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Get PA SP 4-134 2003

AN: FROM TO A BUSINESS NAME LICENSEE/DEALER OR SHERIFF NAME BUSINESS ADDRESS CITY BUSINESS TELEPHONE NO. B STATE FEDERAL FIREARMS LICENSE NO. ZIP CODE LICENSEE/DEALER OR SHERIFF NUMBER TYPE OF TRANSACTION TOTAL NO. FEES AMOUNT DUE NONTAXABLE HANDGUN NONE NONE NONTAXABLE LONG GUN NONE NONE X $3.00 = SURCHARGE X $3.00 = SURCHARGE X $2.00 = PICS FEE X $2.00 = PICS FEE TAXABLE LONG GUN (SURCHARGE FEE) TAXABLE HANDGUN (SURCHARGE FEE) PICS BACKGROUND CHECKS -APPROVED (PICS FEE).

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