ATF E-Form 4473 (5300.9)
Revised October 2016
U.S. Department of Justice
Bureau of Alcohol, Tobacco, Firearms and Explosives
Firearms Transaction Record
OMB No. 1140-0020
WARNING: You may not receive a firearm if prohibited by Federal or State law. The information you provide will be used to
determine whether you are prohibited from receiving a firearm. Certain violations of the Gun Control Act, 18 U.S.C. 921 et.
seq., are punishable by up to 10 years imprisonment and/or up to a $250,000 fine.
(See Instructions for Question 11.b.)
c. Have you ever been convicted in any court of a felony, or any other crime for which the judge could have imprisoned you for more than one year, even if you received a shorter sentence including probation?
e. Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narcotic drug, or any other controlled substance?
Warning:The use or possession of marijuana remains unlawful under Federal law regardless of whether it has been legalized or decriminalized for medicinal or recreational purposes in the state where you reside.
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