Pdcs 4406K Form – Fill Out and Use This PDF

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Pdcs 4406K Form PDF Details

The Pdcs 4406K form is an important document for businesses and financial professionals alike. The form helps to ensure the accuracy of tax calculations, as well as provide information on income associated with pensions, distributions, annuities, etc. While preparing this document can be a complex process in certain cases; if done right it helps reduce the possibility of errors and clerical mistakes that could otherwise lead to costly fines or reworkings. In this guide we'll look at how to go about obtaining and submitting the Pdcs 4406K form for maximum compliance!

Question	Answer
Form Name	Pdcs 4406K Form
Form Length	3 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	45 sec
Other names	county pistol license applicant, ny suffolk pistol form get, pistol license renewal application pdcs 4413h, pistol permit application

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POLICE DEPARTMENT COUNTY OF SUFFOLK

ACCREDITED LAW ENFORCEMENT AGENCY

PISTOL LICENSE APPLICANT QUESTIONNAIRE

PDCS 4406k

PAGE 1 of 2


1.	Last Name:	7.	Date of Birth:	Male	Female

2.	First Name:	8.	City of Birth:

3.	Middle Name:	9.	State of Birth:

4.	Suffix:	10. Citizenship (Country):

5.	Social Security #:	11.	Marital Status:

6.	Alien Registration # (if applicable):	12.	Type of License You Are Applying For: (see Instructions Page 1)

PHYSICAL DESCRIPTIVE DATA:

13.HEIGHT (FEET/INCHES)

16. HAIR COLOR

14.WEIGHT (POUNDS)

17. EYE COLOR

15. RACE

18.Have you ever been arrested, summoned, charged or indicted anywhere for any offense, including DWI (except traffic infractions)?

YES NO

If yes, furnish the following information:

DATE

POLICE AGENCY

CHARGE

DISPOSITION

COURT & DATE

19. List all handguns in your possession (if none, so indicate)

	MANUFACTURER	PISTOL	CALIBER	SERIAL #	MODEL		PROPERTY OF
		OR REV





20. Current Employer

21.	Employer Address

22.	Occupation

23.	Nature of Employment					24. Business Phone

25.List all prior places of employment (include business name, address, nature of business and phone #)

26.PRESENT ADDRESS: include House #, City, Village, Town, State (if other than New York), Zip Code, and Telephone # (include mailing address if different)

Address	City	State: New York Zip Code

Home Telephone #	Alternate/ Cell Telephone #

Mailing Address

POLICE DEPARTMENT COUNTY OF SUFFOLK

PISTOL LICENSE APPLICANT QUESTIONNAIRE (CONTINUED)

27.	List all prior places of residence (include street address, city, state, and zip code)	PDCS-4406k PAGE 2 OF 2
27.

28.	Spouse/ Domestic Partner Name:		D.O.B :			Telephone #:
						Cell Phone #:

29.	If Female, Your Maiden Name:			30. If Male, Your Wife's Maiden Name:

31. Mother's Maiden Name:		32. Father's Name:			33. Nicknames or Aliases (Applicant):

34.Next of Kin (include person's Name, Address, and Phone #):

35.Name and address of person who will safeguard pistol (s) and notify the Pistol Licensing Bureau in case of Applicant's death or disability. (should be a Suffolk County resident, but does not need to possess a pistol license)

Name:		Telephone:
Address:

36.Give four (4) character references who, by their signature, attest to your good moral character - list references alphabetically and print clearly. Each reference must personally sign form. (see qualifications in instructions)

LAST, FIRST, MI

D.O.B.

STREET ADDRESS

CITY, TOWN

TELEPHONE

SIGNATURE

37. A license is required for the following reason: (see instructions, page 1)

38. Have you ever been terminated/discharged from any employment or the armed forces for cause?		YES	NO

39. Have you ever undergone treatment for alcoholism or drug use?		YES	NO

40.	Have you ever suffered any mental illness, or been confined to any hospital, public or private institution, for mental illness?	YES	NO

41.	Have you ever had a pistol license, dealer's license, gunsmith license, or any application for such a license disapproved, or had
	such license revoked or cancelled?	YES	NO

42. Do you have any physical condition which could interfere with the safe and proper use of a handgun?		YES	NO

43. Have you ever been charged, petitioned against, a respondent or otherwise been a subject of a proceeding in Family Court?		YES	NO

44.	Has anyone in your household been convicted of a felony or serious offense?	YES	NO

45.	Have you or any member of your household ever been evaluated or treated as a result of any mental health issues including, but not limited to depression?
	Have you or any member of your household ever been admitted to any mental institution or hospital, public or private?	YES	NO

46.	Have you ever used or still use marijuana or its derivatives, narcotics, tranquilizers, or anti-depressant medication? If any of these substances were prescribed
	by a doctor, provide doctor's name, address, and phone number.	YES	NO

47.	Have you ever been denied appointment to a civil service position; federal, state, or local?	YES	NO

48.	Have you been the subject of military disciplinary action?	YES	NO

49.	Have you ever had any license (i.e. driver's or liquor) issued by any agency denied, revoked, cancelled or suspended?	YES	NO

50.	Have you received a traffic summons, or been arrested or convicted for any traffic infraction in the last five (5) years?
	If yes, list the date(s), charge(s), police agency, court, and disposition.	YES	NO

51.If you have answered 'yes' to any of the above (questions 38 through 50) and require additional space, submit a separate detailed, notarized explanation on 8 1/2'' x 11" sized paper.

STATE OF NEW YORK
COUNTY OF SUFFOLK I	being duly sworn, depose and say that I am the above

named person and I have signed the foregoing statement.

I have personally read and answered all questions therein and I do solemnly swear that every answer is full, true, and correct in every respect.

Sworn to before me this	Day of	,

			NOTARY STAMP
SIGNATURE OF APPLICANT	SIGNATURE OF NOTARY/WITNESS

POLICE DEPARTMENT COUNTY OF SUFFOLK

CONTINUATION PAGE - IF ADDITIONAL SPACE IS REQUIRED

PDCS-4406k

STATE OF NEW YORK
COUNTY OF SUFFOLK I	being duly sworn, depose and say that I am the above

named person and I have signed the foregoing statement.

I have personally read and answered all questions therein and I do solemnly swear that every answer is full, true, and correct in every respect.

Sworn to before me this	Day of		,
			,

				NOTARY STAMP
SIGNATURE OF APPLICANT		SIGNATURE OF NOTARY/WITNESS

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suffolk county pistol permit application writing process outlined (portion 1)

2. Once your current task is complete, take the next step – fill out all of these fields - List all handguns in your, MANUFACTURER, PISTOL OR REV, CALIBER, SERIAL, MODEL, PROPERTY OF, Current Employer, Employer Address, Occupation, Nature of Employment, Business Phone, List all prior places of, PRESENT ADDRESS include House, and if different with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Best ways to prepare suffolk county pistol permit application step 2

3. Completing Address, Home Telephone, Mailing Address, City, State New York, Zip Code, and Alternate Cell Telephone is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Home Telephone, Zip Code, and City of suffolk county pistol permit application

4. The subsequent section needs your involvement in the subsequent areas: List all prior places of, PDCSk, PAGE OF, Spouse Domestic Partner Name, DOB, Telephone, Cell Phone, If Female Your Maiden Name, If Male Your Wifes Maiden Name, Mothers Maiden Name, Fathers Name, Nicknames or Aliases Applicant, Next of Kin include persons Name, Name and address of person who, and resident but does not need to. Make sure you fill out all required information to move forward.

Part # 4 in filling out suffolk county pistol permit application

5. The document must be finalized by dealing with this section. Below you'll find a detailed list of form fields that require specific information for your document submission to be complete: A license is required for the, Have you ever been, Have you ever undergone treatment, Have you ever suffered any mental, Have you ever had a pistol, such license revoked or cancelled, Do you have any physical, Have you ever been charged, Has anyone in your household been, YES, YES, YES, YES, YES, and YES.

YES, YES, and Has anyone in your household been of suffolk county pistol permit application

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Pdcs 4406K Form – Fill Out and Use This PDF

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