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Welcome to the Trust Shop
ATF Form 23
Responsible Person Questionnaire

Will your Form 23 be attached to a Form 1 or Form 4 Application?


Is the Form being submitted by a Trust, Corporation, or Other Legal Entity?
Answer should match Box 2 of the Form Application


Form Applicant Information
Answers should match Application


Name of
Street Address
City
State
Zip Code

Applicant Information Review
Form 23 will be attached to a:
{:3}
Type of Applicant:
{:7}
Applicant Contact Info:
{:11}
{:13}
{:14}, {:155}
{:16}
Click PREVIOUS if you need to edit any of your information.


Firearm Information
Answer should match Box 4 of the Form Application


Is the Firearm being built from scratch (brand new), or is it being built by modifying an existing firearm?

In what Country was the Firearm Manufactured?

Manufacturer's Name
Answer should match Box 4a of the Form Application

Manufacturer's Address
Answer should match Box 4a of the Form Application
Manufacturer City
Manufacturer State

Importer's Information
Answer should match Box 4a of the Form Application
or Supplemental Firearm Information page
Importer's Name
Importer's City
Importer's State

Type of Firearm
Answer should match Box 4b of the Form Application

Caliber
Answer should match Box 4c of the Form Application

Model
Answer should match Box 4d of the Form Application

Serial Number
Answer should match Box 4g of the Form Application

Firearm Information Review
Manufacturer's Name & Address:
{:26}
{:28}, {:156}
Manufacturer's Name & Address:
{:26}
{:24}
Importer's Name & Address:
{:31}
{:32}, {:158}
Type of Firearm:
{:35}
Caliber:
{:37}
Model:
{:39}
Serial Number:
{:41}
Click PREVIOUS if you need to edit any of your information.


Background Information
If there are any background questions you don't want to answer, just leave them blank. Then you can enter the answers later by writing them directly onto your application.


First Name
Middle Name
Last Name
Suffix
Email(Required)
Phone Number

Address
The ATF requires you to provide a physical street address. Do NOT enter a PO Box Address
Street Address
City
State
Zip Code

Have you used a Different Name?
Including Maiden Name, Alias, or Legally Changed Name

List other names used

How do you sign your name?

What Nickname do you use?

Country of Citizenship

Country of Birth

State, Province, or Region where you were born

State of Birth

Date of Birth
Month
Day
Year

Social Security Number

Do you have a UPIN?
(Unique Personal Identification Number)

What is your UPIN?

Ethnicity

Race

Sex

Height
Rounded to nearest Inch
Feet
Inches

Weight
Rounded to nearest Pound
Enter Number Only

Eye Color

Hair Color

Do you intend to make any firearm listed on this form for sale or other disposition to any person who does not fall under an exception?

Do you intend to sell or otherwise dispose of any firearm listed on this form in furtherance of any felony or other offense punishable by imprisonment for a term of more than one year, a Federal crime of terrorism, or a drug trafficking offense?

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?

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?

Are you a fugitive from justice?

Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narcotic drug, or any other controlled substance?

Have you ever been adjudicated as a mental defective OR have you ever been committed to a mental institution?

Have you been discharged from the Armed Forces under dishonorable conditions?

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?

Have you ever been convicted in any court of a misdemeanor crime of domestic violence?

Have you ever renounced your United States citizenship?

Are you an alien illegally or unlawfully in the United States?

Are you an alien who has been admitted to the United States under a nonimmigrant visa?

Do you fall within any of the exceptions stated in the instructions? Attach the documentation to the questionnaire

U.S.-Issued Alien or Admission number
(AR#, USCIS#, or 194#):

Background Information Review
Contact Info:
{:47} {:48} {:49} {:50}
{:54}
{:55}, {:56} {:57}
{:52}
{:51}
Other Names Used:
Signature Name:
Citizenship:
{:62}
Country of Birth:
{:63}
State of Birth:
{:64}
State of Birth:
{:65}
Date of Birth:
{DOBm:67} {DOBd:68}, {DOBy:69}
SSN:
{:70}
UPIN:
Ethnicity:
{:73}
Race:
{:74}
Sex:
{:75}
Height:
{:77}' - {:78}"
Weight:
{:80} Pounds
Eye Color:
{:81}
Hair Color:
{:82}
Manufactured for Other:
{:83}
Manufactured for Felony Use:
{:84}
Under Indictment:
{:85}
Felony Conviction:
{:86}
Fugitive form Justice:
{:87}
Marijuana User:
{:88}
Mentally Defective:
{:89}
Dishonorable Discharge:
{:90}
Court Order:
{:91}
Domestic Violence:
{:92}
Renounced Citizenship:
{:93}
Illegal Alien:
{:94}
Non-immigrant Visa:
{:95}
Alien Admission No:
{:97}
Click PREVIOUS if you need to edit any of your information.


CLEO Information
(Chief Law Enforcement Officer)
Click here for more info


Agency Name (must have jurisdiction over the area where you live)
Street Address
City
State
Zip Code
Name of officer in charge
Title of officer in charge
Enter Title

CLEO Information Review
CLEO Agency Name:
{:103}
CLEO Address:
{:105}
{:106}, {:107} {:108}
CLEO Official in charge:
{:110}
CLEO Title:
Click PREVIOUS if you need to edit any of your information.


Fingerprint Cards

Because properly prepared fingerprint cards are one of the most crucial parts of your Form 4 Application, the Trust Shop now offers several Pre-Filled Fingerprint Card options

Complete Fingerprint Kit
Fingerprint Cards Only
✓ 4 Fingerprint Cards with all of your information preprinted on the top half of the cards ✓ Fingerprint Cards with all of your information preprinted on the top half of the cards
✓ Comprehensive instructions on how to properly add your prints to the cards
✓ Professional fingerprint pad (good for 500 prints)
✓ 10 FBI approved correction tabs (used to cover up mistakes)
✓ Practice fingerprint pages, so you can take a few test runs before taking your final prints
✓ And, just in case you mess up (you won't, but just in case), we give you an additional 5th fingerprint card
Complete Fingerprint Kit
✓ 4 FD-258 Fingerprint Cards with all of your information preprinted on the top half of the cards
✓ Professional fingerprint pad (good for 500 prints)
✓ Comprehensive instructions on how to properly add your prints to the cards
✓ 10 FBI approved correction tabs (used to cover up mistakes)
✓ Practice fingerprint pages, so you can take a few test runs before taking your final prints
✓ And, just in case you mess up (you won't, but just in case), we give you an additional 5th fingerprint card
Fingerprint Cards Only
✓ Fingerprint Cards with all of your information preprinted on the top half of the cards
Option(Required)
Would you like to add any Pre-Filled Fingerprint Cards to your order?
add extra cards(Required)

Would you like to add any additional fingerprint cards to your Complete Fingerprint Kit?
extra cards(Required)

How many additional fingerprint cards do you want?
Shipping(Required)

Shipping Information

Your Form 4 Application paperwork will be emailed to you immediately, but your fingerprint cards need to be printed on our FBI approved FD-258 Fingerprint Card Paper. That means, we will need to send your fingerprint supplies through the mail.
If you submit your order by 4:00 PM, your cards will be printed and shipped to you today.


Select one of the following options
different mailing address?(Required)

Where should we send your fingerprint cards?
Street Address
City
State
Zip Code

Order Review
Total{:144}
Mailing Address:
{:131}
{:132}, {:133}
{:134}
please wait
Credit Card(Required)
Enter your Payment Information below
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Expiration Date
 

Trust Shop Form 23 System
Terms & Conditions

The Trust Shop ATF Form 23 System is a service made available by the Trust Shop. Use of, and access to, the Trust Shop ATF Form System does not create an attorney-client relationship between you and the Trust Shop. The Trust Shop ATF Form 23 System is provided "as is;" no representations are made that the content is error-free. By clicking on the button below, you agree to these Terms and Conditions and understand that it is your responsibility to verify that the information entered on your Form 23 Application is correct.
Only click the SUBMIT button one time
It may take a minute to process your payment. You'll know your information has been submitted successfully when you are redirected to another page.
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