Pa Form Sp4 113 PDF Details

Are you looking to complete a Pa Form Sp4-113? If so, it's important for you to understand the requirements and details associated with this form in order to ensure that your paperwork is being processed correctly. At its core, the PA Form SP4-113 serves as an Annual Rental Assistance Renewal Application or CHAP 1R Eligibility Certification which must be submitted on an annual basis. Here we’ll walk through what goes into the form, how long it will take, and when it should be completed by if you are seeking renewal assistance from your county’s housing authority.

QuestionAnswer
Form NamePa Form Sp4 113
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namessp4 113 sample form, pa state police record of sale form, sp 4 113, sp4 113 form

Form Preview Example

 

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!

 

 

 

A

 

 

 

 

 

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

NO

 

“Denied” and date here.

 

 

 

 

 

 

 

 

 

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

B

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

NO

 

 

 

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

NO

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

 

 

 

 

 

 

 

 

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.

 

 

 

 

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

 

 

 

 

 

 

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: _____________

D

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

48. DATE OF TRANSACTION

49. TIME OF TRANSACTION

E

FIREARM INFORMATION

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)

 

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.

 

 

 

LENGTH OF LESS THAN 26 INCHES?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

51. MAKE

52. MODEL

53. CALIBER

54. LENGTH OF BARREL 55. SERIAL NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

F

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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