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@O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 103 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 105 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 106 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 107 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 108 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 109 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 111 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 113 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 114 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 116 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 117 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 118 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 123 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 125 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! 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@O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 136 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 137 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 138 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 139 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 140 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 141 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 142 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 144 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 145 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 146 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 147 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 148 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 149 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 150 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 152 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 153 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 154 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 157 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 158 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 160 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 161 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 162 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 164 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 166 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 167 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 168 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 171 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 173 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! 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@O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 186 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 187 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 189 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 190 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 191 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 192 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 193 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 195 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 196 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 197 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 198 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xȫ @~F-˭" 6E A?'7:E`O-V(&;)* bԔ( endstream endobj 199 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 200 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 201 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 203 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 206 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 207 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 209 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xȫ @~F-˭" 6E A?'7:E`O-V(&;)* bԔ( endstream endobj 210 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 214 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PPP(JJ:z endstream endobj 215 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 216 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 217 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 219 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 220 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 221 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 222 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 223 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 227 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 228 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream H @D)M]VLg#,E4"y2C $&AG;.^,PLWIH"K9T:㎟ endstream endobj 229 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 230 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 231 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! 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@O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 245 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 247 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 248 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 249 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 251 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 253 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 254 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 256 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 257 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 258 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 259 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 260 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 261 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 262 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 263 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 264 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 269 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 270 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 272 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 273 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 274 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 275 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 278 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 281 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 282 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 283 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 284 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 285 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 287 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 288 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 290 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 291 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 292 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 293 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 294 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 295 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 297 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1@@4ˌhN#D#(_WBaf{`ƍQ-k115 RCN;bh}D" cӁ endstream endobj 299 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream H @D)ܭwJvJ`!/\53`TvX+NDF 1υYb=mJ*%k}j|hRK2q 0l endstream endobj 300 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 301 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 302 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 303 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 305 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 306 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 307 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 308 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 310 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 313 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 314 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 316 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 317 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 318 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 319 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 320 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 322 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 323 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1@@4ˌhN#D#(_WBaf{`ƍQ-k115 RCN;bh}D" cӁ endstream endobj 324 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 325 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 326 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 328 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 330 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 331 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 333 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream H @D)ܭwJvJ`!/\53`TvX+NDF 1υYb=mJ*%k}j|hRK2q 0l endstream endobj 334 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 335 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 338 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 341 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 342 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 343 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 344 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 345 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 346 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 347 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 348 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 349 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 350 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 351 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 355 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 357 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 358 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 360 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 362 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 364 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 365 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! @O񣖑ww60 5JX46̢ Ih2@ε0&Tf3~`k endstream endobj 366 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x1 @◦g&;l+ڥt_{*QJegwņFc0}K>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 368 0 obj <>/Subtype/Form/Type/XObject>>stream x337402VH2P0PTT(JJ: endstream endobj 369 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x! 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Law Enforcement Notification \(See instruction 2f\) - The transferee is to provide notification of the proposed acquisition and possession of the firearm described on this Form 4 by providing a copy of the completed form to the chief law enforcement officer in the agency identified below: - Address \(Street address or P.O. 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Provide the full name \(printed or typed\) below for each Responsible Person associated with the applicant trust or legal entity \(if there are more Responsible Persons than can be listed on the form, attach a separate sheet listing the additional Responsible Person\(s\)\). Please note that a completed 5320.23, National Firearms Act \(NFA\) Responsible Person Questionnaire, must be submitted with the Form 4 application for each Responsible Person. Full Name)/Type/Annot>> endobj 1835 0 obj <>/P 32 0 R /Parent 1831 0 R /Rect[ 27.901 551.71 285.723 568.392]/StructParent 914/Subtype/Widget/T(TextField8n[0])/TU(22. Provide the full name \(printed or typed\) below for each Responsible Person associated with the applicant trust or legal entity \(if there are more Responsible Persons than can be listed on the form, attach a separate sheet listing the additional Responsible Person\(s\)\). Please note that a completed 5320.23, National Firearms Act \(NFA\) Responsible Person Questionnaire, must be submitted with the Form 4 application for each Responsible Person. Full Name)/Type/Annot>> endobj 1836 0 obj <>/P 32 0 R /Parent 1831 0 R /Rect[ 28.483 532.897 286.286 549.573]/StructParent 915/Subtype/Widget/T(TextField9n[0])/TU(22. Provide the full name \(printed or typed\) below for each Responsible Person associated with the applicant trust or legal entity \(if there are more Responsible Persons than can be listed on the form, attach a separate sheet listing the additional Responsible Person\(s\)\). Please note that a completed 5320.23, National Firearms Act \(NFA\) Responsible Person Questionnaire, must be submitted with the Form 4 application for each Responsible Person. Full Name)/Type/Annot>> endobj 1837 0 obj <>/P 32 0 R /Parent 1831 0 R /Rect[ 324.505 571.878 584.487 588.353]/StructParent 910/Subtype/Widget/T(TextField10n[0])/TU(22. Provide the full name \(printed or typed\) below for each Responsible Person associated with the applicant trust or legal entity \(if there are more Responsible Persons than can be listed on the form, attach a separate sheet listing the additional Responsible Person\(s\)\). Please note that a completed 5320.23, National Firearms Act \(NFA\) Responsible Person Questionnaire, must be submitted with the Form 4 application for each Responsible Person. Full Name)/Type/Annot>> endobj 1838 0 obj <>/P 32 0 R /Parent 1831 0 R /Rect[ 324.505 550.812 584.592 568.392]/StructParent 912/Subtype/Widget/T(TextField711n[0])/TU(22. Provide the full name \(printed or typed\) below for each Responsible Person associated with the applicant trust or legal entity \(if there are more Responsible Persons than can be listed on the form, attach a separate sheet listing the additional Responsible Person\(s\)\). Please note that a completed 5320.23, National Firearms Act \(NFA\) Responsible Person Questionnaire, must be submitted with the Form 4 application for each Responsible Person. Full Name)/Type/Annot>> endobj 1839 0 obj <>/P 32 0 R /Parent 1831 0 R /Rect[ 325.089 532.457 584.008 548.43]/StructParent 913/Subtype/Widget/T(TextField12n[0])/TU(22. Provide the full name \(printed or typed\) below for each Responsible Person associated with the applicant trust or legal entity \(if there are more Responsible Persons than can be listed on the form, attach a separate sheet listing the additional Responsible Person\(s\)\). Please note that a completed 5320.23, National Firearms Act \(NFA\) Responsible Person Questionnaire, must be submitted with the Form 4 application for each Responsible Person. Full Name)/Type/Annot>> endobj 1840 0 obj <>/P 32 0 R /Parent 1831 0 R /Rect[ 27.34 591.588 285.724 607.173]/StructParent 909/Subtype/Widget/T(TextField6n[0])/TU(22. Provide the full name \(printed or typed\) below for each Responsible Person associated with the applicant trust or legal entity \(if there are more Responsible Persons than can be listed on the form, attach a separate sheet listing the additional Responsible Person\(s\)\). Please note that a completed 5320.23, National Firearms Act \(NFA\) Responsible Person Questionnaire, must be submitted with the Form 4 application for each Responsible Person. Full Name)/Type/Annot>> endobj 1841 0 obj <>/P 32 0 R /Parent 1831 0 R /Rect[ 324.505 591.588 584.048 607.757]/StructParent 908/Subtype/Widget/T(TextField5n[0])/TU(22. Provide the full name \(printed or typed\) below for each Responsible Person associated with the applicant trust or legal entity \(if there are more Responsible Persons than can be listed on the form, attach a separate sheet listing the additional Responsible Person\(s\)\). Please note that a completed 5320.23, National Firearms Act \(NFA\) Responsible Person Questionnaire, must be submitted with the Form 4 application for each Responsible Person. Full Name)/Type/Annot>> endobj 1842 0 obj <>/P 32 0 R /Parent 1831 0 R /Rect[ 358.243 664.197 423.111 672.239]/StructParent 907/Subtype/Widget/T(TextField21legal[0])/TU(21. Number of Responsible Persons \(see definitions\) associated with the transferee trust or legal entity)/Type/Annot>> endobj 1843 0 obj <>/P 32 0 R /Parent 1831 0 R /Rect[ 29.259 744.338 310.445 755.362]/StructParent 904/Subtype/Widget/T(sb[0])/TU(20b. State of Birth)/Type/Annot>> endobj 1844 0 obj <>/P 32 0 R /Parent 1831 0 R /Rect[ 315.468 744.338 586.12 755.362]/StructParent 903/Subtype/Widget/T(cb[0])/TU(20c. Country of Birth)/Type/Annot>> endobj 1845 0 obj <>/P 29 0 R /Parent 1830 0 R /Rect[ 27.34 700.096 297.34 717.968]/StructParent 853/Subtype/Widget/T(TextField4AD[0])/TU(12. Law Enforcement Notification \(See instruction 2f\) - The transferee is to provide notification of the proposed acquisition and possession of the firearm described on this Form 4 by providing a copy of the completed form to the chief law enforcement officer in the agency identified below: - Agency or Department Name)/Type/Annot>> endobj 1846 0 obj <>/P 29 0 R /Parent 1830 0 R /Rect[ 303.525 699.699 583.951 717.968]/StructParent 852/Subtype/Widget/T(TextField5TO[0])/TU( 12. Law Enforcement Notification \(See instruction 2f\) - The transferee is to provide notification of the proposed acquisition and possession of the firearm described on this Form 4 by providing a copy of the completed form to the chief law enforcement officer in the agency identified below: - Name and Title of Official)/Type/Annot>> endobj 1847 0 obj <>/P 29 0 R /Parent 1830 0 R /Rect[ 27.34 665.101 588.143 688.595]/StructParent 854/Subtype/Widget/T(TextField6[0])/TU(12. Law Enforcement Notification \(See instruction 2f\) - The transferee is to provide notification of the proposed acquisition and possession of the firearm described on this Form 4 by providing a copy of the completed form to the chief law enforcement officer in the agency identified below: - Address \(Street address or P.O. Box, City, State and Zip Code\) to which sent \(mailed or delivered\)\))/Type/Annot>> endobj 1848 0 obj <>/P 29 0 R /Parent 1830 0 R /Rect[ 53.94 589.311 290.982 600.647]/StructParent 856/Subtype/Widget/T(NameTitleTransferee[0])/TU(13. Transferee Necessity Statement \(See instruction 2e\) Name and Title of Transferee)/Type/Annot>> endobj 1849 0 obj <>/P 29 0 R /Parent 1830 0 R /Rect[ 377.751 562.938 573.761 578.889]/StructParent 857/Subtype/Widget/T(Reasons[0])/TU(13. Transferee Necessity Statement \(See instruction 2e\) I, have a reasonable necessity to possess the machinegun, short-barreled rifle,short-barreled shotgun, or destructive device described on this application for the following reason\(s\))/Type/Annot>> endobj 1850 0 obj <>/P 29 0 R /Parent 1830 0 R /Rect[ 47.506 542.424 585.907 559.046]/StructParent 858/Subtype/Widget/T(reasons2[0])/TU(13. Transferee Necessity Statement \(See instruction 2e\) I, have a reasonable necessity to possess the machinegun, short-barreled rifle,short-barreled shotgun, or destructive device described on this application for the following reason\(s\))/Type/Annot>> endobj 1851 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 406.128 460.149 415.128 469.149]/StructParent 859/Subtype/Widget/T(CheckboxYes1[0])/TU(14. a. Do you intend to make any firearm listed on this form for sale or other disposition to any person described in questions 14.c through 14.l. or a person described in question 14.m. who does not fall under an exception? Yes)/Type/Annot>> endobj 1852 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 429.934 459.607 438.934 468.607]/StructParent 860/Subtype/Widget/T(CheckBoxNo1[0])/TU(14. a. Do you intend to make any firearm listed on this form for sale or other disposition to any person described in questions 14.c through 14.l. or a person described in question 14.m. who does not fall under an exception? No)/Type/Annot>> endobj 1853 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 405.737 433.522 414.737 442.522]/StructParent 861/Subtype/Widget/T(CheckBoxYes2[0])/TU(14. b. Do you intend to sell or otherwise dispose of any firearm listed on this form in furtherance of any felon or other offense punishable by imprisonment for a term of more than one year, a Federal crime of terrorism, or a drug trafficking offense? Yes)/Type/Annot>> endobj 1854 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 429.987 433.47 438.987 442.47]/StructParent 862/Subtype/Widget/T(CheckBoxNo2[0])/TU(14. b. Do you intend to sell or otherwise dispose of any firearm listed on this form in furtherance of any felon or other offense punishable by imprisonment for a term of more than one year, a Federal crime of terrorism, or a drug trafficking offense? No)/Type/Annot>> endobj 1855 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 407.134 355.979 416.134 364.979]/StructParent 863/Subtype/Widget/T(CheckBoxYes3[0])/TU(14. e. Are you a fugitive from justice? \(See definition 1s\) Yes)/Type/Annot>> endobj 1856 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 430.24 355.974 439.24 364.974]/StructParent 864/Subtype/Widget/T(CheckboxNo3[0])/TU(14. e. Are you a fugitive from justice? \(See definition 1s\) No)/Type/Annot>> endobj 1857 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 406.044 328.449 415.044 337.449]/StructParent 865/Subtype/Widget/T(CheckBoxYes4[0])/TU(14. f. 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. Yes)/Type/Annot>> endobj 1858 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 430.24 328.169 439.24 337.169]/StructParent 866/Subtype/Widget/T(CheckBoxNo4[0])/TU(14. f. 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. No)/Type/Annot>> endobj 1859 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 406.486 295.728 415.486 304.728]/StructParent 867/Subtype/Widget/T(CheckBoxYes5[0])/TU(14. g. On or after the age of 16, have you ever been adjudicated as a mental defective OR have you ever been committed to a mental institution? \(See definition 1n and 1o\) Yes)/Type/Annot>> endobj 1860 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 429.786 295.728 438.786 304.728]/StructParent 868/Subtype/Widget/T(CheckBoxNo5[0])/TU(14. g. On or after the age of 16, have you ever been adjudicated as a mental defective OR have you ever been committed to a mental institution? \(See definition 1n and 1o\) No)/Type/Annot>> endobj 1861 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 406.438 272.91 415.438 281.91]/StructParent 869/Subtype/Widget/T(CheckBoxYes6[0])/TU(14. h. Have you been discharged from the Armed Forces under dishonorable conditions? Yes)/Type/Annot>> endobj 1862 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 429.395 272.88 438.395 281.88]/StructParent 870/Subtype/Widget/T(CheckBoxNo6[0])/TU(14. h. Have you been discharged from the Armed Forces under dishonorable conditions? No)/Type/Annot>> endobj 1863 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 406.043 251.79 415.043 260.79]/StructParent 871/Subtype/Widget/T(CheckBoxYes7[0])/TU(14. i. Are you subject to a court order restraining you from harassing, stalking, or threatening your child or an intimate partner or child of such partner? \(See definition 1p\) Yes)/Type/Annot>> endobj 1864 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 429.656 251.81 438.656 260.81]/StructParent 872/Subtype/Widget/T(CheckBoxNo7[0])/TU(14. i. Are you subject to a court order restraining you from harassing, stalking, or threatening your child or an intimate partner or child of such partner? \(See definition 1p\) No)/Type/Annot>> endobj 1865 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 406.321 231.512 415.321 240.512]/StructParent 873/Subtype/Widget/T(CheckBoxYes8[0])/TU(14. j. Have you ever been convicted in any court of a misdemeanor crime of domestic violence? \(See definition 1q\) Yes)/Type/Annot>> endobj 1866 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 429.624 231.451 438.624 240.451]/StructParent 874/Subtype/Widget/T(CheckBoxNo8[0])/TU(14. j. Have you ever been convicted in any court of a misdemeanor crime of domestic violence? \(See definition 1q\) No)/Type/Annot>> endobj 1867 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 44.51 48.311 53.51 57.311]/StructParent 902/Subtype/Widget/T(CheckBox5usa[0])/TU(20a. Country of Citizenship \(Check/List more than one, if applicable. Nationals of the United States may check U.S.A.\) \(See definition 1r\) - United States of America)/Type/Annot>> endobj 1868 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 176.176 48.348 185.176 57.348]/StructParent 901/Subtype/Widget/T(CheckBox5other[0])/TU(20a. Country of Citizenship \(Check/List more than one, if applicable. Nationals of the United States may check U.S.A.\) \(See definition 1r\) - Other country/Countries \(specify\):)/Type/Annot>> endobj 1869 0 obj <>/P 29 0 R /Parent 1830 0 R /Rect[ 309.09 50.619 529.637 63.743]/StructParent 900/Subtype/Widget/T(TextField6other[0])/TU(20a. Country of Citizenship \(Check/List more than one, if applicable. Nationals of the United States may check U.S.A.\) \(See definition 1r\) - Other country/Countries \(specify\):)/Type/Annot>> endobj 1870 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 407.559 214.892 416.559 223.892]/StructParent 875/Subtype/Widget/T(CheckBoxYes11[0])/TU(14. k. Have you ever renounced your United States citizenship? Yes)/Type/Annot>> endobj 1871 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 432.184 214.892 441.184 223.892]/StructParent 876/Subtype/Widget/T(CheckBoxNo11[0])/TU(14. k. Have you ever renounced your United States citizenship? No)/Type/Annot>> endobj 1872 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 406.91 198.132 415.91 207.132]/StructParent 877/Subtype/Widget/T(CheckBoxYes12[0])/TU(14. l. Are you an alien illegally or unlawfully in the United States? Yes)/Type/Annot>> endobj 1873 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 431.547 197.9 440.547 206.9]/StructParent 878/Subtype/Widget/T(CheckBoxNo12[0])/TU(14. l. Are you an alien illegally or unlawfully in the United States? No)/Type/Annot>> endobj 1874 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 407.781 180.502 416.781 189.502]/StructParent 879/Subtype/Widget/T(CheckBoxYes13[0])/TU(14. m.1. Are you an alien who has been admitted to the United States under a nonimmigrant visa? Yes)/Type/Annot>> endobj 1875 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 431.558 180.274 440.558 189.274]/StructParent 880/Subtype/Widget/T(CheckBoxNo13[0])/TU(14. m.1. Are you an alien who has been admitted to the United States under a nonimmigrant visa? No)/Type/Annot>> endobj 1876 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 407.322 165.606 416.322 174.606]/StructParent 881/Subtype/Widget/T(CheckBoxYes14[0])/TU(14. m.2. If yes, do you fall within any of the exceptions stated in the instructions? Attach the documentation to the application. Yes)/Type/Annot>> endobj 1877 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 431.099 165.752 440.099 174.752]/StructParent 882/Subtype/Widget/T(CheckBoxNo14[0])/TU(14. m.2. If yes, do you fall within any of the exceptions stated in the instructions? Attach the documentation to the application. No)/Type/Annot>> endobj 1878 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 446.479 165.683 455.479 174.683]/StructParent 883/Subtype/Widget/T(checkbox18f2NA[0])/TU(14. m.2. If yes, do you fall within any of the exceptions stated in the instructions? Attach the documentation to the application. N/A)/Type/Annot>> endobj 1879 0 obj <>/P 29 0 R /Parent 1830 0 R /Rect[ 362.296 152.007 585.836 162.351]/StructParent 888/Subtype/Widget/T(TextField19[0])/TU(16. If you are an alien. record your U.S.-Issued alien or Admission number \(AR#, USCIS#, or I94#\):)/Type/Annot>> endobj 1880 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 348.179 135.409 356.179 143.409]/StructParent 890/Subtype/Widget/T(CheckBox20upinyes[0])/TU(17. Have you been issued a Unique Personal Identification Number \(UPIN\)? \(See instructions 2.H\) Yes)/Type/Annot>> endobj 1881 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 378.184 135.409 386.184 143.409]/StructParent 889/Subtype/Widget/T(CheckBox20upinno[0])/TU(17. Have you been issued a Unique Personal Identification Number \(UPIN\)? \(See instructions 2.H\) No)/Type/Annot>> endobj 1882 0 obj <>/P 29 0 R /Parent 1830 0 R /Rect[ 463.757 137.248 580.629 147.271]/StructParent 891/Subtype/Widget/T(TextField20ifyes[0])/TU(17. Have you been issued a Unique Personal Identification Number \(UPIN\)? \(See instructions 2.H\) If yes please provide)/Type/Annot>> endobj 1883 0 obj <>/P 29 0 R /Parent 1830 0 R /Rect[ 313.387 104.677 583.69 122.754]/StructParent 892/Subtype/Widget/T(dob16[0])/TU(18. Date of Birth)/Type/Annot>> endobj 1884 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 95.026 91.956 104.026 100.956]/StructParent 893/Subtype/Widget/T(ehl[0])/TU(19a. Ethnicity. Hispanic or Latino )/Type/Annot>> endobj 1885 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 95.029 75.604 104.029 84.604]/StructParent 894/Subtype/Widget/T(nhl[0])/TU(19a. Ethnicity. Not Hispanic or Latino)/Type/Annot>> endobj 1886 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 248.91 91.753 257.91 100.753]/StructParent 895/Subtype/Widget/T(aian[0])/TU(19b. Race. American Indian or Alaska Native)/Type/Annot>> endobj 1887 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 247.904 75.852 256.904 84.852]/StructParent 896/Subtype/Widget/T(a[0])/TU(19b. Race. Asian)/Type/Annot>> endobj 1888 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 396.89 91.905 405.89 100.905]/StructParent 897/Subtype/Widget/T(baa[0])/TU(19b. Race. Black or African American)/Type/Annot>> endobj 1889 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 396.397 75.708 405.397 84.708]/StructParent 898/Subtype/Widget/T(nhopi[0])/TU(19b. Race. Native Hawaiian or Other Pacific Islander)/Type/Annot>> endobj 1890 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 522.428 91.1 531.428 100.1]/StructParent 899/Subtype/Widget/T(w[0])/TU(19b. Race. White)/Type/Annot>> endobj 1891 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 406.119 399.086 415.119 408.086]/StructParent 884/Subtype/Widget/T(CheckBox15yes[0])/TU(14. c. Are you under indictment or information in any court for a felony, or any other crime, for which the judge could imprison you for more than one year? \(See definition 1m\) Yes)/Type/Annot>> endobj 1892 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 428.964 399.086 437.964 408.086]/StructParent 885/Subtype/Widget/T(CheckBox15no[0])/TU(14. c. Are you under indictment or information in any court for a felony, or any other crime, for which the judge could imprison you for more than one year? \(See definition 1m\) No)/Type/Annot>> endobj 1893 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 406.604 375.292 415.604 384.292]/StructParent 886/Subtype/Widget/T(CheckBox16yes[0])/TU(14. d. Have you ever been convicted in any court for 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? \(See definition 1m\) Yes)/Type/Annot>> endobj 1894 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 29 0 R /Parent 1830 0 R /Rect[ 428.496 375.292 437.496 384.292]/StructParent 887/Subtype/Widget/T(CheckBox16no[0])/TU(14. d. Have you ever been convicted in any court for 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? \(See definition 1m\) No)/Type/Annot>> endobj 1895 0 obj <>/P 26 0 R /Parent 1829 0 R /Rect[ 225.337 629.592 584.112 670.394]/StructParent 813/Subtype/Widget/T(TransfereeNameandAddress[0])/TU(2a. Transferee's Full Legal Name and Address \(Include trade name, if any\) \(See instruction 2d\))/Type/Annot>> endobj 1896 0 obj <>/P 26 0 R /Parent 1829 0 R /Rect[ 468.819 598.309 586.46 611.014]/StructParent 814/Subtype/Widget/T(TextField1[0])/TU(2b. Transferee's Full Legal Name and Address \(Include trade name, if any\) \(See instruction 2d\) County/Parish)/Type/Annot>> endobj 1897 0 obj <>/P 26 0 R /Parent 1829 0 R /Rect[ 29.302 478.213 281.996 578.548]/StructParent 815/Subtype/Widget/T(TransferorNameandAddress[0])/TU(3a. Transferor's Full Legal Name and Address \(Include trade name, if any\) \(Executors: see instruction 2l\))/Type/Annot>> endobj 1898 0 obj <>/P 26 0 R /Parent 1829 0 R /Rect[ 287.549 560.704 416.627 586.111]/StructParent 816/Subtype/Widget/T(TextField2[0])/TU(3b. E-mail address )/Type/Annot>> endobj 1899 0 obj <>/P 26 0 R /Parent 1829 0 R /Rect[ 421.985 560.704 585.728 585.269]/StructParent 817/Subtype/Widget/T(TextField3[0])/TU(3c. Transferor's Telephone \(Area Code and Number\))/Type/Annot>> endobj 1900 0 obj <>/P 26 0 R /Parent 1829 0 R /Rect[ 287.549 523.924 584.509 545.992]/StructParent 818/Subtype/Widget/T(DecedentNameandAddress[0])/TU(3d. If Applicable: Decedent's Name, Address, and Date of Death)/Type/Annot>> endobj 1901 0 obj <>/P 26 0 R /Parent 1829 0 R /Rect[ 286.211 478.948 584.294 504.244]/StructParent 819/Subtype/Widget/T(NumberStreetCityStateZipDifferent[0])/TU(3e. Number, Street, City, State and Zip Code of Residence \(or Firearms Business Premises\) \(If Different from Item 3a.\))/Type/Annot>> endobj 1902 0 obj <>/P 26 0 R /Parent 1829 0 R /Rect[ 29.993 382.765 226.162 410.873]/StructParent 829/Subtype/Widget/T(NameandAddressofMakerManuImporter[0])/TU(4. Description of Firearm \(Complete items a through h\) \(See instruction 2n\). a. Name and Address of Maker, Manufacturer and/or Importer of Firearm)/Type/Annot>> endobj 1903 0 obj <>/P 26 0 R /Parent 1829 0 R /Rect[ 233.189 383.222 354.413 410.216]/StructParent 830/Subtype/Widget/T(TypeofFirearm[0])/TU(4. Description of Firearm \(Complete items a through h\) \(See instruction 2n\). b. Type of Firearm \(See definitions 1c\))/Type/Annot>> endobj 1904 0 obj <>/P 26 0 R /Parent 1829 0 R /Rect[ 360.836 383.664 416.395 410.216]/StructParent 831/Subtype/Widget/T(CaliberorGauge[0])/TU(4. Description of Firearm \(Complete items a through h\) \(See instruction 2n\). c. Caliber or Gauge)/Type/Annot>> endobj 1905 0 obj <>/P 26 0 R /Parent 1829 0 R /Rect[ 421.305 435.631 585.051 449.677]/StructParent 826/Subtype/Widget/T(Model[0])/TU(4. Description of Firearm \(Complete items a through h\) \(See instruction 2n\). d. Model)/Type/Annot>> endobj 1906 0 obj <>/P 26 0 R /Parent 1829 0 R /Rect[ 421.778 406.965 497.361 421.288]/StructParent 827/Subtype/Widget/T(LengthofBarrel[0])/TU(4. Description of Firearm \(Complete items a through h\) \(See instruction 2n\). e. Barrel Length:)/Type/Annot>> endobj 1907 0 obj <>/P 26 0 R /Parent 1829 0 R /Rect[ 503.311 406.965 582.891 421.288]/StructParent 828/Subtype/Widget/T(LengthOverall[0])/TU(4. Description of Firearm \(Complete items a through h\) \(See instruction 2n\). f. Overall Length)/Type/Annot>> endobj 1908 0 obj <>/P 26 0 R /Parent 1829 0 R /Rect[ 29.086 349.341 585.19 370.071]/StructParent 832/Subtype/Widget/T(AdditionalDescription[0])/TU(4. Description of Firearm \(Complete items a through h\) \(See instruction 2n\). h. Additional Description or Data Appearing on Firearm \(Attach additional sheet if necessary\))/Type/Annot>> endobj 1909 0 obj <>/MaxLen 6/P 26 0 R /Parent 1829 0 R /Q 1/Rect[ 26.169 294.051 110.568 310.277]/StructParent 835/Subtype/Widget/T(FederalFirearmsLicense6dig[0])/TU(5. Transferee's Federal Firearms License \(If any\) or Explosives License or Permit Number \(Give complete 15-digit number\) \(See instruction 2c\) - First 6 digits)/Type/Annot>> endobj 1910 0 obj <>/MaxLen 2/P 26 0 R /Parent 1829 0 R /Q 1/Rect[ 112.399 294.05 171.91 310.19]/StructParent 836/Subtype/Widget/T(FederalFirearmsLicense2dig[0])/TU(5. Transferee's Federal Firearms License \(If any\) or Explosives License or Permit Number \(Give complete 15-digit number\) \(See instruction 2c\) - 2 digits)/Type/Annot>> endobj 1911 0 obj <>/MaxLen 2/P 26 0 R /Parent 1829 0 R /Q 1/Rect[ 173.738 294.055 236.738 309.733]/StructParent 837/Subtype/Widget/T(FederalFirearmsLicense2dig26[0])/TU(5. Transferee's Federal Firearms License \(If any\) or Explosives License or Permit Number \(Give complete 15-digit number\) \(See instruction 2c\) - 2 digits)/Type/Annot>> endobj 1912 0 obj <>/MaxLen 5/P 26 0 R /Parent 1829 0 R /Q 1/Rect[ 239.698 294.052 305.187 309.733]/StructParent 838/Subtype/Widget/T(FederalFirearmsLicense5dig[0])/TU(5. Transferee's Federal Firearms License \(If any\) or Explosives License or Permit Number \(Give complete 15-digit number\) \(See instruction 2c\) - 5 digits)/Type/Annot>> endobj 1913 0 obj <>/MaxLen 6/P 26 0 R /Parent 1829 0 R /Q 1/Rect[ 26.169 234.924 108.722 250.146]/StructParent 843/Subtype/Widget/T(TFederalFirearmsLicense6dig[0])/TU(7. Transferor's Federal Firearms License \(If any\) - First 6 digits)/Type/Annot>> endobj 1914 0 obj <>/MaxLen 2/P 26 0 R /Parent 1829 0 R /Q 1/Rect[ 111.495 235.06 171.91 250.146]/StructParent 844/Subtype/Widget/T(TFederalFirearmsLicense2dig[0])/TU(7. Transferor's Federal Firearms License \(If any\) - 2 digits)/Type/Annot>> endobj 1915 0 obj <>/MaxLen 2/P 26 0 R /Parent 1829 0 R /Q 1/Rect[ 173.285 235.061 236.285 250.603]/StructParent 845/Subtype/Widget/T(TFederalFirearmsLicense2dig2[0])/TU(7. Transferor's Federal Firearms License \(If any\) - 2 digits)/Type/Annot>> endobj 1916 0 obj <>/MaxLen 5/P 26 0 R /Parent 1829 0 R /Q 1/Rect[ 239.244 235.058 305.186 250.603]/StructParent 846/Subtype/Widget/T(TFederalFirearmsLicense5dig[0])/TU(7. Transferor's Federal Firearms License \(If any\) - 5 digits)/Type/Annot>> endobj 1917 0 obj <>/P 26 0 R /Parent 1829 0 R /Rect[ 307.074 290.625 444.047 316.457]/StructParent 833/Subtype/Widget/T(TransfereeSpecialTaxStatus[0])/TU(6a. Transferee's Special \(Occupational\) Tax Status \(If any\) - Employer Identification Number)/Type/Annot>> endobj 1918 0 obj <>/P 26 0 R /Parent 1829 0 R /Rect[ 446.856 290.481 583.341 316.015]/StructParent 834/Subtype/Widget/T(TransfereeSpecialTaxStatusClass[0])/TU(6b. Transferee's Special \(Occupational\) Tax Status \(If any\) - Class)/Type/Annot>> endobj 1919 0 obj <>/P 26 0 R /Parent 1829 0 R /Rect[ 307.074 234.706 444.047 258.222]/StructParent 847/Subtype/Widget/T(TransferorSpecialTaxStatus[0])/TU(8a. Transferor's Special \(Occupational\) Tax Status \(If any\) - Employer Identification Number)/Type/Annot>> endobj 1920 0 obj <>/P 26 0 R /Parent 1829 0 R /Rect[ 447.316 234.896 583.818 258.222]/StructParent 848/Subtype/Widget/T(TransferorSpecialTaxStatusClass[0])/TU(8b. Transferor's Special \(Occupational\) Tax Status \(If any\) - Class)/Type/Annot>> endobj 1921 0 obj <>/P 26 0 R /Parent 1829 0 R /Rect[ 307.916 167.295 499.212 183.464]/StructParent 849/Subtype/Widget/T(NameTitleAuthorizedOfficial[0])/TU(10. Name and title of Authorized Official \(Print or type\))/Type/Annot>> endobj 1922 0 obj <>/P 26 0 R /Parent 1829 0 R /Rect[ 504.397 167.295 586.48 183.464]/StructParent 850/Subtype/Widget/T(DateField1[0])/TU(11. Date)/Type/Annot>> endobj 1923 0 obj <>/P 26 0 R /Parent 1829 0 R /Rect[ 27.173 167.276 304.087 182.974]/StructParent 851/Subtype/Widget/T(SignatureField1[0])/TU(9. Signature of Transferor \(Or authorized official\))/Type/Annot>> endobj 1924 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 26 0 R /Parent 1829 0 R /Rect[ 43.894 657.829 52.894 666.829]/StructParent 820/Subtype/Widget/T(TypeofTransferCheckBox5[0])/TU(1. Type of Transfer \(Check one\) - $5)/Type/Annot>> endobj 1925 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 26 0 R /Parent 1829 0 R /Rect[ 86.156 657.832 95.156 666.832]/StructParent 821/Subtype/Widget/T(TypeofTransferCheckBox200[0])/TU(1. Type of Transfer \(Check one\) - $200)/Type/Annot>> endobj 1926 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 26 0 R /Parent 1829 0 R /Rect[ 246.109 600.708 255.109 609.708]/StructParent 822/Subtype/Widget/T(CheckBox1individual[0])/TU(2a. Transferee's Full Legal Name and Address \(Include trade name, if any\) \(See instruction 2d\) Individual)/Type/Annot>> endobj 1927 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 26 0 R /Parent 1829 0 R /Rect[ 361.154 600.717 370.154 609.717]/StructParent 823/Subtype/Widget/T(CheckBox1trust[0])/TU(2a. Transferee's Full Legal Name and Address \(Include trade name, if any\) \(See instruction 2d\) Trust)/Type/Annot>> endobj 1928 0 obj <>/MaxLen 6/P 26 0 R /Parent 1829 0 R /Q 1/Rect[ 26.169 277.475 110.568 292.258]/StructParent 839/Subtype/Widget/T(FederalFirearmsLicense6dig2[0])/TU(5. Transferee's Federal Firearms License \(If any\) or Explosives License or Permit Number \(Give complete 15-digit number\) \(See instruction 2c\) - First 6 digits)/Type/Annot>> endobj 1929 0 obj <>/MaxLen 2/P 26 0 R /Parent 1829 0 R /Q 1/Rect[ 112.399 277.475 171.91 291.818]/StructParent 840/Subtype/Widget/T(FederalFirearmsLicense2dig25[0])/TU(5. Transferee's Federal Firearms License \(If any\) or Explosives License or Permit Number \(Give complete 15-digit number\) \(See instruction 2c\) - 2 digits)/Type/Annot>> endobj 1930 0 obj <>/MaxLen 2/P 26 0 R /Parent 1829 0 R /Q 1/Rect[ 173.738 277.475 236.738 291.818]/StructParent 841/Subtype/Widget/T(FederalFirearmsLicense2dig3[0])/TU(5. Transferee's Federal Firearms License \(If any\) or Explosives License or Permit Number \(Give complete 15-digit number\) \(See instruction 2c\) - 2 digits)/Type/Annot>> endobj 1931 0 obj <>/MaxLen 5/P 26 0 R /Parent 1829 0 R /Q 1/Rect[ 239.698 277.475 305.187 292.258]/StructParent 842/Subtype/Widget/T(FederalFirearmsLicense5dig4[0])/TU(5. Transferee's Federal Firearms License \(If any\) or Explosives License or Permit Number \(Give complete 15-digit number\) \(See instruction 2c\) - 5 digits)/Type/Annot>> endobj 1932 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 26 0 R /Parent 1829 0 R /Rect[ 245.551 614.602 254.551 623.602]/StructParent 824/Subtype/Widget/T(CheckBox1corp[0])/TU(2a. Transferee's Full Legal Name and Address \(Include trade name, if any\) \(See instruction 2d\) Corporation)/Type/Annot>> endobj 1933 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 26 0 R /Parent 1829 0 R /Rect[ 361.154 615.052 370.154 624.052]/StructParent 825/Subtype/Widget/T(CheckBox1legal[0])/TU(2a. Transferee's Full Legal Name and Address \(Include trade name, if any\) \(See instruction 2d\) Other Legal Entity)/Type/Annot>> endobj 1934 0 obj <>/P 26 0 R /Parent 1829 0 R /Rect[ 105.168 706.564 582.009 716.08]/StructParent 812/Subtype/Widget/T(atfcontrol[0])/TU(bet365 Control Number)/Type/Annot>> endobj 1935 0 obj <>/P 23 0 R /Parent 1828 0 R /Rect[ 330.42 689.842 461.848 703.692]/StructParent 802/Subtype/Widget/T(DateField5[0])/TU(Date)/Type/Annot>> endobj 1936 0 obj <>/P 23 0 R /Parent 1828 0 R /Rect[ 28.185 691.274 249.557 704.203]/StructParent 801/Subtype/Widget/T(SignatureField2[0])/TU(Signature of Transferee)/Type/Annot>> endobj 1937 0 obj <>/P 23 0 R /Parent 1828 0 R /Rect[ 27.142 570.682 284.964 587.616]/StructParent 807/Subtype/Widget/T(TextField7n[0])/TU(22. Provide the full name \(printed or typed\) below for each Responsible Person associated with the applicant trust or legal entity \(if there are more Responsible Persons than can be listed on the form, attach a separate sheet listing the additional Responsible Person\(s\)\). Please note that a completed 5320.23, National Firearms Act \(NFA\) Responsible Person Questionnaire, must be submitted with the Form 4 application for each Responsible Person. Full Name)/Type/Annot>> endobj 1938 0 obj <>/P 23 0 R /Parent 1828 0 R /Rect[ 27.142 550.973 284.964 567.655]/StructParent 810/Subtype/Widget/T(TextField8n[0])/TU(22. Provide the full name \(printed or typed\) below for each Responsible Person associated with the applicant trust or legal entity \(if there are more Responsible Persons than can be listed on the form, attach a separate sheet listing the additional Responsible Person\(s\)\). Please note that a completed 5320.23, National Firearms Act \(NFA\) Responsible Person Questionnaire, must be submitted with the Form 4 application for each Responsible Person. Full Name)/Type/Annot>> endobj 1939 0 obj <>/P 23 0 R /Parent 1828 0 R /Rect[ 27.723 532.16 285.526 548.836]/StructParent 811/Subtype/Widget/T(TextField9n[0])/TU(22. Provide the full name \(printed or typed\) below for each Responsible Person associated with the applicant trust or legal entity \(if there are more Responsible Persons than can be listed on the form, attach a separate sheet listing the additional Responsible Person\(s\)\). Please note that a completed 5320.23, National Firearms Act \(NFA\) Responsible Person Questionnaire, must be submitted with the Form 4 application for each Responsible Person. Full Name)/Type/Annot>> endobj 1940 0 obj <>/P 23 0 R /Parent 1828 0 R /Rect[ 323.745 571.141 583.727 587.616]/StructParent 806/Subtype/Widget/T(TextField10n[0])/TU(22. Provide the full name \(printed or typed\) below for each Responsible Person associated with the applicant trust or legal entity \(if there are more Responsible Persons than can be listed on the form, attach a separate sheet listing the additional Responsible Person\(s\)\). Please note that a completed 5320.23, National Firearms Act \(NFA\) Responsible Person Questionnaire, must be submitted with the Form 4 application for each Responsible Person. Full Name)/Type/Annot>> endobj 1941 0 obj <>/P 23 0 R /Parent 1828 0 R /Rect[ 323.745 550.075 583.832 567.655]/StructParent 808/Subtype/Widget/T(TextField711n[0])/TU(22. Provide the full name \(printed or typed\) below for each Responsible Person associated with the applicant trust or legal entity \(if there are more Responsible Persons than can be listed on the form, attach a separate sheet listing the additional Responsible Person\(s\)\). Please note that a completed 5320.23, National Firearms Act \(NFA\) Responsible Person Questionnaire, must be submitted with the Form 4 application for each Responsible Person. Full Name)/Type/Annot>> endobj 1942 0 obj <>/P 23 0 R /Parent 1828 0 R /Rect[ 324.329 531.72 583.248 547.693]/StructParent 809/Subtype/Widget/T(TextField12n[0])/TU(22. Provide the full name \(printed or typed\) below for each Responsible Person associated with the applicant trust or legal entity \(if there are more Responsible Persons than can be listed on the form, attach a separate sheet listing the additional Responsible Person\(s\)\). Please note that a completed 5320.23, National Firearms Act \(NFA\) Responsible Person Questionnaire, must be submitted with the Form 4 application for each Responsible Person. Full Name)/Type/Annot>> endobj 1943 0 obj <>/P 23 0 R /Parent 1828 0 R /Rect[ 26.58 590.851 284.964 606.436]/StructParent 805/Subtype/Widget/T(TextField6n[0])/TU(22. Provide the full name \(printed or typed\) below for each Responsible Person associated with the applicant trust or legal entity \(if there are more Responsible Persons than can be listed on the form, attach a separate sheet listing the additional Responsible Person\(s\)\). Please note that a completed 5320.23, National Firearms Act \(NFA\) Responsible Person Questionnaire, must be submitted with the Form 4 application for each Responsible Person. Full Name)/Type/Annot>> endobj 1944 0 obj <>/P 23 0 R /Parent 1828 0 R /Rect[ 323.745 590.851 583.288 607.02]/StructParent 804/Subtype/Widget/T(TextField5n[0])/TU(22. Provide the full name \(printed or typed\) below for each Responsible Person associated with the applicant trust or legal entity \(if there are more Responsible Persons than can be listed on the form, attach a separate sheet listing the additional Responsible Person\(s\)\). Please note that a completed 5320.23, National Firearms Act \(NFA\) Responsible Person Questionnaire, must be submitted with the Form 4 application for each Responsible Person. Full Name)/Type/Annot>> endobj 1945 0 obj <>/P 23 0 R /Parent 1828 0 R /Rect[ 357.483 663.46 422.351 671.502]/StructParent 803/Subtype/Widget/T(TextField21legal[0])/TU(21. Number of Responsible Persons \(see definitions\) associated with the transferee trust or legal entity)/Type/Annot>> endobj 1946 0 obj <>/P 23 0 R /Parent 1828 0 R /Rect[ 28.5 743.601 309.686 754.625]/StructParent 800/Subtype/Widget/T(sb[0])/TU(20b. State of Birth)/Type/Annot>> endobj 1947 0 obj <>/P 23 0 R /Parent 1828 0 R /Rect[ 314.708 743.601 585.36 754.625]/StructParent 799/Subtype/Widget/T(cb[0])/TU(20c. Country of Birth)/Type/Annot>> endobj 1948 0 obj <>/P 20 0 R /Parent 1827 0 R /Rect[ 28.052 699.143 298.052 717.015]/StructParent 748/Subtype/Widget/T(TextField4AD[0])/TU(12. Law Enforcement Notification \(See instruction 2f\) - The transferee is to provide notification of the proposed acquisition and possession of the firearm described on this Form 4 by providing a copy of the completed form to the chief law enforcement officer in the agency identified below: - Agency or Department Name)/Type/Annot>> endobj 1949 0 obj <>/P 20 0 R /Parent 1827 0 R /Rect[ 304.237 698.746 584.663 717.015]/StructParent 747/Subtype/Widget/T(TextField5TO[0])/TU( 12. Law Enforcement Notification \(See instruction 2f\) - The transferee is to provide notification of the proposed acquisition and possession of the firearm described on this Form 4 by providing a copy of the completed form to the chief law enforcement officer in the agency identified below: - Name and Title of Official)/Type/Annot>> endobj 1950 0 obj <>/P 20 0 R /Parent 1827 0 R /Rect[ 28.052 664.149 588.855 687.643]/StructParent 749/Subtype/Widget/T(TextField6[0])/TU(12. Law Enforcement Notification \(See instruction 2f\) - The transferee is to provide notification of the proposed acquisition and possession of the firearm described on this Form 4 by providing a copy of the completed form to the chief law enforcement officer in the agency identified below: - Address \(Street address or P.O. Box, City, State and Zip Code\) to which sent \(mailed or delivered\)\))/Type/Annot>> endobj 1951 0 obj <>/P 20 0 R /Parent 1827 0 R /Rect[ 54.652 588.359 291.694 599.695]/StructParent 751/Subtype/Widget/T(NameTitleTransferee[0])/TU(13. Transferee Necessity Statement \(See instruction 2e\) Name and Title of Transferee)/Type/Annot>> endobj 1952 0 obj <>/P 20 0 R /Parent 1827 0 R /Rect[ 378.462 561.985 574.472 577.936]/StructParent 752/Subtype/Widget/T(Reasons[0])/TU(13. Transferee Necessity Statement \(See instruction 2e\) I, have a reasonable necessity to possess the machinegun, short-barreled rifle,short-barreled shotgun, or destructive device described on this application for the following reason\(s\))/Type/Annot>> endobj 1953 0 obj <>/P 20 0 R /Parent 1827 0 R /Rect[ 48.217 541.472 586.618 558.094]/StructParent 753/Subtype/Widget/T(reasons2[0])/TU(13. Transferee Necessity Statement \(See instruction 2e\) I, have a reasonable necessity to possess the machinegun, short-barreled rifle,short-barreled shotgun, or destructive device described on this application for the following reason\(s\))/Type/Annot>> endobj 1954 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 406.84 459.196 415.84 468.196]/StructParent 754/Subtype/Widget/T(CheckboxYes1[0])/TU(14. a. Do you intend to make any firearm listed on this form for sale or other disposition to any person described in questions 14.c through 14.l. or a person described in question 14.m. who does not fall under an exception? Yes)/Type/Annot>> endobj 1955 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 430.645 458.655 439.645 467.655]/StructParent 768/Subtype/Widget/T(CheckBoxNo1[0])/TU(14. a. Do you intend to make any firearm listed on this form for sale or other disposition to any person described in questions 14.c through 14.l. or a person described in question 14.m. who does not fall under an exception? No)/Type/Annot>> endobj 1956 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 406.449 432.569 415.449 441.569]/StructParent 755/Subtype/Widget/T(CheckBoxYes2[0])/TU(14. b. Do you intend to sell or otherwise dispose of any firearm listed on this form in furtherance of any felon or other offense punishable by imprisonment for a term of more than one year, a Federal crime of terrorism, or a drug trafficking offense? Yes)/Type/Annot>> endobj 1957 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 430.699 432.518 439.699 441.518]/StructParent 769/Subtype/Widget/T(CheckBoxNo2[0])/TU(14. b. Do you intend to sell or otherwise dispose of any firearm listed on this form in furtherance of any felon or other offense punishable by imprisonment for a term of more than one year, a Federal crime of terrorism, or a drug trafficking offense? No)/Type/Annot>> endobj 1958 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 407.846 355.027 416.846 364.027]/StructParent 756/Subtype/Widget/T(CheckBoxYes3[0])/TU(14. e. Are you a fugitive from justice? \(See definition 1s\) Yes)/Type/Annot>> endobj 1959 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 430.951 355.021 439.951 364.021]/StructParent 770/Subtype/Widget/T(CheckboxNo3[0])/TU(14. e. Are you a fugitive from justice? \(See definition 1s\) No)/Type/Annot>> endobj 1960 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 406.755 327.497 415.755 336.497]/StructParent 757/Subtype/Widget/T(CheckBoxYes4[0])/TU(14. f. 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. Yes)/Type/Annot>> endobj 1961 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 430.951 327.216 439.951 336.216]/StructParent 771/Subtype/Widget/T(CheckBoxNo4[0])/TU(14. f. 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. No)/Type/Annot>> endobj 1962 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 407.197 294.776 416.197 303.776]/StructParent 758/Subtype/Widget/T(CheckBoxYes5[0])/TU(14. g. On or after the age of 16, have you ever been adjudicated as a mental defective OR have you ever been committed to a mental institution? \(See definition 1n and 1o\) Yes)/Type/Annot>> endobj 1963 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 430.497 294.776 439.497 303.776]/StructParent 772/Subtype/Widget/T(CheckBoxNo5[0])/TU(14. g. On or after the age of 16, have you ever been adjudicated as a mental defective OR have you ever been committed to a mental institution? \(See definition 1n and 1o\) No)/Type/Annot>> endobj 1964 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 407.149 271.957 416.149 280.957]/StructParent 759/Subtype/Widget/T(CheckBoxYes6[0])/TU(14. h. Have you been discharged from the Armed Forces under dishonorable conditions? Yes)/Type/Annot>> endobj 1965 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 430.106 271.928 439.106 280.928]/StructParent 773/Subtype/Widget/T(CheckBoxNo6[0])/TU(14. h. Have you been discharged from the Armed Forces under dishonorable conditions? No)/Type/Annot>> endobj 1966 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 406.755 250.838 415.755 259.838]/StructParent 760/Subtype/Widget/T(CheckBoxYes7[0])/TU(14. i. Are you subject to a court order restraining you from harassing, stalking, or threatening your child or an intimate partner or child of such partner? \(See definition 1p\) Yes)/Type/Annot>> endobj 1967 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 430.367 250.858 439.367 259.858]/StructParent 774/Subtype/Widget/T(CheckBoxNo7[0])/TU(14. i. Are you subject to a court order restraining you from harassing, stalking, or threatening your child or an intimate partner or child of such partner? \(See definition 1p\) No)/Type/Annot>> endobj 1968 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 407.033 230.56 416.033 239.56]/StructParent 761/Subtype/Widget/T(CheckBoxYes8[0])/TU(14. j. Have you ever been convicted in any court of a misdemeanor crime of domestic violence? \(See definition 1q\) Yes)/Type/Annot>> endobj 1969 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 430.336 230.499 439.336 239.499]/StructParent 775/Subtype/Widget/T(CheckBoxNo8[0])/TU(14. j. Have you ever been convicted in any court of a misdemeanor crime of domestic violence? \(See definition 1q\) No)/Type/Annot>> endobj 1970 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 45.221 47.358 54.221 56.358]/StructParent 798/Subtype/Widget/T(CheckBox5usa[0])/TU(20a. Country of Citizenship \(Check/List more than one, if applicable. Nationals of the United States may check U.S.A.\) \(See definition 1r\) - United States of America)/Type/Annot>> endobj 1971 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 176.887 47.395 185.887 56.395]/StructParent 797/Subtype/Widget/T(CheckBox5other[0])/TU(20a. Country of Citizenship \(Check/List more than one, if applicable. Nationals of the United States may check U.S.A.\) \(See definition 1r\) - Other country/Countries \(specify\):)/Type/Annot>> endobj 1972 0 obj <>/P 20 0 R /Parent 1827 0 R /Rect[ 309.801 49.666 530.348 62.79]/StructParent 796/Subtype/Widget/T(TextField6other[0])/TU(20a. Country of Citizenship \(Check/List more than one, if applicable. Nationals of the United States may check U.S.A.\) \(See definition 1r\) - Other country/Countries \(specify\):)/Type/Annot>> endobj 1973 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 408.271 213.94 417.271 222.94]/StructParent 762/Subtype/Widget/T(CheckBoxYes11[0])/TU(14. k. Have you ever renounced your United States citizenship? Yes)/Type/Annot>> endobj 1974 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 432.896 213.94 441.896 222.94]/StructParent 776/Subtype/Widget/T(CheckBoxNo11[0])/TU(14. k. Have you ever renounced your United States citizenship? No)/Type/Annot>> endobj 1975 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 407.622 197.18 416.622 206.18]/StructParent 763/Subtype/Widget/T(CheckBoxYes12[0])/TU(14. l. Are you an alien illegally or unlawfully in the United States? Yes)/Type/Annot>> endobj 1976 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 432.258 196.948 441.258 205.948]/StructParent 777/Subtype/Widget/T(CheckBoxNo12[0])/TU(14. l. Are you an alien illegally or unlawfully in the United States? No)/Type/Annot>> endobj 1977 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 408.492 179.549 417.492 188.549]/StructParent 764/Subtype/Widget/T(CheckBoxYes13[0])/TU(14. m.1. Are you an alien who has been admitted to the United States under a nonimmigrant visa? Yes)/Type/Annot>> endobj 1978 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 432.269 179.321 441.269 188.321]/StructParent 778/Subtype/Widget/T(CheckBoxNo13[0])/TU(14. m.1. Are you an alien who has been admitted to the United States under a nonimmigrant visa? No)/Type/Annot>> endobj 1979 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 408.033 164.654 417.033 173.654]/StructParent 765/Subtype/Widget/T(CheckBoxYes14[0])/TU(14. m.2. If yes, do you fall within any of the exceptions stated in the instructions? Attach the documentation to the application. Yes)/Type/Annot>> endobj 1980 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 431.81 164.8 440.81 173.8]/StructParent 779/Subtype/Widget/T(CheckBoxNo14[0])/TU(14. m.2. If yes, do you fall within any of the exceptions stated in the instructions? Attach the documentation to the application. No)/Type/Annot>> endobj 1981 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 447.191 164.73 456.191 173.73]/StructParent 782/Subtype/Widget/T(checkbox18f2NA[0])/TU(14. m.2. If yes, do you fall within any of the exceptions stated in the instructions? Attach the documentation to the application. N/A)/Type/Annot>> endobj 1982 0 obj <>/P 20 0 R /Parent 1827 0 R /Rect[ 363.008 151.055 586.548 161.399]/StructParent 784/Subtype/Widget/T(TextField19[0])/TU(16. If you are an alien. record your U.S.-Issued alien or Admission number \(AR#, USCIS#, or I94#\):)/Type/Annot>> endobj 1983 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 348.891 134.457 356.891 142.457]/StructParent 787/Subtype/Widget/T(CheckBox20upinyes[0])/TU(17. Have you been issued a Unique Personal Identification Number \(UPIN\)? \(See instructions 2.H\) Yes)/Type/Annot>> endobj 1984 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 378.895 134.457 386.895 142.457]/StructParent 786/Subtype/Widget/T(CheckBox20upinno[0])/TU(17. Have you been issued a Unique Personal Identification Number \(UPIN\)? \(See instructions 2.H\) No)/Type/Annot>> endobj 1985 0 obj <>/P 20 0 R /Parent 1827 0 R /Rect[ 464.468 136.296 581.34 146.319]/StructParent 785/Subtype/Widget/T(TextField20ifyes[0])/TU(17. Have you been issued a Unique Personal Identification Number \(UPIN\)? \(See instructions 2.H\) If yes please provide)/Type/Annot>> endobj 1986 0 obj <>/P 20 0 R /Parent 1827 0 R /Rect[ 314.099 103.725 584.402 121.802]/StructParent 788/Subtype/Widget/T(dob16[0])/TU(18. Date of Birth)/Type/Annot>> endobj 1987 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 95.737 91.004 104.737 100.004]/StructParent 789/Subtype/Widget/T(ehl[0])/TU(19a. Ethnicity. Hispanic or Latino )/Type/Annot>> endobj 1988 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 95.741 74.652 104.741 83.652]/StructParent 790/Subtype/Widget/T(nhl[0])/TU(19a. Ethnicity. Not Hispanic or Latino)/Type/Annot>> endobj 1989 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 249.621 90.801 258.621 99.801]/StructParent 791/Subtype/Widget/T(aian[0])/TU(19b. Race. American Indian or Alaska Native)/Type/Annot>> endobj 1990 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 248.616 74.9 257.616 83.9]/StructParent 792/Subtype/Widget/T(a[0])/TU(19b. Race. Asian)/Type/Annot>> endobj 1991 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 397.601 90.952 406.601 99.952]/StructParent 793/Subtype/Widget/T(baa[0])/TU(19b. Race. Black or African American)/Type/Annot>> endobj 1992 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 397.108 74.755 406.108 83.755]/StructParent 794/Subtype/Widget/T(nhopi[0])/TU(19b. Race. Native Hawaiian or Other Pacific Islander)/Type/Annot>> endobj 1993 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 523.139 90.147 532.139 99.147]/StructParent 795/Subtype/Widget/T(w[0])/TU(19b. Race. White)/Type/Annot>> endobj 1994 0 obj <>/TP 1>>/P 20 0 R /Parent 1827 0 R /Rect[ 445.331 270.255 589.603 414.524]/StructParent 783/Subtype/Widget/T(ImageField1[0])/TU(15. Photograph \(Click here to attach\))/Type/Annot>> endobj 1995 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 406.831 398.133 415.831 407.133]/StructParent 766/Subtype/Widget/T(CheckBox15yes[0])/TU(14. c. Are you under indictment or information in any court for a felony, or any other crime, for which the judge could imprison you for more than one year? \(See definition 1m\) Yes)/Type/Annot>> endobj 1996 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 429.675 398.133 438.675 407.133]/StructParent 780/Subtype/Widget/T(CheckBox15no[0])/TU(14. c. Are you under indictment or information in any court for a felony, or any other crime, for which the judge could imprison you for more than one year? \(See definition 1m\) No)/Type/Annot>> endobj 1997 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 407.316 374.339 416.316 383.339]/StructParent 767/Subtype/Widget/T(CheckBox16yes[0])/TU(14. d. Have you ever been convicted in any court for 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? \(See definition 1m\) Yes)/Type/Annot>> endobj 1998 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/Ff 1/MK<>/P 20 0 R /Parent 1827 0 R /Rect[ 429.207 374.339 438.207 383.339]/StructParent 781/Subtype/Widget/T(CheckBox16no[0])/TU(14. d. Have you ever been convicted in any court for 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? \(See definition 1m\) No)/Type/Annot>> endobj 1999 0 obj <>/P 17 0 R /Parent 1826 0 R /Rect[ 224.385 629.322 583.16 670.124]/StructParent 701/Subtype/Widget/T(TransfereeNameandAddress[0])/TU(2a. Transferee's Full Legal Name and Address \(Include trade name, if any\) \(See instruction 2d\))/Type/Annot>> endobj 2000 0 obj <>/P 17 0 R /Parent 1826 0 R /Rect[ 467.867 598.039 585.508 610.744]/StructParent 702/Subtype/Widget/T(TextField1[0])/TU(2b. Transferee's Full Legal Name and Address \(Include trade name, if any\) \(See instruction 2d\) County/Parish)/Type/Annot>> endobj 2001 0 obj <>/P 17 0 R /Parent 1826 0 R /Rect[ 28.349 477.944 281.043 578.279]/StructParent 703/Subtype/Widget/T(TransferorNameandAddress[0])/TU(3a. Transferor's Full Legal Name and Address \(Include trade name, if any\) \(Executors: see instruction 2l\))/Type/Annot>> endobj 2002 0 obj <>/P 17 0 R /Parent 1826 0 R /Rect[ 286.597 560.435 415.675 585.842]/StructParent 704/Subtype/Widget/T(TextField2[0])/TU(3b. E-mail address )/Type/Annot>> endobj 2003 0 obj <>/P 17 0 R /Parent 1826 0 R /Rect[ 421.033 560.435 584.776 585]/StructParent 705/Subtype/Widget/T(TextField3[0])/TU(3c. Transferor's Telephone \(Area Code and Number\))/Type/Annot>> endobj 2004 0 obj <>/P 17 0 R /Parent 1826 0 R /Rect[ 286.597 523.655 583.557 545.723]/StructParent 706/Subtype/Widget/T(DecedentNameandAddress[0])/TU(3d. If Applicable: Decedent's Name, Address, and Date of Death)/Type/Annot>> endobj 2005 0 obj <>/P 17 0 R /Parent 1826 0 R /Rect[ 285.259 478.678 583.342 503.974]/StructParent 707/Subtype/Widget/T(NumberStreetCityStateZipDifferent[0])/TU(3e. Number, Street, City, State and Zip Code of Residence \(or Firearms Business Premises\) \(If Different from Item 3a.\))/Type/Annot>> endobj 2006 0 obj <>/P 17 0 R /Parent 1826 0 R /Rect[ 29.041 382.496 225.21 410.604]/StructParent 717/Subtype/Widget/T(NameandAddressofMakerManuImporter[0])/TU(4. Description of Firearm \(Complete items a through h\) \(See instruction 2n\). a. Name and Address of Maker, Manufacturer and/or Importer of Firearm)/Type/Annot>> endobj 2007 0 obj <>/P 17 0 R /Parent 1826 0 R /Rect[ 232.237 382.952 353.461 409.946]/StructParent 718/Subtype/Widget/T(TypeofFirearm[0])/TU(4. Description of Firearm \(Complete items a through h\) \(See instruction 2n\). b. Type of Firearm \(See definitions 1c\))/Type/Annot>> endobj 2008 0 obj <>/P 17 0 R /Parent 1826 0 R /Rect[ 359.884 383.394 415.443 409.946]/StructParent 719/Subtype/Widget/T(CaliberorGauge[0])/TU(4. Description of Firearm \(Complete items a through h\) \(See instruction 2n\). c. Caliber or Gauge)/Type/Annot>> endobj 2009 0 obj <>/P 17 0 R /Parent 1826 0 R /Rect[ 420.352 435.362 584.098 449.408]/StructParent 714/Subtype/Widget/T(Model[0])/TU(4. Description of Firearm \(Complete items a through h\) \(See instruction 2n\). d. Model)/Type/Annot>> endobj 2010 0 obj <>/P 17 0 R /Parent 1826 0 R /Rect[ 420.826 406.696 496.409 421.019]/StructParent 715/Subtype/Widget/T(LengthofBarrel[0])/TU(4. Description of Firearm \(Complete items a through h\) \(See instruction 2n\). e. Barrel Length:)/Type/Annot>> endobj 2011 0 obj <>/P 17 0 R /Parent 1826 0 R /Rect[ 502.359 406.696 581.939 421.019]/StructParent 716/Subtype/Widget/T(LengthOverall[0])/TU(4. Description of Firearm \(Complete items a through h\) \(See instruction 2n\). f. Overall Length)/Type/Annot>> endobj 2012 0 obj <>/P 17 0 R /Parent 1826 0 R /Rect[ 419.93 382.515 579.382 395.94]/StructParent 720/Subtype/Widget/T(SerialNumber[0])/TU(4. Description of Firearm \(Complete items a through h\) \(See instruction 2n\). g. Serial Number)/Type/Annot>> endobj 2013 0 obj <>/P 17 0 R /Parent 1826 0 R /Rect[ 28.134 349.072 584.238 369.802]/StructParent 721/Subtype/Widget/T(AdditionalDescription[0])/TU(4. Description of Firearm \(Complete items a through h\) \(See instruction 2n\). h. Additional Description or Data Appearing on Firearm \(Attach additional sheet if necessary\))/Type/Annot>> endobj 2014 0 obj <>/MaxLen 6/P 17 0 R /Parent 1826 0 R /Q 1/Rect[ 25.217 293.782 109.616 310.008]/StructParent 724/Subtype/Widget/T(FederalFirearmsLicense6dig[0])/TU(5. Transferee's Federal Firearms License \(If any\) or Explosives License or Permit Number \(Give complete 15-digit number\) \(See instruction 2c\) - First 6 digits)/Type/Annot>> endobj 2015 0 obj <>/MaxLen 2/P 17 0 R /Parent 1826 0 R /Q 1/Rect[ 111.447 293.78 170.958 309.92]/StructParent 725/Subtype/Widget/T(FederalFirearmsLicense2dig[0])/TU(5. 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Transferee's Federal Firearms License \(If any\) or Explosives License or Permit Number \(Give complete 15-digit number\) \(See instruction 2c\) - 5 digits)/Type/Annot>> endobj 2018 0 obj <>/MaxLen 6/P 17 0 R /Parent 1826 0 R /Q 1/Rect[ 25.217 234.655 107.77 249.877]/StructParent 734/Subtype/Widget/T(TFederalFirearmsLicense6dig[0])/TU(7. Transferor's Federal Firearms License \(If any\) - First 6 digits)/Type/Annot>> endobj 2019 0 obj <>/MaxLen 2/P 17 0 R /Parent 1826 0 R /Q 1/Rect[ 110.543 234.791 170.958 249.877]/StructParent 735/Subtype/Widget/T(TFederalFirearmsLicense2dig[0])/TU(7. Transferor's Federal Firearms License \(If any\) - 2 digits)/Type/Annot>> endobj 2020 0 obj <>/MaxLen 2/P 17 0 R /Parent 1826 0 R /Q 1/Rect[ 172.332 234.791 235.332 250.333]/StructParent 736/Subtype/Widget/T(TFederalFirearmsLicense2dig2[0])/TU(7. Transferor's Federal Firearms License \(If any\) - 2 digits)/Type/Annot>> endobj 2021 0 obj <>/MaxLen 5/P 17 0 R /Parent 1826 0 R /Q 1/Rect[ 238.292 234.788 304.234 250.333]/StructParent 737/Subtype/Widget/T(TFederalFirearmsLicense5dig[0])/TU(7. Transferor's Federal Firearms License \(If any\) - 5 digits)/Type/Annot>> endobj 2022 0 obj <>/P 17 0 R /Parent 1826 0 R /Rect[ 306.122 290.356 443.095 316.188]/StructParent 722/Subtype/Widget/T(TransfereeSpecialTaxStatus[0])/TU(6a. Transferee's Special \(Occupational\) Tax Status \(If any\) - Employer Identification Number)/Type/Annot>> endobj 2023 0 obj <>/P 17 0 R /Parent 1826 0 R /Rect[ 445.904 290.212 582.389 315.746]/StructParent 723/Subtype/Widget/T(TransfereeSpecialTaxStatusClass[0])/TU(6b. Transferee's Special \(Occupational\) Tax Status \(If any\) - Class)/Type/Annot>> endobj 2024 0 obj <>/P 17 0 R /Parent 1826 0 R /Rect[ 306.122 234.437 443.095 257.953]/StructParent 732/Subtype/Widget/T(TransferorSpecialTaxStatus[0])/TU(8a. 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Please note that a completed 5320.23, National Firearms Act \(NFA\) Responsible Person Questionnaire, must be submitted with the Form 4 application for each Responsible Person. Full Name)/Type/Annot>> endobj 2058 0 obj <>/P 5 0 R /Parent 1825 0 R /Rect[ 27.411 551.679 285.233 568.361]/StructParent 991/Subtype/Widget/T(TextField8n[0])/TU(22. Provide the full name \(printed or typed\) below for each Responsible Person associated with the applicant trust or legal entity \(if there are more Responsible Persons than can be listed on the form, attach a separate sheet listing the additional Responsible Person\(s\)\). Please note that a completed 5320.23, National Firearms Act \(NFA\) Responsible Person Questionnaire, must be submitted with the Form 4 application for each Responsible Person. Full Name)/Type/Annot>> endobj 2059 0 obj <>/P 5 0 R /Parent 1825 0 R /Rect[ 27.992 532.865 285.795 549.541]/StructParent 993/Subtype/Widget/T(TextField9n[0])/TU(22. 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Please note that a completed 5320.23, National Firearms Act \(NFA\) Responsible Person Questionnaire, must be submitted with the Form 4 application for each Responsible Person. Full Name)/Type/Annot>> endobj 2061 0 obj <>/P 5 0 R /Parent 1825 0 R /Rect[ 324.014 550.781 584.101 568.361]/StructParent 992/Subtype/Widget/T(TextField711n[0])/TU(22. Provide the full name \(printed or typed\) below for each Responsible Person associated with the applicant trust or legal entity \(if there are more Responsible Persons than can be listed on the form, attach a separate sheet listing the additional Responsible Person\(s\)\). Please note that a completed 5320.23, National Firearms Act \(NFA\) Responsible Person Questionnaire, must be submitted with the Form 4 application for each Responsible Person. Full Name)/Type/Annot>> endobj 2062 0 obj <>/P 5 0 R /Parent 1825 0 R /Rect[ 324.598 532.426 583.517 548.399]/StructParent 676/Subtype/Widget/T(TextField12n[0])/TU(22. Provide the full name \(printed or typed\) below for each Responsible Person associated with the applicant trust or legal entity \(if there are more Responsible Persons than can be listed on the form, attach a separate sheet listing the additional Responsible Person\(s\)\). Please note that a completed 5320.23, National Firearms Act \(NFA\) Responsible Person Questionnaire, must be submitted with the Form 4 application for each Responsible Person. Full Name)/Type/Annot>> endobj 2063 0 obj <>/P 5 0 R /Parent 1825 0 R /Rect[ 26.85 591.556 285.234 607.141]/StructParent 985/Subtype/Widget/T(TextField6n[0])/TU(22. Provide the full name \(printed or typed\) below for each Responsible Person associated with the applicant trust or legal entity \(if there are more Responsible Persons than can be listed on the form, attach a separate sheet listing the additional Responsible Person\(s\)\). 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Method of Payment \(Check one\) \(See instruction 2j\) \(if paying by credit/debit card, complete the sections below\) - Cashier's Check or \rMoney Order \(Enclosed\))/Type/Annot>> endobj 2068 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 5 0 R /Parent 1825 0 R /Rect[ 248.833 501.712 257.833 510.712]/StructParent 1004/Subtype/Widget/T(MethodofPaymentCheckbox3[0])/TU(23. Method of Payment \(Check one\) \(See instruction 2j\) \(if paying by credit/debit card, complete the sections below\) - Visa)/Type/Annot>> endobj 2069 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 5 0 R /Parent 1825 0 R /Rect[ 297.598 502.155 306.598 511.155]/StructParent 1008/Subtype/Widget/T(MethodofPaymentCheckbox4[0])/TU(23. Method of Payment \(Check one\) \(See instruction 2j\) \(if paying by credit/debit card, complete the sections below\) - Mastercard)/Type/Annot>> endobj 2070 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 5 0 R /Parent 1825 0 R /Rect[ 374.29 502.603 383.29 511.603]/StructParent 1011/Subtype/Widget/T(MethodofPaymentCheckbox5[0])/TU(23. Method of Payment \(Check one\) \(See instruction 2j\) \(if paying by credit/debit card, complete the sections below\) - American Express)/Type/Annot>> endobj 2071 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 5 0 R /Parent 1825 0 R /Rect[ 452.248 501.934 461.248 510.934]/StructParent 1013/Subtype/Widget/T(MethodofPaymentCheckbox6[0])/TU(23. Method of Payment \(Check one\) \(See instruction 2j\) \(if paying by credit/debit card, complete the sections below\) - Discover)/Type/Annot>> endobj 2072 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 5 0 R /Parent 1825 0 R /Rect[ 524.823 501.932 533.823 510.932]/StructParent 1014/Subtype/Widget/T(MethodofPaymentCheckbox7[0])/TU(23. Method of Payment \(Check one\) \(See instruction 2j\) \(if paying by credit/debit card, complete the sections below\) - Diners Club)/Type/Annot>> endobj 2073 0 obj <>/P 5 0 R /Parent 1825 0 R /Rect[ 357.752 664.166 422.62 672.208]/StructParent 670/Subtype/Widget/T(TextField21legal[0])/TU(21. Number of Responsible Persons \(see definitions\) associated with the transferee trust or legal entity)/Type/Annot>> endobj 2074 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 5 0 R /Parent 1825 0 R /Rect[ 28.851 502.382 37.851 511.382]/StructParent 679/Subtype/Widget/T(MethodofPaymentCheckboxCheck[0])/TU(23. Method of Payment \(Check one\) \(See instruction 2j\) \(if paying by credit/debit card, complete the sections below\) - Check \(Enclosed\))/Type/Annot>> endobj 2075 0 obj <>/P 5 0 R /Parent 1825 0 R /Rect[ 28.769 744.307 309.955 755.331]/StructParent 667/Subtype/Widget/T(sb[0])/TU(20b. State of Birth)/Type/Annot>> endobj 2076 0 obj <>/P 5 0 R /Parent 1825 0 R /Rect[ 314.977 744.307 585.629 755.331]/StructParent 983/Subtype/Widget/T(cb[0])/TU(20c. Country of Birth)/Type/Annot>> endobj 2077 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8392704/MK<<>>/P 3312 0 R /Parent 1824 0 R /Rect[ 225.088 629.376 583.863 670.178]/StructParent 928/Subtype/Widget/T(TransfereeNameandAddress[0])/TU(2a. Transferee's Full Legal Name and Address \(Include trade name, if any\) \(See instruction 2d\))/Type/Annot>> endobj 2078 0 obj <>/DA(/TimesNewRomanPSMT 9 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK<<>>/P 3312 0 R /Parent 1824 0 R /Rect[ 468.57 598.093 586.211 610.798]/StructParent 568/Subtype/Widget/T(TextField1[0])/TU(2b. Transferee's Full Legal Name and Address \(Include trade name, if any\) \(See instruction 2d\) County/Parish)/Type/Annot>> endobj 2079 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8392704/MK<<>>/P 3312 0 R /Parent 1824 0 R /Rect[ 29.052 477.998 281.746 578.333]/StructParent 569/Subtype/Widget/T(TransferorNameandAddress[0])/TU(3a. Transferor's Full Legal Name and Address \(Include trade name, if any\) \(Executors: see instruction 2l\))/Type/Annot>> endobj 2080 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK<<>>/P 3312 0 R /Parent 1824 0 R /Rect[ 287.3 561.226 416.378 586.633]/StructParent 570/Subtype/Widget/T(TextField2[0])/TU(3b. E-mail address )/Type/Annot>> endobj 2081 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK<<>>/P 3312 0 R /Parent 1824 0 R /Rect[ 421.736 561.226 585.479 585.791]/StructParent 571/Subtype/Widget/T(TextField3[0])/TU(3c. Transferor's Telephone \(Area Code and Number\))/Type/Annot>> endobj 2082 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8392704/MK<<>>/P 3312 0 R /Parent 1824 0 R /Rect[ 287.3 525.183 584.26 547.251]/StructParent 572/Subtype/Widget/T(DecedentNameandAddress[0])/TU(3d. If Applicable: Decedent's Name, Address, and Date of Death)/Type/Annot>> endobj 2083 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8392704/MK<<>>/P 3312 0 R /Parent 1824 0 R /Rect[ 285.962 478.732 584.045 504.028]/StructParent 573/Subtype/Widget/T(NumberStreetCityStateZipDifferent[0])/TU(3e. Number, Street, City, State and Zip Code of Residence \(or Firearms Business Premises\) \(If Different from Item 3a.\))/Type/Annot>> endobj 2084 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8392704/MK<<>>/P 3312 0 R /Parent 1824 0 R /Rect[ 29.744 382.55 225.913 410.658]/StructParent 933/Subtype/Widget/T(NameandAddressofMakerManuImporter[0])/TU(4. Description of Firearm \(Complete items a through h\) \(See instruction 2n\). a. Name and Address of Maker, Manufacturer and/or Importer of Firearm)/Type/Annot>> endobj 2085 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8392704/MK<<>>/P 3312 0 R /Parent 1824 0 R /Rect[ 232.94 383.006 354.164 410]/StructParent 934/Subtype/Widget/T(TypeofFirearm[0])/TU(4. Description of Firearm \(Complete items a through h\) \(See instruction 2n\). b. Type of Firearm \(See definitions 1c\))/Type/Annot>> endobj 2086 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8392704/MK<<>>/P 3312 0 R /Parent 1824 0 R /Rect[ 360.587 383.448 416.146 410]/StructParent 935/Subtype/Widget/T(CaliberorGauge[0])/TU(4. Description of Firearm \(Complete items a through h\) \(See instruction 2n\). c. Caliber or Gauge)/Type/Annot>> endobj 2087 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK<<>>/P 3312 0 R /Parent 1824 0 R /Rect[ 421.055 435.415 584.801 449.461]/StructParent 937/Subtype/Widget/T(Model[0])/TU(4. Description of Firearm \(Complete items a through h\) \(See instruction 2n\). d. Model)/Type/Annot>> endobj 2088 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK<<>>/P 3312 0 R /Parent 1824 0 R /Rect[ 421.529 406.749 497.112 421.072]/StructParent 939/Subtype/Widget/T(LengthofBarrel[0])/TU(4. Description of Firearm \(Complete items a through h\) \(See instruction 2n\). e. Barrel Length:)/Type/Annot>> endobj 2089 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK<<>>/P 3312 0 R /Parent 1824 0 R /Rect[ 503.062 406.749 582.642 421.072]/StructParent 941/Subtype/Widget/T(LengthOverall[0])/TU(4. Description of Firearm \(Complete items a through h\) \(See instruction 2n\). f. Overall Length)/Type/Annot>> endobj 2090 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK<<>>/P 3312 0 R /Parent 1824 0 R /Rect[ 420.633 382.569 580.085 395.994]/StructParent 943/Subtype/Widget/T(SerialNumber[0])/TU(4. Description of Firearm \(Complete items a through h\) \(See instruction 2n\). g. Serial Number)/Type/Annot>> endobj 2091 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8392704/MK<<>>/P 3312 0 R /Parent 1824 0 R /Rect[ 28.837 349.126 584.941 369.856]/StructParent 945/Subtype/Widget/T(AdditionalDescription[0])/TU(4. Description of Firearm \(Complete items a through h\) \(See instruction 2n\). h. Additional Description or Data Appearing on Firearm \(Attach additional sheet if necessary\))/Type/Annot>> endobj 2092 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK<<>>/MaxLen 6/P 3312 0 R /Parent 1824 0 R /Q 1/Rect[ 25.92 293.836 110.319 310.062]/StructParent 590/Subtype/Widget/T(FederalFirearmsLicense6dig[0])/TU(5. Transferee's Federal Firearms License \(If any\) or Explosives License or Permit Number \(Give complete 15-digit number\) \(See instruction 2c\) - First 6 digits)/Type/Annot>> endobj 2093 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK<<>>/MaxLen 2/P 3312 0 R /Parent 1824 0 R /Q 1/Rect[ 112.15 293.834 171.661 309.974]/StructParent 591/Subtype/Widget/T(FederalFirearmsLicense2dig[0])/TU(5. Transferee's Federal Firearms License \(If any\) or Explosives License or Permit Number \(Give complete 15-digit number\) \(See instruction 2c\) - 2 digits)/Type/Annot>> endobj 2094 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK<<>>/MaxLen 2/P 3312 0 R /Parent 1824 0 R /Q 1/Rect[ 173.489 293.84 236.489 309.518]/StructParent 592/Subtype/Widget/T(FederalFirearmsLicense2dig26[0])/TU(5. Transferee's Federal Firearms License \(If any\) or Explosives License or Permit Number \(Give complete 15-digit number\) \(See instruction 2c\) - 2 digits)/Type/Annot>> endobj 2095 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK<<>>/MaxLen 5/P 3312 0 R /Parent 1824 0 R /Q 1/Rect[ 239.448 293.837 304.937 309.518]/StructParent 593/Subtype/Widget/T(FederalFirearmsLicense5dig[0])/TU(5. Transferee's Federal Firearms License \(If any\) or Explosives License or Permit Number \(Give complete 15-digit number\) \(See instruction 2c\) - 5 digits)/Type/Annot>> endobj 2096 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK<<>>/MaxLen 6/P 3312 0 R /Parent 1824 0 R /Q 1/Rect[ 25.92 234.709 108.473 249.931]/StructParent 600/Subtype/Widget/T(TFederalFirearmsLicense6dig[0])/TU(7. Transferor's Federal Firearms License \(If any\) - First 6 digits)/Type/Annot>> endobj 2097 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK<<>>/MaxLen 2/P 3312 0 R /Parent 1824 0 R /Q 1/Rect[ 111.246 234.845 171.661 249.931]/StructParent 601/Subtype/Widget/T(TFederalFirearmsLicense2dig[0])/TU(7. Transferor's Federal Firearms License \(If any\) - 2 digits)/Type/Annot>> endobj 2098 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK<<>>/MaxLen 2/P 3312 0 R /Parent 1824 0 R /Q 1/Rect[ 173.035 234.845 236.035 250.387]/StructParent 602/Subtype/Widget/T(TFederalFirearmsLicense2dig2[0])/TU(7. Transferor's Federal Firearms License \(If any\) - 2 digits)/Type/Annot>> endobj 2099 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK<<>>/MaxLen 5/P 3312 0 R /Parent 1824 0 R /Q 1/Rect[ 238.995 234.842 304.937 250.387]/StructParent 603/Subtype/Widget/T(TFederalFirearmsLicense5dig[0])/TU(7. Transferor's Federal Firearms License \(If any\) - 5 digits)/Type/Annot>> endobj 2100 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK<<>>/P 3312 0 R /Parent 1824 0 R /Rect[ 306.825 290.41 443.798 316.242]/StructParent 588/Subtype/Widget/T(TransfereeSpecialTaxStatus[0])/TU(6a. Transferee's Special \(Occupational\) Tax Status \(If any\) - Employer Identification Number)/Type/Annot>> endobj 2101 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK<<>>/P 3312 0 R /Parent 1824 0 R /Rect[ 446.607 290.265 583.092 315.799]/StructParent 589/Subtype/Widget/T(TransfereeSpecialTaxStatusClass[0])/TU(6b. Transferee's Special \(Occupational\) Tax Status \(If any\) - Class)/Type/Annot>> endobj 2102 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK<<>>/P 3312 0 R /Parent 1824 0 R /Rect[ 306.825 234.491 443.798 258.007]/StructParent 598/Subtype/Widget/T(TransferorSpecialTaxStatus[0])/TU(8a. Transferor's Special \(Occupational\) Tax Status \(If any\) - Employer Identification Number)/Type/Annot>> endobj 2103 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK<<>>/P 3312 0 R /Parent 1824 0 R /Rect[ 447.066 234.681 583.568 258.007]/StructParent 599/Subtype/Widget/T(TransferorSpecialTaxStatusClass[0])/TU(8b. Transferor's Special \(Occupational\) Tax Status \(If any\) - Class)/Type/Annot>> endobj 2104 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8392704/MK<<>>/P 3312 0 R /Parent 1824 0 R /Rect[ 307.667 167.08 498.963 183.249]/StructParent 604/Subtype/Widget/T(NameTitleAuthorizedOfficial[0])/TU(10. Name and title of Authorized Official \(Print or type\))/Type/Annot>> endobj 2105 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK<<>>/P 3312 0 R /Parent 1824 0 R /Rect[ 504.147 167.08 586.23 183.249]/StructParent 605/Subtype/Widget/T(DateField1[0])/TU(11. Date)/Type/Annot>> endobj 2106 0 obj <>/P 3312 0 R /Parent 1824 0 R /Rect[ 26.923 167.06 303.837 182.758]/StructParent 606/Subtype/Widget/T(SignatureField1[0])/TU(9. Signature of Transferor \(Or authorized official\))/Type/Annot>> endobj 2107 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 3312 0 R /Parent 1824 0 R /Rect[ 43.645 657.614 52.645 666.614]/StructParent 574/Subtype/Widget/T(TypeofTransferCheckBox5[0])/TU(1. Type of Transfer \(Check one\) - $5)/Type/Annot>> endobj 2108 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 3312 0 R /Parent 1824 0 R /Rect[ 85.906 657.617 94.906 666.617]/StructParent 923/Subtype/Widget/T(TypeofTransferCheckBox200[0])/TU(1. Type of Transfer \(Check one\) - $200)/Type/Annot>> endobj 2109 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 3312 0 R /Parent 1824 0 R /Rect[ 245.86 600.493 254.86 609.493]/StructParent 929/Subtype/Widget/T(CheckBox1individual[0])/TU(2a. Transferee's Full Legal Name and Address \(Include trade name, if any\) \(See instruction 2d\) Individual)/Type/Annot>> endobj 2110 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 3312 0 R /Parent 1824 0 R /Rect[ 360.904 600.502 369.904 609.502]/StructParent 932/Subtype/Widget/T(CheckBox1trust[0])/TU(2a. Transferee's Full Legal Name and Address \(Include trade name, if any\) \(See instruction 2d\) Trust)/Type/Annot>> endobj 2111 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK<<>>/MaxLen 6/P 3312 0 R /Parent 1824 0 R /Q 1/Rect[ 25.92 277.259 110.319 292.042]/StructParent 594/Subtype/Widget/T(FederalFirearmsLicense6dig2[0])/TU(5. Transferee's Federal Firearms License \(If any\) or Explosives License or Permit Number \(Give complete 15-digit number\) \(See instruction 2c\) - First 6 digits)/Type/Annot>> endobj 2112 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK<<>>/MaxLen 2/P 3312 0 R /Parent 1824 0 R /Q 1/Rect[ 112.15 277.26 171.661 291.603]/StructParent 595/Subtype/Widget/T(FederalFirearmsLicense2dig25[0])/TU(5. Transferee's Federal Firearms License \(If any\) or Explosives License or Permit Number \(Give complete 15-digit number\) \(See instruction 2c\) - 2 digits)/Type/Annot>> endobj 2113 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK<<>>/MaxLen 2/P 3312 0 R /Parent 1824 0 R /Q 1/Rect[ 173.489 277.26 236.489 291.603]/StructParent 596/Subtype/Widget/T(FederalFirearmsLicense2dig3[0])/TU(5. Transferee's Federal Firearms License \(If any\) or Explosives License or Permit Number \(Give complete 15-digit number\) \(See instruction 2c\) - 2 digits)/Type/Annot>> endobj 2114 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK<<>>/MaxLen 5/P 3312 0 R /Parent 1824 0 R /Q 1/Rect[ 239.448 277.259 304.937 292.042]/StructParent 597/Subtype/Widget/T(FederalFirearmsLicense5dig4[0])/TU(5. Transferee's Federal Firearms License \(If any\) or Explosives License or Permit Number \(Give complete 15-digit number\) \(See instruction 2c\) - 5 digits)/Type/Annot>> endobj 2115 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 3312 0 R /Parent 1824 0 R /Rect[ 245.302 614.387 254.302 623.387]/StructParent 925/Subtype/Widget/T(CheckBox1corp[0])/TU(2a. Transferee's Full Legal Name and Address \(Include trade name, if any\) \(See instruction 2d\) Corporation)/Type/Annot>> endobj 2116 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 3312 0 R /Parent 1824 0 R /Rect[ 360.904 614.836 369.904 623.836]/StructParent 931/Subtype/Widget/T(CheckBox1legal[0])/TU(2a. Transferee's Full Legal Name and Address \(Include trade name, if any\) \(See instruction 2d\) Other Legal Entity)/Type/Annot>> endobj 2117 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 3312 0 R /Parent 1824 0 R /Rect[ 28.341 112.709 37.341 121.709]/StructParent 607/Subtype/Widget/T(atfapp[0])/TU(atfapp)/Type/Annot>> endobj 2118 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 3312 0 R /Parent 1824 0 R /Rect[ 310.55 111.719 319.55 120.719]/StructParent 609/Subtype/Widget/T(atfdisapp[0])/TU(atfdisapp)/Type/Annot>> endobj 2119 0 obj <>/DA(/TimesNewRomanPSMT 9 Tf 0 g)/F 4/FT/Tx/Ff 8392704/MK<<>>/P 3312 0 R /Parent 1824 0 R /Rect[ 27.609 76.728 303.145 108.133]/StructParent 608/Subtype/Widget/T(TextFieldapp[0])/TU(TextFieldapp)/Type/Annot>> endobj 2120 0 obj <>/DA(/TimesNewRomanPSMT 9 Tf 0 g)/F 4/FT/Tx/Ff 8392704/MK<<>>/P 3312 0 R /Parent 1824 0 R /Rect[ 308.378 75.991 583.914 107.396]/StructParent 610/Subtype/Widget/T(TextFielddisapp[0])/TU(TextFielddisapp)/Type/Annot>> endobj 2121 0 obj <>/P 3312 0 R /Parent 1824 0 R /Rect[ 26.657 45.791 506.358 62.932]/StructParent 611/Subtype/Widget/T(SignatureField5[0])/TU(SignatureField5)/Type/Annot>> endobj 2122 0 obj <>/DA(/TimesNewRomanPSMT 8 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK<<>>/P 3312 0 R /Parent 1824 0 R /Rect[ 511.591 45.595 585.354 61.764]/StructParent 612/Subtype/Widget/T(atfdate[0])/TU(11. Date)/Type/Annot>> endobj 2123 0 obj <>/DA(/TimesNewRomanPSMT 9 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK<<>>/P 3312 0 R /Parent 1824 0 R /Rect[ 106.605 706.816 583.446 716.332]/StructParent 566/Subtype/Widget/T(atfcontrol[0])/TU(bet365 Control Number)/Type/Annot>> endobj 2124 0 obj <>/P 1 0 R /Parent 1822 0 R /Rect[ 28.052 700.24 298.052 718.112]/StructParent 946/Subtype/Widget/T(TextField4AD[0])/TU(12. Law Enforcement Notification \(See instruction 2f\) - The transferee is to provide notification of the proposed acquisition and possession of the firearm described on this Form 4 by providing a copy of the completed form to the chief law enforcement officer in the agency identified below: - Agency or Department Name)/Type/Annot>> endobj 2125 0 obj <>/P 1 0 R /Parent 1822 0 R /Rect[ 304.237 699.843 584.663 718.112]/StructParent 613/Subtype/Widget/T(TextField5TO[0])/TU( 12. Law Enforcement Notification \(See instruction 2f\) - The transferee is to provide notification of the proposed acquisition and possession of the firearm described on this Form 4 by providing a copy of the completed form to the chief law enforcement officer in the agency identified below: - Name and Title of Official)/Type/Annot>> endobj 2126 0 obj <>/P 1 0 R /Parent 1822 0 R /Rect[ 54.652 589.456 291.694 600.792]/StructParent 617/Subtype/Widget/T(NameTitleTransferee[0])/TU(13. Transferee Necessity Statement \(See instruction 2e\) Name and Title of Transferee)/Type/Annot>> endobj 2127 0 obj <>/P 1 0 R /Parent 1822 0 R /Rect[ 378.462 563.082 574.472 579.033]/StructParent 618/Subtype/Widget/T(Reasons[0])/TU(13. Transferee Necessity Statement \(See instruction 2e\) I, have a reasonable necessity to possess the machinegun, short-barreled rifle,short-barreled shotgun, or destructive device described on this application for the following reason\(s\))/Type/Annot>> endobj 2128 0 obj <>/P 1 0 R /Parent 1822 0 R /Rect[ 48.217 542.569 586.618 559.191]/StructParent 619/Subtype/Widget/T(reasons2[0])/TU(13. Transferee Necessity Statement \(See instruction 2e\) I, have a reasonable necessity to possess the machinegun, short-barreled rifle,short-barreled shotgun, or destructive device described on this application for the following reason\(s\))/Type/Annot>> endobj 2129 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 1 0 R /Parent 1822 0 R /Rect[ 406.84 460.293 415.84 469.293]/StructParent 947/Subtype/Widget/T(CheckboxYes1[0])/TU(14. a. Do you intend to make any firearm listed on this form for sale or other disposition to any person described in questions 14.c through 14.l. or a person described in question 14.m. who does not fall under an exception? Yes)/Type/Annot>> endobj 2130 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 1 0 R /Parent 1822 0 R /Rect[ 430.645 459.752 439.645 468.752]/StructParent 948/Subtype/Widget/T(CheckBoxNo1[0])/TU(14. a. Do you intend to make any firearm listed on this form for sale or other disposition to any person described in questions 14.c through 14.l. or a person described in question 14.m. who does not fall under an exception? No)/Type/Annot>> endobj 2131 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 1 0 R /Parent 1822 0 R /Rect[ 406.449 433.666 415.449 442.666]/StructParent 949/Subtype/Widget/T(CheckBoxYes2[0])/TU(14. b. Do you intend to sell or otherwise dispose of any firearm listed on this form in furtherance of any felon or other offense punishable by imprisonment for a term of more than one year, a Federal crime of terrorism, or a drug trafficking offense? Yes)/Type/Annot>> endobj 2132 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 1 0 R /Parent 1822 0 R /Rect[ 430.699 433.615 439.699 442.615]/StructParent 950/Subtype/Widget/T(CheckBoxNo2[0])/TU(14. b. Do you intend to sell or otherwise dispose of any firearm listed on this form in furtherance of any felon or other offense punishable by imprisonment for a term of more than one year, a Federal crime of terrorism, or a drug trafficking offense? No)/Type/Annot>> endobj 2133 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 1 0 R /Parent 1822 0 R /Rect[ 407.846 356.124 416.846 365.124]/StructParent 955/Subtype/Widget/T(CheckBoxYes3[0])/TU(14. e. Are you a fugitive from justice? \(See definition 1s\) Yes)/Type/Annot>> endobj 2134 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 1 0 R /Parent 1822 0 R /Rect[ 430.951 356.118 439.951 365.118]/StructParent 956/Subtype/Widget/T(CheckboxNo3[0])/TU(14. e. Are you a fugitive from justice? \(See definition 1s\) No)/Type/Annot>> endobj 2135 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 1 0 R /Parent 1822 0 R /Rect[ 406.755 328.594 415.755 337.594]/StructParent 957/Subtype/Widget/T(CheckBoxYes4[0])/TU(14. f. 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. Yes)/Type/Annot>> endobj 2136 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 1 0 R /Parent 1822 0 R /Rect[ 430.951 328.313 439.951 337.313]/StructParent 958/Subtype/Widget/T(CheckBoxNo4[0])/TU(14. f. 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. No)/Type/Annot>> endobj 2137 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 1 0 R /Parent 1822 0 R /Rect[ 407.197 295.873 416.197 304.873]/StructParent 959/Subtype/Widget/T(CheckBoxYes5[0])/TU(14. g. On or after the age of 16, have you ever been adjudicated as a mental defective OR have you ever been committed to a mental institution? \(See definition 1n and 1o\) Yes)/Type/Annot>> endobj 2138 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 1 0 R /Parent 1822 0 R /Rect[ 430.497 295.873 439.497 304.873]/StructParent 960/Subtype/Widget/T(CheckBoxNo5[0])/TU(14. g. On or after the age of 16, have you ever been adjudicated as a mental defective OR have you ever been committed to a mental institution? \(See definition 1n and 1o\) No)/Type/Annot>> endobj 2139 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 1 0 R /Parent 1822 0 R /Rect[ 407.149 273.054 416.149 282.054]/StructParent 961/Subtype/Widget/T(CheckBoxYes6[0])/TU(14. h. Have you been discharged from the Armed Forces under dishonorable conditions? Yes)/Type/Annot>> endobj 2140 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 1 0 R /Parent 1822 0 R /Rect[ 430.106 273.025 439.106 282.025]/StructParent 962/Subtype/Widget/T(CheckBoxNo6[0])/TU(14. h. Have you been discharged from the Armed Forces under dishonorable conditions? No)/Type/Annot>> endobj 2141 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 1 0 R /Parent 1822 0 R /Rect[ 406.755 251.935 415.755 260.935]/StructParent 963/Subtype/Widget/T(CheckBoxYes7[0])/TU(14. i. Are you subject to a court order restraining you from harassing, stalking, or threatening your child or an intimate partner or child of such partner? \(See definition 1p\) Yes)/Type/Annot>> endobj 2142 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 1 0 R /Parent 1822 0 R /Rect[ 430.367 251.955 439.367 260.955]/StructParent 964/Subtype/Widget/T(CheckBoxNo7[0])/TU(14. i. Are you subject to a court order restraining you from harassing, stalking, or threatening your child or an intimate partner or child of such partner? \(See definition 1p\) No)/Type/Annot>> endobj 2143 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 1 0 R /Parent 1822 0 R /Rect[ 407.033 231.657 416.033 240.657]/StructParent 965/Subtype/Widget/T(CheckBoxYes8[0])/TU(14. j. Have you ever been convicted in any court of a misdemeanor crime of domestic violence? \(See definition 1q\) Yes)/Type/Annot>> endobj 2144 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 1 0 R /Parent 1822 0 R /Rect[ 430.336 231.596 439.336 240.596]/StructParent 966/Subtype/Widget/T(CheckBoxNo8[0])/TU(14. j. Have you ever been convicted in any court of a misdemeanor crime of domestic violence? \(See definition 1q\) No)/Type/Annot>> endobj 2145 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 1 0 R /Parent 1822 0 R /Rect[ 45.221 48.455 54.221 57.455]/StructParent 665/Subtype/Widget/T(CheckBox5usa[0])/TU(20a. Country of Citizenship \(Check/List more than one, if applicable. Nationals of the United States may check U.S.A.\) \(See definition 1r\) - United States of America)/Type/Annot>> endobj 2146 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 1 0 R /Parent 1822 0 R /Rect[ 176.887 48.492 185.887 57.492]/StructParent 982/Subtype/Widget/T(CheckBox5other[0])/TU(20a. Country of Citizenship \(Check/List more than one, if applicable. Nationals of the United States may check U.S.A.\) \(See definition 1r\) - Other country/Countries \(specify\):)/Type/Annot>> endobj 2147 0 obj <>/P 1 0 R /Parent 1822 0 R /Rect[ 309.801 50.763 530.348 63.887]/StructParent 663/Subtype/Widget/T(TextField6other[0])/TU(20a. Country of Citizenship \(Check/List more than one, if applicable. Nationals of the United States may check U.S.A.\) \(See definition 1r\) - Other country/Countries \(specify\):)/Type/Annot>> endobj 2148 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 1 0 R /Parent 1822 0 R /Rect[ 408.271 215.037 417.271 224.037]/StructParent 967/Subtype/Widget/T(CheckBoxYes11[0])/TU(14. k. Have you ever renounced your United States citizenship? Yes)/Type/Annot>> endobj 2149 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 1 0 R /Parent 1822 0 R /Rect[ 432.896 215.037 441.896 224.037]/StructParent 968/Subtype/Widget/T(CheckBoxNo11[0])/TU(14. k. Have you ever renounced your United States citizenship? No)/Type/Annot>> endobj 2150 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 1 0 R /Parent 1822 0 R /Rect[ 407.622 198.277 416.622 207.277]/StructParent 969/Subtype/Widget/T(CheckBoxYes12[0])/TU(14. l. Are you an alien illegally or unlawfully in the United States? Yes)/Type/Annot>> endobj 2151 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 1 0 R /Parent 1822 0 R /Rect[ 432.258 198.045 441.258 207.045]/StructParent 970/Subtype/Widget/T(CheckBoxNo12[0])/TU(14. l. Are you an alien illegally or unlawfully in the United States? No)/Type/Annot>> endobj 2152 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 1 0 R /Parent 1822 0 R /Rect[ 408.492 180.646 417.492 189.646]/StructParent 971/Subtype/Widget/T(CheckBoxYes13[0])/TU(14. m.1. Are you an alien who has been admitted to the United States under a nonimmigrant visa? Yes)/Type/Annot>> endobj 2153 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 1 0 R /Parent 1822 0 R /Rect[ 432.269 180.418 441.269 189.418]/StructParent 972/Subtype/Widget/T(CheckBoxNo13[0])/TU(14. m.1. Are you an alien who has been admitted to the United States under a nonimmigrant visa? No)/Type/Annot>> endobj 2154 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 1 0 R /Parent 1822 0 R /Rect[ 408.033 165.751 417.033 174.751]/StructParent 973/Subtype/Widget/T(CheckBoxYes14[0])/TU(14. m.2. If yes, do you fall within any of the exceptions stated in the instructions? Attach the documentation to the application. Yes)/Type/Annot>> endobj 2155 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 1 0 R /Parent 1822 0 R /Rect[ 431.81 165.897 440.81 174.897]/StructParent 974/Subtype/Widget/T(CheckBoxNo14[0])/TU(14. m.2. If yes, do you fall within any of the exceptions stated in the instructions? Attach the documentation to the application. No)/Type/Annot>> endobj 2156 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 1 0 R /Parent 1822 0 R /Rect[ 447.191 165.827 456.191 174.827]/StructParent 975/Subtype/Widget/T(checkbox18f2NA[0])/TU(14. m.2. If yes, do you fall within any of the exceptions stated in the instructions? Attach the documentation to the application. N/A)/Type/Annot>> endobj 2157 0 obj <>/P 1 0 R /Parent 1822 0 R /Rect[ 363.008 152.152 586.548 162.496]/StructParent 650/Subtype/Widget/T(TextField19[0])/TU(16. If you are an alien. record your U.S.-Issued alien or Admission number \(AR#, USCIS#, or I94#\):)/Type/Annot>> endobj 2158 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 1 0 R /Parent 1822 0 R /Rect[ 348.891 135.554 356.891 143.554]/StructParent 653/Subtype/Widget/T(CheckBox20upinyes[0])/TU(17. Have you been issued a Unique Personal Identification Number \(UPIN\)? \(See instructions 2.H\) Yes)/Type/Annot>> endobj 2159 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 1 0 R /Parent 1822 0 R /Rect[ 378.895 135.554 386.895 143.554]/StructParent 652/Subtype/Widget/T(CheckBox20upinno[0])/TU(17. 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