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)______________________________ ___ 4.
notice 1 disclosure of social s ecurity number this information is provided pursuant to the government data collection and dissemination practices act (§ 2.2-3800 et seq).
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