Example Letterhead for Individual Officer Purchase

UNDER PENALTY OF PERJURY I AFFIRM THE FOLLOWING TO BE TRUE AND CORRECT.

I, _____(full name of officer)_____, am purchasing the below listed firearm to perform my official duties a ____________(rank)_____________ in the _______(department)___________. THE FIREARM BEING ACQUIRED IS FOR PERFORMING OFFICIAL DUTIES, IS NOT FOR PERSONAL USE, AND IS NOT FOR TRANSFER OR RESALE.

Description of Firearm:

____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________

Payment Method (cc# if applicable): ________________________________________________________

Signature of Officer:____________________________________________

Date: ___________________

DOB: _______________ Department ID# _______________



(This letter can be modified for use of the Chief Law Enforcement Officer also. Please remember that we must have letterhead from both officer and CLEO for indv. officer purchases. This letterhead is an example only.)