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PISTOL SALES RECORD MICHIGAN STATE POLICE PISTOL SALES …

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GENERAL INSTRUCTIONS Applicability: This form can be used if the purchaser is one of the following: Michigan resident with a valid Michigan Concealed Pistol License (CPL); Federally Licensed Firearms (FFL) dealer; Michigan resident who purchases a pistol from an FFL dealer who has complied with the requirements of the National Instant Criminal Background Check System (NICS); or Michigan resident who is currently employed as a police officer certified by the Michigan Commission on Law Enforcement Standards (MCOLES). Required Fields: The following information must be provided in fields 1 through 5 as follows: Michigan CPL Number 1 , - Required if the purchaser has a valid Michigan CPL. Purchaser FFL Number 2 , - Required if the purchaser is an FFL dealer. MCOLES Number 3 , Required if the purchaser is currently employed as an MCOLES certified police officer. Seller FFL Number 4 , - Required if the seller is an FFL dealer. NICS Transaction Number 5 , - Required if the seller is an FFL dealer unless the purchaser is a valid Michigan CPL holder or an FFL dealer. Distribution: The purchaser shall receive two copies of the form and the seller may retain one copy. Within ten days of purchase or acquisition, the purchaser must submit the registry copy to the city, village, or township police department where the purchaser resides, or the county sheriff. The law enforcement agency receiving the registry copy of this form shall enter the information into the pistol registration database within ten days and forward the form to the Michigan State Police within 48 hours. Agency checks here when entered RI-060 (05/2016) MICHIGAN STATE POLICE PISTOL SALES RECORD (Type or print in ink) Number of Pistols Manufacturer Serial Number Type: Semi-Auto Revolver Other: Model Caliber Shot Barrel Length Overall Length Purchaser Information Printed Name (Last, First, Middle) OR Business Name if FFL Dealer Date of Birth Race Sex Address City County ZIP Code Michigan CPL Number 1 OR Purchaser FFL Number 2 OR MCOLES Number 3 Purchaser Signature Telephone Number Seller Information Printed Name (Last, First, Middle) OR Business Name if FFL Dealer Seller FFL Number 4 NICS Transaction Number 5 Seller Signature Date of Sale PURCHASER COPY Authority: MCL 28.422a, as amended. Completion: Mandatory for sale to proceed without a License to Purchase. An individual who makes a material false statement on this form is guilty of a felony. RI-060 (05/2016) MICHIGAN STATE POLICE PISTOL SALES RECORD (Type or print in ink) Number of Pistols Manufacturer Serial Number Type: Semi-Auto Revolver Other: Model Caliber Shot Barrel Length Overall Length Purchaser Information Printed Name (Last, First, Middle) OR Business Name if FFL Dealer Date of Birth Race Sex Address City County ZIP Code Michigan CPL Number 1 OR Purchaser FFL Number 2 OR MCOLES Number 3 Purchaser Signature Telephone Number Seller Information Printed Name (Last, First, Middle) OR Business Name if FFL Dealer Seller FFL Number 4 NICS Transaction Number 5 Seller Signature Date of Sale SELLER COPY Authority: MCL 28.422a, as amended. Completion: Mandatory for sale to proceed without a License to Purchase. An individual who makes a material false statement on this form is guilty of a felony. RI-060 (05/2016) MICHIGAN STATE POLICE PISTOL SALES RECORD (Type or print in ink) Number of Pistols Manufacturer Serial Number Type: Semi-Auto Revolver Other: Model Caliber Shot Barrel Length Overall Length Purchaser Information Printed Name (Last, First, Middle) OR Business Name if FFL Dealer Date of Birth Race Sex Address City County ZIP Code Michigan CPL Number 1 OR Purchaser FFL Number 2 OR MCOLES Number 3 Purchaser Signature Telephone Number Seller Information Printed Name (Last, First, Middle) OR Business Name if FFL Dealer Seller FFL Number 4 NICS Transaction Number 5 Seller Signature Date of Sale REGISTRY COPY (Within ten days of purchase, this copy must be submitted to the local police or sheriff's office having jurisdiction where the purchaser resides.) Authority: MCL 28.422a, as amended. Completion: Mandatory for sale to proceed without a License to Purchase. An individual who makes a material false statement on this form is guilty of a felony.
Transcript
Page 1: PISTOL SALES RECORD MICHIGAN STATE POLICE PISTOL SALES …

GENERAL INSTRUCTIONSApplicability: This form can be used if the purchaser is one of the following:

• Michigan resident with a valid Michigan Concealed Pistol License (CPL); • Federally Licensed Firearms (FFL) dealer; • Michigan resident who purchases a pistol from an FFL dealer who has complied with the

requirements of the National Instant Criminal Background Check System (NICS); or • Michigan resident who is currently employed as a police officer certified by the Michigan Commission

on Law Enforcement Standards (MCOLES).

Required Fields: The following information must be provided in fields 1 through 5 as follows:

• Michigan CPL Number 1, - Required if the purchaser has a valid Michigan CPL. • Purchaser FFL Number 2, - Required if the purchaser is an FFL dealer. • MCOLES Number 3, Required if the purchaser is currently employed as an MCOLES certified

police officer. • Seller FFL Number 4, - Required if the seller is an FFL dealer. • NICS Transaction Number 5, - Required if the seller is an FFL dealer unless the purchaser is a

valid Michigan CPL holder or an FFL dealer. Distribution: The purchaser shall receive two copies of the form and the seller may retain one copy. Within ten days of purchase or acquisition, the purchaser must submit the registry copy to the city, village, or township police department where the purchaser resides, or the county sheriff. The law enforcement agency receiving the registry copy of this form shall enter the information into the pistol registration database within ten days and forward the form to the Michigan State Police within 48 hours.

Agency checks here when entered

RI-060 (05/2016) MICHIGAN STATE POLICE PISTOL SALES RECORD (Type or print in ink)

Number of Pistols Manufacturer Serial Number

Type: Semi-Auto Revolver Other:

Model Caliber Shot Barrel Length Overall Length

Purchaser InformationPrinted Name (Last, First, Middle) OR Business Name if FFL Dealer Date of Birth Race Sex

Address City County ZIP Code

Michigan CPL Number 1

OR Purchaser FFL Number 2 OR MCOLES Number 3

Purchaser Signature Telephone Number

Seller InformationPrinted Name (Last, First, Middle) OR Business Name if FFL Dealer Seller FFL Number 4 NICS Transaction Number 5

Seller Signature Date of Sale

PURCHASER COPYAuthority: MCL 28.422a, as amended. Completion: Mandatory for sale to proceed without a License to Purchase. An individual who makes a material false statement on this form is guilty of a felony.

RI-060 (05/2016) MICHIGAN STATE POLICE PISTOL SALES RECORD (Type or print in ink)

Number of Pistols Manufacturer Serial Number

Type: Semi-Auto Revolver Other:

Model Caliber Shot Barrel Length Overall Length

Purchaser InformationPrinted Name (Last, First, Middle) OR Business Name if FFL Dealer Date of Birth Race Sex

Address City County ZIP Code

Michigan CPL Number 1

OR Purchaser FFL Number 2 OR MCOLES Number 3

Purchaser Signature Telephone Number

Seller InformationPrinted Name (Last, First, Middle) OR Business Name if FFL Dealer Seller FFL Number 4 NICS Transaction Number 5

Seller Signature Date of Sale

SELLER COPYAuthority: MCL 28.422a, as amended. Completion: Mandatory for sale to proceed without a License to Purchase. An individual who makes a material false statement on this form is guilty of a felony.

RI-060 (05/2016) MICHIGAN STATE POLICE PISTOL SALES RECORD (Type or print in ink)

Number of Pistols Manufacturer Serial Number

Type: Semi-Auto Revolver Other:

Model Caliber Shot Barrel Length Overall Length

Purchaser InformationPrinted Name (Last, First, Middle) OR Business Name if FFL Dealer Date of Birth Race Sex

Address City County ZIP Code

Michigan CPL Number 1

OR Purchaser FFL Number 2 OR MCOLES Number 3

Purchaser Signature Telephone Number

Seller InformationPrinted Name (Last, First, Middle) OR Business Name if FFL Dealer Seller FFL Number 4 NICS Transaction Number 5

Seller Signature Date of Sale

REGISTRY COPY (Within ten days of purchase, this copy must be submitted to the local police or sheriff's office having jurisdiction where the purchaser resides.)Authority: MCL 28.422a, as amended. Completion: Mandatory for sale to proceed without a License to Purchase. An individual who makes a material false statement on this form is guilty of a felony.

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