ATF FORM SYSTEM FORM 23 GENERATOR Responsible Person Questionnaire For Co-Trustees of a Gun Trustwhen buying or building an NFA Firearm Trust Shop CustomerWas your Gun Trust created by The Trust Shop? Yes No Sorry! The Trust Shop ATF Form System is only for use by Trust Shop Customers Important Note Before you proceed you need to turn off the autofill on your computer browser (Chrome, Safari, Firefox, etc.). If your browser has the autofill feature turned on, even though it appears your information is being entered correctly, your computer bowser may automatically replace it with something else. In order to make sure this doesn't happen, all you have to do is turn autofill off. If you are unsure how to turn autofill off, we can walk you through it in about 5 seconds. Just click here for directions. Autofill ☐ I have verified that Autofill is turned off Trustee or Co-Trustee?Are you the Trustee, or are you a Co-Trustee? Trustee Co-Trustee Note: If you are going to use the Trust Shop ATF Form System to create your Form 1 or 4 Application, you don't need to complete this form, as your Form 23 will be automatically created with your Form 1 or 4 paperwork. Form 23 attached to FinalThis Form 23 is going to be attached to a ____________________ Form 1 Form 4 Do you have a copy of form 1Do you have a copy of the Form 1 Application in front of you? Yes No Do you have a copy of form 4Do you have a copy of the Form 4 Application in front of you? Yes No Notes: 1. Certain information on this Form 23 must be exactly the same as the information on the Form 1. Otherwise, the ATF will reject the Form 1 Application 2. You can fill out your Form 23 as soon as you receive a copy of the Form 1 Application from the Trustee Notes: 1. Certain information on this Form 23 must be exactly the same as the information on the Form 4. Otherwise, the ATF will reject the Form 4 Application 2. You can fill out your Form 23 as soon as you receive a copy of the Form 4 Application from the Trustee Contact Information What is your full Legal Name?RP 1 First Final* FirstRP 1 Middle Final MiddleRP 1 Last Final* LastRP 1 Suffix Final Jr. Sr. I II or IIIRP 1 Email Final*What is your Email Address? This is the email address we will use to deliver your Form Enter Email Confirm Email RP 1 Phone Final*What is your Phone Number?What is your Address? This must be a street address. PO Box addresses cannot be entered in this field RP 1 Street Final* Street AddressRP 1 City Final* CityRP 1 State Final*-ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYStateRP 1 Zip Final* Zip Code Gun Trust Information Trust Name Final*What is the Name of the Gun Trust? Note: You must enter the Name of the Gun Trust exactly as it appears on the 1st page of the trust documents. What is the Address of the Gun Trust? Note: You must enter the address exactly as it appears on the Form 1 Application What is the Address of the Gun Trust? Note: 1. You must enter the address exactly as it appears on the Form 4 Application Trust Street Final* Trust Street AddressTrust City Final* Trust CityTrust State Final*-ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYTrust StateTrust Zip Final* Trust Zip Code Review your Contact Info Attached to: {:18} Name: {:29} {:30} {:31} {:32} Email Address: {:34} Phone Number: {:36} Address: {:39}{:40}, {:41} {:42} Trust Name: {:46} Trust Address: {:50}{:51}, {:52} {:53} Click on the Previous button if you need to make changes Firearm Information New or ModifiedAre you: building a new firearm from scratch, or are you modifying an existing firearm? For Example: If you are making a Silencer or finishing an 80% complete Lower Receiver, you are building a new firearm If you are converting a rifle into an SBR, you are modifying an existing firearm building a new firearm modifying an existing firearm US or Different Final*In what Country was your Firearm Manufactured? United States Different Country Manufacturer Information Because your Firearm was manufactured in a different country, the ATF wants two different addresses: 1. The Name and Address of the company that manufactured your firearm, and2. The Name and Address of the company that brought your Firearm into the United States (the 'importer'). What is the Manufacturer's Name & Address? For Example: If your firearm was manufactured in Italy by Beretta, you would enter: Manufacturer: Fabbrica d'Armi Pietro Beretta S.p.A. City: Gardone Val Trompia Country: Italy Foreign Manufacturer Name Final* Manufacturer NameForeign Manufacturer City Final CityForeign Manufacturer Country Final*-AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweCountryWhat is the Importer's Name & Address? For Example: If your firearm was imported by Beretta USA, you would enter: Importer: Beretta USA City: Gallatin State: Tennessee Importer Name Final* Importer NameImporter City Final* CityImporter State Final*-ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYState Manufacturer Information What is the Name of the Company that Manufactured your Firearm? Note: You MUST enter the name of the Manufacturer EXACTLY as it appears on your firearm. US Manufacturer Name Final* Manufacturer NameWhat is the Manufacturer's Address?US Manufacturer City Final* CityUS Manufacturer State Final*-ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYState Firearm Type* What Type of Firearm are you building? Note: You MUST enter the Type EXACTLY as it appears in Box 4.b. of the Form 1 Application Silencer Short-Barreled Shotgun Short-Barreled Rifle Destructive Device AOW Firearm Type* What Type of Firearm are you buying? Note: You MUST enter the Type EXACTLY as it appears in Box 4.b. of the Form 4 Application Silencer Short-Barreled Shotgun Short-Barreled Rifle Machine Gun Destructive Device AOW What is the Caliber of the Firearm? Note: Enter the Caliber exactly as it appears in Box 4c. of the Form 1 Application What is the Caliber of the Firearm? Note: Enter the Caliber exactly as it appears in Box 4c. of the Form 4 Application Firearm Caliber Final* CaliberWhat is the Model of the Firearm? Note: Enter the Model exactly as it appears in Box 4d. of the Form 1 Application What is the Model of the Firearm? Note: Enter the Model exactly as it appears in Box 4d. of the Form 4 Application Firearm Model* ModelWhat is the Serial Number of the Firearm? Note: Enter the Serial number exactly as it appears in Box 4g. of the Form 1 Application What is the Serial Number of the Firearm? Note: Enter the Serial number exactly as it appears in Box 4g. of the Form 4 Application Firearm Serial Number Final* Serial Number Review Firearm Info Caliber: {:93} Model: {:97} Serial Number: {:101} Click on the Previous button if you need to make changes CLEO Information (Chief Law Enforcement Officer) When you send your Application to the ATF, you are required to provide the name and address for the Chief Law Enforcement Officer of the area where you live Notes: 1. You can use any city, county, or state law enforcement agency, as long as you live inside their jurisdiction area 2. For Example: If you live in Phoenix Arizona, you can use any of the following CLEOs: - Phoenix Police Department, - Maricopa County Sheriff's Office, or - Arizona State Police 3. Most people choose their County Sheriff's Department because the contact information is easier to find and they usually have a better understanding of what to do with the ATF paperwork. CLEO Agency Name Final*What is the name of your CLEO Agency? What is the Address for this Agency?CLEO Street Final* Street AddressCLEO City Final* CityCLEO State Final*ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYStateCLEO Zip Final* Zip CodeWhat is the Name of the officer that is in charge of the Law Enforcement Agency listed in the previous question? CLEO First Final* FirstCLEO Middle Final MiddleCLEO Last Final* LastCLEO Suffix Final Jr. Sr. I II or IIICLEO Title FinalWhat is the Title of the CLEO? Chief of Police County Sheriff Head of the State Police Other other titleEnter CLEO Title here Review CLEO Information Agency Name: {:110} Agency Address: {:113}{:114}, {:115}{:116} CLEO Name: {:119} {:120} {:121} {:122} CLEO Title: {:124} If you need to make changes click the Previous button Background Information 1. Date of Birth*What is your Date of Birth? MM slash DD slash YYYY SSNEnter your Social Security Number or Unique Personal Identification Number Ethnicity*What is your Ethnicity? Hispanic or Latino Not Hispanic or Latino Race*What is your Race? White American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander used alias?*Have you ever used Other Names? Including Alias and Maiden name Yes No alias*Enter Other Names used have UPIN*Have you been issued a Unique Personal Identification number (UPIN)? Yes No UPIN*Enter your Unique Personal Identification number (UPIN) below country citizenship*What is your Country of Citizenship? United States of America Other Country Other Country*Enter the name of the Country where you are a Citizen State of Birth*What is your State of Birth?-AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificCountry of birth*What is your Country of Birth?-United StatesAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Form 23 Background Question 6.a*Do you intend to make any firearm listed on this form for sale for other disposition to any person described in questions 6.b through 6.l, or a person described in question 6.m who does not fall under an exception? Note: Questions 6b. through 6.m are the questions listed below Yes No Form 23 Background Question 6.b*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? Yes No Form 23 Background Question 6.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? Yes No Form 23 Background Question 6.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? Yes No Form 23 Background Question 6.e*Are you a fugitive from justice? Yes No Form 23 Background Question 6.f*Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narcotic drug, or any other controlled substance? 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 No Form 23 Background Question 6.g*Have you ever been adjudicated as a mental defective OR have you ever been committed to a mental institution? Yes No Form 23 Background Question 6.h*Have you been discharged from the Armed Forces under dishonorable conditions? Yes No Form 23 Background Question 6.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? Yes No Form 23 Background Question 6.j*Have you ever been convicted in any court of a misdemeanor crime of domestic violence? Yes No Form 23 Background Question 6.k*Have you ever renounced your United States citizenship? Yes No Form 23 Background Question 6.l*Are you an alien illegally or unlawfully in the United States? Yes No Form 23 Background Question 6.m.1*Are you an alien who has been admitted to the United States under a nonimmigrant visa? Yes No Form 23 Background Question 6.m.2*If you answered yes, do you fall into any of the exceptions stated in the instructions? Attach the documentation to the questionnaire If you answered No to the previous question, select N/A from the list of choices below. Yes No N/A alien number*If you are an alien, record your U.S.-Issued Alien or Admission Number (AR, USCIS, or I-94 number): Review Background Info DOB {:134} State of Birth {:154} Country of Birth {:156} SSN {:136} Ethnicity {:138} Race {:140} Used other names {:142} Made for someone else {:160} Made for felon {:162} Under indictment {:164} Felony conviction {:166} Fugitive from justice {:168} Drug addiction {:170} Mental institution {:172} Dishonorable Discharge {:174} Court order {:176} Domestic violence {:178} Renounced Citizenship {:180} Illegal alien {:182} Nonimmigrant visa {:184} Exceptions {:186} If you need to make changes click the Previous button Terms and Conditions The Trust Shop ATF Form System - Terms and ConditionsThe Trust Shop ATF Form 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 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 ATF Application is correct. I agree to the Trust Shop ATF Form System - Terms and Conditions