Connecticut Firearm Bill of Sale _ Form DPS-3-C
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STATE OF CONNECTICUT
DEPARTMENT OF EMERGENCY SERVICES AND PUBLIC PROTECTION
DIVISION OF STATE POLICE

Sale or Transfer of All Firearms
Date of Sale

Sale Authorization No.

Manufacturer

Exact Model

Serial Number

Caliber/Gauge

General Description

Barrel Length

Handgun
Long Gun
Other

Date of Birth

Place of Birth

*

Purchaser or Transferee’s Pistol Permit, Eligibility
Certificate, Police ID or FFL #

Purchaser or Transferee (Print First, Middle, Last Name)
Purchaser or Transferee’s Address (No., Street, City/Town, ZIP Code)
Seller or Transferor’s (Print First, Middle, Last Name)

Date of Birth

Seller or Transferor’s Pistol Permit, Eligibility Certificate,
Police ID or FFL #

Seller or Transferor’s Address (No., Street, City/Town, ZIP Code)

Signature of Seller or Transferor

Signature of Purchaser or Transferee

Seller, obtain authorization number by calling (860) 685-8400. Retain the original copy for your records, give one copy to the purchaser as a
receipt, submit one copy to