Form ATF F 5300.38 ATF F 5300.38 Application for an Amended Federal Firearms License

Application for An Amended Federal Firearms License

F530038

Application for an Amended Federal Firearms License

OMB: 1140-0040

Document [pdf]
Download: pdf | pdf
OMB No. 1140-0040 (09/30/2007)

U.S. Department of Justice
Bureau of Alcohol, Tobacco, Firearms and Explosives

1.

Application for an Amended Federal
Firearms License

All entries must be in ink. Please read attached instructions carefully before completing this form.
Section I
2. Social Security Number
3.
Name of Owner or Corporation (If partnership, include name of each partner)

Date of Birth

4. Trade or Business Name (If any)

5. Federal Firearms License Number (Include expiration date)

6. Current Business Address (Include county)

7. New Business Address (Include county)

8. Current Mailing Address

9. New Mailing Address

10. Current Home Address

11. New Home Address

12. Present Telephone Number (With area code)
Business

13. New Telephone Number (With area code)
Business

Residence

Residence

If Business Is Obtained From Someone Else, Give:
14. Name

Time

15. License Number

16. Hours of Operation of Licensee's Business (Not Applicable for Collectors)
Sunday
Monday
Tuesday Wednesday Thursday
Friday
Saturday

17. Are the Licensee's Business Premises
Open to the General Public During These
Hours?

Open
Yes

No

Close
18. Will Any Other Business, Other Than That for Which the License
Was Issued, Be Conducted on the New Premises?
Yes

No

19. Licensee's New Premises Are

Owned

Leased

Rented

20. If the New Premises Are Rented or Leased, Please Specify the Date the Lease or Rental Agreement Begins, the Date the Agreement Terminates, the Term of the Lease or Rental, and the Name, Address and Telephone Number of the Owner of the Property, Attach a Copy of the
Lease or Rental Agreement to This Application.

ATF Form 5300.38
Revised October 2004

21. Indicate Type of Business Premises at the New Location:
Commercial

Residential

Storefront

Single/Family Dwelling

Office

Condominium

Rod & Gun Club

Apartment

Military Base

Hotel/Motel

Other (Specify)

Public Housing
Other (Specify)

If the New Premises Are Located on a Military Installation, Attach a Written Authorization From the Base Commander to Conduct the Firearms
Business on the Military Installation.

22. If the New Premises Are Owned By the Applicant, Are There Any Restrictions or Covenants Which Prohibit the Owner From Operating a
Business on the Premises? If Yes, on a Separate Sheet, Describe Such Restrictions or Covenants.
Yes

No

23. Do Any Zoning Ordinances Prohibit the Conduct of a Firearms
Business on the New Premises?
Yes

24. Is a License, Permit, or Payment of Occupational or Business Tax
Required Under State or Local Law to Engage in a Firearms Business From the Premises? If So, Provide Copies.

No
Yes

25. Sign Here

Title

No
Date

Section II - Certification of Compliance With State and Local Law
As Required By 18 U.S.C. 923(d)(1), I Certify That:
1. The business to be conducted under the Federal firearms license is not prohibited by State or local law at the premises indicated in question 5.
2. Within 30 days after the application is approved the business to be conducted at the location indicated in question 5 will comply with the
requirements of State and local law applicable to the conduct of business.
3. Business will not be conducted under the amended license until the requirements of State and local law applicable to the business have been
met.
4. Notification of this application has been provided to the chief law enforcement officer of the locality in which the premises indicated in question 5
are located by mailing copy 2 of this form to such officer.
26. Certification: Under the Penalties Imposed By 18 U.S.C. 924, I Declare That I Have Examined This Application and the Documents
Submitted in Support Hereof, and to the Best of My Knowledge and Belief, They are True, Correct and Complete.
Sign Here

Date

ATF Form 5300.38
Revised October 2004

Instruction Sheet for ATF Form 5300.38 (Detach this sheet before submitting your application)
All Applications are to be Submitted to:
ATF Federal Firearms Licensing Center
2600 Century Parkway NE
Atlanta, Georgia 30345
Section 923(d)(1), Title 18, U.S.C., provides the requirements for obtaining a Federal firearms license (FFL). These provisions require applicants for an
FFL to certify that the firearms business or activity will be conducted in compliance with State and local law.
The purpose of this application is to require a licensee who moves the licensed premises to a different location during the term of an existing license to
certify that the firearms business or activity at the new location will be conducted in compliance with State and local law. The application also
requires applicants for an amended license to notify the Chief, Law Enforcement Officer (CLEO) in the locality where the new premises are located
of the intent to apply for an amended license, as required by section 923 (d)(1)(F)(iii).
1.

Notification of the new location of the business or activity must be given not less than 30 days prior to such removal.

2.

Each licensee submitting the ATF Form 5300.38, Application for an Amended Federal Firearms License must provide notification of the intent
to apply for an amended FFL to the CLEO in the locality where the new premises are located by mailing or delivering copy 2 of this application
to such CLEO.

3.

Submit copy 1 of ATF Form 5300.38 to the Chief, Federal Firearms Licensing Center, Bureau of Alcohol, Tobacco, Firearms and Explosives at the
address listed above. Mail or deliver copy 2 to the CLEO.

4.

PRINT with ball-point pen or type (except for signature at end). All attached sheets must be:
a.
b.

Identified with your name and address at the top of each page.
Referenced by the question number being responded to.

5.

The certification in Section I, Item 2 and Section II, Item 6 must be executed (signed) by the owner, a partner, or in the case of a corporation,
association, etc., by an officer duly authorized to sign for the licensee.

6.

IF YOU HAVE QUESTIONS relating to this application, please contact the ATF Federal Firearms Licensing Center, 2600 Century Parkway NE,
Atlanta, GA 30345, 404-417-2750 or toll free 1-866-662-2750, fax 1-866-257-2749.
Definitions
The term "Chief Law Enforcement Officer" means the Chief of Police, the Sheriff, or an equivalent officer.
Privacy Act Information

The following information is provided pursuant to Section 3 of the Privacy Act of 1974 (5 U.S.C. § 552a(e)(3)):
1.

Authority. Solicitation of this information is authorized pursuant to 18 U.S. C § 923(a) of the Gun Control Act of 1968. Disclosure of this
information is mandatory if the applicant wishes to obtain a Federal firearms license.

2.

Purpose. To determine the eligibility of the applicant to obtain a firearms license, to determine the ownership of the business, the type of
firearms or ammunition to be dealt in, the business hours, the business history and the identity of the responsible person in the business.

3.

Routine Uses. The information will be used by ATF to make determinations set forth in paragraph 2. In addition, information may be disclosed
to other Federal, State, foreign and local law enforcement and regulatory agency personnel to verify information on the applicaiton and to aid in
the performance of their duties with respect to the enforcement and regulation of firearms and/or ammunition where such disclosure is not
prohibited by law. The information may further be disclosed to the Justice Department if it appears that the furnishing of false information may
constitute a violation of Federal law. Finally, the information may be disclosed to members of the public in order to verify the information on the
application when such disclosure is not prohibited by law.

4.

Effects of Not Supplying Information Requested. Failure to supply complete information will delay processing and may result in denial of
the application.

5.

Disclosure of Social Security Number. Disclosure of the individual's social security number is voluntary. Under 18 U.S.C. § 923(a), ATF
has the authority to solicit this information. The number may be used to verify the individual's identity.
Paperwork Reduction Act

The information required by this form is in accordance with the Paperwork Reduction Act of 1995. The purpose of the information is to certify whether the
operations will be in conformity with Federal, State and local law. The information is subject to inspection by ATF officers. The information requested is
mandatory by statute (18 U.S.C. 923).
The estimated average burden associated with this collection is 1 hour and 15 minutes per respondent or recordkeeper, depending on individual circumstances. Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be directed to Reports Management Officer, Document Services Branch, Bureau of Alcohol, Tobacco, Firearms and Explosives, Washington, DC 20226.
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB
control number.
ATF Form 5300.38
Revised October 2004

Marginals For ATF Form 5300.38:
Copy 1
Copy 2


File Typeapplication/pdf
File TitleF530038(10-96)
SubjectF530038(10-96)
Authorrmbutler
File Modified2007-09-07
File Created2007-09-05

© 2024 OMB.report | Privacy Policy