Ltc Application Massachusetts Details

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.

QuestionAnswer
Form NameMassachusetts Ltc Fid
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namesmassachusetts gun license form, massachusetts ltc renewal, ltc ma, mass ltc application

Form Preview Example

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: 617-660-4600 | TTY: 617-660-4606 | MASS.GOV/CJIS

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 (self-defense spray)

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

 

 

First Name

Middle Name

Suffix

 

 

 

 

 

 

Residential Address

 

City

State

Zip Code

Telephone Number

 

 

 

 

 

 

Mailing Address

 

City

State

Zip Code

Telephone Number

 

 

 

 

 

Date of Birth

 

Place of Birth (City, State, Country)

 

 

 

 

 

 

Mother's First Name

Mother's Maiden Name

Father's First Name

Father's Last Name

 

 

 

 

 

 

 

Height

Weight

Build

Complexion

Hair Color

 

Eye Color

 

 

 

 

 

 

Occupation

 

 

 

Social Security Number (Optional)

Drivers License Number

 

 

 

 

 

 

 

Employed By

 

 

 

Business Address

 

 

 

 

 

 

 

 

City/Town

 

State

 

Zip

Telephone Number

 

 

 

 

 

LTC-FID Application Revised May 2015

 

 

 

Page 1 of 4

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

 

 

 

YES NO

 

 

 

 

 

Green Card Number

 

Resident Since (date)

 

 

 

 

Date

Place

Naturalization No.

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

5.

Are you the subject of any pending criminal charges?

YES

NO

6.

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

 

in any state or federal jurisdiction?

YES

NO

10.

Are you now, or have you ever been the subject of a restraining order issued pursuant to M.G.L. c. 209A,

 

 

 

or a similar order issued by another jurisdiction?

YES

NO

11.

Are you currently the subject of any outstanding arrest warrant in any state or federal jurisdiction?

YES

NO

12.

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,

 

 

 

or denied?

YES

NO

14.

Have you been discharged from the armed forces of the United States under dishonorable conditions?

YES

NO

15.

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 2-15, give details which must include dates, circumstances and location; use a separate sheet of paper if necessary.

LTC-FID Application Revised May 2015

Page - 2 of 4

Have you ever used or been known by another name?

YES NO

If “YES”, provide name and explain:

 

 

Other than Massachusetts, in what state(s), territory(ies), or jurisdiction(s) have you lived?

NONE

 

 

 

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.

 

Last Name

First Name

 

 

 

 

 

 

 

 

Address

City/Town

State

Zip

2.

 

 

 

 

 

 

 

 

 

 

Last Name

First Name

 

 

 

 

 

 

 

 

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

day of

 

 

 

 

 

 

 

 

 

 

day

 

month

year

Signature of Applicant:

 

 

 

 

 

LTC-FID Application Revised May 2015

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:

 

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.)

 

 

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:

 

Signature:____________________________________

Date:_________________________

 

 

 

 

LTC-FID Application Revised May 2015

Page - 4 of 4

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