Transcription of Pistol Permit APPLICATION 2013-0816
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Pistol Permit APPLICATION 2013-0816
SHELBY COUNTY SHERIFF S OFFICE Pistol Permit APPLICATION STATE OF ALABAMA Read the following carefully and provide complete and accurate information. It is a crime to make a false statement or report to law enforcement (Title 13A-10-109, Code of Alabama, 1975). A criminal history background check will be conducted on each applicant. County of Primary Residence: _____ Requesting Permit for: o 1 year @ $20 o 2 years @ $40 o 3 years @ $60 o 4 years @ $80 o 5 years @ $100 Full Name: _____ Last First Middle Any other names you have been known by: _____ Race: _____ Sex: _____ Date of Birth: _____ Physical Address: _____ City State Zip Mailing Address: _____ City State Zip Email Address: _____Home Phone: _____ Cell Number: _____ Driver s License: _____ _____ Social Security Number: _____ State Age: _____ Height: _____ Weight: _____ Hair Color: _____ Eye Color: _____ Marital Status: _____ Employer: _____ Employer Address.
SHELBY COUNTY SHERIFF’S OFFICE PISTOL PERMIT APPLICATION STATE OF ALABAMA Read the following carefully and provide complete and accurate information.
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