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ILLINOIS STATE POLICE APPLICATION FOR …

HEIGHT: ft inAPPLICATION FOR FIREARM OWNER S IDENTIFICATION CARDILLINOIS STATE POLICELast NameFirst Name M. Initial SuffixStreet Address AptCity/Town STATE Zip CodeCounty Code Date of Birth (MM/DD/YYYY) List Any Previous NamesDocument #See Back for County Code ListingsTapeEXACT SIZEP hotoHereFace Up1 1/4 by 1 1/2 Head andShoulders onlyIF YOU ARE UNDER 21: The minor applicant and their parent or legal guardian must complete this section. The signature of the applicant s parent or legal guardian is parent or legal guardian giving the consent shall be liable for any damages resulting from the applicant s use of firearms or firearm Have you (the minor) ever been convicted of a misdemeanor other thana traffic violation?

HEIGHT: ft Brown Whitein ILLINOIS STATE POLICE APPLICATION FOR FIREARM OWNER’S IDENTIFICATION CARD Last Name First Name M. Initial Suffix Street Address Apt City/Town State Zip Code

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