Ny State Police Amendment Form PDF Details

In the State of New York, individuals who hold a pistol or revolver license are required to keep their information up to date with the state's authorities. The NY State Police Amendment Form, known officially as PPB-5 (REV. 02/17), serves as a critical tool for this purpose. This form allows licensees to report any changes concerning their license or to update personal information such as a new name, physical address, or mailing address if it differs. Moreover, the form is essential for documenting transactions related to pistols or revolvers, including acquiring new firearms, disposing of them, reporting lost or stolen firearms, and more. Each section of the form is designed to gather specific details such as the license numbers, transaction types, and details about the firearm involved, including the manufacturer, model, caliber, and serial number. It also inquires about the licensee's criminal history, orders of protection against them, or any mental institution admissions since the last issuance of their license. As such, the NY State Police Amendment Form plays a pivotal role in ensuring that the records of pistol and revolver licenses in New York are current and accurate, contributing to both the safety of the individual licensee and the public at large.

QuestionAnswer
Form NameNy State Police Amendment Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesnysp c form, ppb5, new york pistol amendment, nys pistol permit amendment form

Form Preview Example

PPB-5 (REV. 02/17)

STATE OF NEW YORK

PISTOL / REVOLVER LICENSE AMENDMENT

NYSID #

 

 

 

 

Date:

 

 

Amendment form for (check one):

 

 

 

 

 

 

 

______________________________________ County License

OR

New York State Police Pistol License

 

 

 

 

 

 

 

 

Name

 

Date of Birth

 

NY Driver’s License No. (or NY Non-Driver ID No.)

 

 

 

 

 

 

 

 

 

 

Physical Address (street, city, state, zip)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address (if different)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pistol License Number

Duplicate License Number

Transfer License Number

Transferred From

Acquired Address Change

Date Issued

Date Issued

Date Issued

Transferred To

TRANSACTION TYPE(S) (Check all that apply):

Deceased Disposed Duplicate Lost / Stolen Firearm Name Change

Revoked Surrendered Suspended

Transfer Other

AMEND LICENSE FOR THE FOLLOWING

1.New Name

2.New Physical Address

3.New Mailing Address (If different)

4.Following Weapon(s) Acquired From: (Name, Address)

Manufacturer

Pistol / Revolver /

Single Shot

Model

Frame

Only

Caliber(s)

Serial Number

5. Following Weapon(s) Disposed to: (Name, Address)

Manufacturer

Pistol / Revolver /

Single Shot

Model

Frame

Only

Caliber(s)

Serial Number

6. Following Weapons(s) has been: Lost Law Enforcement Agency Reported To:

Stolen

Destroyed

Manufacturer

Pistol / Revolver /

Single Shot

Model

Frame

Only

Caliber(s)

Serial Number

Have you been arrested, indicted, or convicted of any criminal offense, been the subject of an order of protection, or been

a patient at any mental institution since the above license was issued?

Yes

No If YES, give details on reverse.

Licensing Officer

Signature of Licensee

Use the boxes below if additional space is needed.

Acquired, Disposed,

Lost, Stolen or

Destroyed

Manufacturer

Pistol /

Revolver / Single Shot

Model

Frame

Only

Caliber(s)

Serial Number

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nysp c form completion process outlined (part 1)

2. Once your current task is complete, take the next step – fill out all of these fields - New Name, New Physical Address, New Mailing Address If different, Following Weapons Acquired From, Manufacturer, Pistol Revolver, Single Shot, Model, Frame Only, Calibers, Serial Number, Following Weapons Disposed to, Manufacturer, Pistol Revolver, and Single Shot with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Guidelines on how to fill in nysp c form portion 2

3. The following step will be focused on Following Weaponss has been, Law Enforcement Agency Reported To, Manufacturer, Pistol Revolver, Single Shot, Lost, Stolen, Destroyed, Model, Frame Only, Calibers, Serial Number, Have you been arrested indicted or, Yes, and Licensing Officer - type in these empty form fields.

Step number 3 of completing nysp c form

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Step no. 4 for completing nysp c form

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