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ATF Form 1

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ATF Form 1
ATF Form 1
1. Type of Application (check one)
a. Tax Paid. Submit with your application a
check or money order for $200 made payable
to the Department of the Justice. Upon
approval of the application, this office will
acquire, affix, and cancel the required
“National Firearms Act: stamp for you.
b. Tax Exempt because firearm is being made
on behalf of the United States, or any
department, independent establishment, or
agency thereof.
c. Tax Exempt because firearm is being made by
or on behalf of any State or possession of the
United States, or any political subdivison
thereof, or any official police organization of
such a government entity engaged in criminal
OMB No. 1140-0011 (10/31/2013)
To: National Firearms Act Branch, Bureau of Alcohol, Tobacco, Firearms and Explosives, 244 Needy Road, Suite 1250, Martinsburg, WV 25405
The undersigned hereby makes application, as required by Sections 5821 and 5822 of the National Firearms Act,
Title 26 U.S.C., Chapter 53, to make and register the firearm described below.
2. Application is made by:
Corporation or Other
Business Entity
3a. Trade Name (If any)
3b. Applicant’s Name and Mailing Address (Type or print below and between the dots)
3c. If P.O. Box is Shown Above, Street Address Must Be Given Here
3d. County
3e. Telephone Area Code and Number
4. Description of Firearm (complete items a through i)
d. Model
a. Name and Location of Original Manufacturer of
Firearm (Receiver) (If prototype, furnish plans and
specifications) (See Instruction 2i)
b. Type of Firearm to be made
(See instruction 1c)
c. Caliber,
Gauge or
g. Serial Number (See instruction 2i.)
h. Additional Description (Include all numbers and other identifying data which
will appear on the firearm)
i. State Why You Intend To Make Firearm (Use additional sheet if necessary)
5. Applicant’s Federal Firearms License (If any)
(Give complete 15-digit Number)
6. Special (Occupational) Tax Status (If applicable)
a. Employer Identification Number
Under Penalties of Perjury, I Declare that I have examined this application, including accompanying documents, and to the best of my knowledge and belief it is true,
accurate and complete and the making and possession of the firearm described above would not constitute a violation of Chapter 44, Title 18, U.S.C., Chapter 53, Title 26,
U.S.C., or any provisions of State or local law.
8. Name and Title of Authorized Official of Firm or Corporation (if
9. Date
ATF Form 1 (5320.1)
Revised September 2007
b. Class
Authorized ATF Official
The space below is for the use of the Bureau of Alcohol, Tobacco, Firearms and Explosives
By authority of the Director, Bureau of Alcohol, Tobacco, Firearms and Explosives, this application has been examined and the applicant’s making and registration of
the firearm described above is:
Approved (With the following conditions, if any) Disapproved (For the following reasons)
e. Of Barrel: f. Overall:
U.S. Department of Justice
Bureau of Alcohol, Tobacco, Firearms and Explosives
Application to Make and Register a Firearm
(Submit in duplicate. See Instructions attached.)
j. Is this firearm being reactivated
Yes No
(See Definition 1k)
Important: All individual applicants (including Federally Licensed Collectors) must complete the reverse side of this form and submit, in duplicate, FBI Form FD-258,
Fingerprint Card.
7. Signature of Applicant
ATF Form 1