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pdfU.S. Department of Justice
Bureau of Alcohol, Tobacco, Firearms and Explosives
OMB No. 1140-0040 (xx/xx/xxxx)
Application for an Amended Federal
Firearms License
All entries must be in ink. Please read attached instructions carefully before completing this form.
Section I
1. Name of Owner or Corporation (If Partnership, include name of each partner) 2. Social Security Number
3. Date of Birth
4. Trade or Business Name (If any)
5. Federal Firearms License Number (Include expiration date)
6a. Current Business Address (number and street)
7a. New Business Address (number and street)
6b. City
6c. County
7b. City
7c. County
6d. State
6e. ZIP Code
7d. State
7e. ZIP Code
8a. Current Mailing Address (number and street)
9a. New Mailing Address (number and street)
8b. City
8c. County
9b. City
9c. County
8d. State
8e. ZIP Code
9d. State
9e. ZIP Code
10a. Current Home Address (number and street)
11a. New Home Address (number and street)
10b. City
10c. County
11b. City
11c. County
10d. State
10e. ZIP Code
11d. State
11e. ZIP Code
12. Present Telephone Number (With area code)
13. New Telephone Number (With area code)
Business
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
Open
17. Are the Licensee's Business Premises
Open to the General Public During These
Hours?
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 E-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 24. Is a License, Permit, or Payment of Occupational or Business Tax
on the New Premises?
Required Under State or Local Law to Engage in a Firearms Business
From the Premises? If So, Provide Copies.
Yes
No
Yes
No
25. Sign Here
Title
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 (November 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
244 Needy Road
Martinsburg, WV 25405
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. Identified with your name and address at the top of each page.
b. 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, 244 Needy Road, Martinsburg, WV
25405, toll free 1-866-662-2750, fax 1-866-257-2749.
Definition
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, 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 E-Form 5300.38
Revised October 2004
File Type | application/pdf |
File Title | Standard Formats |
File Modified | 2010-11-18 |
File Created | 2008-06-27 |