Responsible Person Questionnaire

National Firearms Act (NFA) Responsible Person Questionnaire ATF FORM 5320.23

Need to purchase a NFA item from us? Please fill out the following information to authorize Louisiana Firearms, LLC to complete your National Firearms Act (NFA) Responsible Person Questionnaire for you. This form is used by the United States Federal Government to verify your identity and to run a background check on you when you are attempting to purchase or create a NFA item such as a suppressor, short-barreled rifle, short barreled shotgun or machine gun as part of a Trust, Corporation or other legal entity (such as an LLC). We charge a $25 ATF Form 5320.23 filing fee per person, per item. This includes in-store fingerprinting and pictures.

Personal Information:

Please enter in your information below.

Full Legal Name (First, Middle, Last) of Responsible PersonTrust Name (If Applicable)Home Address (Current Residence) of Responsible PersonTelephone Number (Area Code and Number) of Responsible PersonEmail Address of Responsible PersonOther Names Used of Responsible Person (including alias and maiden name) (If applicable)Social Security NumberDate of Birth:

Please Choose your Ethnicity:

Please Choose your Ethnicity:

Hispanic or Latino

Not Hispanic or Latino

Please Choose your Race:

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Local Law Enforcement Information:

Please enter in your local law enforcement information below. This is your local law enforcement agency that is responsible for the city or parish that your residence is located in. This is normally the agency that shows up to your residence when you call 911 for assistance. If you live inside the city limits of a city with a Police Department, your local law enforcement agency would be that Police Department. If you live outside any city limits, or inside city limits without a Police Department, your local law enforcement agency would be your Parish Sheriff’s Office.Police Department or Agency NameChief Law Enforcement Officer (CLEO)Police Department or Agency Address

Citizenship/Birth Information:

Please enter in your citizenship and birth information below.

Country of Citizenship

United States of America

OtherState of BirthCountry of Birth

I acknowledge and authorize Louisiana Firearms, LLC to use the information filled out above for NFA purchases of Louisiana Firearms, LLC.View Return PolicySubmit

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