Application To Make Ano Register A Firearm

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TO National F.rearmt Act Branch. Bureau of Alcohol. Tobacco and Firearm*. Washington, OC 20728

The unoertigned hereby make» «plication. at required Firearm* Act, Title 26 US.C. Chapter 53. »makeam

by Section* SS21 and 5822 ol the National regitter the firearm described below.

□ iNOIVIOUAL

□ BUSINESS FIRM □GOVERNMENT ENTITY

TRAOE NAME Ufa»,-,

3a. APPLICANT'S NAME ANO MAILING AOORESS <Tx*

Oe*AHTVȣ*T OF THE TREASURY - SuRCAU 0* ALCOHOL. TOBACCO ANO FIREARMS

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