NEW YOrthrthRK FIREARM (GUN) BILL OF SALE
1.) SELLEbvnbnR INFORMATION:
Name: _________________________
Mailing Addresgfhgfvs: _________________________ City:
_________________________
State: _________________________ Zip: _________________________
Driver’s License Number: _________________________
2.) BUYERnvvn INFORbnvnvMATION:
Name: _________________________
Mailing Address: _________________________ City: _________________________
State: _________________________ Zip: _________________________
Driver’s License Number: _________________________
3.) FIREARM INFORMATION:
Manufacturer: _________________________ Model: _________________________
Caliber: _________________________ Serial Number: _________________________
4.) SALE INFORMATION:
The seller listed above agrees to transfer ownership of his or her firearm for the sum of
_________________________ dollars ($____________) to the aforementioned buyer
on this date of _________________________, 20____.
☐ - Check the following box if the seller is accepting a trade for the firearm and
describe the details of the arrangement into the space provided:
_______________________________________________________________
_______________________________________________________________
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5.) DISCLOSURE FOR SELLER:
THE SELLER AGREES THAT THE STATEMENTS LISTED BELOW ARE TRUE AND
DECLARE THAT THEY:
Have confirmed that all the information that has been provided concerning the
firearm is accurate including a readable serial number;
Are indeed the rightful owner of the firearm listed above and legally reserve the
option to sell or trade the firearm;
Are unaware of any deficiencies contained within the firearm;
Believe that the firearm is capable of being utilized for its intended function;
Have never used the firearm in an illegal fashion;
Relinquish all liability of the firearm once the transaction has been completed;
Seller’s Signature: _________________________
6.) DISCLOSURE FOR BUYER:
THE BUYER AGREES THAT THE STATEMENTS LISTED BELOW ARE TRUE AND
DECLARE THAT THEY:
Are of legal age to purchase and own a firearm;
Have not been charged and convicted of a crime resulting in a sentence of more
than 1 year in prison;
Are not an individual who is currently indicted of a serious crime that is
punishable by a term in excess of 1 year in federal or state prison;
Are not involved in any legal issues regarding a court mandated restraining order
for stalking, harassment, or domestic/sexual abuse;
Have not been charged and convicted of a misdemeanor crime involving
domestic violence;
Are not a fugitive of the law;
Are not addicted to or partake in any illegal narcotics;
Have not been formally pronounced mentally unsound and/or committed to a
mental facility;
Are not an illegal or unlawful immigrant who is residing within the United States
or a foreign visitor containing a nonimmigrant visa;
Are, in fact, a United States citizen and have never relinquished their citizenship;
Have not been dishonorably discharged from any of the U.S. military branches;
Can obtain, own, ship, and transfer a firearm in accordance with the law;
Buyer’s Signature: _________________________
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7.) SIGNATURES:
On this ____ day of _________________________, 20____, the buyer and seller
acknowledge and agree to the terms and conditions written above for the transaction
taking place.
SELLER:
Signature: ________________________ Printed Name: ________________________
BUYER:
Signature: ________________________ Printed Name: ________________________
WITNESS #1:
Signature: ________________________ Printed Name: ________________________
WITNESS #2:
Signature: ________________________ Printed Name: ________________________
ACKNOWLEDGMENT OF NOTARY PUBLIC
State of _________________________
_________________________County, ss.
On this ____ day of _________________________, 20____,
_________________________ appeared before me as the Seller recorded on this bill
of sale and provided a government issued form of photo identification. In my presence,
the above-mentioned individual fulfilled the agreement and acknowledged that they
executed the same as their free act and deed.
_________________________
Notary Public
My Commission Expires: _________________________
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State of _________________________
_________________________County, ss.
On this ____ day of _________________________, 20____,
_________________________ appeared before me as the Buyer recorded on this bill
of sale and provided a government issued form of photo identification. In my presence,
the above-mentioned individual fulfilled the agreement and acknowledged that they
executed the same as their free act and deed.
_________________________
Notary Public
My Commission Expires: _________________________
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