Welcome to Scribd, the world's digital library. Read, publish, and share books and documents. See more
Download
Standard view
Full view
of .
Look up keyword
Like this
2Activity
0 of .
Results for:
No results containing your search query
P. 1
PPB-11-1

PPB-11-1

Ratings: (0)|Views: 636 |Likes:
Published by Jon Campbell
PPB
PPB

More info:

Published by: Jon Campbell on Apr 15, 2013
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as PDF, TXT or read online from Scribd
See more
See less

04/15/2013

pdf

text

original

 
PPB-11 (02/13)
 NEW YORK STATE POLICE
 ASSAULT WEAPON(S) REGISTRATION 
INSTRUCTIONS
:
x
Print or type in black ink only.
x
Mail your completed application to the address listed on the back.
APPLICANT’S INFORMATION:
 Last NameFirst NameMIDate of Birth
 MM/DD/YYYY)Gender Social Security Number (Last 4 Digits)
 XXX 
-
 XX 
- NY Driver’s License (or NY Non-DriverID) NumberEmail Address
 Mailing Address(and physical address if different)
County of Residence
ASSAULT WEAPON INFORMATION:
MANUFACTURERMODELCALIBERSERIAL NUMBERANTIQUE
YES NOYES NOYES NOYES NO
ANTIQUE HIGH CAPACITY MAGAZINE:
MANUFACTUREROF ASSOCIATED WEAPONMODELCALIBERCAPACITY
I hereby affirm that I am not prohibited from possessing a firearm under state or federal law. False statements made herein are punishable as a class A misdemeanor.Date:
(Applicant Signature)

You're Reading a Free Preview

Download
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->