KEYS GUN SHOP
1110 West Main Street
Locust, NC 28097
Phone: (704) 888-2913
Fax (704) 888-2913
Instructions:
For us to receive a transfer on your behalf, you MUST complete ALL fields on this form
and return to us PRIOR to the firearm being shipped to us.
ALL firearms shipped to us MUST come from a licensed firearm dealer with a valid
FFL. Shipping Dealer MUST include an INK SIGNED copy of their FFL, along with
invoice or packing slip indicating PURCHASER NAME and firearm details including
SERIAL NUMBER with the gun. We DO NOT accept any firearm shipped from an
individual without an FFL. The fee for firearms transfers is $45.00.
Buyer Name: ____________________________________________________________
Address: ________________________________________________________________
City: ___________________
State: _________
Zip: ____________________
Daytime Phone #: (______) ______-________
Dealer Name: ____________________________________________________________
Address: ________________________________________________________________
City: ___________________
State: _________
Zip: ____________________
FFL#: __________________________________________________________________
Daytime Phone #: (______) ______-________
Fax #: (______) ______-________
Firearm Make: _________________________
Model: _______________________
Caliber: ______________________________
Serial #: ______________________
Auction or Item #: ________________________________________________________
Buyer Signature: _________________________
Date: ______/______/___________
(For Internal Use Only)
FFL Sent: _______________________________ Date In: ______/_____/__________
Control #: _______________________________
Customer Called: _______________