PISTOL SALES RECORD MICHIGAN STATE POLICE PISTOL …
RI-060 (05/2016) MICHIGAN STATE POLICE
Number of Pistols
PISTOL SALES RECORD
Manufacturer
Serial Number
(Type or print in ink)
Type: Model
Semi-Auto
Revolver Caliber
Other: Shot
Barrel Length
Purchaser Information
Printed Name (Last, First, Middle) OR Business Name if FFL Dealer
Date of Birth
Race
Overall Length Sex
Address
City
County
ZIP Code
Michigan CPL Number 1 Purchaser Signature
OR Purchaser FFL Number 2
OR MCOLES Number 3
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.
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.
RI-060 (05/2016) MICHIGAN STATE POLICE
Number of Pistols
PISTOL SALES RECORD
Manufacturer
Serial Number
(Type or print in ink)
Type: Model
Semi-Auto
Revolver Caliber
Other: Shot
Barrel Length
Purchaser Information
Printed Name (Last, First, Middle) OR Business Name if FFL Dealer
Date of Birth
Race
Address
City
County
Overall Length
Sex ZIP Code
Michigan CPL Number 1 Purchaser Signature
OR Purchaser FFL Number 2
OR MCOLES Number 3
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
Number of Pistols
PISTOL SALES RECORD
Manufacturer
(Type or print in ink) Agency checks here when entered Serial Number
Type: Model
Semi-Auto
Revolver Caliber
Other: Shot
Barrel Length
Purchaser Information
Printed Name (Last, First, Middle) OR Business Name if FFL Dealer
Date of Birth
Race
Address
City
County
Overall Length
Sex ZIP Code
Michigan CPL Number 1 Purchaser Signature
OR Purchaser FFL Number 2
OR MCOLES Number 3
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.
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