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pdfOMB No. 1140-0015
U.S. Department of Justice
Bureau of Alcohol, Tobacco, Firearms and Explosives
ATF Control Number
(XX/XX/XXXX)
Application for Tax Exempt Transfer and
Registration of Firearm
National Firearms Act Branch
Bureau of Alcohol, Tobacco, Firearms and Explosives, Washington, DC 20226
1. Type of Transfer: Tax Exempt
2a. Transferee's Name and Address (Include trade name, if any) (See instruction 2)
I Believe That I am Entitled to Exemption From the Payment of the Transfer
Tax Imposed By Section 5811 (26
U.S.C. Chapter 53) on the Firearm
Described Herein for the Following
2b. County
Reason (See Instruction 2b):
SUBMIT in DUPLICATE to:
Firearm is Unserviceable and is
Being Transferred as a Curio or
Ornament
Firearm is Being Transferred to or from
a Government Entity
Firearm is Being Transferred to a
Lawful Heir
Other (Specify)
3a. Transferor's Name and Address (Include trade name, if any) (Executors: see instruction 2j)
3b. Transferor’s Telephone
Number and Area Code
3d. Number, Street, City, State and Zip
Code of Residence (or Firearms
Business Premises) If Different
from Item 3a.
3c. If Applicable: Decedent's Name, Address, and Date of Death
The above-named and undersigned transferor hereby makes application as required by Section 5812 of the National Firearms Act to transfer and register the
firearm described below to the transferee.
d. Model
4. Description of Firearm (Complete items a through i)
b. Type of Firearm
c. Caliber,
a. Name and Address of Manufacturer and/
(See instruction 1c)
Gauge
or Importer of Firearm
Length
e. Of Barrel:
f. Overall:
or Size
(Inches)
(Specify)
g.
h.
Additional Description or Data Appearing on Firearm (Attach additional i.
sheet if necessary)
5. Transferee's Federal Firearms License (If any)
(Give complete 15-digit number) (See instruction 2c)
First 6 digits
2 digits
2 digits
7. Transferor's Federal Firearms License (If any)
(Give complete 15-digit number) (See instruction 2c)
2 digits
2 digits
First 6 digits
5 digits
Is the Firearm Unserviceable as Defined in Instruction 1l?
Yes
No
(If "No," describe any other method by which
firearm has been rendered unserviceable. Use additional sheets.)
6. Transferee's Special (Occupational) Tax Status (If any)
a. Employer Identification
b. Class
Number
8.
a.
5 digits
Serial Number
Transferor's Special (Occupational) Tax Status (If any)
b. Class
Employer Identification
Number
Under Penalties of Perjury, I Declare that I have examined this application, and to the best of my knowledge and belief it is true, correct and complete, and that the
transfer of the described firearm to the transferee and receipt and possession of it by the transferee are not prohibited by the provisions of Chapter 44, Title 18, United States
Code; Chapter 53, Title 26, United States Code; or Title VII of the Omnibus Crime Control and Safe Streets Act, as amended; or any provisions of State or local law.
9. Consent to Disclosure of Information to Transferee (See instruction 8). I Do or Do Not (circle one) Authorize ATF to Provide Information Relating
to this Application to the Above-Named Transferee.
10. Signature of Transferor (Or authorized official)
11. Name and Title of Authorized Official
12. Date
(Print or type)
The Space Below is for the use of the Bureau of Alcohol, Tobacco, Firearms and Explosives
By Authority of The Director, This Application Has Been Examined, and the Transfer and Registration of the Firearm Described Herein and the
Interstate Movement of that Firearm, When Applicable, to the Transferee are:
Approved (With the following conditions, if any)
Signature of Authorized ATF Official
Disapproved (For the following reasons)
Date
ATF Form 5 (5320.5)
Revised ( )
Transferee Information
The following questions must be answered by any transferee who is not a Federal firearms licensee or government agency. The transferee shall give full details on a separate sheet
for all “YES” answers. (See instruction 2d)
13. Are You:
Yes No 14. Have You:
Yes No
a. Charged by information or under indictment in any court for a
a. Been convicted in any court of a crime for which the judge
crime punishable by imprisonment for a term exceeding one
could have imprisoned you for more than one year,
year?
even if the judge actually gave you a shorter sentence?
b. A fugitive from justice?
b. Been discharged from the armed forces under dishonorable
c. An alien who is illegally or unlawfully in the United States?
conditions?
d. Under 21 years of age?
c. Been adjudicated mentally defective or been committed
e. An unlawful user of or addicted to, marijuana, or any depresto a mental institution?
sant, stimulant, or narcotic drug, or any other controlled subd.
Renounced your United States citizenship?
stance?
e. Been convicted in any court of a misdemeanor crime of
f. Subject to a court order restraining you from harassing,
domestic violence? This includes any misdemeanor constalking or threatening an intimate partner or child of such
viction involving the use or attempted use of physical force
partner?
committed by a current or former spouse, parent, or guardian of the victim, or by a person with a similar relationship
with the victim.
16. Photograph
15. Transferee’s Certification (See instruction 2e)
I,
, have a reasonable necessity to
(Name of Transferee)
possess the machinegun, short-barreled rifle, short-barreled shotgun, or destructive device described on this
application for the following reason(s)
and my possession of the device or weapon would be consistent with public safety (18 U.S.C. 922(b) (4) and 27 CFR
178.98).
Affix
Recent Photograph Here
(Approximately 2" x 2")
(See instruction 2i.)
Under Penalties of Perjury, I declare that I have examined this application and the documents submitted in
support thereof, and to the best of my knowledge and belief it is true, correct and complete.
(Signature of Transferee)
(Date)
17. Law Enforcement Certification (See instruction 2f)
I certify that I am the chief law enforcement officer of the organization named below having jurisdiction in the area of residence of
. I have no information indicating that the transferee will use the firearm or device
(Name of Transferee)
described on this application for other than lawful purposes. I have no information that the receipt or possession of the firearm or device described in item 4
would be place the transferee in violation of State or local law.
(Signature and Title of Chief Law Enforcement Officer)
(Date)
(Organization and Street Address)
(County)
(Telephone Number)
Important Information for Currently Registered Firearms
If this registration document evidences the current registration of the firearm described on it, please note the following information.
Estate Procedures: For procedures regarding the transfer of firearms in an estate resulting from the death of the registrant identified in item 2a, the executor should contact
the NFA Branch, Bureau of Alcohol, Tobacco, Firearms and Explosives, Washington, DC 20226.
Change of Address: Unless currently licensed under the Gun Control Act, the registrant shall notify the NFA Branch, Bureau of Alcohol, Tobacco,Firearms and Explosives,
Washington, DC 20226, in writing, of any change to the address in Item 2a.
Change of Description: The registrant shall notify the NFA Branch, Bureau of Alcohol, Tobacco, Firearms and Explosives, Washington, DC 20226, in writing, of any change
to the description of the firearm(s) in Item 4.
Interstate Movement: If the firearm identified in item 4 is a machinegun, short-barreled rifle, short-barreled shotgun, or destructive device, the registrant may be required by
18 U.S.C. § 922(a)(4) to obtain permission from ATF prior to any transportation in interstate or foreign commerce.
Restrictions on Possession: Any restriction (see approval block on face of form) on the possession of the firearm identified in item 4 continues with the further transfer of
the firearm.
Persons Prohibited from Possessing Firearms: If the registrant becomes prohibited by 18 U.S.C. § 922 from possessing a firearm, the registrant shall notify the NFA
Branch, Bureau of Alcohol, Tobacco, Firearms and Explosives, Washington, DC 20226, in writing, immediately upon becoming prohi-bited for guidance on the disposal of the
firearm.
Proof of Registration: This approved application is the registrant’s proof of registration and it shall be made available to any ATF officer upon request.
ATF Form 5 (5320.5)
Revised (
)
Instructions
1.
Definitions
item 5. For example, if item 5 identifies a sole proprietor, item 6 cannot
identify a corporation. This also applies for the completion of items 7 and 8.
a. National Firearms Act (NFA). Title 26, United States Code, Chapter 53.
The implementing regulations are found in Title 27, Code of Federal
Regulations, Part 479.
d. Transferee Qualifications. If the transferee is an individual and not
licensed under the GCA, the questions in items 13 and 14 must be answered.
b. Gun Control Act (GCA). Title 18, United States Code, Chapter 44. The
implementing regulations are found in Title 27, Code of Federal Regulations,
Part 478.
e. Transferee Certification. Item 15 must be completed by the transferee if:
(1) the firearm to be transferred is a machinegun, short-barreled rifle, shortbarreled shotgun, or destructive device;
(2) the transferor is licensed under the GCA to deal in such device or firearm; and
(3) the transferee is not licensed under the GCA to deal in such device or
firearm.
c. Firearm. The term “firearm” means: (1) a shotgun having a barrel or
barrels of less than 18 inches in length; (2) a weapon made from a shotgun if
such weapon as modified has an overall length of less than 26 inches or a
barrel or barrels of less than 18 inches in length; (3) a rifle having a barrel or
barrels of less than 16 inches in length; (4) a weapon made from a rifle if
such weapon as modified has an overall length of less than 26 inches or a
barrel or barrels of less than 16 inches in length; (5) any other weapon as
defined in 18 U.S.C. § 5845(e); (6) a machinegun; (7) a muffler or silencer for
any firearm whether or not such firearm is included within this definition; and
(8) a destructive device.
f.
d. Person. The term “person” means a partnership, company, association,
trust, estate, or corporation, as well as a natural person.
e. Employer Identification Number (EIN). Required of taxpayer filing
special (occupational) tax returns under 27 CFR § 479.35.
f.
Special (Occupational) Tax. Required by the NFA to be paid by a Federal
firearms licensee engaged in the business of manufacturing (Class 2),
importing (Class 1), or dealing (Class 3) in NFA firearms.
g. Federal Firearms License. A license issued under the provisions of
the GCA to manufacture, import or deal in firearms.
g. Photographs and Fingerprints. An individual transferee, except if licensed
as a manufacturer, importer, or dealer under the GCA, must (1) attach to Item
16 of the ATF Form 5, a 2 inch x 2 inch photograph of the frontal view of the
transferee taken within 6 months prior to the date of the application and
(2) attach two properly completed FBI Forms FD-258 (Fingerprint Card with
blue lines) to the application. The fingerprints must be clear for accurate
classification and taken by someone properly equipped to take them.
h. ATF Officer. An officer or employee of the Bureau of Alcohol, Tobacco,
Firearms and Explosives (ATF) authorized to perform any function relating to
the administration of the NFA.
i.
Transfer. Selling, assigning, pledging, leasing, loaning, giving away, or
otherwise disposing of a firearm.
j.
Transferor. The registered owner of a firearm who is applying to transfer it.
h. Signatures. All signatures required on ATF Form 5 must be original in ink on
both copies.
k. Transferee. The person acquiring the firearm.
l.
Unserviceable Firearm. One which is incapable of discharging a shot by
means of an explosive and incapable of being readily restored to firing
condition. An acceptable method of rendering most firearms unserviceable is
to fusion weld the chamber closed and fusion weld the barrel solidly to the
frame.
m. Misdemeanor Crime of Domestic Violence. A crime that is a misdemeanor
under Federal or State law and has, as an element, the use or attempted use
of physical force, or the threatened use of a deadly weapon, committed by a
current or former spouse, parent, or guardian of the victim, by a person with
whom the victim shares a child in common, by a person who is cohabiting
with or has cohabited with the victim as a spouse, parent, or guardian. The
term includes all misdemeanors that involve the use or attempted use of
physical force (e.g., simple assault, assault and battery), if the offense is
committed by one of the defined parties. The person is NOT considered to
have been convicted of such crime unless the person was represented by a
lawyer or gave up the right to a lawyer, and, if the person was entitled to a
jury trial, was tried by a jury or gave up the right to a jury trial.
2.
Photocopies, Computer Generated Versions, or Downloaded Version from
ATF Website. The ATF Form 5 may be photocopied, computer-generated (as
long as it is in the same format and contains all required information), or
downloaded from the ATF website (www.atf.gov). Please note the instructions
on the website.
j.
Estates. If the firearm is being transferred from an estate, item 3a shall
reflect: the executor’s name, title (executor (or executrix, administrator,
administratrix) of the estate of (name)), and the executor’s address. Item 3b
shall reflect the address of the decedent and the date of death. (see the
ATF Internet website at www.atf.gov for additional information about
transfers from estates.)
l.
a. Authority. As provided by 26 U.S.C. §§§ 5812 and 5852, and 5853 any
person seeking to transfer a firearm exempt from payment of tax must complete, in duplicate, an application on this form for each firearm. The
transferor must furnish all the information called for on this application form.
Submission by Facsimile Transmission. ATF Form 5 may also be submitted
(in situations where the application is not accompanied by fingerprints
and photographs) for approval by facsimile transmission ((202) 927-8601)
provided that the transferor has filed an affidavit with the NFA Branch as provided by ATF Industry Circular 89-6.
m. Serial Numbers. When more than one firearm of the same description is
being transferred and the serial numbers are in a consecutive series, the
transferor may enter the beginning and ending numbers of the range in item
3g. If more than one firearm of the same description is being transferred, but
the serial numbers are non-consecutive, the transferor may note item 3g to
“see attached list of xxx serial numbers.” Any attachment must be
referenced to ATF Form 5.
b. Exemptions from Transfer Tax. A registered firearm may be transferred
without payment of the transfer tax if:
c. Federal Firearms Licensees. If the transferor or transferee is licensed
under the GCA, the name, trade name (if any), and address shall be
identified on the ATF Form 5 as they appear on the license. If item 6 is
completed, the entity identified must be the same as the entity identified in
i.
k. Submission. All requested informtion must be entered in blue or black ink
and must be legible. Send both copies of the ATF Form 5 and attachments to
the address located in the upper right hand corner on the face side of the ATF
Form 5. The return of the application or sending it to any other address will
only delay the processing.
Preparation of Application
(1) it is unserviceable; (See instruction 1l)
(2) it is being transferred to or from the United States, or any department,
independent establishment or agency thereof;
(3) it is being transferred to or from any State or possession of the United
States or any political subdivision thereof, or any official police organization of such government entity; or
(4) it is being transferred to a beneficiary of an estate.
Law Enforcement Certification. Item 17 must be completed for an
individual transferee, unless the transferee is licensed as a manufacturer,
importer, or dealer under the GCA and is a special (occupational) taxpayer
under the NFA at the time of the submission of the application for transfer.
The certificate must be dated no more than one year prior to the date of
receipt of the application. The chief law enforcement officer is considered to
be the Chief of Police for the transferee's city or town of residence; the
Sheriff for the transferee's county of residence; the Head of the State Police
for the transferee's State of residence; a State or local district attorney or
prosecutor having jurisdiction in the transferee's area of residence; or
another person whose certification is acceptable to the Director, Bureau of
Alcohol, Tobacco, Fireearms and Explosives. If someone has specific
delegated authority to sign on behalf of the Chief of Police, Sheriff, etc., this
fact must be noted by printing the Chief's, Sheriff's, or other authorized
official's name and title, followed by the word "by" and the full signature and
title of the delegated person.
n. State or Local Permit. If a State or local permit or license is required
for the transferee prior to acquisition of the firearm, a copy of the permit must
be included with the application.
3.
Approval of Application. Upon approval of an application, the NFA Branch will
return the approved copy to the transferor for delivery with the firearm to the
transferee. Since the approval of the application effectuates registration of
the firearm to the transferee, the physical transfer of the firearm must be
ATF Form 5 (5320.5)
Revised (
)
completed immediately; however, the transferor must not transfer the firearm until
the application has been approved and received. If the physical transfer of the
firearm cannot be completed immediately, the transferor must contact the NFA
Branch with the specifics.
(8) who is subject to a court order that—
(A)
(B)
4.
Withdrawal of Application. The transferor may withdraw an application prior to
approval subsequent to a written request.
5.
Cancellation of Approved Application. The transferor may cancel an approved
application only if the physical transfer of the firearm has not been completed.
The transferor must return the approved application with a written request for
cancellation, citing the need and that the physical transfer of the firearm did not
take place.
6.
7.
(C)
DIsapproval of Application. If the application is disapproved, the NFA Branch
will note the reason for disapproval on the application and return one copy of the
ATF Form 5 to the transferor.
(9) who has been convicted in any court of a crime of domestic violence; to
ship or transport in interstate or foreign commerce, or possess in or
affecting commerce, any firearm or ammunition; or to receive any firearm
or ammunition which has been shipped or tranported in interstate or
foreign commerce.
Reasons for Disapproval. 26 U.S.C. § 5812 provides that applications shall be
denied if the transfer, receipt, or possession of the firearm would place the
transferee in violation of law.
8.
Status Inquiries and Questions. Information relating to the NFA and other
firearms laws is available at the ATF Internet website at www.atf.gov. Any
inquiry relating to the status of an application to transfer an NFA firearm or
about procedures in general should be directed to the NFA Branch at (202)
927-8330. Please be aware that any dissemination by ATF of information relating
to the application to register an NFA firearm must conform with the restrictions in
26 U.S.C. § 6103. The opportunity provided in item 8 to authorize ATF to disclose
information is intended to enable ATF to respond to inquiries by the transferee
regarding the application. The failure to complete item 8 will be considered a
declination of authorization to release the information.
9.
Penalties. Any person who violates or fails to comply with any of the requirements of the NFA shall, upon conviction, be fined not more than $10,000 or be
imprisoned for not more than 10 years, or both. Any firearm involved in a
violation of the NFA shall be subject to seizure and forfeiture. It is unlawful for
any person to make or cause the making of a false entry on any application or
record required by the NFA knowing such entry to be false.
a. State or Local Law. If State or local law prohibits the receipt or possession
of the firearm being transferred, the application will be disapproved.
b. Persons Prohibited from Receiving a Firearm. The application will be
disapproved if the transferee is a person prohibited from receiving a firearm
by 18 U.S.C. § 922(g), which provides that it shall be unlawful for any
person—
(1) who has been convicted in any court of a crime punishable by imprisonment for a term exceeding one year;
(2) who is a fugitive from justice;
(3) who is an unlawful user of or addicted to any controlled substance;
(4) who has been adjudicated as a mental defective or who has been committed to a mental institution;
(5) who, being an alien, is illegally or unlawfully in the United States or
except as provided in 18 U.S.C. 922(y)(2), has been admitted to the
United States under a non-immigrant visa (as that term is defined in
8 U.S.C. 1101(a)(26)) ;
(6) who has been discharged from the Armed Forces under dishonorable
conditions;
(7) who, having been a citizen of the United States, has renounced his
citizenship;
was issued after a hearing of which such person received actual
notice, and at which such person had an opportunity to participate;
restrains such person from harassing, stalking, or threatening an
intimate partner of such person or child of such intimate partner or
person, or engaging in other conduct that would place an intimate
partner in reasonable fear of bodily injury to the partner or child;
and
(I) includes a finding that such person represents a credible threat
to the physical safety of such intimate partner or child; or (II) by its
terms explicitly prohibits the use, attempted use, or threatened use
of physical force against such intimate partner or child that would
reasonably be expected to cause bodily injury, or
10. Compliance with the Gun Control Act. All provisions of the GCA must
also be complied with, including the recordkeeping requirements for licensees
and the retention of ATF F 4473 (5300.9) by licensees for dispositions to nonlicensees.
Paperwork Reduction Act Notice
This form meets the clearance requirements of the Paperwork Reduction Act of 1995. The information you provide is used to apply the tax-exempt transfer of an unserviceable firearm to anyone other than a Federal firearms licensee who has paid the required special (Occupational) tax to deal in NFA firearms. The data is used to ensure legality
of transfer under Federal, State and local law. The furnishing of this information is mandatory (26 USC § 5812).
The estimated average burden associated with this collection of information is 4 hours per respondent or recordkeeper, depending on individual circumstances. Comments
concerning the accuracy of this burden estimate and suggestion for reducing this burden should be addressed to Reports Management Officer, Document Services Branch,
Bureau of Alcohol, Tobacco, Firearms and Explosives, Washington, D.C. 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.
Privacy Act Information
The following information is provided pursuant to Section 3 of the Privacy Act of 1974 (5 U.S.C. § 552(e)(3)):
1. Authority. Solicitation of this information is made pursuant to the National Firearms Act (26 U.S.C. § 5812). Disclosure or this information by the applicant is mandatory
for any transfer without payment of transfer tax as provided in 26 U.S.C. § 5852.
2. Purpose. To verify that the proposed transfer is exempt from transfer tax; to verify that the transfer would not be in violation of law; and to effect registration of the
firearm.
3. Routine Uses. The information will be used by ATF to make the determinations set forth in paragraph 2. In addition, to effect registration of the firearm, information as to
the identification of the firearm, date of registration, and the identification and address of person entitled to possess the firearm will be entered into the National Firearms
Registration and Transfer Record. No information obtained from an application, registration, or records required to be submitted by a natural person in order to comply with
any provision of the National Firearms Act or regulation issued thereunder, shall, except in connection with prosecution or other action for furnishing information, be used,
directly or indirectly, as evidence against that person in any criminal proceeding with respect to a violation of law occurring prior to or concurrently with the filing of the
application. The information from this application may only be disclosed to Federal authorities for purposes of prosecution for violation of the National Firearms Act.
4. Effects of not Supplying Information Requested. Failure to supply complete information will delay processing and may cause denial of the application.
ATF Form 5 (5320.5)
Revised (
)
File Type | application/pdf |
File Title | F5(53205)8-2001 |
Subject | F5(53205)8-2001 |
Author | rmbutler |
File Modified | 2004-06-03 |
File Created | 2004-06-03 |