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U.S. Department of Justice                                                                                         OMB No. 1140-0040 (01/31/2014)
Bureau of Alcohol, Tobacco, Firearms and Explosives
                                                                       Application for an Amended Federal 
                                                                       Firearms License

                     All entries must be in ink. Please read attached instructions carefully before completing this form.
                                                                       Section I
 1.   Name of Owner or Corporation (If Partnership, include name of each partner)  2.   Social Security Number                    3.   Date of Birth

 4.   Trade or Business Name (If any)                                   5. Federal Firearms License Number (Include expiration date)

 6a.   Current Business Address (number and street)                     7a.   New Business Address (number and street)

 6b.   City                            6c.   County                     7b.   City                                  7c.   County

 6d.   State                           6e.  ZIP Code                    7d.   State                                 7e.  ZIP Code

 8a.   Current Mailing Address (number and street)                       9a.   New Mailing Address (number and street)

 8b.   City                            8c.   County                      9b.   City                                 9c.   County

 8d.   State                           8e.  ZIP Code                    9d.   State                                 9e.  ZIP Code

 10a.   Current Home Address (number and street)                        11a.   New Home Address (number and street)

 10b.   City                           10c.   County                    11b.   City                                 11c.   County

 10d.   State                          10e.  ZIP Code                   11d.   State                                11e.   ZIP Code

 12.   Present Telephone Number (With area code)                        13.   New Telephone Number (With area code)
         Business                                                               Business
         Residence                                                              Residence
If Business Is Obtained From Someone Else, Give:
 14.   Name                                                             15. License Number

             16.   Hours of Operation of Licensee's Business (Not Applicable for Collectors)           17. Are the Licensee's Business Premises 
Time          Sunday Monday           Tuesday      Wednesday Thursday       Friday           Saturday        Open to the General Public During These 
                                                                                                             Hours?
Open
                                                                                                      Yes                        No
Close
 18.   Will  Any Other Business, Other Than That for Which the License   19. Licensee's New Premises Are 
         Was Issued, Be Conducted on the New Premises?                      

Yes                             No                                     Owned                          Leased                    Rented 
20.   If the New Premises Are Rented or Leased, Please Specify the Date the Lease or Rental Agreement Begins, the Date the Agreement Terminates, 
         the Term of the Lease or Rental, and the Name, Address and Telephone Number of the Owner of the Property, Attach a Copy of the 
         Lease or Rental Agreement to This Application.

                                                                                                                                 ATF E-Form 5300.38 
                                                                                                                                 Revised October 2004



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 21.   Indicate Type of Business Premises at the New Location:

     Commercial                                                        Residential
     Storefront                                                        Single/Family Dwelling
     Office                                                            Condominium
     Rod & Gun Club                                                    Apartment
     Military Base                                                     Hotel/Motel
     Other (Specify)                                                   Public Housing
                                                                       Other (Specify)

If the New Premises Are Located on a Military Installation, Attach a Written Authorization From the Base Commander to Conduct the Firearms Business 
on the Military Installation.
22.  If the New Premises Are Owned By the Applicant, Are There Any Restrictions or Covenants Which Prohibit the Owner From Operating a Business on 
     the Premises?  If Yes, on a Separate Sheet, Describe Such Restrictions or Covenants.
     Yes                     No

23.  Do Any Zoning Ordinances Prohibit the Conduct of a Firearms Business  24.  Is a License, Permit, or Payment of Occupational or Business Tax 
     on the New Premises?                                              Required Under State or Local Law to Engage in a Firearms Business 
                                                                       From the Premises?  If So, Provide Copies.
     Yes                     No
                                                                       Yes                   No

25.  Sign Here                                                   Title                           Date

                               Section II - Certification of Compliance With State and Local Law
 As Required By 18 U.S.C. 923(d)(1), I Certify That: 
  
1.  The business to be conducted under the Federal firearms license is not prohibited by State or local law at the premises indicated in question 5. 
  
2.  Within 30 days after the application is approved the business to be conducted at the location indicated in question 5 will comply with the requirements of 
     State and local law applicable to the conduct of business. 
  
3.  Business will not be conducted under the amended license until the requirements of State and local law applicable to the business have been met. 
  
4.  Notification of this application has been provided to the chief law enforcement officer of the locality in which the premises indicated in question 5 are 
     located by mailing copy 2 of this form to such officer. 
 
26.  Certification:  Under the Penalties Imposed By 18 U.S.C. 924, I Declare That I Have Examined This Application and the Documents 
     Submitted in Support Hereof, and to the Best of My Knowledge and Belief, They are True, Correct and Complete. 
 
Sign Here                                                                                        Date

                                                                                                                   ATF E-Form 5300.38 
                                                                                                                   Revised (October 2004)



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                 Instruction Sheet for ATF Form 5300.38 (Detach this sheet before submitting your application) 
                                                           All Applications are to be Submitted to: 
                                                       ATF Federal Firearms Licensing Center 
                                                                         244 Needy Road 
                                                                   Martinsburg, WV 25405
Section 923(d)(1), Title 18, U.S.C., provides the requirements for obtaining a Federal firearms license (FFL).  These provisions require applicants for an FFL to 
certify that the firearms business or activity will be conducted in compliance with State and local law. 
  
The purpose of this application is to require a licensee who moves the licensed premises to a different location during the term of an existing license to certify 
that the firearms business or activity at the new location will be conducted in compliance with State and local law.  The application also requires applicants for 
an amended license to notify the Chief, Law Enforcement Officer (CLEO) in the locality where the new premises are located of the intent to apply for an 
amended license, as required by section 923 (d)(1)(F)(iii). 
  
1.  Notification of the new location of the business or activity must be given not less than 30 days prior to such removal.  
2.  Each licensee submitting the ATF Form 5300.38, Application for an Amended Federal Firearms License must provide notification of the intent to apply for 
    an amended FFL to the CLEO in the locality where the new premises are located by mailing or delivering copy 2 of this application to such CLEO.  
  
3.  Submit copy 1 of ATF Form 5300.38 to the Chief, Federal Firearms Licensing Center, Bureau of Alcohol, Tobacco, Firearms and Explosives at the address 
    listed above.  Mail or deliver copy 2 to the CLEO. 
  
4.  PRINT with ball-point pen or type (except for signature at end).  All attached sheets must be: 
      a.  Identified with your name and address at the top of each page. 
      b.  Referenced by the question number being responded to.  
5.  The certification in Section I, Item 2 and Section II, Item 6 must be executed (signed) by the owner, a partner, or in the case of a corporation, association, 
    etc., by an officer duly authorized to sign for the licensee. 
  
6.  IF YOU HAVE QUESTIONS relating to this application, please contact the ATF Federal Firearms Licensing Center, 244 Needy Road, Martinsburg, 
     WV 25405, toll free 1-866-662-2750, fax 1-866-257-2749. 
  
                                                                             Definition 
                                                                               
                 The term "Chief Law Enforcement Officer" means the Chief of Police, the Sheriff, or an equivalent officer. 
                                                                               
                                                                   Privacy Act Information 
                                                                               
The following information is provided pursuant to Section 3 of the Privacy Act of 1974 (5 U.S.C. § 552a(e)(3)): 
  
1.  Authority.  Solicitation of this information is authorized pursuant to 18 U.S.C § 923(a) of the Gun Control Act of 1968.  Disclosure of this information is 
    mandatory if the applicant wishes to obtain a Federal firearms license. 
  
2.  Purpose.  To determine the eligibility of the applicant to obtain a firearms license, to determine the ownership of the business, the type of firearms or 
    ammunition to be dealt in, the business hours, the business history and the identity of the responsible person in the business. 
  
3.  Routine Uses.  The information will be used by ATF to make determinations set forth in paragraph 2.  In addition, information may be disclosed to other 
    Federal, State, foreign and local law enforcement and regulatory agency personnel to verify information on the applicaiton and to aid in the performance of 
    their duties with respect to the enforcement and regulation of firearms and/or ammunition where such disclosure is not prohibited by law.  The information 
    may further be disclosed to the Justice Department if it appears that the furnishing of false information may constitute a violation of Federal law.  Finally, 
    the information may be disclosed to members of the public in order to verify the information on the application when such disclosure is not prohibited by 
    law. 
  
4.  Effects of Not Supplying Information Requested.  Failure to supply complete information will delay processing and may result in denial of the 
    application. 
  
5.  Disclosure of Social Security Number.  Disclosure of the individual's social security number is voluntary.  Under 18 U.S.C. § 923(a), ATF has the 
    authority to solicit this information.  The number may be used to verify the individual's identity. 
  
                                                                   Paperwork Reduction Act 
                                                                               
The information required by this form is in accordance with the Paperwork Reduction Act of 1995.  The purpose of the information is to certify whether the 
operations will be in conformity with Federal, State and local law.  The information is subject to inspection by ATF officers.  The information requested is 
mandatory by statute (18 U.S.C. 923). 
  
The estimated average burden associated with this collection is 1 hour and 15 minutes per respondent or recordkeeper, depending on individual circumstances. 
Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be directed to Reports Management Officer, 
Document Services Branch, Bureau of Alcohol, Tobacco, Firearms and Explosives, Washington, DC 20226. 
  
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB 
control number.

                                                                                                                                    ATF E-Form 5300.38 
                                                                                                                                    Revised October 2004






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