Firearm Bill of Sale Form - Virginia
Description of the Firearm
• Semiautomatic; • Manually Chambered
• Pistol; • Revolver; • Rifle; • Shotgun; • Other
Manufacturer:
Importer:
Model:
Caliber or Gauge:
Ammunition Capacity:
Serial N
o.
Parties to the Transaction:
_____________________________, Seller,
residing at: __________________________
___________________________________
___________________________________
and
__________________________, Purchaser,
residing at: __________________________
___________________________________
___________________________________
Purchase Price: $_____________________
COME NOW THESE PARTIES, the Seller and Purchaser identified above, both of whom state that they are
over the age of majority, that they are bona fide residents of the same state as specified in the physical
addresses listed for each party above, that they have personal knowledge of the facts herein stated, and
that they are otherwise competent to make this statement under oath:
1. Seller agrees to sell, and Purchaser agrees to buy, the firearm described above, as-is, where-is, and
with all its faults and without warranty of any kind other than warranty of title, for the sum identified
above, receipt of which is hereby acknowledged, shipping to be arranged separately.
2. Seller affirms that he has no knowledge of, or reason to believe that there is any legal or equitable
impediment to his transfer of the firearm described above; and that he acquired the firearm in a lawful
manner and is the legitimate owner thereof.
3. Purchaser affirms that he has no knowledge of, or reason to believe that there is any legal or equi-
table impediment to his ownership, possession, or receipt of the firearm described above; that he is not
prohibited by the provisions of Chapter 44 of Title 18, United States Code from receiving a firearm in
interstate or foreign commerce; that his receipt of this firearm will not be in violation of any statute of
his state of residence or of any published ordinance applicable to the locality in which he resides; and
that he is lawfully entitled to purchase the same and that he is acquiring the handgun for his personal
use and not in contemplation of the sale or transfer of the handgun to any other person.
4. Neither Party is a "dealer" as that term is defined in 27 C.F.R. §478.11 or otherwise licensed to sell
firearms at retail.
WHEREFORE, these parties affirm under penalty of perjury that these statements are true and correct to the best
of their knowledge and belief, this ________________ day of __________________________, 20_______:
_____________________________________
Purchaser
_____________________________________
Seller
AFFIDAVIT AND BILL OF SALE FOR A NON-NFA FIREARM
DANIEL L. HAWES , ESQ ., 540 347 2430
VIRGI NI A LEGAL DEFENSE , P.O. B OX 100, BROAD RUN , VA 20137
110327 : PAGE 1 OF 1 PAGE S .
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