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INSTRUCTIONS Print or Type in black ink only PPB-6 REV. 03/11 NYSID NUMBER ORIGINAL APPLICATION STATE OF NEW YORK LICENSE MONTH DATE OF ISSUE DAY APPLICATION FOR LICENSE AS GUNSMITH DEALER IN FIREARMS YEAR LAST NAME RENEWAL COUNTY OF ISSUE CODE EXPIRATION DATE FIRST NAME MI SEX DATE OF BIRTH RESIDENCE ADDRESS HGT ins WGT lbs CITY/VILLAGE/TOWN AND STATE IF OTHER THAN NEW YORK EYES HAIR RACE SOCIAL SECURITY NUMBER ZIP CODE PRESENT OCCUPATION CITIZE.
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