3a. TRANSFEROR'S NAME ANO M AUING AOORESS <H the firaarm * raf nana, enter your trade name. EXECUTORS: Sea instruction 21.1

littered under

your mda

Submit with your application a check or money order for the appropriate amount made payable to I he Department of the Treasury. Upon approval of thi* application, thit office wit acquire, affla and cancel tha required "National Firearma Act" stamp for you. f$ae Instruction 61

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