The undersigned “Seller”, for good and valuable consideration, receipt of which is hereby acknowledged, does hereby sell, transfer and convey the following described “Firearm” together with any accompanying accessories, to the “Buyer” named below. Seller hereby warrants that Seller is the lawful owner of the Firearm, and that such Firearm is free of all encumbrances, and that Seller has the right to sell said firearm. Seller transfers the Firearm to Buyer in an “as is” condition and makes no warranties whatsoever, including but not limited to warranties of merchantability, usability, or fitness for any particular purpose. Seller further disclaims any liability whatsoever with regard to future possession, storage, or use of the Firearm. Seller relies on Buyer’s certifications below in making this transfer.
Buyer hereby certifies that he is under no legal disability preventing transfer, possession, or use of the firearm, and that he is not a “restricted person” under the law. Specifically, Buyer hereby certifies and warrants that he does not use illegal drugs; is not a fugitive from justice; has never been convicted of a felony, or a crime of domestic violence; is not subject to a restraining order; has not been dishonorably discharged from the Armed Forces; has not renounced his U.S. Citizenship, is not an illegal alien residing in the U.S., is not under indictment; and has not been adjudicated as mentally defective, or confined to a mental institution. Buyer hereby acknowledges receipt of a copy of this Bill of Sale.
Firearm Description: Make: __________________ Model: ________________
Type: ________________________________________________________________
Caliber: _______________ Serial #: ______________________________________
Buyer: _______________________________________________ (Print Full Name)
Driver’s License # & State: _______________________________________________
DOB: _____________ Current Age: _______
Residency State: _________________ Citizenship: _______________
Buyer’s Concealed Carry Permit # (if any) & State: _____________________________
Complete Address: _____________________________________________________
Seller: ________________________________________________ (Print Full Name)
Complete Address: _____________________________________________________
Buyer’s Signature: __________________________________ Date: ______________
Seller’s Signature: __________________________________ Date: ______________
