RI-060 (02/2013) (Type or print in ink) RI-060 (02/2013) (Type or print in ink)

MICHIGAN STATE POLICE PISTOL SALES RECORD MICHIGAN STATE POLICE PISTOL SALES RECORD
Number of Pistols Manufacturer Serial Number NICS Transaction Number 1 Number of Pistols Manufacturer Serial Number NICS Transaction Number 1

Type: Semi-Auto Revolver Shotgun Pistol Pellet Other Type: Semi-Auto Revolver Shotgun Pistol Pellet Other

Caliber Shot Barrel Length Overall Length Model Caliber Shot Barrel Length Overall Length Model

Seller's FFL Number 2 Purchaser's Michigan CPL Number 3 Purchaser's FFL Number 4 Seller's FFL Number 2 Purchaser's Michigan CPL Number 3 Purchaser's FFL Number 4

PURCHASER PURCHASER

Name (Last, First, Middle) OR Business Name if FFL Dealer Name (Last, First, Middle) OR Business Name if FFL Dealer

Address City ZIP Code Address City ZIP Code

County Race Sex Date of Birth County Race Sex Date of Birth

Purchaser's Signature Purchaser's Telephone Number Purchaser's Signature Purchaser's Telephone Number

Seller's Signature Seller's Signature

Seller's Name Printed Date Seller's Name Printed Date

SELLER COPY PURCHASER COPY

Authority: 1927 PA 372, as amended. Completion: Mandatory for sale to proceed without a License to Purchase. An individual who Authority: 1927 PA 372, as amended. Completion: Mandatory for sale to proceed without a License to Purchase. An individual who
makes a material false statement on this form is guilty of a felony. makes a material false statement on this form is guilty of a felony.

INSTRUCTIONS & DISTRIBUTION RI-060 (02/2013)

PISTOL SALES RECORD
(Type or print in ink)
MICHIGAN STATE POLICE Agency checks here when entered
(1) NICS Transaction Number - To be completed if the seller is an FFL dealer
Number of Pistols Manufacturer Serial Number NICS Transaction Number 1
(2) Seller's FFL Number - To be completed if the seller is an FFL dealer *
Type: Semi-Auto Revolver Shotgun Pistol Pellet Other
(3) Purchaser's Michigan CPL Number - To be completed if the purchaser is a CPL holder *
Caliber Shot Barrel Length Overall Length Model
(4) Purchaser's FFL Number - To be completed if the purchaser is an FFL dealer *
* At least one of the fields marked by an asterisk above MUST be completed. Seller's FFL Number 2 Purchaser's Michigan CPL Number 3 Purchaser's FFL Number 4

General Instructions: This form is to be completed by a Michigan resident when purchasing from a PURCHASER
Federal Firearms Licensed (FFL) dealer or when a purchaser has a valid Michigan Concealed Pistol Name (Last, First, Middle) OR Business Name if FFL Dealer
License (CPL). A purchaser who is an FFL dealer shall also complete this form.
Address City ZIP Code
Distribution: Provide one copy to the seller and one copy to the purchaser. Within 10 days of
purchase, the MSP copy must be submitted by the purchaser to the police or sheriff department County Race Sex Date of Birth
having jurisdiction where the purchaser resides. The law enforcement agency is required to forward
that copy to the Michigan State Police. Purchaser's Signature Purchaser's Telephone Number

Purchase by a Dealer ONLY Seller's Signature

Instructions: If more than one pistol is purchased or acquired, do not use the first three lines of the
Pistol Sales Record. Instead, indicate the number of pistols purchased or acquired in the first box Seller's Name Printed Date
and list all pistols on an invoice or bill of sale. The invoice or bill of sale must contain all of the
information that is shown in the first three lines of the Pistol Sales Record. Attach a legible copy of MICHIGAN STATE POLICE COPY
the invoice or bill of sale to each copy of the Pistol Sales Record. Authority: 1927 PA 372, as amended. Completion: Mandatory for sale to proceed without a License to Purchase. An individual who
makes a material false statement on this form is guilty of a felony. To be submitted by purchaser to local agency.