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FILE NUMBER: APPLICATIONFORCONCEALED …

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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.

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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