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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