ATF Form 4 – Customer Information

It is time to submit your information to the ATF for approval of your NFA item. Please fill out the form below completely all this information is needed for your ATF Form 4.

1. STOP – If you do not have an ATF eForms Account You need one – Click Here
2. All information in your eForms has to match what you enter in the below form
3. Make sure to use your middle initial and not your full middle name

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– Step 1 of 2

Name *

First

Middle

Last

Name Suffix

Jr, SR, III

Trust Name

City and State Born In? *

What is the City and State where you were born?

What COUNTY do you live in? *

Address

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

What law enforcement agency would respond if you dialed 911 to your address? *

ATF requires the Chief Law Enforcement Officer of your residence to be notified. So an answer would be “Valdosta Police Department” or the “Turner County Sheriff’s Office”.

CLO Name

CLO Address

Email *

MUST match the email used in your ATF eForms account!

Phone *

Date of Birth *

Date of Birth

SSN Number

Social Security Number – NOT required but if not provided may cause delays in approval. Providing will help to complete your background check.

ATF eForms User Name

This is provided via an EMAIL from the ATF when you create your eForms account.

ATFe Forms PIN

When you created your ATF eForms Account you picked a PIN number.

Don’t have an ATF eForms Account?  Get one HERE!

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Responsiable Persons Questions

unlawful in one

Are you under indictment or information in any court for a felony, or any other crime, for which the judge could imprison you for more than one year? *— Select Choice —YesNo

Have you ever been convicted in any court for a felony, or any other crime, for which the judge could have imprisoned you for more than one year, even if you received a shorter sentence including probation? *— Select Choice —YesNo

Are you a fugitive from justice? *— Select Choice —YesNo

Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narcotic drug, or any other controlled substance? Warning: The use or possession of marijuana remains unlawful under Federal law regardless of whether it has been legalized or decriminalized for medicinal or recreational purposes in the state where you reside. *— Select Choice —YesNo

On or after the age of 16, have you ever been adjudicated as a mental defective OR have you ever been committed to a mental institution? *— Select Choice —YesNo

Have you been discharged from the Armed Forces under dishonorable conditions? *— Select Choice —YesNo

Are you subject to a court order restraining you from harassing, stalking, or threatening your child or an intimate partner or child of such partner? *— Select Choice —YesNo

Have you ever been convicted in any court of a misdemeanor crime of domestic violence? *— Select Choice —YesNo

Have you ever renounced your United States citizenship? *— Select Choice —YesNo

Are you an alien illegally or unlawfully in the United States? *— Select Choice —YesNo

Are you an alien who has been admitted to the United States under a nonimmigrant visa? *— Select Choice —YesNo

If “yes”, do you fall within any of the exceptions stated in the instructions? Attach the documentation to the application. *— Select Choice —YesNo

Signature

Clear Signature

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