Form 4
updated april 5, 2007
Have you ever wanted to save the form data? Enter the data below, click submit, and you'll be presented with a completed Form 4 with your personal data.  You can then save the form to your hard drive.

Enter the transferee's name & address exactly as you would like it to appear on the form (up to four lines of text):




Enter the transferor's name & address exactly as you would like it to appear on the form (up to four lines of text):




Enter the transferee's county:

Enter the transferor's phone number:

Enter the decedent's name, address, and date of death (up to two lines of text if applicable - leave blank otherwise):

Enter the name & address of the manufacturer and/or importer of firearm (up to three lines of text):



Select the type of firearm:

Enter the caliber:
Enter the model:
Enter the barrel length:
Enter the overall length:
Enter the serial number:
Enter additional description or data appearing on the firearm (up to two lines of text if applicable - leave blank otherwise):

Enter transferee's FFL, EIN, and SOT Class (leave blank if non applicable):
Enter transferor's FFL, EIN, and SOT Class (leave blank if non applicable):

Name and title of authorized offical (signature block for transferor) (up to two lines of text):

Enter date (if desired, mm/dd/yy):

Enter name of transferee for transferee's certification on page 2:

Enter the reasonable necessity for possession on page 2:

Enter the title of the CLEO:

Enter the CLEO organization name and address:

Enter the county of the CLEO:

Enter the phone number of the CLEO:

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