Form ATF F 3310.12 ATF F 3310.12 Report of Multiple Sale or Other Disposition of Certain

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

OMB No. 1140-0100

Report of Multiple Sale or Other Disposition
of Certain Rifles

(Please complete all information)
1. Date of Report

2a. Federal Firearms Licensee (FFL) Number

2b. Business or Trade Name and Address (If you have complete information available on a rubber stamp, please place information here.)

2c. Are any of the firearm(s) connected to another multiple sale? (If yes,
specify date)
Yes
No
Date
3. Rifles Sold or Otherwise Disposed of to the Same Unlicensed Person at One Time or During Any Five Consecutive Business Days
Serial Number
Manufacturer
Importer
Model
Caliber

Disposition Date

4. Transferee's Name (Last, first, middle)
5. Residence Address (Number, street, city, county, state, zip code)

6. Sex

8. Identification Number

7. Race
American Indian or Alaska Native

Asian

African American or Black

Hispanic or Latino
11. Date of Birth

9. Type of Identification

10. ID State

Native Hawaiian or Other Pacific Islander
White
Other (Specify)
12. Place of Birth (City, county, state, country)

13. If the buyer of the firearms listed in item 4 is a person authorized to act on behalf of a corporation, company, association, partnership or other such
business entity, you must record the following:
Name and Address of Business Entity

14. Additional Information Relating to the Transfer of the Firearms

15. Name of Employee Filling Out This Form

16. Date This Form Was Completed

When Fax is Available, Please Fax to 1-877-283-0288.

Select One

ATF E-Form 3310.12
Revised July 2011

Instructions
1. This form is to be used by licensees to report all transactions in which an unlicensed person acquired, at one time or during five consecutive business days, two or more
semi-automatic rifles larger than .22 caliber (including .223/5.56 caliber) with the ability to accept a detachable magazine. This form is not required when the rifles are
returned to the same person from whom they are received.
2. Item 2c - if this transaction includes additional weapon(s) connected to a previously submitted multiple sale, check "yes" and record the date of the previous multiple sale
form. (For example, a multiple sale for dispositions made to the same unlicensed person on a Monday and Friday of the same week must be submitted on Friday. If an
additional transaction is made to the same unlicensed person within five days from the Friday disposition, this disposition is connected to the previous multiple sale and
you must check "yes" and record the date of the Friday disposition.)
3. A separate form is to be submitted for each unlicensed person.
4. Licensees must complete items 1 through 12, 15 and 16 entirely. Items 13 and 14 must be completed, if applicable.
5. Business Entities - Information identifying the business entity must be recorded in item 13. If the buyer of the firearm(s) is a corporation, company, association, partnership
or other such business entity, the person authorized to receive the firearms on behalf of the business entity must be identified in items 4-12 of this form.
6. The report is to be submitted to:
a. Copy 1 - The National Tracing Center no later than the close of business on the day that the multiple sale or other disposition occurs. You can either fax the form to
877-283-0288, or mail it to U.S. Department of Justice, Bureau of Alcohol, Tobacco, Firearms and Explosives, National Tracing Center, P.O. Box 0279, Kearneysville,
WV 25430-0279.
b. Copy 2 - ATF recommends that a licensee retain a copy and attach it to the back of the Firearms Transaction Record, ATF Form 4473, covering the transfer of the
firearms.
7. Additional forms may be obtained through the ATF Distribution Center, 1519 Cabin Branch Drive, Landover, MD 20785, (301) 583-4696, or online at www.atf.gov.

Paperwork Reduction Act Notice
This request is in accordance with the Paperwork Reduction Act of 1995. The information collection documents certain sales or other dispositions of rifles for law enforcement
purposes. The information is used to determine if the buyer (transferee) is involved in a unlawful activity, or is a person prohibited by law from obtaining firearms. The
information requested is mandatory and required by statute (18 U.S.C. 923(g)(5)(A)).
The estimated average burden associated with this collection of information is 12 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 Section,
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 3310.12
Revised July 2011