41 Remington Magnum
41 Remington Magnum
41 Remington Magnum
1140-0011 (06/30/2016)
1.
2.
3c. If P.O. Box is Shown Above, Street Address Must Be Given Here
3e. Telephone Area Code and Number
3d. County
4.
a.
c.
Caliber or
Gauge
(Specify
one)
d.
Length
(Inches)
g.
h.
Yes
i.
Model
e. Of Barrel:
f. Overall:
Serial Number
State Why You Intend To Make Firearm (Use additional sheet if necessary)
No
6.
a.
b.
Class
Important: All individual applicants (including Federally Licensed Collectors) must complete the reverse side of this form and submit, in duplicate, FBI Form FD-258,
Fingerprint Card.
Under Penalties of Perjury, I Declare that I have examined this application, including accompanying documents, and to the best of my knowledge and belief it is
true, accurate and complete and the making and possession of the firearm described above would not constitute a violation of Chapter 44, Title 18, U.S.C., Chapter 53,
Title 26, U.S.C., or any provisions of State or local law.
7.
Signature of Applicant
8.
9.
Date
The space below is for the use of the Bureau of Alcohol, Tobacco, Firearms and Explosives
By authority of the Director, Bureau of Alcohol, Tobacco, Firearms and Explosives, this application has been examined and the applicants making and registration of
the firearm described above is:
Approved (With the following conditions, if any)
Date
(Printed name)
(Telephone Number)
(Date)
By (if delegated authority to sign for the chief law enforcement official):
(Signature)
(Printed name)
(Date)
(Telephone Number)
Makers Certification
A maker who is an individual must complete this Section.
11. Answer questions 11.a. through 11.j. Answer questions 13 through 16 if applicable. For any YES answer (other than for 11.i.), the applicant shall provide details
on a separate sheet. (See instructions 7c and definitions)
Yes
No 12. Photograph
a. Are you under indictment or information in any court for a felony, or any other crime, for which the judge
could imprison you for more than one year?
b. Have you ever been convicted in any court for a felony, or any other crime, for which the judge could
imprison you for than one year, even if you received a shorter sentence including probation?
c. Are you a fugitive from justice?
d. Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narcotic drug, or any
other controlled substance?
e. Have you ever been adjudicated mentally defective (which includes a determination by a court, board,
commission, or other lawful authority that you are a danger to yourself or others or are incompetent to
manage your own affairs) OR have you ever been committed to a mental institution?
f. Have you been discharged from the Armed Forces under dishonorable conditions?
Affix
Recent Photograph Here
(Approximately 2 x 2)
(See instruction 2e)
g. Are you subject to a court order restraining you from harassing, stalking, or threatening your child or an
intimate partner or child of such partner?
h. Have you ever been convicted in any court of a misdemeanor crime of domestic violence?
i. Are you a United States citizen?
j. Have you ever renounced your United States citizenship?
If you answered NO to question 11.i., please answer questions 13, 14, 15 and 16.
13. Answer questions 13.a. through 13.b., and 14 by checking or marking Yes or No or NA in the boxes to the right of the questions.
Yes
No
16. If you are not a Citizen of the United States, what is your U.S.-issued alien number or admission number?
CERTIFICATION: Under penalties imposed by 26 U.S.C. 5861, I certify that the statements contained in this Certification, and any attached documents in
support thereof, are true and correct to the best of my knowledge and belief.
Signature of Maker
Date
ATF Form 1 (5320.1)
Revised June 2014
Cashiers Check or
Money Order (Enclosed)
Visa
Mastercard
American
Express
Diners Club
Discover
Address:
Credit/Debit Card
Billing Address:
City:
State:
Zip Code:
Total Amount:
$
Date
Signature of Cardholder
Your credit/debit card will be charged the above stated amount upon receipt of your application. The charge will be reflected on your credit/debit card statement.
In the event your application is NOT approved, the above amount will be credited to the credit/debit card noted above.
Important Information for Currently Registered Firearms
If this registration document evidences the current registration of the firearm described on it, please note the following information.
Estate Procedures: For procedures regarding the transfer of firearms in an estate resulting from the death of the registrant identified in item 3, the executor should
contact the NFA Branch, Bureau of ATF, 244 Needy Road, Martinsburg, WV 25405.
Interstate Movement: If the firearm identified in item 4 is a machinegun, short-barreled rifle, short-barreled shotgun, or destructive device, the registrant may be
required by 18 U.S.C. 922(a)(4) to obtain permission from ATF prior to any transportation in interstate or foreign commerce.
Change of Description or Address: The registrant shall notify the NFA Branch, Bureau of Alcohol, Tobacco, Firearms and Explosives, 244 Needy Road, Martinsburg,
WV 25405, in writing, of any change to the description of the firearms in item 4, or any change to the address of the registrant.
Restrictions on Possession: Any restriction (see approval block on face of form) on the possession of the firearm identified in item 4 continues with the further
transfer of the firearm.
Persons Prohibited from Possessing Firearms: If the registrant becomes prohibited from possessing a firearm, please contact the NFA Branch for procedures on how
to dispose of the firearm.
Proof of Registration: A person possessing a firearm registered as required by the NFA shall retain proof of registration which shall be made available to an ATF
officer upon request.
Paperwork Reduction Act Notice
This form is in accordance with the Paperwork Reduction Act of 1995. The information you provide is used to establish that a transferees receipt and possession of the
firearm would be in conformance with Federal, State, and local law. The data is used as proof of lawful registration of a firearm to the manufacturer. The furnishing of
this information is mandatory (26 U.S.C. 5822).
The estimated average burden associated with this collection of information 1.69 hours per respondent or recordkeeper, depending on individual circumstances.
Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be addressed to Reports Management Officer, Information
Technology Coordination Staff, 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.
Privacy Act Information
1. Authority. Solicitation of this information is made pursuant to the National Firearms Act (26 U.S.C. 5821 and 5822). Disclosure of this information by the
applicant is mandatory for any person (other than a manufacturer qualified under the National Firearms Act) making a firearm as defined in the National Firearms
Act.
2. Purpose. To verify payment of the tax imposed by 26 U.S.C. 5821; to determine that the making would not be in violation of law; and to effect registration of the
firearm.
3. Routine Uses. The information will be used by ATF to make the determinations set forth in paragraph 2. In addition, to effect registration of the firearm,
information as to the identification of the firearm, date of registration, and the identification and address of person entitled to possess the firearm will be entered
into the National Firearms Registration and Transfer Record. No information obtained from a application, registration, or records required to be submitted by a
natural person in order to comply with any provision of the National Firearms Act or regulations issued thereunder, shall, except in connection with prosecution or
other action for furnishing false information, be used, directly or indirectly, as evidence against that person in any criminal proceedng with respect to a violation of
law occurring prior to or concurrently with the filing of the application. The information from this application may only be disclosed to Federal authorities for
purpose of prosecution for violation of the National Firearms Act.
4. Effects of not Supplying Information Requested. Failure to supply complete information will delay processing and may cause denial of the application.
ATF Form 1 (5320.1)
Revised June 2014
1.
2.
3c. If P.O. Box is Shown Above, Street Address Must Be Given Here
3e. Telephone Area Code and Number
3d. County
4.
a.
c.
Caliber or
Gauge
(Specify
one)
d.
Length
(Inches)
g.
h.
Yes
i.
Model
e. Of Barrel:
f. Overall:
Serial Number
State Why You Intend To Make Firearm (Use additional sheet if necessary)
No
6.
a.
b.
Class
Important: All individual applicants (including Federally Licensed Collectors) must complete the reverse side of this form and submit, in duplicate, FBI Form FD-258,
Fingerprint Card.
Under Penalties of Perjury, I Declare that I have examined this application, including accompanying documents, and to the best of my knowledge and belief it is
true, accurate and complete and the making and possession of the firearm described above would not constitute a violation of Chapter 44, Title 18, U.S.C., Chapter 53,
Title 26, U.S.C., or any provisions of State or local law.
7.
Signature of Applicant
8.
9.
Date
The space below is for the use of the Bureau of Alcohol, Tobacco, Firearms and Explosives
By authority of the Director, Bureau of Alcohol, Tobacco, Firearms and Explosives, this application has been examined and the applicants making and registration of
the firearm described above is:
Approved (With the following conditions, if any)
Date
(Printed name)
(Telephone Number)
(Date)
By (if delegated authority to sign for the chief law enforcement official):
(Signature)
(Printed name)
(Date)
(Telephone Number)
Makers Certification
A maker who is an individual must complete this Section.
11. Answer questions 11.a. through 11.j. Answer questions 13 through 16 if applicable. For any YES answer (other than for 11.i.), the applicant shall provide details
on a separate sheet. (See instructions 7c and definitions)
Yes
No 12. Photograph
a. Are you under indictment or information in any court for a felony, or any other crime, for which the judge
could imprison you for more than one year?
b. Have you ever been convicted in any court for a felony, or any other crime, for which the judge could
imprison you for than one year, even if you received a shorter sentence including probation?
c. Are you a fugitive from justice?
d. Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narcotic drug, or any
other controlled substance?
e. Have you ever been adjudicated mentally defective (which includes a determination by a court, board,
commission, or other lawful authority that you are a danger to yourself or others or are incompetent to
manage your own affairs) OR have you ever been committed to a mental institution?
f. Have you been discharged from the Armed Forces under dishonorable conditions?
Affix
Recent Photograph Here
(Approximately 2 x 2)
(See instruction 2e)
g. Are you subject to a court order restraining you from harassing, stalking, or threatening your child or an
intimate partner or child of such partner?
h. Have you ever been convicted in any court of a misdemeanor crime of domestic violence?
i. Are you a United States citizen?
j. Have you ever renounced your United States citizenship?
If you answered NO to question 11.i., please answer questions 13, 14, 15 and 16.
13. Answer questions 13.a. through 13.b., and 14 by checking or marking Yes or No or NA in the boxes to the right of the questions.
Yes
No
16. If you are not a Citizen of the United States, what is your U.S.-issued alien number or admission number?
CERTIFICATION: Under penalties imposed by 26 U.S.C. 5861, I certify that the statements contained in this Certification, and any attached documents in
support thereof, are true and correct to the best of my knowledge and belief.
Signature of Maker
Date
ATF Form 1 (5320.1)
Revised June 2014
Cashiers Check or
Money Order (Enclosed)
Visa
Mastercard
American
Express
Diners Club
Discover
Address:
Credit/Debit Card
Billing Address:
City:
State:
Zip Code:
Total Amount:
$
Date
Signature of Cardholder
Your credit/debit card will be charged the above stated amount upon receipt of your application. The charge will be reflected on your credit/debit card statement.
In the event your application is NOT approved, the above amount will be credited to the credit/debit card noted above.
Important Information for Currently Registered Firearms
If this registration document evidences the current registration of the firearm described on it, please note the following information.
Estate Procedures: For procedures regarding the transfer of firearms in an estate resulting from the death of the registrant identified in item 3, the executor should
contact the NFA Branch, Bureau of ATF, 244 Needy Road, Martinsburg, WV 25405.
Interstate Movement: If the firearm identified in item 4 is a machinegun, short-barreled rifle, short-barreled shotgun, or destructive device, the registrant may be
required by 18 U.S.C. 922(a)(4) to obtain permission from ATF prior to any transportation in interstate or foreign commerce.
Change of Description or Address: The registrant shall notify the NFA Branch, Bureau of Alcohol, Tobacco, Firearms and Explosives, 244 Needy Road, Martinsburg,
WV 25405, in writing, of any change to the description of the firearms in item 4, or any change to the address of the registrant.
Restrictions on Possession: Any restriction (see approval block on face of form) on the possession of the firearm identified in item 4 continues with the further
transfer of the firearm.
Persons Prohibited from Possessing Firearms: If the registrant becomes prohibited from possessing a firearm, please contact the NFA Branch for procedures on how
to dispose of the firearm.
Proof of Registration: A person possessing a firearm registered as required by the NFA shall retain proof of registration which shall be made available to an ATF
officer upon request.
Paperwork Reduction Act Notice
This form is in accordance with the Paperwork Reduction Act of 1995. The information you provide is used to establish that a transferees receipt and possession of the
firearm would be in conformance with Federal, State, and local law. The data is used as proof of lawful registration of a firearm to the manufacturer. The furnishing of
this information is mandatory (26 U.S.C. 5822).
The estimated average burden associated with this collection of information 1.69 hours per respondent or recordkeeper, depending on individual circumstances.
Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be addressed to Reports Management Officer, Information
Technology Coordination Staff, 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.
Privacy Act Information
1. Authority. Solicitation of this information is made pursuant to the National Firearms Act (26 U.S.C. 5821 and 5822). Disclosure of this information by the
applicant is mandatory for any person (other than a manufacturer qualified under the National Firearms Act) making a firearm as defined in the National Firearms
Act.
2. Purpose. To verify payment of the tax imposed by 26 U.S.C. 5821; to determine that the making would not be in violation of law; and to effect registration of the
firearm.
3. Routine Uses. The information will be used by ATF to make the determinations set forth in paragraph 2. In addition, to effect registration of the firearm,
information as to the identification of the firearm, date of registration, and the identification and address of person entitled to possess the firearm will be entered
into the National Firearms Registration and Transfer Record. No information obtained from a application, registration, or records required to be submitted by a
natural person in order to comply with any provision of the National Firearms Act or regulations issued thereunder, shall, except in connection with prosecution or
other action for furnishing false information, be used, directly or indirectly, as evidence against that person in any criminal proceedng with respect to a violation of
law occurring prior to or concurrently with the filing of the application. The information from this application may only be disclosed to Federal authorities for
purpose of prosecution for violation of the National Firearms Act.
4. Effects of not Supplying Information Requested. Failure to supply complete information will delay processing and may cause denial of the application.
ATF Form 1 (5320.1)
Revised June 2014
Definitions.
a. National Firearms Act (NFA). Title 26, United States Code, Chapter 53.
The implementing regulations are found in Title 27, Code of Federal
Regulations, Part 479.
b. Gun Control Act (GCA). Title 18, United States Code, Chapter 44.
The implementing regulations are found in Title 27, Code of Federal
Regulations, Part 478.
c. Firearm. The term firearm means: (1) a shotgun having a barrelor
barrels of less than 18 inches in length; (2) a weapon made from a
shotgun if such weapon as modified has an overall length of less than 26
inches or a barrel or barrels of less than 18 inches in length; (3) a rifle
having a barrel or barrels of less than 16 inches in length; (4) a weapon
made from a rifle if such weapon as modified has an overall length of less
than 26 inches or a barrel or barrels of less than 16 inches in length; (5)
any other weapon, as defined in 18 U.S.C. 5845(e); (6) a machinegun; (7)
a muffler or a silencer for any firearm whether or not such firearm is
included within this definition; and (8) a destructive device.
d. Person. A partnership, company, association, trust, corporation, an
estate, or an individual.
e. Employer Identification Number (EIN). Required of taxpayer filing
special (occupational) tax returns under 27 CFR 479.35.
f. Special (Occupational) Tax. Required by the NFA to be paid by a
Federal firearms licensee engaged in the business of manufacturing
(Class 2), importing (Class 1), or dealing (Class 3) in NFA firearms.
g. Federal Firearms License. A license issued under the provisions of
the GCA to manufacture, import or deal in firearms.
h. ATF Officer. An officer or employee of the Bureau of Alcohol,
Tobacco, Firearms and Explosives (ATF) authorized to perform any
function relating to the administration of the NFA.
i. Make. The term make, and the various derivatives of such word, shall
include manufacturing (other than by one qualified to engage in such
business under the NFA), putting together, altering, any combination of
these, or otherwise producing a firearm.
j. Misdemeanor Crime of Domestic Violence. A crime that is a misdemeanor under Federal or State law and has, as an element, the use or
attempted use of physical force, or the threatened use of a deadly weapon,
committed by a current or former spouse, parent, or guardian of the
victim, by a person with whom the victim shares a child in common, by a
person who is cohabiting with or has cohabited with the victim as a
spouse, parent, or guardian. The term includes all misdemeanors that
involve the use or attempted use of physical force (e.g., simple assault,
assault and battery),if the offense is committed by one of the defined
parties. The person is NOT considered to have been convicted of such
crime unless the person was represented by a lawyer or gave up the right
to a lawyer, and, if the person was entitled to a jury trial, was tried by a
jury or gave up the right to a jury trial.
k. Reactivation. The restoration of a registered unserviceable NFA firearm
to a functional condition. This action incurs the making tax liability.
l. Unserviceable Firearm. One which is incapable of discharging a shot
by means of an explosive and incapable of being readily restored to firing
condition. An acceptable method of rendering most firearms unserviceable is to fusion weld the chamber closed and fusion weld the barrel
solidly to the frame.
m. Maker. A person appyling to make an NFA firearm.
n. Prohibited Person. Generally, 18 U.S.C. 922 prohibits the shipment,
transportation, receipt, or possession in or affecting interstate commerce
of a firearm by one who: has been convicted of a misdemeanor crime of
domestic violence; has been convicted of a felony, or any other crime,
punishable by imprisonment for a term exceeding one year (this does not
include State misdemeanors punishable by imprisonment of two years or
Instructions (Continued)
physical safety of such intimate partner or child; or (ii) by its terms
explicitly prohibits the use, attempted use, or threatened use of physical
force against such intimate partner or child that would reasonably be
expected to cause bodily injury. An intimate partner of a person is: the
spouse or former spouse of the person, the parent of a child of the person,
or an individual who cohabitates or is cohabitating with the person.
t. Misdemeanor Crime of Domestic Violence. A Federal, State, local,
tribal offense that is a misdemeanor under Federal, State, or tribal law
and has, as an element, the use or attempted use of physical force, or the
threatened use of a deadly weapon, committed by a current or former
spouse, parent, or guardian of the victim, by a person with whom the
victim shares a child in common, by a person cohabitating with, or has
cohabited with the victim as a spouse, parent, or guardian, or by a person
similarly situated to a spouse, parent, or guardian of the victim. The term
includes all misdemeanors that have as an element the use or attempted
use of physical force or the threatened use of a deadly weapon (e.g.,
assault and battery), if the offense is committed by one of the defined
parties. (See Exception in the definition of Under Indictment or Information or Conviction in any Court). A person who has been convicted
of a misdemeanor crime of domestic violence also is not prohibited
unless: (1) the person was represented by a lawyer or gave up the right to
a lawyer; or (2) if the person was entitled to a jury, was tried by a jury, or
gave up the right to a jury trial. Persons subject to this exception should
mark no in the applicable box.
u. Alien Admitted to the United States Under a Nonimmigrant Visa. An
alien admitted to the United States under a nonimmigrant visa includes,
among others, persons visiting the United States temporarily for business
or pleasure, persons studying in the United States who maintain a
residence abroad, and certain temporary foreign workers. The definition
does not include permanent resident aliens nor does it apply to nonimmigrant aliens admitted to the United States pursuant to either the Visa
Waiver Program or to regulations otherwise exempting them from visa
requirements. An alien admitted to the United States under a nonimmigrant visa is not prohibited from purchasing, receiving, or possessing a
firearm if the alien: (1) is in possession of a hunting license or permit
lawfully issued by the Federal Government, a State, or local government,
or an Indian tribe federally recognized by the Bureau of Indian Affairs,
which is valid and unexpired; (2) was admitted to the United States for
lawful hunting or sporting purposes; (3) is an official representative of a
foreign government who is accredited to the United States Government or
the Governments mission to an international organization having its
headquarters in the United States; (4) is en route to or from another
country to which that alien is accredited; (5) is an official of a foreign
government or a distinguished foreign visitor who has been so designated by the Department of State; (6) is a foreign law enforcement
officer of a friendly foreign government entering the United States on
official law enforcement business; (7) has received a waiver from the
prohibition from the Attorney General of the United States.
2.
3.
4.
5.
6.
7.
8.
9.
Penalties. Any person who violates or fails to comply with any of the
requirements of the NFA shall, upon conviction, be fined not more than
$10,000 or be imprisoned for not more than 10 years, or both. Any firearm
involved in a violation of the NFA shall be subject to seizure and forfeiture.
It is unlawful for any person to make or cause the making of a false entry on
any application or record required by the NFA knowing such entry to be
false.
10. Compliance with the Gun Control Act. Persons must also comply with all
relevant portions of the GCA.
(6)
(7)
(8)
(9)