NYS Ammo Buyer Form

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This is for auction buyers ONLY who have ONLY PURCHASED AMMUNITION.
This is for buyers of ammunition who are picking up in person. If you purchased any firearm, please do not fill out this form you must fill out a 4473 in person.
Full Name
Have you been known by any other names than the above:
Hispanic

Place of Birth:

Not everyone has one, if applicable enter.
Address