Pa Form Sp4 113 – Fill Out and Use This PDF

The PA SP4 113 form, also known as the Application/Record of Sale, is a crucial document mandated by the Pennsylvania State Police for the sale or transfer of handguns. This form, which cannot be duplicated, requires meticulous filling out in blue or black ink to ensure all transactions are recorded accurately and legally. Sellers and purchasers must complete specific sections to validate the sale, adhering to guidelines that help maintain lawful firearm transactions within the state.

If you're preparing to sell or purchase a handgun in Pennsylvania, ensure you're completing the PA SP4 113 form correctly. Click the button below to begin filling out the form with care and precision.

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Pa Form Sp4 113 PDF Details

In Pennsylvania, ensuring the legal transfer of firearms is a process rigorously outlined by the state, with the SP 4-113 form playing a critical role in this procedure. At its core, the SP 4-113 form, also referred to as the Application/Record of Sale for Pennsylvania State Police use, is designed exclusively for transactions involving handguns. This document serves multiple purposes: it's an application for the purchase of a handgun, a detailed record of the sale, and an indispensable tool for background checks. The form is meticulously structured, barring duplication and requiring completion in either blue or black ink to maintain records' integrity. Sections of the form cater to different parties involved in the sale—the transferee/purchaser, the transferor/seller, and the licensed dealer—each responsible for providing specific information at various stages of the transaction. The form includes spaces for personal details of the purchaser, the firearm's description, and the seller's acknowledgment, along with a mandatory section for the dealer's information. Additionally, it underlines the importance of answering questions about the buyer's eligibility, with clear instructions that any untruthful statements could result in felony charges. This demonstrates the form's role not only in facilitating firearm sales but also in enforcing legal accountability and public safety. Through its detailed sections, the SP 4-113 form exemplifies the comprehensive approach required for the legal transfer of handguns in Pennsylvania, ensuring all necessary checks and balances are in place.

Question	Answer
Form Name	Pa Form Sp4 113
Form Length	1 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	15 sec
Other names	sp4 113 sample form, pa state police record of sale form, sp 4 113, sp4 113 form

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SP 4-113 (10/2008)

PENNSYLVANIA STATE POLICE

STATE POLICE USE

ONLY

SAMPLE ROS INSTRUCTIONS

APPLICATION/RECORD OF SALE

NOTE: THE APPLICATION/RECORD OF SALE FORM MUST NOT BE DUPLICATED!

INSTRUCTIONS

2. TRANSACTION SERIAL

NO.

This number is assigned to your business.

1. TRANSFEREE/PURCHASER

---------- COMPLETE SECTION B AT TIME OF APPLICATION.

Do not give your forms to other businesses!

CO PLETE SECTION C AT TIME OF SALE OR

TRANSFER.

3. STATE IDENTIFICATION NO.

THIS FORM IS REQUIRED FOR HANDGUNS ONLY!

LICENSEE

COMPLETE BLOCKS 1, 3, AND 4, AND SECTIONS

D AND E.

List the Dealer/Sheriff Number here.

TRANSFEROR/SELLER------------------

(FOR PRIVATE SALES) COMPLETE SECTION F.

NOTE: FORM MUST BE COMPLETED IN ITS ENTIRETY BY TYPING OR PRINTING IN BLUE OR BLACK INK

4. APPROVAL NO./DATE

List Approval/Transaction No. , “UDT”, or

TRANSACTION SUBJECT TO SALES TAX

YES

“Denied” and date here.

Please explain in Section F if you selected “NO” for subject to sales tax.

TRANSFEREE’S/PURCHASER’S INFORMATION

5. LAST NAME		6. JR., ETC.	7. FIRST NAME	8. MIDDLE NAME	9. DATE OF BIRTH	10. AGE

SECTIONS A, D, and E must be completed by the Firearm Dealer. If

11. SEX 12. RACE 13. EYE COLOR 14. HAIR COLOR

15. WEIGHT

16. HEIGHT

17. SOCIAL SECURITY NO. (Optional, but

18. COUNTY OF RESIDENCE

“No” is checked here, an explanation must be listed under section

will help prevent misidentification.)

Enter county (eg: Dauphin),

F explaining why the sale is not taxable!

NOT “Country”.

19. STREET ADDRESS

20.

CITY

21. STATE

22. ZIP CODE

PA.IfPHOTOthe customerIDENT/DRIVERis NOTLICENSEa U.S.NO. citizen,24.theyEMPLOYER/BUSINESSmust show properNAMEID before you begin the background25. OCCUPATIONcheck! If “NO” is

23.

checked for #30, ALL fields must be completed for this question and the dealer must hold on the line for a PICS

operator. Do NOT enter the PA driver’s license number into the automated system.

26.

STREET ADDRESS

27. CITY

28. STATE

29. ZIP CODE

30. ARE YOU A UNITED STATES CITIZEN? IF NO, COUNTRY OF BIRTH: ____________________________________

YES

COUNTRY OF CITIZENSHIP: ________________________________ IMMIGRATION IDENTIFICATION NUMBER: ______________________

31.HAVE YOU EVER BEEN CONVICTED OF A CRIME ENUMERATED IN SECTION 6105(b), OR DO ANY OF THE CONDITIONS UNDER

6105(c) APPLY TO YOU? (READ INFORMATION ON BACK PRIOR TO ANSWERING)

YES

32.ARE YOU NOW CHARGED WITH, OR HAVE YOU EVER BEEN CONVICTED OF A CRIME PUNISHABLE BY IMPRISONMENT FOR A TERM

	EXCEEDING ONE YEAR? THIS IS THE MAXIMUM SENTENCE THAT YOU “COULD HAVE RECEIVED,” NOT THE ACTUAL SENTENCE YOU	YES	NO
	DID RECEIVE. (THIS DOES NOT INCLUDE FEDERAL OR STATE OFFENSES PERTAINING TO ANTITRUST, UNFAIR TRADE	YES	NO

	SECTION B must be completed and signed by the customer BEFORE a background check is processed through
	PRACTICES, RESTRAINTS OF TRADE, OR REGULATION OF BUSINESS; OR STATE OFFENSES CLASSIFIED AS MISDEMEANORS AND
	PICS. If this section is NOT completed and signed, OR if the customer answered “Yes” to questions 31 and/or 32
	PUNISHABLE BY A TERM OF IMPRISONMENT NOT TO EXCEED TWO YEARS.) (READ INFORMATION ON BACK PRIOR TO ANSWERING)
	OR “No” to question 33, DO NOT PROCEED WITH THE BACKGROUND CHECK.
33.
33.	ARE YOU THE ACTUAL BUYER OF THE FIREARM AS DEFINED UNDER 18 PA.C.S. § 6102 LISTED ON THIS APPLICATION/RECORD OF	YES	NO
	SALE? (WARNING: YOU ARE NOT THE ACTUAL BUYER IF YOU ARE ACQUIRING THE FIREARM ON BEHALF OF ANOTHER PERSON	YES	NO

	UNLESS YOU ARE LEGITIMATELY ACQUIRING THE FIREARM AS A GIFT FOR ANY OF THE FOLLOWING INDIVIDUALS WHO ARE
	LEGALLY ELIGIBLE TO OWN A FIREARM: 1) SPOUSE; 2) PARENT; 3) CHILD; 4) GRANDPARENT; OR 5) GRANDCHILD.

34.I VERIFY THE FACTS THAT I HAVE SET FORTH IN BLOCKS 5-33 OF THIS FORM ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE, INFORMATION, AND BELIEF. THIS VERIFICATION IS MADE SUBJECT TO BOTH THE PENALTIES OF SECTION 4904 OF THE CRIMES CODE (18 PA.C.S. 4904) RELATING TO UNSWORN FALSIFICATION TO AUTHORITIES AND THE UNIFORM FIREARMS ACT. I ALSO UNDERSTAND THAT THE MAKING OF ANY FALSE WRITTEN STATEMENT OR THE EXHIBITING OF ANY FALSE MISREPRESENTED IDENTIFICATION WITH RESPECT TO THIS APPLICATION IS A CRIME PUNISHABLE AS A FELONY.

SIGNATURE OF TRANSFEREE/PURCHASER: _________________________ DATE OF APPLICATION: _____________

C	ACKNOWLEDGMENT

35.I ACKNOWLEDGE RECEIPT OF THE FIREARM (HANDGUN/LONG-GUN) AND A SUMMARY OF THE UNIFORM FIREARMS ACT WHICH INCLUDES A

SAFETY BROCHURESECTION. C is not signed by the customer until they actually take possession of the gun!

SIGNATURE OF TRANSFEREE/PURCHASER: ________________________________________ DATE: _____________

LICENSEE’S INFORMATION:

LICENSEE

EMPLOYEE

36. LAST NAME		37. JR., ETC.	38. FIRST NAME		39. MIDDLE NAME		40. SIGNATURE

41. BUSINESS NAME				42. BUSINESS		TELEPHONE NO.	43. COUNTY OF LICENSEE
	SECTION D & E must be completed and signed by the
	Dealer or employee processing the paperwork. Please
44. BUSINESS ADDRESS	remember to check the appropriate box.			45. CITY				46. STATE	47. ZIP CODE
	remember to check the appropriate box.

48. DATE OF TRANSACTION

49. TIME OF TRANSACTION

FIREARM INFORMATION

50. DOES THIS PURCHASE INVOLVE A PISTOL
50. DOES THIS PURCHASE INVOLVE A PISTOL			OR REVOLVER WITH A BARREL LENGTH OF LESS THAN 15 INCHES, A			YES (COMPLETE BLOCKS 51 – 55)
	SHOTGUN WITH A BARREL LENGTH OF LESS		ONLY ONE (1) FIREARM MAY BE LISTED PER FORM! Firearm informationNO (INFORMATION NOT REQUIRED)
	SHOTGUN WITH A BARREL LENGTH OF LESS		THAN 18 INCHES, A RIFLE WITH A BARREL LENGTH OF LESS THAN
	16 INCHES, OR A FIREARM WITH AN OVERALL		must be completed prior to initiating a PICS background check.
	16 INCHES, OR A FIREARM WITH AN OVERALL		LENGTH OF LESS THAN 26 INCHES?

51. MAKE		52. MODEL		53. CALIBER	54. LENGTH OF BARREL 55. SERIAL NUMBER

TRANSFEROR’S/SELLER’S INFORMATION OR EXPLANATION FOR NONTAXABLE SALES

56. LAST NAME	57. JR., ETC. 58. FIRST NAME		59. MIDDLE NAME		60. SIGNATURE
SECTION F must be completed for the private sale/transfer of a handgun. Private transfers processed between licensed dealers
should have the FFL# of the transferring dealer in the signature section. Private sellers must be available to complete and sign
this form. Refer to section 15.1 of the Firearm Dealer’s Manual for detailed instructions.
61. STREET ADD ESS		62. CITY		63. COUNTY/STATE		64. ZIP	CODE

Pa Form Sp4 113 – Fill Out and Use This PDF

Pa Form Sp4 113 PDF Details

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