FILE NUMBER: APPLICATIONFORCONCEALED …
SP-248 (7-1-2016) FILE NUMBER: ________________________________ APPLICATION FOR CONCEALED HANDGUN PERMIT COMMONWEALTH OF VIRGINIA VIRGINIA CODE SECTIONS AND 06 RESIDENT PERMIT NONRESIDENT PERMIT RENEWAL SEE NOTICE 2 PAGE 3 1. FULL LEGAL NAME (ATTAC H A S E P AR ATE LIS TING OF ANY ADDITIONAL NAMES YOU MAY HAVE US ED OR BEEN KNOWN BY) FIRST ___________________________ MIDDLE ______________________ LAST___________________________________ 2. DATE OF BIRTH (YO U MUS T B E AT LE AS T 21 YE AR S OF AG E) MONTH ______ DAY _____ YEAR ________ 3. RESIDENTIAL ADDRESS (ATTAC H A S E P AR ATE LIS TING O F ALL ADDR E S SES WITHIN THE LAS T 5 YE AR P E R IO D) STREET OR RURAL ROUTE ____________________________________ CITY ______________________________ COUNTY ____________________________ STATE _________ ZIP ____________ MAILING ADDRESS (IF DIF F E R E NT) ________________________________________ ______________________________EMAIL (OPTIONAL)__________________
have you been committed to the custody of the commissioner of behavioral health and developmental services?
Download FILE NUMBER: APPLICATIONFORCONCEALED …
Information
Domain:
Source:
Link to this page:
Please notify us if you found a problem with this document:
Related search queries
Nevada, Permit, Handgun, Concealed Handgun Permit, STATE OF NORTH CAROLINA APPLICATION FOR, STATE OF NORTH CAROLINA APPLICATION FOR CONCEALED HANDGUN PERMIT, NEVADA CONCEALED HANDGUN TRAINING, NEVADA CONCEALED HANDGUN TRAINING STANDARDS, WEST VIRGINIA STATE POLICE APPLICATION, PROVISIONAL CONCEALED PISTOL/REVOLVER LICENSE, Disqualifiers for Concealed, Louisiana Department of Public Safety