OFFICAL LETTER FOR OFFICER PURCHASE OF RESTRICTED FIREARMS & HI-CAPACITY MAGAZINES

___________
 (Date)


Department or Government Agency: __________________________________________________

Chief, Sheriff or Supervisor: __________________________________________________

Address: __________________________________________________

City: _______________, State _______ Zip Code ______________

Phone: (_____) _____-________ Fax (______) ______-________

THIS LETTER IS WRITTEN UNDER PENALTY OF PERJURY.

I, _________________________________________________________ AM PURCHASING THE BELOW LISTED
                    (Full Name Of Officer)

WEAPON OR HIGH CAPACITY MAGAZINE TO PERFORM OFFICIAL DUTIES AS A POLICE OFFICER.
THIS WEAPON OR MAGAZINE IS BEING ACQUIRED FOR OFFICIAL DUTIES AS A LAW ENFORCEMENT
OFFICER AND IS NOT FOR PERSONAL USE OR FOR THE PURPOSES OF THE TRANSFER OR RESALE. I
HAVE NOT BEEN CONVICTED IN ANY COURT OF A MISDEMEANOR CRIME OF DOMESTIC VIOLENCE. THIS
INCLUDES ANY MISDEMEANOR CONVICTION INVOLVING THE USE OR ATTEMPTED USE OF PHYSICAL
FORCE COMMITTED BY A CURRENT OR FORMER SPOUSE, PARENT, OR GUARDIAN OF THE VICTIM OR
BY A PERSON WITH A SIMILAR RELATIONSHIP WITH THE VICTIM.

Weapon Purchased _________________________ _______________ _______________
                     (Manufacturer Name)       (Caliber)    (Bbl. Length)

Magazine Purchased _________________________ __________ ______________ _________________
                       (Manufacturer Name)   (Quantity)    (Caliber)      (Capacity)

AS THE SUPERVISOR OF THE ABOVE OFFICER, I AFFIRM THAT THE WEAPON OR MAGAZINE IS BEING
ACQUIRED FOR USE IN THE OFFICER'S OFFICIAL DUTIES, AND THE WEAPON OR MAGAZINE IS NOT FOR
PERSONAL USE OR FOR THE PURPOSE OF TRANSFER OR RESALE. IN ADDITION THE OFFICER HAS
BEEN CHECKED AND REVEALS NO CONVICTIONS FOR MISDEMEANOR CRIMES OF DOMESTIC
VIOLENCE.

___________________________________________ _____________________________________
          (Signature of Supervisor)                 (Signature of Officer)

___________________________________________ ______________________________________
        (Officer Identification Number)                     (Date)


Please mail original To:
Florida GunWorks
8306 Mills Drive, #571
Miami, FL  33183