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Click ‘Get Form’ to open it in the editor.
Begin by entering the name of the person, firm, partnership, or corporation as listed on your Federal Firearms License in the designated field.
Fill in your street address, ensuring to include the number, street, city, state, zip code, and county.
If your mailing address differs from your street address, provide that information in the next field.
Enter your primary and secondary business telephone numbers in the respective fields.
Input the last five digits of your Federal Firearms License Number and your Tax Identification Number.
Provide your Business License Number in the appropriate section.
Enter a billing email address for online registration with the State Police Firearms Transaction Center.
Complete the VCheck Contact section with details of the responsible person for security and training regarding access to criminal history records.
Finally, sign and date the form at the bottom before submitting it as instructed on the back of the form.

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