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Ted by Federal or State law. The information you provide will be used to determine whether you are prohibited under law from receiving a firearm. Certain violations of the Gun Control Act, 18 U.S.C. 921 et. seq., are punishable by up to 10 years imprisonment and/or up to a $250,000 fine. Transferor's Transaction Serial Number (If any) Prepare in original only. All entries must be handwritten in ink. Read the Notices, Instructions, and Definitions on this form. PLEASE PRINT. Section.

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