS RESIDENT LTC/FID/MACHINE GUN APPLICATION
FOR NEW/RENEWAL OF A FIREARMS IDENTIFICATION CARD OR LICENSE TO CARRY
FIREARMS OR LICENSE TO POSSES A MACHINE GUN (M.G.L c. 140, §§ 129B, 131)
CHECK ONE:
New Applicant*
Renewal - Most Recent License to Carry/FID Number:
*NOTE: If application is for a first firearms identification card or license to carry firearms, a copy of the Firearms Safety Certificate or Hunter Safety Course Certificate must be attached, unless exempt by statute. If this is a renewal application, a lost/stolen firearms affidavit must be submitted.
LICENSE APPLICATION TYPE (Check Only One):
Firearms Identification Card - Restricted
Firearms Identification Card
License to Carry
License to Possess a Machine Gun
Gun Club License (Only the Colonel of the State Police can issue a club license)
EXCEPT FOR SIGNATURE, PRINT OR TYPE ALL REQUESTED INFORMATION:
Last Name |
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First Name |
Middle Name |
Suffix |
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Residential Address |
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Zip Code |
Telephone Number |
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Mailing Address |
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State |
Zip Code |
Telephone Number |
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Date of Birth |
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Place of Birth (City, State, Country) |
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Mother's First Name |
Mother's Maiden Name |
Father's First Name |
Father's Last Name |
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Height |
Weight |
Build |
Complexion |
Hair Color |
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Eye Color |
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Occupation |
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Social Security Number (Optional) |
Drivers License Number |
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Employed By |
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Business Address |
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ANSWER THE FOLLOWING QUESTIONS COMPLETELY AND ACCURATELY:
1.Are you a citizen of the United States?
If lawful permanent resident alien, give green card number and resident date
If naturalized, give date, place and naturalization number
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YES NO |
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Green Card Number |
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Resident Since (date) |
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Date |
Place |
Naturalization No. |
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2. Have you ever renounced your U.S. citizenship? |
YES NO |
3.What is your age? ________ (You must be 21 to apply for a LTC, 18 to apply for a FID card, or 14 to 17 with submission of a certificate of parent or guardian granting permission to apply for a FID card or FID card – Restricted).
4. |
Have you ever been arrested or appeared in court as a defendant for any criminal offense? |
YES |
NO |
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Are you the subject of any pending criminal charges? |
YES |
NO |
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Have you ever been convicted of a felony? |
YES |
NO |
7.Have you ever been convicted of the unlawful use, possession, or sale of controlled substances
as defined in M.G.L. c. 94C, § 1? |
YES |
NO |
8. Have you ever been convicted of a violent crime or a crime of domestic violence? |
YES |
NO |
9.Have you ever been convicted as an adult or adjudicated a youthful offender or delinquent child
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in any state or federal jurisdiction? |
YES |
NO |
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Are you now, or have you ever been the subject of a restraining order issued pursuant to M.G.L. c. 209A, |
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or a similar order issued by another jurisdiction? |
YES |
NO |
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Are you currently the subject of any outstanding arrest warrant in any state or federal jurisdiction? |
YES |
NO |
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Have you ever been committed to any hospital or institution for mental illness, or alcohol or substance abuse? |
YES |
NO |
13. Has any firearms license issued under the laws of any state or territory ever been suspended, revoked, |
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or denied? |
YES |
NO |
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Have you been discharged from the armed forces of the United States under dishonorable conditions? |
YES |
NO |
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Have you been the subject of an order of the probate court appointing a guardian or conservator? |
YES |
NO |
If you answered "YES" to any of the questions
Page - 2 of 4 |
Have you ever used or been known by another name? |
YES NO |
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If “YES”, provide name and explain: |
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Other than Massachusetts, in what state(s), territory(ies), or jurisdiction(s) have you lived? |
NONE |
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Have you ever held a firearms license in any other state, territory or jurisdiction? |
YES NO |
If "YES", when, where, and license number?
List the name and addresses of two references (as required by your licensing authority)
1.
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Last Name |
First Name |
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Address |
City/Town |
State |
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2. |
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Last Name |
First Name |
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Address |
City/Town |
State |
Zip |
Reason(s) for requesting the issuance of a card or license:
Unrestricted |
Target & Hunting |
Sporting |
Employment |
Use lines below to indicate the reason(s) you are requesting the license; use a separate sheet of paper if necessary)
*WARNING* Any person who knowingly files an application containing false information shall be punished by a fine of not less than $500 nor more than $1,000 or by imprisonment for not less than 6 months nor more than 2 years in a house of correction, or by both such fine and imprisonment (M.G.L c.140, §§ 129B(8), 131(h)).
I declare the above facts are true and complete to the best of my knowledge and belief and I understand that any false answer(s) will be just cause for denial or revocation of my license to carry firearms. I understand that filing an application that contains false information is a criminal offense.
Signed under the penalties of perjury this |
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Signature of Applicant: |
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Page - 3 of 4 |
Massachusetts License to Carry (LTC)/Firearms Identification Card (FID) Affidavit
Complete this form only if you are renewing your firearms license.
License Holder Name: |
________________________________________________ |
Current LTC or FID card Number: |
________________________________________________ |
Please select one: |
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A. (No firearm(s) lost or stolen since previous issuance of LTC or FID card)
1.I am renewing a Massachusetts firearms identification (FID) card or license to carry
(LTC) firearms.
2.I have not lost one or more firearms or had any firearms stolen since the renewal or issuance of my last FID card or LTC.
OR
B.(Firearm(s) reported lost or stolen since previous issuance of LTC or FID card)
1.I am renewing a Massachusetts firearms identification (FID) card or license to carry
(LTC) firearms.
2.I have lost one or more firearms or have reported stolen one or more firearms since the renewal or issuance of my last FID card or LTC.
List all lost or stolen firearms below; use additional sheets as necessary.
Lost or Stolen
Date Reported |
Reported to |
Lost or Stolen |
(Police Dept.) |
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Type
Make
Model
Serial Number
Case Number
The above information is true and accurate to the best of my knowledge and belief.
SIGNED UNDER THE PENALTIES OF PERJURY: |
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Signature:____________________________________ |
Date:_________________________ |
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