, who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signatures on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under Penalty of Perjury under the laws of the State of that the foregoing is true and correct.
Witness my hand and Official Seal
Buyer and Seller Disclosure Buyer declares that the following is true and correct: Buyer’s Initials
-‐ Buyer is of legal age to own and operate a firearm
-‐ Buyer has affirmed that the firearm details below are legible and correct
-‐ Buyer of not violating any local, State, or Federal laws by accepting the firearm
-‐ Buyer has not been prohibited from taking possession or owning a firearm legally
-‐ Buyer acknowledges that no warranty is offered by the seller for the firearm