US Firearms & Tactical Supply

LLC
Phone: 941-932-0115 Fax: 941-567-5247

Licensee Information
Business Name:___________________________________________________
Address:_________________________________________________
City:_____________________________ State: _____ Zip: _________________
Phone: (______)______-____________ Is FFL Attached? Yes / No

Buyer Information Customer's

Name:_________________________________________________
Address:_______________________________________________
City:_____________________________ State: _____ Zip: _________________
Phone: (______)______-____________

Product Number Manufacturer Model/Type Caliber Accessories

Product Number Manufacturer Model/Type Caliber Accessories

By signing below, I agree that all the information provided is correct.
Customer is aware that a 35% restocking fee will be incurred on any returned
firearm. A 25% restocking fee will be assessed on any order cancellations as
well. All returns and/or exchanges must have prior approval. All returns must
be in original condition. All or any freight charges involved in the return are
the sole responsibility of the customer.

Purchaser's Signature: ______________________________________

Date: ______________________

NOTE: The dealer must provide a file copy of their FFL with this FFL Transfer &
Confirmation Form before we can transfer any firearm.